open access
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This study described the philosophy, treatment system, and core strategies of dialectical behavior therapy (DBT), and reviewed its treatment efficacy, effectiveness, and clinical utility according to a systematic review method. DBT showed clear evidence of efficacy in pervasive emotion dysregulation problems such as suicidal and self-harm behaviors of borderline personality disorder and posttraumatic stress disorder, binge eating, and self-harm in adolescents. Effectiveness of DBT in community settings were also found. Evidence for clinical utility requires more empirical support. Dissemination and implementation of DBT in Korea as well as facilitation of DBT research are discussed.
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