McMain GPM
DBT vs General Psychiatric Management for BPD
Patient / Population Intervention / Exposure Comparison Outcome
In 180 patients with BPD, 1 year of DBT achieved the same clinical improvement as structured general psychiatric management.
N
180
Design
RCT, Canada
Endpoint
Self-harm, hospitalisation, symptom severity
Relevance
2
ResultDBT and GPM equally effective across all primary outcomes.
McMain SF, et al. Am J Psychiatry. 2009;166(12):1365-1374. 10.1176/appi.ajp.2009.09010039
Discussion & critique
Well-structured generalist care is good enough — vital for services without specialist DBT programmes.