Evidence map›Paper›PMID 30016935›Full record

Trial reportBMC psychiatry2018

The effectiveness of 6 versus 12-months of dialectical behaviour therapy for borderline personality disorder: the feasibility of a shorter treatment and evaluating responses (FASTER) trial protocol.

Shelley F McMain, Alexander L Chapman, Janice R Kuo, Tim Guimond, David L Streiner, Katherine L Dixon-Gordon, Wanrudee Isaranuwatchai, Jeffrey S Hoch

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02387736 (Dialectical Behaviour Therapy for Chronically Self-harming Individuals With BPD), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02387736 nacompletednot on this map

Dialectical Behaviour Therapy for Chronically Self-harming Individuals With BPD: Evaluating the Clinical and Cost Effectiveness of a 6-month Treatment

TypeinterventionalSponsorCentre for Addiction and Mental HealthRan2015 to 2019Enrolled240ConditionsBorderline Personality DisorderArmsDialectical Behaviour Therapy-6 months, Dialectical Behaviour Therapy-12 months
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. A case series of sage: a new couple-based intervention for borderline personality disorder.Borderline personality disorder and emotion dysregulation · 2024
    Article
  13. Article
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  15. Article
  16. The Cannabis Ask: What's a Psychiatrist to Do?Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022
    Article
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 2 countries.

Shelley F McMainCentre for Addiction and Mental Health, 60 White Squirrel Way, Toronto, ON, M6J 1H4, Canada. shelley.mcmain@camh.ca.
Alexander L ChapmanDepartment of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, V5A 1S6, Canada.
Janice R KuoDepartment of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
Tim GuimondDepartment of Psychiatry, University of Toronto, Toronto, ON, Canada.
David L StreinerCentre for Addiction and Mental Health, 60 White Squirrel Way, Toronto, ON, M6J 1H4, Canada.
Katherine L Dixon-GordonPsychological and Brain Sciences, University of Massachusetts, 617 Tobin Hall, 135 Hicks Way, Amherst, MA, 01003-9271, USA.
Wanrudee IsaranuwatchaiCentre for Excellence in Economic Analysis Research, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
Jeffrey S HochInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Centre for Addiction and Mental Health · CAMcMaster University · CASimon Fraser University · CASt. Michael's Hospital · CAToronto Metropolitan University · CAUniversity of California, Davis · USUniversity of Massachusetts Amherst · USUniversity of Toronto · CA

Funding

CIHR 133428CIHR OG 311138
6 · The paper itself

Abstract

backgroundAlthough Dialectical Behaviour Therapy (DBT) is an evidence-based psychosocial treatment for borderline personality disorder (BPD), the demand for it exceeds available resources. The commonly researched 12-month version of DBT is lengthy; this can pose a barrier to its adoption in many health care settings. Further, there are no data on the optimal length of psychotherapy for BPD. The aim of this study is to examine the clinical and cost-effectiveness of 6 versus 12 months of DBT for chronically suicidal individuals with BPD. A second aim of this study is to determine which patients are as likely to benefit from shorter treatment as from longer treatment. METHODS/

designPowered for non-inferiority testing, this two-site single-blind trial involves the random assignment of 240 patients diagnosed with BPD to 6 or 12 months of standard DBT. The primary outcome is the frequency of suicidal or non-suicidal self-injurious episodes. Secondary outcomes include healthcare utilization, psychiatric and emotional symptoms, general and social functioning, and health status. Cost-effectiveness outcomes will include the cost of providing each treatment as well as health care and societal costs (e.g., missed work days and lost productivity). Assessments are scheduled at pretreatment and at 3-month intervals until 24 months. DISCUSSION: This is the first study to directly examine the dose-effect of psychotherapy for chronically suicidal individuals diagnosed with BPD. Examining both clinical and cost effectiveness in 6 versus 12 months of DBT will produce answers to the question of how much treatment is good enough. Information from this study will help to guide decisions about the allocation of scarce treatment resources and recommendations about the benefits of briefer treatment.

trial registrationNCT02387736 . Registered February 20, 2015.

Indexed as

AdultBorderline Personality DisorderCost-Benefit AnalysisDialectical Behavior TherapyFeasibility StudiesFemaleHumansProspective StudiesSingle-Blind MethodSuicidal IdeationTime FactorsTreatment OutcomeBorderline personality disorderDialectical behaviour therapyRandomized controlled trialsSelf-injurySuicide

Identifiers

PMID30016935
PMCPMC6050694
OpenAlexW2883241531

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.