We sent patients and their therapists comparable surveys asking about their perceptions of the program. The clinicians received one survey for each patient they had treated. The patients and therapists rated the overall benefit each patient derived from dialectical behavior therapy on a scale from 1, no benefit, to 4, substantial benefit. Patients also rated their commitment to the program on a scale from 1, not at all, to 5, extremely. Last, therapists and patients rated their satisfaction with the program on a scale from 1, not at all, to 5, extremely. Twenty of the 27 individual therapists responded, providing information on 71 patients. Fifty-five of the 80 patients who had been asked to participate returned surveys, yielding a response rate of 69 percent.
Both sets of ratings indicated that 62 patients (60 percent) were perceived as or rated themselves as deriving at least some overall benefit. For the 46 patient-therapist pairs, the association between clinicians' and patients' ratings of patient benefit from dialectical behavior therapy was strong. Although dialectical behavior therapy was developed to treat female patients, ratings of benefit did not differ by gender.
Satisfaction with the program was high among both patients and clinicians. Thirty patients (55 percent) rated themselves as very or extremely satisfied. Patient satisfaction was strongly associated with patients' ratings and clinicians' ratings of patient benefit. No gender differences in satisfaction ratings were noted. All clinician responders reported that they were either very or extremely satisfied.
The duration of participation in therapy was strongly associated with clinicians' ratings of benefit and moderately associated with patients' ratings of benefit and of satisfaction. When duration in the program was controlled for, patients' level of commitment was a significant predictor of patients' ratings of benefit and satisfaction and accounted for an additional 31 percent of the variance in patients' benefit ratings and 28 percent of the variance in patient satisfaction ratings.