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dc.contributor.advisorKendall, Philip C.
dc.creatorMaxwell, Colleen
dc.date.accessioned2024-09-12T19:27:40Z
dc.date.available2024-09-12T19:27:40Z
dc.date.issued2024
dc.identifier.urihttp://hdl.handle.net/20.500.12613/10664
dc.description.abstractBackground: Dialectical behavior therapy (DBT), an outpatient intervention, has shown efficacy in reducing suicidality. Less is known about its effectiveness when delivered in usual care (UC), and the resource-intensive nature of the program often results in modifications when implemented in usual care. Methods: A systematic search yielded 83 empirical evaluations of DBT that reported original data on at least one of three suicidality-related outcomes: (a) self-directed violence (SDV), (b) crisis service use (CSU), and (c) suicidal ideation (SI). Using meta-analysis, the current study (1) estimated pooled effect of DBT in UC, (2) compared effects in UC and non-UC settings, and (3) examined predictors of differential outcomes. Results: DBT demonstrated a large effect (g=.81) in reducing SDV and a medium effect in reducing SI (g=.68). The estimated effect on CSU (g=.60) was non-significant after adjusting for publication bias (g=.29). DBT was more effective than control conditions in reducing SDV (g=.50), even after adjusting for publication bias (g=1.63). No differences between UC and non-UC effects were detected. In uncontrolled studies, positive associations emerged between therapist training and SDV reduction, adherence-reporting and CSU reduction, and outpatient and SI reduction. Discussion: Results support DBT’s effectiveness in reducing suicidality-related outcomes in UC, but should be interpreted with caution given the heterogeneity among studies. Potential sources of heterogeneity and the methodological challenges of synthesizing research in UC are discussed. Recommendations for future work are offered.
dc.format.extent78 pages
dc.language.isoeng
dc.publisherTemple University. Libraries
dc.relation.ispartofTheses and Dissertations
dc.rightsIN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectClinical psychology
dc.subjectDialectical behavior therapy
dc.subjectEffectiveness research
dc.subjectMeta-analysis
dc.titleTHE EFFECTIVENESS OF DIALECTICAL BEHAVIOR THERAPY IN REDUCING SELF-DIRECTED VIOLENCE AND SUICIDALITY: A META-ANALYSIS
dc.typeText
dc.type.genreThesis/Dissertation
dc.contributor.committeememberOlino, Thomas
dc.contributor.committeememberChen, Eunice Y.
dc.contributor.committeememberDrabick, Deborah A.
dc.contributor.committeememberVincent, Wilson
dc.contributor.committeememberSayers, Margaret
dc.description.departmentPsychology
dc.relation.doihttp://dx.doi.org/10.34944/dspace/10626
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.degreePh.D.
dc.identifier.proqst15336
dc.creator.orcid0000-0001-5922-2730
dc.date.updated2024-08-30T19:04:35Z
dc.embargo.lift08/30/2026
dc.identifier.filenameMaxwell_temple_0225E_15336.pdf


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