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In a message dated 3/9/2003 11:25:49 AM Central Standard Time, Rlb0803

writes:

>

> Copyright Health Media Ltd 2003

> Health Newswire Professional

>

>

> February 11, 2003

>

> SECTION: Health Newswire Professional

>

> LENGTH: 291 words

>

> HEADLINE: Effective treatment for women with borderline personality

> disorder

>

> SOURCE: Verheul et al, British Journal of Psychiatry 2003;182:135-140

>

> BYLINE: Health Newswire reporters

>

> HIGHLIGHT:

> Dialectical behaviour therapy (DBT) is an effective treatment of high-risk

> behaviours in women with borderline personality disorder, according to

> Dutch scientists.

>

> BODY:

>

>

> Although previous research has suggested DBT is a promising treatment for

> borderline personality disorder, many of these studies have been

> preliminary in nature and uncontrolled.

>

> Dr Roel Verheul from the University of Amsterdam - in collaboration with

> colleagues from the Amsterdam Institute for Addiction Research and Erasmus

> University in Rotterdam - randomly assigned 58 women with borderline

> personality disorder to either 12 months of DBT or usual treatment. DBT

> consisted of individual, cognitive-behavioural therapy sessions, combined

> with group therapy sessions on skills training. The treatment was designed

> to improve motivation and teach skills for self-acceptance and the

> acceptance of others.

>

> Reporting in the British Journal of Psychiatry, the team found that 63 per

> cent of patients who received DBT completed the one-year treatment with the

> same therapist, compared with only 23 per cent of the patients who received

> control therapy.

>

> Compared with usual treatment, 12 months of DBT resulted in greater

> reductions in self-mutilating and self-damaging impulsive behaviours,

> particularly among women with a history of frequent self-mutilation.

>

> Because there is little evidence that DBT is effective for other core

> features of borderline personality disorder - such as interpersonal

> instability, chronic feelings of emptiness and boredom and identity

> disturbance - the team suggest that DBT may be a treatment for patients

> with severe, life-threatening impulse control disorders, rather than for

> borderline personality disorder itself.

>

> " Knowledge about the specific mechanisms that make dialectical behaviour

> therapy work might enable therapists to better direct the focus in

> treatment, " they conclude.

>

> LOAD-DATE: February 11, 2003

> Document 1 of 6

>

>

>

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