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Evidence for Dialectical Behavior Therapy and Dissemination in Korea: A Systematic Review

Abstract

This study described the philosophy, treatment system, and core strategies of dialectical behavior therapy (DBT), and reviewed its treatment efficacy, effectiveness, and clinical utility according to a systematic review method. DBT showed clear evidence of efficacy in pervasive emotion dysregulation problems such as suicidal and self-harm behaviors of borderline personality disorder and posttraumatic stress disorder, binge eating, and self-harm in adolescents. Effectiveness of DBT in community settings were also found. Evidence for clinical utility requires more empirical support. Dissemination and implementation of DBT in Korea as well as facilitation of DBT research are discussed.

keywords
변증법행동치료, 정서조절문제, 근거기반실천, 보급, 체계적 문헌 고찰, dialectical behavior therapy, emotion dysregulation, evidence-based practice, dissemination, systematic review

Reference

1.

Andión, Ó., Ferrer, M., Matali, J., Gancedo, B., Calvo, N., Barral, C.,. . . Casas, M. (2012). Effectiveness of combined individual and group dialectical behavior therapy compared to only individual dialectical behavior therapy: A preliminary study. Psychotherapy, 49, 241-250.

2.

Andreasson, K., Krogh, J., Wenneberg, C., Jessen, H. K., Krakauer, K., Gluud, C., . . . Nordentoft, M. (2016). Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder: A randomized observer-blinded clinical trial. Depression and Anxiety, 33, 520-530.

3.

APA Practice Central. (2017, June 13). [Letter to Vice Admiral Raquel C. Bono, director of the Defense Health Agency]. Copy in possession of APA Practice Organization. Retrieved from http://www.apapracticecentral.org/advocacy/humana-reimbursementtricare. pdf

4.

APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61, 271-285.

5.

Bankoff, S., Karpel, M., Forbes, H., & Pantalone, D. (2012). A systematic review of dialectical behavior therapy for the treatment of eating disorders, Eating Disorders, 20, 196-215.

6.

Barnicot, K., Gonzalez, R., McCabe, R., & Priebe, S. (2016). Skills use and common treatment processes in dialectical behaviour therapy for borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 52, 147-156.

7.

Bedics, J. D., Atkins, D. C., Comtois, K. A., & Linehan, M. M. (2012a). Treatment differences in the therapeutic relationship and introject during a 2-year randomized controlled trial of dialectical behavior therapy versus nonbehavioral psychotherapy experts for borderline personality disorder. Journal of Consulting and Clinical Psychology, 80, 66-77.

8.

Bedics, J. D., Atkins, D. C., Comtois, K. A., & Linehan, M. M. (2012b). Weekly therapist ratings of the therapeutic relationship and patient introject during the course of dialectical behavioral therapy for the treatment of borderline personality disorder. Psychotherapy, 49, 231-240.

9.

Bedics, J. D., Atkins, D. C., Harned, M. S., & Linehan, M. M. (2015). The therapeutic alliance as a predictor of outcome in dialectical behavior therapy versus nonbehavioral psychotherapy by experts for borderline personality disorder. Psychotherapy, 52, 67-77.

10.

Blackford, J. U., & Love, R. (2011). Dialectical behavior therapy group skills training in a community mental health setting: A pilot study. International Journal of Group Psychotherapy, 61, 645-657.

11.

Bloom, J., Woodward, E., Susmaras, T., & Pantalone, D. (2012). Use of dialectical behavior therapy in inpatient treatment of borderline personality disorder: A systematic review. Psychiatric Services, 63, 881-888.

12.

Bohus, M., Dyer, A. S., Priebe, K., Krüger, A., Kleindienst, N., Schmahl, C., . . . Steil, R. (2013). Dialectical behaviour therapy for post-traumatic stress disorder after childhood sexual abuse in patients with and without borderline personality disorder: A randomised controlled trial. Psychotherapy and Psychosomatics, 82, 221-233.

13.

Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., . . . Linehan, M. M. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: A controlled trial. Behaviour Research and Therapy, 42, 487-499.

14.

Booth, R., Keogh, K., Doyle, J., & Owens, T. (2014). Living through distress: A skills training group for reducing deliberate self-harm. Behavioural and Cognitive Psychotherapy, 42, 156-165.

15.

Boritz, T., Barnhart, R., Eubanks, C. F., & McMain, S. (2018). Alliance rupture and resolution in dialectical behavior therapy for borderline personality disorder. Journal of Personality Disorders, 32, 115-128.

16.

Brazier, J., Tumur, I., Holmes, M., Ferriter, M., Parry, G., Dent-Brown, K., & Paisley, S. (2006). Psychological therapies including dialectical behaviour therapy for borderline personality disorder: A systematic review and preliminary economic evaluation. Health Technology Assessment, 10, 1-117.

17.

Brown, J. (2016). The emotion regulation skills system for cognitively challenged clients. New York, NY: Guilford Press.

18.

Carmel, A., Fruzzetti, A. E., & Rose, M. L. (2014). Dialectical behavior therapy training to reduce clinical burnout in a public behavioral health system. Community Mental Health Journal, 50, 25-30.

19.

Carmel, A., Rose, M., & Fruzzetti, A. E. (2014). Barriers and solutions to implementing dialectical behavior therapy in a public behavioral health system. Administration and Policy in Mental Health, 41, 608-614.

20.

Carmel, A., Templeton, E., Sorenson, S. M., & Logvinenko, E. (2018). Using the Linehan Risk Assessment and Management Protocol with a chronically suicidal patient: A case report. Cognitive and Behavioral Practice. doi: https://doi.org/10.1016/j.cbpra.2018.02. 001

21.

Carmel, A., Villatte, J. L., Rosenthal, M. Z., Chalker, S., & Comtois, K. A. (2016). Applying technological approaches to clinical supervision in dialectical behavior therapy: A randomized feasibility trial of the bug-in-the-eye (BITE) model. Cognitive and Behavioral Practice, 23, 221-229.

22.

Carter, G., Willcox, C., Lewin, T., Conrad, A., & Bendit, N. (2010). Hunter DBT project: Randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder. Australian & New Zealand Journal of Psychiatry, 44, 162-173.

23.

Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7-18.

24.

Choi, C., & Son, C. (2014). Effects of dialectical behavior therapy skill training on emotional intelligence, interpersonal problems, and mental health in college students with low levels of emotional intelligence. Korean Journal of Health Psychology, 19, 469-483.

25.

Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F.(2007). Evaluating three treatments for borderline personality disorder: A multiwave study. American Journal of Psychiatry, 164, 922-928.

26.

Comtois, K. A., Elwood, L., Holdcraft, L. C., Smith, W. R., & Simpson, T. L. (2007). Effectiveness of dialectical behavior therapy in a community mental health center. Cognitive and Behavioral Practice, 14, 406-414.

27.

Comtois, K. A., Kerbrat, A. H., Atkins, D. C., Harned, M. S., & Elwood, L. (2010). Recovery from disability for individuals with borderline personality disorder: A feasibility trial of DBT-ACES. Psychiatric Services, 61, 1106-1111.

28.

Courbasson, C., Nishikawa, Y., & Dixon, L. (2012). Outcome of dialectical behaviour therapy for concurrent eating and substance use disorders. Clinical Psychology and Psychotherapy, 19, 434-449.

29.

Coyle, T. N., Shaver, J. A., & Linehan, M. M. (2018). On the potential for iatrogenic effects of psychiatric crisis services: The example of dialectical behavior therapy for adult women with borderline personality disorder. Journal of Consulting and Clinical Psychology, 86, 116-124.

30.

Dimeff, L. A., Harned, M. S., Woodcock, E. A., Skutch, J. M., Koerner, K., & Linehan, M. M. (2015). Investigating bang for your training buck: A randomized controlled trial comparing three methods of training clinicians in two core strategies of dialectical behavior therapy. Behavior Therapy, 46, 283-295.

31.

Dimeff, L. A., Koerner, K., Woodcock, E. A., Beadnell, B., Brown, M. Z., Skutch, J. M., . . . Harned, M. S. (2009). Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behaviour Research and Therapy, 47, 921-930.

32.

Dimeff, L. A., Rizvi, S. L., Brown, M., & Linehan, M. M. (2000). Dialectical behavior therapy for substance abuse: A pilot application to methamphetamine-dependent women with borderline personality disorder. Cognitive and Behavioral Practice, 7, 457-468.

33.

Dimeff, L. A., Woodcock, E. A., Harned, M. S., & Beadnell, B. (2011). Can dialectical behavior therapy be learned in highly structured learning environments? Results from a randomized controlled dissemination trial. Behavior Therapy, 42, 263-275.

34.

Ditty, M. S., Landes, S. J., Doyle, A., & Beidas, R. S. (2015). It takes a village: A mixed method analysis of inner setting variables and dialectical behavior therapy implementation. Administration and Policy in Mental Health, 42, 672-681.

35.

Eisner, L., Eddie, D., Harley, R., Jacobo, M., Nierenberg, A. A., & Deckersbach, T. (2017). Dialectical behavior therapy group skills training for bipolar disorder. Behavior Therapy, 48, 557-566.

36.

Ekdahl, S., Idvall, E., & Perseius, K. I. (2014). Family skills training in dialectical behaviour therapy: The experience of the significant others. Archives of Psychiatric Nursing, 28, 235-241.

37.

Fasulo, S. J. P., Ball, J. M. P., Jurkovic, G. J. P., & Miller, A. L. P. (2015). Towards the development of an effective working alliance: The application of DBT validation and stylistic strategies in the adaptation of a manualized complex trauma group treatment program for adolescents in long-term detention. American Journal of Psychotherapy, 69, 219-239.

38.

Feigenbaum, J. D., Fonagy, P., Pilling, S., Jones, A., Wildgoose, A., & Bebbington, P. E. (2012). A real-world study of the effectiveness of DBT in the UK National Health Service. British Journal of Clinical Psychology, 51, 121-141.

39.

Feldman, G., Harley, R., Kerrigan, M., Jacobo, M., & Fava, M. (2009). Change in emotional processing during a dialectical behavior therapy-based skills group for major depressive disorder. Behaviour Research and Therapy, 47, 316-321.

40.

Fischer, S., & Peterson, C. (2015). Dialectical behavior therapy for adolescent binge eating, purging, suicidal behavior, and non-suicidal self-injury: A pilot study. Psychotherapy, 52, 78-92.

41.

Fleischhaker, C., Böhme, R., Sixt, B., Brück, C., Schneider, C., & Schulz, E. (2011). Dialectical behavioral therapy for adolescents (DBT-A): A clinical trial for patients with suicidal and self-injurious behavior and borderline symptoms with a one-year followup. Child and Adolescent Psychiatry and Mental Health, 5, 3.

42.

Fleming, A., McMahon, R., Moran, L., Peterson, A., & Dreessen, A.(2015). Pilot randomized controlled trial of dialectical behavior therapy group skills training for ADHD among college students. Journal of Attentional Disorders, 19, 260-271.

43.

Gibson, J., Booth, R., Davenport, J., Keogh, K., & Owens, T. (2014). Dialectical behaviour therapy-informed skills training for deliberate self-harm: A controlled trial with 3-month follow-up data. Behaviour Research and Therapy, 60, 8-14.

44.

Goldstein, T. R., Axelson, D. A., Birmaher, B., & Brent, D. A. (2007). Dialectical behavior therapy for adolescents with bipolar disorder:A 1-year open trial. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 820-830.

45.

Goldstein, T. R., Fersch-Podrat, R. K., Rivera, M., Axelson, D. A., Merranko, J., Yu, H., . . . Birmaher, B. (2015). Dialectical behavior therapy for adolescents with bipolar disorder: Results from a pilot randomized trial. Journal of Child and Adolescent Psychopharmacology, 25, 140-149.

46.

Goodman, G. (2013). Is mentalization a common process factor in transference-focused psychotherapy and dialectical behavior therapy sessions?. Journal of Psychotherapy Integration, 23, 179-192.

47.

Goodman, M., Banthin, D., Blair, N., Mascitelli, K., Wilsnack, J., Chen, J., . . . New, A. S. (2015). A randomized trial of dialectical behavior therapy in high-risk suicidal veterans. Journal of Clinical Psychiatry, 77, e1591-e1600.

48.

Goodman, M., Carpenter, D., Tang, C. Y., Goldstein, K. E., Avedon, J., Fernandez, N., . . . Hazlett, E. A. (2014). Dialectical behavior therapy alters emotion regulation and amygdala activity in patients with borderline personality disorder. Journal of Psychiatric Research, 57, 108-116.

49.

Gutteling, B. M., Montagne, B., Nijs, M., & van den Bosch, L. M. C.(2012). Dialectical behavior therapy: is outpatient group psychotherapy an effective alternative to individual psychotherapy?:Preliminary conclusions. Comprehensive Psychiatry, 53, 1161-1168.

50.

Harned, M. S., Chapman, A. L., Dexter-Mazza, E. T., Murray, A., Comtois, K. A., & Linehan, M. M. (2008). Treating co-occurring Axis I disorders in recurrently suicidal women with borderline personality disorder: A 2-year randomized trial of dialectical behavior therapy versus community treatment by experts. Journal of Consulting and Clinical Psychology, 76, 1068-1075.

51.

Harned, M. S., Korslund, K. E., & Linehan, M. M. (2014). A pilot randomized controlled trial of dialectical behavior therapy with and without the dialectical behavior therapy prolonged exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD. Behaviour Research and Therapy, 55, 7-17.

52.

Harned, M. S., & Linehan, M. M. (2008). Integrating dialectical behavior therapy and prolonged exposure to treat co-occurring borderline personality disorder and PTSD: Two case studies. Cognitive and Behavioral Practice, 15, 263-276.

53.

Harned, M. S., Wilks, C. R., Schmidt, S. C., & Coyle, T. N. (2018). Improving functional outcomes in women with borderline personality disorder and PTSD by changing PTSD severity and posttraumatic cognitions. Behaviour Research and Therapy, 103, 53-61.

54.

Hashim, B. L., Vadnais, M., & Miller, A. L. (2013). Improving adherence in adolescent chronic kidney disease: A dialectical behavior therapy (DBT) feasibility trial. Clinical Practice in Pediatric Psychology, 1, 369-379.

55.

Hawton, K., Witt, K. G., Taylor Salisbury, T. L., Arensman, E., Gunnell, D., Hazell, P., . . . van Heeringen, K. (2016). Psychosocial interventions for self-harm in adults. Cochrane Database of Systematic Reviews, 5. Art. No.: CD012189. doi: 10.1002/14651858. CD012189

56.

Iverson, K. M., Shenk, C., & Fruzzetti, A. E. (2009). Dialectical behavior therapy for women victims of domestic abuse: A pilot study. Professional Psychology: Research and Practice, 40, 242-248.

57.

Jin, D., & Son, C. (2013). Effects of dialectical behavior therapy skills training on aggression, self-esteem, and anger expresison of adolescents. Korean Journal of Clinical Psychology, 32, 917-933.

58.

Katz, L. Y., Cox, B. J., Gunasekara, S., & Miller, A. L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 276-282.

59.

Keogh, K., Booth, R., Baird, K., Gibson, J., & Davenport, J. (2016). The radical openness group: A controlled trial with 3-month follow-up. Practice Innovations, 1, 129-143.

60.

Kerr, P. L., Muehlenkamp, J. J., & Larsen, M. A. (2009). Implementation of DBT-informed therapy at a rural university training clinic: A case study. Cognitive and Behavioral Practice, 16, 92-100.

61.

Kim, S., Park, J., Seo, H., Lee, Y., Jang, B., Son, H., . . . Shin, C. (2011). NECA’s guidance for undertaking systematic reviews and metaanalyses for intervention. Seoul, Korea: National Evidence-based Healthcare Collaborating Agency.

62.

Kirby, J. S., & Baucom, D. H. (2007a). Integrating dialectical behavior therapy and cognitive-behavioral couple therapy: A couples skills group for emotion dysregulation. Cognitive and Behavioral Practice, 14, 394-405.

63.

Kirby, J. S., & Baucom, D. H. (2007b). Treating emotions dysregulation in a couples context: A pilot study of a couples skills group intervention. Journal of Marital and Family Therapy, 33, 375-391.

64.

Kleiber, B. V., Felder, J. N., Ashby, B., Scott, S., Dean, J., & Dimidjian, S. (2017). Treating depression among adolescent perinatal women with a dialectical behavior therapy–informed skills group. Cognitive and Behavioral Practice, 24, 416-427.

65.

Klein, A. S., Skinner, J. B., & Hawley, K. M. (2013). Targeting binge eating through components of dialectical behavior therapy: Preliminary outcomes for individually supported diary card selfmonitoring versus group-based DBT. Psychotherapy, 50, 543-552.

66.

Kleindienst, N., Limberger, M. F., Ebner-Priemer, U. W., Keibel-Mauchnik, J., Dyer, A., Berger, M., . . . Bohus, M. (2011). Dissociation predicts poor response to dialectial behavioral therapy in female patients with borderline personality disorder. Journal of Personality Disorders, 25, 432-447.

67.

Koons, C. R., Chapman, A. L., Betts, B. B., O’Rourke, B., Morse, N., & Robins, C. J. (2006). Dialectical behavior therapy adapted for the vocational rehabilitation of significantly disabled mentally ill adults. Cognitive and Behavioral Practice, 13, 146-156.

68.

Koons, C. R., O’Rourke, B., Carter, B., & Erhardt, E. B. (2013). Negotiating for improved reimbursement for dialectical behavior therapy: A successful project. Cognitive and Behavioral Science, 20, 314-324.

69.

Koons, C. R., Robins, C. J., Lindsey Tweed, J., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., . . . Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior Therapy, 32, 371-390.

70.

Krantz, L. H., McMain, S., & Kuo, J. R. (2018). The unique contribution of acceptance without judgment in predicting nonsuicidal self-injury after 20-weeks of dialectical behaviour therapy group skills training. Behaviour Research and Therapy, 104, 44-50.

71.

Kröger, C., Harbeck, S., Armbrust, M., & Kliem, S. (2013). Effectiveness, response, and dropout of dialectical behavior therapy for borderline personality disorder in an inpatient setting. Behaviour Research and Therapy, 51, 411-416.

72.

Kröger, C., Röepke, S., & Kliem, S. (2014). Reasons for premature termination of dialectical behavior therapy for inpatients with borderline personality disorder. Behaviour Research and Therapy, 60, 46-52.

73.

Kröger, C., Schweiger, U., Sipos, V., Kliem, S., Arnold, R., Schunert, T., & Reinecker, H. (2010). Dialectical behaviour therapy and an added cognitive behavioural treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments: An open trial with a 15-month follow-up. Journal of Behavior Therapy and Experimental Psychiatry, 41, 381-388.

74.

Landes, S. J., Chalker, S. A., & Comtois, K. A. (2016). Predicting dropout in outpatient dialectical behavior therapy with patients with borderline personality disorder receiving psychiatric disability. Borderline Personality Disorder and Emotion Dysregulation, 3, 9. doi: http://doi.org/10.1186/s40479-016-0043-3

75.

Lenz, A. S., & Del Conte, G. (2018). Efficacy of dialectical behavior therapy for adolescents in a partial hospitalization program. Journal of Counseling & Development, 96, 15-26.

76.

Lindenboim, N., Comtois, K. A., & Linehan, M. M. (2007). Skills practice in dialectical behavior therapy for suicidal women meeting criteria for borderline personality disorder. Cognitive and Behavioral Practice, 14, 147-156.

77.

Linehan, M. (1987). Dialectical behavior therapy for borderline personality disorder: Theory and method. Bulletin of the Menninger Clinic, 51, 261-276.

78.

Linehan, M. (1993). Cognitive-behavioral treatment for borderline personality disorder. New York, NY: Guilford Press.

79.

Linehan, M. (2015). DBT skills training manual (2nd ed.). New York, NY: Guilford Press.

80.

Linehan, M., Armstrong, H., Suarez, A., Allmon, D., & Heard, H.(1991). Cognitive behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060-1064.

81.

Linehan, M., Comtois, K., Murray, A., Brown, M., Gallop, R., Heard, H., . . . Lindenboim, N. (2006). Two-year randomized trial and follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757-766.

82.

Linehan, M., Dimeff, L., Reynolds, S., Comtois, K., Welch, S., Heagerty, P., & Kivlahan, D. (2002). Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug and Alcohol Dependence, 67, 13-26.

83.

Linehan, M., Heard, H., & Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971-974.

84.

Linehan, M., Korslund, K., Harned, M., Gallop, R., Lungu, A., Neacsiu, A., . . . Murray-Gregory, A. (2015). Dialectical behavior therapy for high suicide risk in borderline personality disorder: A component analysis. JAMA Psychiatry, 72, 475-482.

85.

Linehan, M., Schmidt, H., Dimeff, L., Craft, J., Kanter, J., & Comtois, K. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug dependence. The American Journal on Addictions, 8, 279-292.

86.

Linton, S. J. (2010). Applying dialectical behavior therapy to chronic pain: A case study. Scandinavian Journal of Pain, 1, 50-54.

87.

Lynch, T. R., Cheavens, J. S., Cukrowicz, K. C., Thorp, S. R., Bronner, L., & Beyer, J. (2007). Treatment of older adults with comorbid personality disorder and depression: A dialectical behavior therapy approach. International Journal of Geriatric Psychiatry, 22, 131-143.

88.

Lynch, T. R., Gray, K. L. H., Hempel, R. J., Titley, M., Chen, E. Y., & O'Mahen, H. A. (2013). Radically open-dialectical behavior therapy for adult anorexia nervosa: Feasibility and outcomes from an inpatient program. BMC Psychiatry, 13, 293.

89.

Lynch, T. R., Morse, J. Q., Mendelson, T., & Robins, C. J. (2003). Dialectical behavior therapy for depressed older adults: A randomized pilot study. The American Journal of Geriatric Psychiatry, 11, 33-45.

90.

Martin, C. G., Roos, L. E., Zalewski, M., & Cummins, N. (2017). A dialectical behavior therapy skills group case study on mothers with severe emotion dysregulation. Cognitive and Behavioral Practice, 24, 405-415.

91.

Mazza, J., Dexter-Mazza, E., Miller, A., Rathus, J., & Murphy, H. (2016). DBT skills in schools. New York, NY: Guilford Press.

92.

McCay, E., Carter, C., Aiello, A., Quesnel, S., Langley, J., Hwang, S., . . . Karabanow, J. (2015). Dialectical behavior therapy as a catalyst for change in street-involved youth: A mixed methods study. Children and Youth Services Review, 58, 187-199.

93.

McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65, 73-84.

94.

McMain, S. F., Guimond, T., Streiner, D. L., Cardish, R. J., & Links, P. S. (2012). Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder: Clinical outcomes and functioning over a 2-year follow-up. American Journal of Psychiatry, 169, 650-661.

95.

McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. American Journal of Psychiatry, 166, 1365-1374.

96.

McQuillan, A., Nicastro, R., Guenot, F., Girard, M., Lissner, C., & Ferrero, F. (2005). Intensive dialectical behavior therapy for outpatients with borderline personality disorder who are in crisis. Psychiatric Services, 56, 193-197.

97.

Mehlum, L., Ramberg, M., Tørmoen, A. J., Haga, E., Diep, L. M., Stanley, B. H., . . . Grøholt, B. (2016). Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: Outcomes over a oneyear follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 55, 295-300.

98.

Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., . . . Grøholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior:A randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53, 1082-1091.

99.

Mercado, A., & Hinojosa, Y. (2017). Culturally adapted dialectical behavior therapy in an underserved community mental health setting: A Latina adult case study. Practice Innovations, 2, 80-93.

100.

Meygoni, A. K. M., & Ahadi, H. (2012). Declining the rate of major depression: Effectiveness of dialectical behavior therapy. Procedia - Social and Behavioral Sciences, 35, 230-236.

101.

Miller, A. L., Wyman, S. E., Huppert, J. D., Glassman, S. L., & Rathus, J. H. (2000). Analysis of behavioral skills utilized by suicidal adolescents receiving dialectical behavior therapy. Cognitive and Behavioral Practice, 7, 183-187.

102.

Miller, M. L., & Skerven, K. (2017). Family skills: A naturalistic pilot study of a family-oriented dialectical behavior therapy program. Couple and Family Psychology: Research and Practice, 6, 79-93.

103.

Moore, K. E., Folk, J. B., Boren, E. A., Tangney, J. P., Fischer, S., & Schrader, S. W. (2018). Pilot study of a brief dialectical behavior therapy skills group for jail inmates. Psychological Services, 15, 98-108.

104.

Neacsiu, A. D., Eberle, J. W., Kramer, R., Wiesmann, T., & Linehan, M. M. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behaviour Research and Therapy, 59, 40-51.

105.

Neacsiu, A. D., Lungu, A., Harned, M. S., Rizvi, S. L., & Linehan, M. M. (2014). Impact of dialectical behavior therapy versus community treatment by experts on emotional experience, expression, and acceptance in borderline personality disorder. Behaviour Research and Therapy, 53, 47-54.

106.

Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behaviour Research and Therapy, 48, 832-839.

107.

Panos, T., Jackson, J., Hasan, O., & Panos, A. (2013). Meta-analysis and systematic review assessing the efficacy of dialectical behavior therapy (DBT). Research on Social Work Practice, 24, 213-223.

108.

Pasieczny, N., & Connor, J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour Research and Therapy, 49, 4-10.

109.

Perepletchikova, F., & Goodman, G. (2014). Two approaches to treating preadolescent children with severe emotional and behavioral problems: Dialectical behavior therapy adapted for children and mentalization-based child therapy. Journal of Psychotherapy Integration, 24, 298-312.

110.

Perepletchikova, F., Nathanson, D., Axelrod, S. R., Merrill, C., Walker, A., Grossman, M., . . . Walkup, J. (2017). Randomized clinical trial of dialectical behavior therapy for preadolescent children with disruptive mood dysregulation disorder: Feasibility and outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 56, 832-840.

111.

Perseius, K. I., Öjehagen, A., Ekdahl, S., Åsberg, M., & Samuelsson, M. (2003). Treatment of suicidal and deliberate self-harming patients with borderline personality disorder using dialectical behavioral therapy: The patients’ and the therapists’ perceptions. Archives of Psychiatric Nursing, 17, 218-227.

112.

Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 80, 982-994.

113.

Priebe, S., Bhatti, N., Barnicot, K., Bremner, S., Gaglia, A., Katsakou, C., . . . Zinkler, M. (2012). Effectiveness and cost-effectiveness of dialectical behaviour therapy for self-harming patients with personality disorder: A pragmatic randomised controlled trial. Psychotherapy and Psychosomatics, 81, 356-365.

114.

Rahmani, M., Omidi, A., Asemi, Z., & Akbari, H. (2018). The effect of dialectical behaviour therapy on binge eating, difficulties in emotion regulation and BMI in overweight patients with bingeeating disorder: A randomized controlled trial. Mental Health &Prevention, 9, 13-18.

115.

Ramaiya, M. K., McLean, C., Regmi, U., Fiorillo, D., Robins, C. J., & Kohrt, B. A. (2018). A dialectical behavior therapy skills intervention for women with suicidal behaviors in rural Nepal: A single case experimental design series. Journal of Clinical Psychology, 1-21. doi: https://doi.org/10.1002/jclp.22588

116.

Rathus, J. H., & Miller, A. L. (2002). Dialectical behavior therapy adapted for suicidal adolescents. Suicide & Life - Threatening Behavior, 32, 146-157.

117.

Rathus, J. P., Campbell, B. P., Miller, A. P., & Smith, H. P. (2015). Treatment acceptability study of walking the middle path, a new DBT skills module for adolescents and their families. American Journal of Psychotherapy, 69, 163-178.

118.

Rizvi, S. L., Hughes, C. D., & Thomas, M. C. (2016). The DBT coach mobile application as an adjunct to treatment for suicidal and self-injuring individuals with borderline personality disorder: A preliminary evaluation and challenges to client utilization. Psychological Services, 13, 380-388.

119.

Robinson, S., Lang, J. E., Hernandez, A. M., Holz, T., Cameron, M., & Brannon, B. (2018). Outcomes of dialectical behavior therapy administered by an interdisciplinary team. Archives of Psychiatric Nursing, 32, 512-516.

120.

Rüsch, N., Schiel, S., Corrigan, P. W., Leihener, F., Jacob, G. A., Olschewski, M., . . . Bohus, M. (2008). Predictors of dropout from inpatient dialectical behavior therapy among women with borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 39, 497-503.

121.

Safer, D. L., Couturier, J. L., & Lock, J. (2007). Dialectical behavior therapy modified for adolescent binge eating disorder: A case report. Cognitive and Behavioral Practice, 14, 157-167.

122.

Safer, D. L., & Jo, B. (2010). Outcome from a randomized controlled trial of group therapy for binge eating disorder: Comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy. Behavior Therapy, 41, 106-120.

123.

Safer, D. L., Telch, C. F., & Agras, W. S. (2001). Dialectical behavior therapy for bulimia nervosa. American Journal of Psychiatry, 158, 632-634.

124.

Salbach-Andrae, H., Bohnekamp, I., Pfeiffer, E., Lehmkuhl, U., & Miller, A. L. (2008). Dialectical behavior therapy of anorexia and bulimia nervosa among adolescents: A case series. Cognitive and Behavioral Practice, 15, 415-425.

125.

Schnell, K., & Herpertz, S. C. (2007). Effects of dialectic-behavioral-therapy on the neural correlates of affective hyperarousal in borderline personality disorder. Journal of Psychiatric Research, 41, 837-847.

126.

Seoul DBT Coalition. (2017). Dialectical behavior therapy skills in Korean. Unpublished manuscript.

127.

Sharma, B., Dunlop, B. W., Ninan, P. T., & Bradley, R. (2007). Use of dialectical behavior therapy in borderline personality disorder:A view from residency. Academic Psychiatry, 31, 218-224.

128.

Soleimani, M., Ghasemzadeh, A., & Ebrahimnezhad, M. F. (2012). Effects of dialectical behaviour therapy on increasing self-esteem in women with binge eating disorder. Procedia - Social and Behavioral Sciences, 46, 1091-1095.

129.

Soler, J., Pascual, J. C., Campins, J., Barrachina, J., Puigdemont, D., Alvarez, E., & Pérez, V. (2005). Double-blind, placebo-controlled study of dialectical behavior therapy plus olanzapine for borderline personality disorder. American Journal of Psychiatry, 162, 1221-1224.

130.

Soler, J., Pascual, J. C., Tiana, T., Cebrià, A., Barrachina, J., Campins, M. J., . . . Pérez, V. (2009). Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial. Behaviour Research and Therapy, 47, 353-358.

131.

Soler, J., Valdepérez, A., Feliu-Soler, A., Pascual, J. C., Portella, M. J., Martín-Blanco, A., . . . Pérez, V. (2012). Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder. Behaviour Research and Therapy, 50, 150-157.

132.

Steil, R., Dittmann, C., Müller-Engelmann, M., Dyer, A., Maasch, A. M., & Priebe, K. (2018). Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse:A pilot study in an outpatient treatment setting. European Journal of Psychotraumatology, 9, 1423832.

133.

Stepp, S. D. P., Epler, A. J. M. A., Jahng, S. M. A., & Trull, T. J. P. (2008). The effect of dialectical behavior therapy skills use on borderline personality disorder features. Journal of Personality Disorders, 22, 549-563.

134.

Stoffers, J. M., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews, 8. Art. No.: CD005652. doi: 10.1002/14651858.CD005652.pub2

135.

Swales, M. A., Taylor, B., & Hibbs, R. A. (2012). Implementing dialectical behaviour therapy: Programme survival in routine healthcare settings. Journal of Mental Health, 21, 548-555.

136.

Taruna, S. (2013). Reducing negative emotions amongst adolescents:The role of dialectical behaviour therapy (DBT). Indian Journal of Health and Wellbeing, 4, 1794-1798.

137.

Taruna, S., & Bahmani, R. (2014). Managing suicide risk amongst adolescents: The role of dialectical behaviour therapy (DBT). Indian Journal of Health and Wellbeing, 5, 35-39.

138.

Telch, C. F., Agras, W. S., & Linehan, M. M. (2000). Group dialectical behavior therapy for binge-eating disorder: A preliminary, uncontrolled trial. Behavior Therapy, 31, 569-582.

139.

Telch, C. F., Agras, W. S., & Linehan, M. M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69, 1061-1065.

140.

Tolin, D., McKay, D., Forman, E., Klonsky, E. D., & Thombs, B. (2015). Empirically supported treatment: Recommendations for a new model. Clinical Psychology Science and Practice, 22, 317-338.

141.

Turner, R. M. (2000). Naturalistic evaluation of dialectical behavior therapy-oriented treatment for borderline personality disorder. Cognitive and Behavioral Practice, 7, 413-419.

142.

Valentine, S. E., Bankoff, S. M., Poulin, R. M., Reidler, E. B., & Pantalone, D. W. (2015). The use of dialectical behavior therapy skills training as stand-alone treatment: A systematic review of the treatment outcome literature. Journal of Clinical Psychology, 71, 1-20.

143.

van den Bosch, L. M. C., Hysaj, M., & Jacobs, P. (2012). DBT in an outpatient forensic setting. International Journal of Law and Psychiatry, 35, 311-316.

144.

van den Bosch, L. M. C., Koeter, M. W. J., Stijnen, T., Verheul, R., & van den Brink, W. (2005). Sustained efficacy of dialectical behaviour therapy for borderline personality disorder. Behaviour Research and Therapy, 43, 1231-1241.

145.

van den Bosch, L. M. C., Verheul, R., Schippers, G. M., & van den Brink, W. (2002). Dialectical behavior therapy of borderline patients with and without substance use problems: Implementation and long-term effects. Addictive Behaviors, 27, 911-923.

146.

Verheul, R., van Den Bosch, L. M., Koeter, M. W., De Ridder, M. A., Stijnen, T., & Van Den Brink, W. (2003). Dialectical behaviour therapy for women with borderline personality disorder:12-month, randomised clinical trial in the Netherlands. British Journal of Psychiatry, 182, 135-140.

147.

Wagner, E. E., Miller, A. L., Greene, L. I., & Winiarski, M. G. (2004). Dialectical behavior therapy for substance abusers adapted for persons living with HIV/AIDS with substance use diagnoses and borderline personality disorder. Cognitive and Behavioral Practice, 11, 202-212.

148.

Wagner, T., Fydrich, T., Stiglmayr, C., Marschall, P., Salize, H. J., Renneberg, B., . . . Roepke, S. (2014). Societal cost-of-illness in patients with borderline personality disorder one year before, during and after dialectical behavior therapy in routine outpatient care. Behaviour Research and Therapy, 61, 12-22.

149.

Waltz, J., Dimeff, L. A., Koerner, K., Linehan, M. M., Taylor, L., & Miller, C. (2009). Feasibility of using video to teach a dialectical behavior therapy skill to clients with borderline personality disorder. Cognitive and Behavioral Practice, 16, 214-222.

150.

Welch, S. S., & Kim, J. (2012). DBT-enhanced cognitive behavioral therapy for adolescent trichotillomania: An adolescent case study. Cognitive and Behavioral Practice, 19, 483-493.

151.

Wilks, C. R., Korslund, K. E., Harned, M. S., & Linehan, M. M. (2016). Dialectical behavior therapy and domains of functioning over two years. Behaviour Research and Therapy, 77, 162-169.

152.

Wilks, C. R., Lungu, A., Ang, S. Y., Matsumiya, B., Yin, Q., & Linehan, M. M. (2018). A randomized controlled trial of an internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. Journal of Affective Disorders, 232, 219-228.

153.

Wilks, C. R., Valenstein-Mah, H., Tran, H., King, A. M. M., Lungu, A., & Linehan, M. M. (2017). Dialectical behavior therapy skills for families of individuals with behavioral disorders: Initial feasibility and outcomes. Cognitive and Behavioral Practice, 24, 288-295.

154.

Wnuk, S., McMain, S., Links, P. S., Habinski, L., Murray, J., & Guimond, T. (2013). Factors related to dropout from treatment in two outpatient treatments for borderline personality disorder. Journal of Personality Disorders, 27, 716-726.

155.

Wolpow, S., Porter, M., & Hermanos, E. (2000). Adapting a dialectical behavior therapy (DBT) group for use in a residential program. Psychiatric Rehabilitation Journal, 24, 135-141.

156.

Woodberry, K. A., & Popenoe, E. J. (2008). Implementing dialectical behavior therapy with adolescents and their families in a community outpatient clinic. Cognitive and Behavioral Practice, 15, 277-286.

157.

Yim, M., Lee, J., Lee, H., Kim, T., & Choi, K. (2013). Evidence-based practice in psychotherapy. Korean Journal of Psychology: General, 32, 251-270.

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