@article{b67746e5720047c5993935f1fccb1fd6,
title = "Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD): transportability to everyday clinical care in a residential mental health centre",
abstract = "Background: Dialectical Behaviour Therapy for Posttraumatic Stress Disorder (DBT-PTSD) is a phase-based treatment for PTSD. The DBT-PTSD treatment programme{\textquoteright}s efficacy has not been tested during standard operation, outside of laboratory outcome studies. Objective: The present pilot study investigated the transportability of the DBT-PTSD treatment to a real word clinical setting in a residential mental health centre. Methods: The DBT-PTSD treatment was compared to a treatment as usual (TAU) condition in a non-randomized study. Overall, 156 patients from a residential mental health centre were included. Propensity score matching was used to match participants in the two treatment arms based on baseline characteristics. Primary and secondary outcomes (PTSD and other symptoms) were assessed at the time of admission and at the time of discharge. Results: The DBT-PTSD treatment outperformed the TAU condition in the improvement of all primary outcomes, as indicated by a significant time and group interaction. There were notable differences in the effect sizes between the unmatched and matched sample as well as between the available and the intent-to-treat (ITT) data analyses. The effect sizes in the ITT data analyses were much lower. Both treatment groups showed similar improvements in secondary outcomes. Conclusions: This study provides initial evidence for the transportability of the DBT-PTSD treatment to a naturalistic clinical care setting, but with considerably lower effect sizes than in previously published laboratory RCTs. The higher efficacy of DBT-PTSD compared to TAU may largely depend on patient{\textquoteright}s adherence to treatment.",
keywords = "DBT-PTSD, Dialectical behaviour therapy, dissemination, posttraumatic stress disorder, transportability",
author = "Claudia Oppenauer and Manuel Sprung and Silvia Gradl and Juliane Burghardt",
note = "Funding Information: We gratefully acknowledge the financial support of the Society for Research Promotion Lower Austria [Gesellschaft f{\"u}r Forschungsf{\"o}rderung Nieder{\"o}sterreich (GFF)] as part of the endowed professorship in clinical psychology (MS, JB, SG). We also thank the VAMED for funding the position held by CO. We further acknowledge support by Open Access Publishing Fund of Karl Landsteiner University of Health Sciences, Krems, Austria. These funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The authors thank all patients and therapists from the trauma treatment units at the University Hospital for Psychosomatic Medicine Eggenburg as well as Elisabeth Busta and Thomas Sch{\"u}tt who conducted the routine clinical outcome monitoring. The authors also like to thank Friedrich Riffer who made this study possible through his lobbying for the establishment of the endowed professorship in clinical psychology at the Karl Landsteiner University and his advocacy for the implementation of the DBT-PTSD treatment programme at the University Hospital for Psychosomatic Medicine Eggenburg. Author Contributions: CO, MS were involved in designing and conceptualization of the research study. CO, MS, SG and JB were responsible for the data analysis and data curation. CO and MS prepared the original draft and were responsible for revisions and prepared the final version. SG and JB were involved in the review and editing of the manuscript. All authors have read and agreed to the published version of the manuscript. Publisher Copyright: {\textcopyright} 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.",
year = "2023",
month = jan,
day = "10",
doi = "10.1080/20008066.2022.2157159",
language = "English",
volume = "14",
journal = "European Journal of Psychotraumatology",
issn = "2000-8066",
publisher = "Taylor and Francis Ltd.",
number = "1",
}