By Evans, Jeff
Clinical Psychiatry News , Vol. 31, No. 2
BETHESDA MD.-Dialectical behavior therapy is moe effective in treating comorbid substance abuse and borderline personality disorder than treatment as usual Sheliev McMain, Ph D., said at a conference sponsored by the Treatment and Research Advancements National Association for Personality Disorder.
Dialectical behavior therapy is the only psychosocial treatment that I am aware of that has been adapted with substance use problems and borderline personality disorder" said Dr McMain of the department of the department of psychiatry at the University of Toronto.
Four separate randomized, controlled trials have found dialectical behavior therapy (DBT) to be effective in treating patients with borderline personality disorder (BPD) and substance abuse,
For 28 women in a 1-year trial, DBT was significantly more effective than treatment as usual (TAU) in reducing drug abuse throughout treatment and at 4 months after treatment By 4 months after treatment, the global and social adjustment of women in the DET group had improved significantly more than that m women in the TAU group. The DBT group suffered only 42% dropout, which was significantly less than the TAU groups 81% dropout rate (Am J. Addict. 8(4) 279-92, 1999).
A trial in the Netherlands examined the effect of standard DBT or TAU on 31 women with and 27 women without substance abuse. After an 18-month follow-up, BPD symptoms declined more with DBT treatment than with TAU; substance abuse in some of the women did not modify these results. None of the women's substance abuse problems, however, were more improved with standard DBT than with TAU (Addict. Behav. 27:911-23, 2002). The investigators in this study thought that the DBT treatment was not targeted appropriately to patients with comorbid substance abuse, Dr. …