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Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder

✍ Scribed by Chen, Eunice Y. ;Matthews, Lauren ;Allen, Charese ;Kuo, Janice R. ;Linehan, Marsha Marie


Publisher
Wiley (John Wiley & Sons)
Year
2008
Tongue
English
Weight
100 KB
Volume
41
Category
Article
ISSN
0276-3478

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✦ Synopsis


Abstract

Objective:

This treatment development study provides summary data for standard Dialectical Behavior Therapy (DBT) with minimal adaptation for 8 women with binge‐eating disorder (BED) (5) or bulimia nervosa (BN) (3) and Borderline Personality Disorder (BPD).

Method:

DBT involved 6 months of weekly skills group, individual DBT, therapist consultation team meeting, and 24‐hour telephone coaching. Assessments were conducted at pre‐, post‐treatment, and 6‐months follow‐up and utilized standardized clinical interviews including the Eating Disorders Examination (EDE), Personality Disorders Exam, and the Structured Clinical Interview for DSM‐IV.

Results:

From pre‐ to post‐treatment, effect sizes for objective binge eating, total EDE scores and global adjustment were large and for number of non‐eating disorder axis I disorders and for suicidal behavior and self‐injury were medium. From pre‐ to 6‐months follow‐up, effect sizes were large for all these outcomes.

Conclusion:

This provides promising pilot data for larger studies utilizing DBT for BED or BN and BPD. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008


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