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<p>The purpose of the study was to examine differences in dialectical behavior therapy (DBT) treatment compliance and outcomes between non-White groups and White groups in a private practice outpatient setting. Participants (<i>n</i> = 302; 33% identified their race or ethnicity as non-White, 67% as White) were adult and adolescent patients completing comprehensive DBT. Treatment outcome measures examined included functional impairment, mental well-being, and borderline symptomatology, and were completed at intake and every 2&#xa0;months throughout treatment. Descriptive analysis of treatment compliance did not suggest any major differences between non-White and White groups, respectively, on graduation or dropout rates, completion rates of end-of-module assessments or diary cards, the average number of phone coaching calls, or the proportion of groups attended. Significant main effects for time in treatment were found for all three outcomes, such that patients experienced improvements on average each month of treatment. There were no significant differences in the rate of improvement between non-White and White patients for mental well-being and borderline symptomatology; however, there was a significant interaction such that non-White patients experienced larger improvements each month in functional impairment than White patients. Findings suggest that DBT outpatients’ improvement in symptomatology over time is generally not significantly different for non-White individuals compared to White individuals. Several potential contributors to steeper improvement rates among non-White patients relative to White patients are discussed, including features of DBT that are hypothesized to effectively address the impact of chronic invalidation related to ethnoracial identity.</p>

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Dialectical Behavior Therapy Treatment Outcomes Across White and Non-White Patients in an Outpatient Private Practice Setting

  • 期刊论文

  • 发表日期：

    2025年8月1日

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  • Sara J. Landes,
  • Robert M. Montgomery,
  • Breanna A. Smith,
  • Meredith S. Sears,
  • Tônia de Barros Barreto Morton,
  • Saad Iqbal,
  • Lynn M. McFarr

摘要

The purpose of the study was to examine differences in dialectical behavior therapy (DBT) treatment compliance and outcomes between non-White groups and White groups in a private practice outpatient setting. Participants (n = 302; 33% identified their race or ethnicity as non-White, 67% as White) were adult and adolescent patients completing comprehensive DBT. Treatment outcome measures examined included functional impairment, mental well-being, and borderline symptomatology, and were completed at intake and every 2 months throughout treatment. Descriptive analysis of treatment compliance did not suggest any major differences between non-White and White groups, respectively, on graduation or dropout rates, completion rates of end-of-module assessments or diary cards, the average number of phone coaching calls, or the proportion of groups attended. Significant main effects for time in treatment were found for all three outcomes, such that patients experienced improvements on average each month of treatment. There were no significant differences in the rate of improvement between non-White and White patients for mental well-being and borderline symptomatology; however, there was a significant interaction such that non-White patients experienced larger improvements each month in functional impairment than White patients. Findings suggest that DBT outpatients’ improvement in symptomatology over time is generally not significantly different for non-White individuals compared to White individuals. Several potential contributors to steeper improvement rates among non-White patients relative to White patients are discussed, including features of DBT that are hypothesized to effectively address the impact of chronic invalidation related to ethnoracial identity.