{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:00:42Z","timestamp":1768885242720,"version":"3.49.0"},"reference-count":72,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"vor","delay-in-days":37,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To synthesise qualitative research on individuals diagnosed with (or reportedly showing traits of) borderline pattern personality disorder who underwent dialectical behaviour therapy, aiming to comprehend their perceptions of change processes and the therapy's effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A comprehensive literature search was conducted across multiple online databases and grey literature sources. Papers were quality appraised using an adapted version of the Critical Appraisal Skills Programme tool. A metaethnographic approach was employed during the synthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven studies met criteria for inclusion in the review. The main themes identified through the synthesis process were the impact of DBT, the supportive structure and the 1:1 therapy component.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The synthesis uncovered the importance of various processes within DBT that patients perceived as active ingredients for their change. Many of these processes aligned with proposed theoretical processes of change and quantitative research on DBT's effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.3038","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T13:12:32Z","timestamp":1723036352000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Perceived Change Processes in Dialectical Behaviour Therapy From the Perspective of Clients With a Diagnosis or Traits of Borderline Personality Disorder: A Systematic Literature Review"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1725-5143","authenticated-orcid":false,"given":"Ruth","family":"Middlehurst","sequence":"first","affiliation":[{"name":"School of Psychology University of Lincoln  Lincoln UK"},{"name":"Lincolnshire Partnership NHS Foundation Trust  Lincoln UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nima","family":"Moghaddam","sequence":"additional","affiliation":[{"name":"School of Psychology University of Lincoln  Lincoln UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David\u00a0L.","family":"Dawson","sequence":"additional","affiliation":[{"name":"School of Psychology University of Lincoln  Lincoln UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5320-3034","authenticated-orcid":false,"given":"Andy","family":"Reeve","sequence":"additional","affiliation":[{"name":"Derbyshire Healthcare NHS Foundation Trust  Chesterfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/14712288\u20108\u201021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010018\u20101908\u20103"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140635"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12362"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0191\u20108869(98)00187\u20101"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1258\/135581902320432732"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12737"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277\u20109536(02)00064\u20103"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.07081360"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.188.5.423"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.4287"},{"key":"e_1_2_9_13_1","unstructured":"Critical Appraisal Skills Programme.2018. \u201cCASP Qualitative Checklist.\u201dCASP\u2010Qualitative\u2010Checklist\u20102018_fillable_form.pdf (casp\u2010uk.net)."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1077\u20107229(04)80036\u20101"},{"key":"e_1_2_9_15_1","volume-title":"Exploring Inpatient Experiences of Dialectical Behaviour Therapy for Borderline Personality Disorder (Unpublished Doctoral Dissertation)","author":"Desperles D.","year":"2010"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/15401383.2020.1870599"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230601182094"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044\u20108260.2011.02017.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010019\u20100670\u20107"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230601182094"},{"issue":"3","key":"e_1_2_9_21_1","first-page":"282","article-title":"Emotionally Unstable Personality Disorder in Primary Care: A Thematic Review and Novel Toolkit","volume":"31","author":"Gamlin C.","year":"2019","journal-title":"Psychiatria Danubina"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2003.014829"},{"key":"e_1_2_9_23_1","unstructured":"Hayrynen N. R.2022. \u201cDeveloping the Wise Mind: Exploring the Experience ofDBT.\u201d [Unpublished doctoral dissertation]. Michigan School of Psychology."},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2013.04.004"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/1473314070157036"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.72.6.923"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.3.022806.091432"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1586\/erp.10.30"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107894(01)80009\u20105"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_9_31_1","unstructured":"Linehan M. K.Comtois A.Murray et\u00a0al.2006. \u201cSuicidal and Behavioral Outcomes From a One Year Randomized Trial and One Year Follow\u2010Up of Dialectical Behavior Therapy for Borderline Personality Disorder.\u201dManuscript Submitted for Publication."},{"key":"e_1_2_9_32_1","volume-title":"Skills Training Manual for Treating Borderline Personality Disorder","author":"Linehan M. M.","year":"1993"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810360024003"},{"key":"e_1_2_9_34_1","first-page":"396","volume-title":"Clinical Handbook of Psychological Disorders","author":"Linehan M. M.","year":"1993"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/105504999305686"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12156"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2004.03196.x"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.385"},{"key":"e_1_2_9_39_1","first-page":"200","volume-title":"The Oxford Handbook of Cognitive and Behavioral Therapies","author":"Lungu A.","year":"2016"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20243"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107894(01)80034\u20104"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741\u20107015\u201010\u2010111"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.09.068"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7226.50"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2011.651660"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.08.017"},{"key":"e_1_2_9_47_1","volume-title":"Research Protocol; Examining the Processes of Change in Dialectical Behaviour Therapy; a Hermeneutic Single Case Efficacy Design. (Unpublished Manuscript)","author":"Middlehurst R.","year":"2023"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/104973239500500201"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010009\u20100084\u20107"},{"key":"e_1_2_9_50_1","unstructured":"NICE.2009. \u201cBorderline Personality Disorder: Recognitiont: Recognitiion and Management. Clinical Guideline [CG78].\u201d N. I. f. H. a. C. Excellence.Overview | Borderline personality disorder: recognition and management | Guidance | NICE."},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985000"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049731513503047"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118957882.ch19"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1053\/S0883\u20109417(03)00093\u20101"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10235622"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.13213"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2019.1581337"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2017.1322185"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1108\/JFP\u201001\u20102016\u20100003"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.15475069.2002.00213"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102575.1998.00002.x"},{"key":"e_1_2_9_62_1","volume-title":"Experiences of Dialectical Behavioural Therapy by Adults Diagnosed With Borderline Personality Disorder (Unpublished Doctoral Dissertation)","author":"Smith D.","year":"2013"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1990.4.3.257"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.18m12436"},{"key":"e_1_2_9_65_1","volume-title":"Clients' Experience of Recovery From Borderline Personality Disorder in Dialectical Behavioural Therapy: An Interpretative Phenomenological Analysis (Unpublished Doctoral Dissertation)","author":"Tsakopoulou M.","year":"2009"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.09.008"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.182.2.135"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1300\/J001v17n01_09"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20238"},{"key":"e_1_2_9_70_1","volume-title":"Introducing Qualitative Research in Psychology Adventures in Theory and Method","author":"Willig C.","year":"2001"},{"key":"e_1_2_9_71_1","unstructured":"World Health Organization.2022. \u201cICD\u201011: International Classification of Diseases(11th Revision).\u201dhttps:\/\/icd.who.int\/."},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100447.2008.01155.x"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.8.1101"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.3038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,25]],"date-time":"2024-09-25T15:55:25Z","timestamp":1727279725000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.3038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":72,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1002\/cpp.3038"],"URL":"https:\/\/doi.org\/10.1002\/cpp.3038","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e3038"}}