Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Barnicot:2019:10.1017/S0033291718002878,
author = {Barnicot, K and Crawford, M},
doi = {10.1017/S0033291718002878},
journal = {Psychological Medicine},
pages = {2060--2068},
title = {Dialectical behaviour therapy v. mentalisation-based therapy for borderline personality disorder},
url = {http://dx.doi.org/10.1017/S0033291718002878},
volume = {49},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Dialectical behaviour therapy (DBT) and mentalisation-based therapy (MBT) are both widely used evidence-based treatments for borderline personality disorder (BPD), yet a head-to-head comparison of outcomes has never been conducted. The present study therefore aimed to compare the clinical outcomes of DBT v. MBT in patients with BPD. METHODS: A non-randomised comparison of clinical outcomes in N = 90 patients with BPD receiving either DBT or MBT over a 12-month period. RESULTS: After adjusting for potentially confounding differences between participants, participants receiving DBT reported a significantly steeper decline over time in incidents of self-harm (adjusted IRR = 0.93, 95% CI 0.87-0.99, p = 0.02) and in emotional dysregulation (adjusted β = -1.94, 95% CI -3.37 to -0.51, p < 0.01) than participants receiving MBT. Differences in treatment dropout and use of crisis services were no longer significant after adjusting for confounding, and there were no significant differences in BPD symptoms or interpersonal problems. CONCLUSIONS: Within this sample of people using specialist personality disorder treatment services, reductions in self-harm and improvements in emotional regulation at 12 months were greater amongst those receiving DBT than amongst those receiving MBT. Experimental studies assessing outcomes beyond 12 months are needed to examine whether these findings represent differences in the clinical effectiveness of these therapies.
AU  - Barnicot,K
AU  - Crawford,M
DO  - 10.1017/S0033291718002878
EP  - 2068
PY  - 2019///
SN  - 0033-2917
SP  - 2060
TI  - Dialectical behaviour therapy v. mentalisation-based therapy for borderline personality disorder
T2  - Psychological Medicine
UR  - http://dx.doi.org/10.1017/S0033291718002878
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30303061
UR  - http://hdl.handle.net/10044/1/69437
VL  - 49
ER  -
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