The empirical basis of dialectical behavior therapy: Summary, critique, and implications.

Scheel, Karen R.

doi:10.1093/clipsy.7.1.68

Cited by 117 publications

(63 citation statements)

References 41 publications

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“…Diagnostic agreement for BPD could thus be quite challenging. However, data regarding such agreement is crucial, especially given the increasing calls to develop and validate efficacious treatments for BPD [13][14][15]. Such calls are a function of the high severity, chronicity, and distress to patients, families, and professionals that is associated with BPD.…”

mentioning

confidence: 99%

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses

2006

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The Personality Disorder Institute/Borderline Personality Disorder Research Foundation randomized control trial (PDI/BPDRF RCT) is a randomized control trial comparing three treatments for borderline personality disorder (BPD). An important issue for any RCT is diagnostic reliability, demonstration of which is necessary to evaluate claims of a treatment's efficacy for a given population. The present paper examines the interrater reliability of Axis I and II disorders in the context of a high base rate of BPD features for participants referred for inclusion in the RCT. Our results indicate good to excellent levels of interrater reliability for all Axis I and II disorders in this context. Assessors were able to reliably diagnose BPD, exclusionary criteria, and comorbid diagnoses. This data is important for comparing findings and sample composition across different studies using similar sampling strategies, especially as treatments are increasingly being developed and tested for BPD.

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confidence: 99%

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses

2006

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“…Without exaggeration, it may be said that TAU mostly consists of minimal therapy, hardly rising above the first three options mentioned previously. It has been said that TAU comes down to cheap, low-frequency treatment provided by minimally trained paraprofessionals with an overwhelming caseload struggling to get by (Scheel, 2000). What patient would be prepared to chance such control condition in a long-term study?…”

Section: Acceptability Feasibility and Conclusive Power Of Rcts In mentioning

confidence: 99%

The effectiveness of long-term psychotherapy: Methodological research issues

Maat¹,

Dekker²,

Schoevers³

et al. 2007

Psychotherapy Research

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In evidence-based medicine (EBM) hierarchy, randomized controlled trials (RCTs) are ranked higher than cohort studies. However, cohort intervention studies are frequently, and RCTs rarely, used to investigate long-term psychotherapy (LTP). The authors compare the two methods and provide critical discussion of their acceptability, feasibility, and decisive power in LTP. The only essential and unchangeable difference between RCTs and cohort studies is that the former always include randomized control groups and the latter never do, giving RCTs a head start on internal validity that cohort studies cannot match. However, randomization nearly always has dramatic consequences for LTP research: The control conditions that are most informative (no treatment, wait list, placebo) are so unacceptable for the patients that decisive RCTs are, in most cases, unfeasible, but more feasible RCTs are less decisive. In contrast, the decisive power of cohort studies is determined by their methodological quality and knowledge of the natural course of the investigated disorders. Cohort studies are as capable as RCTs of meeting all quality criteria for intervention research, except for randomization. The knowledge of the natural course of the disorders suitable for LTP treatment is limited but not nonexistent. In most cases of LTP research, decisive RCTs present insurmountable, method-inherent feasibility problems and represent not the highest but rather an irrelevant level of evidence. The authors conclude that cohort studies provide the best available evidence.

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“…The overall results of studies on DBT are suggestive of the value of this cognitiveÁ/ behavioral treatment, but results from the naturalistic follow-up of patients in DBT showed variable maintenance of treatment effects and ongoing impairment in functioning in patients who initially experienced symptom relief. More information is needed on the mechanisms and durability of change effected by DBT (Scheel, 2000;Westen, 2000) and other treatments for BPD. Bateman and Fonagy (2004) have developed a psychodynamic day-hospital treatment for borderline patients.…”

Section: Treatmentmentioning

confidence: 99%

Conceptualization and treatment of personality disorders

Clarkin

2006

Psychotherapy Research

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The empirical basis of dialectical behavior therapy: Summary, critique, and implications.

Cited by 117 publications

References 41 publications

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses

The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder: Reliability of Axis I and II Diagnoses

The effectiveness of long-term psychotherapy: Methodological research issues

Conceptualization and treatment of personality disorders

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