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Am J Psychiatry 1994; 151:1771-1776
Copyright © 1994 by American Psychiatric Association
Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients
MM Linehan, DA Tutek, HL Heard and HE Armstrong
Department of Psychology, University of Washington, Seattle 98195.
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.
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