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

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: Oct 17, 2018
• 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.
• Contract Date: Sep 8, 2017