Evidence map›Paper›PMID 37261739›Full record

ArticleJournal of consulting and clinical psychology2023

Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy.

Cindy J Chang, Max A Halvorson, Keren Lehavot, Tracy L Simpson, Melanie S Harned

Open access · hybridAbstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.0field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Dialectical Behavior Therapy in Autism.Current psychiatry reports · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

5 authors at 2 institutions in 2 countries.

Cindy J ChangMental Health Service, VA San Diego Health Care System, U.S. Department of Veterans Affairs.ORCID 0000-0002-1997-2665
Max A HalvorsonMental Health Service, VA Puget Sound Health Care System, U.S. Department of Veterans Affairs.
Keren LehavotMental Health Service, VA Puget Sound Health Care System, U.S. Department of Veterans Affairs.
Tracy L SimpsonMental Health Service, VA Puget Sound Health Care System, U.S. Department of Veterans Affairs.
Melanie S HarnedMental Health Service, VA Puget Sound Health Care System, U.S. Department of Veterans Affairs.
VA Puget Sound Health Care System · USDepartment of Veterans Affairs · AU

Funding

ASSESSMENT &TREATMENT OF PARASUICIDE PATIENTSR01MH034486 · NIMH · UNIVERSITY OF WASHINGTON · PI LINEHAN, MARSHA M · 1985 to 2007
$5.8M
Evaluation of Dialectical Behavior Therapy (DBT)R01DA014997 · NIDA · UNIVERSITY OF WASHINGTON · PI LINEHAN, MARSHA M · 2003 to 2007
$3.8M
Treating PTSD in Patients with Borderline Personality DisorderR34MH082143 · NIMH · UNIVERSITY OF WASHINGTON · PI HARNED, MELANIE · 2009 to 2011
$700k
Effectiveness of PTSD treatment for suicidal and multi-diagnostic clientsR34MH106598 · NIMH · UNIVERSITY OF WASHINGTON · PI HARNED, MELANIE · 2015 to 2017
$695k
Intramural VA VA999999NIDA NIH HHS R01 DA014997NIMH NIH HHS R01 MH034486NIMH NIH HHS R34 MH082143NIMH NIH HHS R34 MH106598
6 · The paper itself

Abstract

objectiveThere is inconclusive evidence regarding sexual identity and race/ethnicity differences in outcomes in evidence-based psychological treatments. Although dialectical behavior therapy (DBT) is well-studied, little is known about the extent to which its efficacy generalizes to sexual minority and racial/ethnic minority people. This study examined sexual identity, race/ethnicity, and their interaction as predictors of treatment outcome and retention in DBT.

methodData were from five clinical trials conducted in research and community settings with a variety of adult populations (

resultsSexual identity, race/ethnicity, and their interaction did not predict the average severity or the rate of change in any clinical outcome over time. Sexual minority identity was associated with decreased risk of treatment dropout (

conclusionsFindings suggest no significant differences in DBT treatment outcomes when comparing between sexual minority and heterosexual individuals and between non-Hispanic White and racial/ethnic minority individuals. Sexual minority identity interacted with race/ethnicity to predict dropout, such that non-Hispanic sexual minority people were more likely to complete DBT compared to sexual minority people of color and heterosexual individuals. Further research is needed to clarify potential subgroup and intersectional differences. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Indexed as

Dialectical Behavior TherapySexual and Gender MinoritiesAdultEthnicityGender IdentityHumansMinority GroupsSexual BehaviorTreatment Outcome

Identifiers

PMID37261739
PMCPMC10526887
OpenAlexW4378953657

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.