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Am J Psychiatry. 1994 Dec;151(12):1771-6.

Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients.

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1
Department of Psychology, University of Washington, Seattle 98195.

Abstract

OBJECTIVE:

This study reports the efficacy of a cognitive behavioral outpatient treatment on interpersonal outcome variables for patients diagnosed with borderline personality disorder.

METHOD:

In a 1-year clinical trial, 26 female patients with borderline personality disorder were randomly assigned to either dialectical behavior therapy or a treatment-as-usual comparison condition. All subjects met criteria of DSM-III-R and Diagnostic Interview for Borderline Patients for borderline personality disorder and were chronically suicidal.

RESULTS:

In both the intent-to-treat and treatment completion groups, dialectical behavior therapy subjects had significantly better scores on measures of anger, interviewer-rated global social adjustment, and the Global Assessment Scale and tended to rate themselves better on overall social adjustment than treatment-as-usual subjects.

CONCLUSIONS:

These results suggest that dialectical behavior therapy is a promising psychosocial intervention for improving interpersonal functioning among severely dysfunctional patients with borderline personality disorder.

PMID:
7977884
DOI:
10.1176/ajp.151.12.1771
[Indexed for MEDLINE]
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