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Hunter DBT project : randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder . OBJECTIVE Deliberate self-harm ( DSH ) , general hospital admission and psychiatric hospital admission are common in women meeting criteria for borderline personality disorder ( BPD ) . Dialectical behaviour therapy ( DBT ) has been reported to be effective in reducing DSH and hospitalization . METHOD A randomized controlled trial of 73 female subjects meeting criteria for BPD was carried out with intention-to-treat analyses and per-protocol analyses . The intervention was DBT and the control condition was treatment as usual plus waiting list for DBT ( TAU+WL ) , with outcomes measured after 6 months . Primary outcomes were differences in proportions and event rates of : any DSH ; general hospital admission for DSH and any psychiatric admission ; and mean difference in length of stay for any hospitalization . Secondary outcomes were disability and quality of life measures . RESULTS Both groups showed a reduction in DSH and hospitalizations , but there were no significant differences in DSH , hospital admissions or length of stay in hospital between groups . Disability ( days spent in bed ) and quality of life ( Physical , Psychological and Environmental domains ) were significantly improved for the DBT group . CONCLUSION DBT produced non-significant reductions in DSH and hospitalization when compared to the TAU+WL control , due in part to the lower than expected rates of hospitalization in the control condition . Nevertheless , DBT showed significant benefits for the secondary outcomes of improved disability and quality of life scores , a clinically useful result that is also in keeping with the theoretical constructs of the benefits of DBT .
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Intervention_Educational
dialectical behaviour therapy
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Intervention_Educational
Dialectical behaviour therapy ( DBT )
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Intervention_Educational
DBT
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Intervention_Control
treatment as usual plus waiting list for DBT ( TAU+WL )
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Intervention_Educational
DBT
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Intervention_Educational
DBT
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Intervention_Educational
DBT .
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Outcome_Other
general hospital admission for DSH
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Outcome_Other
psychiatric admission
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Outcome_Other
disability and quality of life measures
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Outcome_Physical
DSH and hospitalizations
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Outcome_Other
DSH , hospital admissions or length of stay
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Outcome_Physical
Disability ( days spent in bed )
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Outcome_Other
quality of life ( Physical , Psychological and Environmental domains )
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Outcome_Mental
DSH
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Outcome_Other
disability and quality of life scores
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Participant_Condition
women with borderline personality disorder .
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Participant_Condition
women meeting criteria for borderline personality disorder ( BPD ) .