ArticleBehavior therapy2021
Does Adding the Dialectical Behavior Therapy Prolonged Exposure (DBT PE) Protocol for PTSD to DBT Improve Outcomes in Public Mental Health Settings? A Pilot Nonrandomized Effectiveness Trial With Benchmarking.
Article in Behavior therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- A systematic review and meta-analysis on the efficacy of dialectical behavior therapy variants for the treatment of post-traumatic stress disorder.European journal of psychotraumatology · 2024Pooled it
- Treatment outcomes of sexual minority women (SMW) veterans with military sexual trauma (MST).Psychological trauma : theory, research, practice and policy · 2026Trial
- An Open-Phase Pilot Trial of an Integration of Prolonged Exposure Therapy and the Coping Long-Term With Active Suicide Program.Cognitive and behavioral practice · 2026Article
- The effectiveness of dialectical behaviour therapy training: a quantitative systematic review using Kirkpatrick's four-level model.Borderline personality disorder and emotion dysregulation · 2026Review
- Veterans regaining control; preliminary effects of inpatient Dialectical Behavior Therapy based PTSD treatment.European journal of psychotraumatology · 2025Article
- Effectiveness in routine care: trauma-focused treatment for PTSD.European journal of psychotraumatology · 2025Article
- Latent class analysis of women with borderline personality disorder: the role of adverse childhood experiences in impulsivity, emotional dysregulation, and neurocognitive profiles.Borderline personality disorder and emotion dysregulation · 2025Article
- Written Exposure Therapy for PTSD Integrated with Cognitive Behavioral Coping Skills for Cannabis Use Disorder After Recent Sexual Assault: A Case Series.Behavioral sciences (Basel, Switzerland) · 2025Article
- Investigating associations between emotion dysregulation and DSM-5 posttraumatic stress disorder (PTSD) using network analysis.Journal of affective disorders · 2025Article
- Study protocol of a hybrid type 1 effectiveness-implementation multisite trial: Dialectical behavior therapy skills group for Veterans at high-risk for suicide attempt.Contemporary clinical trials · 2025Article
- Mental Health and Personality Functioning of People With Probable Personality Disorder Who Have Coexisting Complex Post Traumatic Stress Disorder.Personality and mental health · 2025Article
- Inpatient dialectical behavior therapy combined with trauma-focused therapy for PTSD and borderline personality disorder symptoms: study design of the naturalistic trauma therapy study.Frontiers in psychiatry · 2025Article
- The association of military sexual assault and nonsuicidal self-injury in U.S. Gulf War-I era veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024Article
- Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy.Journal of consulting and clinical psychology · 2023Article
- Development and Evaluation of a Pragmatic Measure of Adherence to Dialectical Behavior Therapy: The DBT Adherence Checklist for Individual Therapy.Administration and policy in mental health · 2023Article
- Neurobiological mechanisms of dialectical behavior therapy and Morita therapy, two psychotherapies inspired by Zen.Journal of neural transmission (Vienna, Austria : 1996) · 2023Review
- Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD): transportability to everyday clinical care in a residential mental health centre.European journal of psychotraumatology · 2023Article
- The temporal relationships between therapist adherence and patient outcomes in dialectical behavior therapy.Journal of consulting and clinical psychology · 2022Article
- The Dialectical Behavior Therapy Adherence Coding Scale (DBT ACS): Psychometric properties.Psychological assessment · 2021Article
- Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
The Dialectical Behavior Therapy Prolonged Exposure (DBT PE) protocol improves DBT's effects on PTSD in research settings, but its effectiveness in community settings is largely unknown. This pilot nonrandomized controlled trial examined DBT with and without DBT PE in four public mental health agencies. Patients (N = 35, 12-56 years old, 80.0% female, 64.7% racial/ethnic minorities, 44.1% sexual minorities) had PTSD, were receiving DBT, and completed assessments every four months over one year. Sixteen patients (45.7%) initiated DBT PE, 19 (54.3%) did not, and dropout did not differ between groups (31.3% vs. 26.3%). The primary barrier to initiating DBT PE was clinician turnover (57.9% of non-initiators). After adjusting for confounds, DBT PE initiators (g = 1.1) and completers (g = 1.4) showed a greater reduction in PTSD than patients who received DBT only (g = 0.5; p's < .05). Rates of reliable improvement in PTSD were 71.4% (DBT PE completers), 53.8% (DBT PE initiators), and 31.3% (DBT). Similar patterns were observed for posttraumatic cognitions, emotion dysregulation, general psychological distress, and limited activity days. There was no worsening of self-injurious behavior or crisis service use among patients who received DBT PE. Benchmarking analyses indicated comparable feasibility, acceptability, and safety, but a smaller magnitude of clinical change, than in efficacy studies. Results require replication in a randomized trial but suggest that DBT PE can be transported effectively to community settings.
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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.