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Process and impact of dialectical behaviour therapy: a systematic review of perceptions of clients with a diagnosis of borderline personality disorder

Little, Hannah; Tickle, Anna; das Nair, Roshan

Authors

Hannah Little

Anna Tickle

ROSHAN NAIR Roshan.dasnair@nottingham.ac.uk
Professor of Clinical Psychology and Neuropsychology



Abstract

Purpose: To identify, appraise and synthesise findings from qualitative studies of individuals diagnosed with Borderline Personality Disorder who have experienced Dialectical Behaviour Therapy, to gain further understanding of their perceptions of the process and impact of therapy.

Methods: We conducted a comprehensive systematic search of the literature from several online databases, and appraised them using an adapted version of the Critical Appraisal Skills Programme tool. A meta-ethnographic approach was used to synthesise the data.

Results: Seven studies met the criteria to be included and their quality subsequently appraised. Four main themes were identified through the synthesis process: Life before DBT; the relationships that support change; developing self-efficacy; a shift in perspectives.

Conclusions: The findings of the synthesis highlight the importance of a number of key factors in the process of DBT, and the impact that the therapy has both on day to day life and on individuals’ identity.

Citation

Little, H., Tickle, A., & das Nair, R. (2018). Process and impact of dialectical behaviour therapy: a systematic review of perceptions of clients with a diagnosis of borderline personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 91(3), 278-301. https://doi.org/10.1111/papt.12156

Journal Article Type Article
Acceptance Date Sep 5, 2017
Online Publication Date Oct 16, 2017
Publication Date 2018-09
Deposit Date Sep 8, 2017
Publicly Available Date Mar 28, 2024
Journal Psychology and Psychotherapy: Theory, Research and Practice
Electronic ISSN 2044-8341
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 91
Issue 3
Pages 278-301
DOI https://doi.org/10.1111/papt.12156
Keywords borderline personality disorder; dialectical behaviour therapy; metasynthesis; psychological therapy; qualitative research; service user perspectives; systematic review
Public URL https://nottingham-repository.worktribe.com/output/888123
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/papt.12156/full
Additional Information This is the peer reviewed version of the following article: Little, H., Tickle, A. and das Nair, R. (2017), Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder. Psychol Psychother Theory Res Pract. doi:10.1111/papt.12156
which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/papt.12156/full This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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