DBT en TEPT en mujeres víctimas de violencia sexual: revisión sistemática

Abstract

Sexual violence is a critical risk factor for the development of posttraumatic stress disorder (PTSD) in adult women, particularly when accompanied by emotional dysregulation, dissociation, and self-harming behaviors. This systematic review analyzed 29 studies published between 2010 and 2025 on the application of Dialectical Behavior Therapy for PTSD (DBT-PTSD) in women survivors of sexual violence. Findings indicate that DBT- PTSD produces significant reductions in PTSD symptoms, with superiority over traditional cognitive therapies, better safety profile, and higher treatment adherence. Core components such as emotion regulation, mindfulness, and radical acceptance emerge as active mechanisms of change linked to reductions in self-harm and improvements in overall functioning. However, dissociation and variability in skill practice appear to moderate treatment effectiveness. Overall, DBT-PTSD stands as an effective and adaptable therapeutic framework, with important clinical implications for implementation across diverse healthcare settings