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Table 2 Pre to post-treatment means on key outcome measures

From: A systematic review on the effectiveness of dialectical behavior therapy for improving mood symptoms in bipolar disorders

Study, authors

Study arm

Depression

Mania

Suicidality

Emotion regulation

Psychosocial Functioning

Pre

Post

Pre

Post

Pre

Post

Pre

Post

Pre

Post

Goldstein et al. 2007

INT

K-SADS DRS: 23.1 (12.0)*

K-SADS-DRS: 14.9 (10.6)*

K-SADS MRS: 13.3 (12.1)

K-SADS MRS: 12.2 (14.2)

MSSI: 6.7*

MSSI: 0*

CALS-C: 36.1 (19.47)*

CALS-P: 35.5 (17.37)*

CALS-C: 17.78 (24.24)*

CALS-P: 27.88 (23.2)*

MESSY: N.R

MESSY: N.R

Goldstein et al. 2015

INT

K-SADS DRS: 25.71 (7.1)*

K-SADS DRS: 9.44 (9.14)*/**

K-SADS MRS: 27.14 (8.5)*

K-SADS MRS: 11.67 (7.89)*

SIQ-JR: 19.17 (21.0)

SIQ-JR: 4.29 (7.67)

CALS-C: 40.17 (19.1)*

CALS-P: 41.79 (15.8)*

CALS-C: 15.71 (11.32)*

CALS-P: 17.86 (12.95)*

–

–

CTL

K-SADS DRS: 19.17 (9.6)

K-SADS DRS: 16.5 (7.78)**

K-SADS MRS: 14.50 (6.7)

K-SADS MRS: 11.67 (7.89)

SIQ-JR: 15.50 (29.7)

SIQ-JR: 8 (9.9)

CALS-C: 31.00 (18)

CALS-P: 21 (14.3)

CALS-C:37.5 (34.65)

CALS-P: 30 (N.R.)

–

–

Van Dijk et al. 2013

Main study

INT

BDI-II: 24.6 (8.4)*

BDI-II: 7.9 (6.1)*

–

–

–

–

ACS Total: 4.4 (0.6)

ACS Total: 3.5 (0.6)

–

–

CTL

BDI-II: 33.7 (11.5)*

BDI-II: 23.58 (17.1)*

–

–

–

–

ACS Total: 4.6 (0.8)

ACS Total: 4.1 (1.5)

–

–

Secondary analysis

INT

BDI-II: 25.2 (11.9)*

BDI-II: 16.6 (14.0)*

–

–

–

–

ACS Total: 4.5 (0.9)*

ACS Total: 4.0 (1.2)*

–

–

Afshari et al. 2020

INT

BDI-II: 9.65 (5.82)

BDI-II: 6.42 (3.41)**

YMRS:15.65 (7.19)

YMRS: 10.88 (3.50)**

–

–

DERS:129.80

DERS: 120.07 (17.30)**

–

–

CTL

BDI-II:10.46 (5.97)

BDI-II: 10.14 (5.81)**

YMRS: 14.39 (7.47)

YMRS: 13.57 (6.96)**

–

–

DERS:136.5 (25.74)

DERS: 135.10 (25.14)**

–

–

Zargar et al. 2019

INT

BDI-II: 20.63 (16.03)

BDI-II: 26.00 (11.63)

YMRS: 4.79 (3.17)*

YMRS: 2.12 (3.09)*/**

–

–

ACS-EC: 172.27 (40.02)

ACS-A: 34.12 (10.40)

ACS-DM: 36.17(10.12)*

ACS-A: 51.78 (14.47)

ACS-PA: 49.68 (11.78)

ACS-EC: 162.27 (48.49)

ACS-A: 33.00 (11.11)

ACS-DM: 31.09 (8.98)*/**

ACS-A: 51.30 (16.23)

ACS-PA: 47.05 (15.78)

–

–

CTL

BDI-II: 28.28 (10.76)

BDI-II: 23.76 (11.78)

YMRS: 5.88 (2.91)

YMRS: 4.24 (4.11)**

–

–

ACS-EC: 180.61 (25.44)

ACS-Ang: 34.80 (10.39)

ACS-DM: 36.12 (8.31)

ACS-Anx: 54.67 (11.62)

ACS-PA: 54.76 (12.65)

ACS-EC: 188.91 (37.42)

ACS-Ang: 37.12 (10.10)

ACS-DM: 39.92 (9.05)**

ACS-Anx: 56.96 (13.31)

ACS-PA: 55.56 (11.88)

–

–

Wright et al. 2020

INT

BDI-II (ITT): 30.30 (11.23)*

PHQ-9 (ITT): 17.50 (6.67)*

BDI-II (ITT): 15.60 (10.81)*

PHQ-9: 10.00 ( 7.09)*

BMRS (ITT): 2.40 (2.59)

ASRM (ITT): 4.40 (4.55)

BMRS (ITT): 1.70 (2.54)

ASRM (ITT): 5.30 (2.11)

–

–

–

–

QoL-BD (ITT): 30.00 (6.61)*

IIP (PP): 58.44 (18.37)

QoL-BD (ITT): 38.67 (7.86)*

IIP (PP): 49.75 (18.27)

Wright et al. 2021

INT

HDRS: 12.8 (8.1)

PHQ-9:

15.5 (6.6)

HDRS: 8.5 (4.8)

PHQ-9: 10.3 (6.5)

BMRS: 1.8 (2.4)

BMRS: 1.8 (3.2)

–

–

ALS-Total: 37.3 (6.1)

ALS-Total: 26.0(13.5)

QoL-BD: 33.2 (7.5)

QoL-BD: 35.1 (8.3)

CTL

HDRS: 6.6 (4.2)

PHQ-9: 12.9 (5.2)

HDRS: 9.5 (5.8)

PHQ-9: 9.8 (4.9)

BMRS: 1.7 (1.8)

BMRS: 1.9 (2.5)

–

–

ALS-Total: 31.5 (13.1)

ALS-Total: 23.5 (12.2)

QoL-BD: 36.6 (6.8)

QoL-BD: 34.0 (10.7)

Valls et al. 2021

INT

HDRS: 6.7 (4.1)

HDRS: 5.0 (3.3)**

YMRS:2.32 (2.0)

YMRS: 2.0 (2.3)

–

–

–

–

FAST-Total: 23.18 (10.76)

FAST-C: 4.3 (3.3)

FAST-L: 2.4 (1.4)

4/6 FAST domains N.R

Qol.BD: 158.36 (29.5)

FAST-Total: 17.1 (9.3)**

FAST-C: 2.5 (2.3)**

FAST-L: 1.7 (1.28)**

4/6 FAST domains N.R

Qol.BD: 154.2 (27.9)

CTL

HDRS: 3.8 (3.3)

HDRS: 4.5 (4.3)**

YMRS: 1.05 (1.6)

YMRS: 1.22 (2.0)

–

–

–

–

FAST-Total: 22.95 (14.03)

FAST-C: N.R

FAST-L: N.R

4/6 FAST domains N.R

Qol-BD: 160.7 (38.1)

FAST-Total: 23.4 (14.7)**

FAST-C: N.R.**

FAST-L: N.R.**

4/6 FAST domains N.R

Qol-BD: 162.6 (31.59)

Eisner et al. 2017

INT

HDRS: 12.7 (6.0)

HDRS: 11.5 (5.7)

YMRS: 6.1 (6.2)

YMRS: 5.7 (4.0)

–

–

DERS: 107.6 (24.0)*

ERS: 52.2 (22.0)*

DERS: 92.8 (23.2)*

ERS: 44.1 (21.4)*

–

–

Painter et al. 2019

INT

mHDRS: 3.00 (2.86)

mHDRS: 3.82 (3.87)

YMRS: 2.83 (3.04)

YMRS: 4.6 (5.65)

–

–

ERQ-SE Reappraisal:23.83 (7.92)*

ERQ-SE Suppression: 14.67 (4.31)

ERQ-SE Reappraisal: 28.75 (8.13)*

ERQ-SE Suppression: 13.50 (6.59)

–

–

  1. * Significant within-group
  2. ** Significant between groups
  3. INT intervention group, K-SADS-(DRS/MRS) kiddie schedule for affective disorders and schizophrenia—(depression rating scale/mania rating scale), MSSI modified scale for suicidal ideation, N.R. not reported, CALS-(C/P) children’s affective lability scale—(child/parent rating), MESSY matson evaluation of social skills with youngsters, CTL control group, SIQ-Jr Suicidal Ideation questionnaire-Junior, BDI-II beck depression inventory, ACS-(EC/Ang/DM/Anx/PA) affective control scale—(emotional control, anger, depressed mood/anxiety/positive affection), YMRS young mania rating scale, DERS difficulties in emotion regulation Scale, PHQ-9 patient health questionnaire 9-item, BMRS bech mania rating scale, ITT intention-to-treat analysis, QoL-BD brief quality of life in bipolar disorder scale, IIP-32 inventory of interpersonal problems—short version, PP per-protocol analysis, (m)HDRS (modified) hamilton depression rating scale, ALS Affective Lability Scale, FAST-(C/L) functioning assessment short test—(cognitive functioning/leisure time), ERS emotion reactivity scale, ERQ-SE emotion regulation questionnaire-self efficacy