A randomized wait-list controlled pilot study of dialectical behaviour therapy guided self-help for binge eating disorder

Masson, Philip; Ranson, Kristin M. von; Wallace, Laurel M.; Safer, Debra L.

doi:10.1016/j.brat.2013.08.001

Cited by 69 publications

(62 citation statements)

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“…Although there is evidence that initial dietary restraint levels predict future onset of binge eating among asymptomatic individuals [24,56,57], as in this study, prior research using clinical interviews or ecological momentary assessment failed to support the dietary restraint-binge eating relationship among bulimic-type ED patients [9,[58][59][60]. Although, the impact of dietary restraint on binge eating deserves further elucidation, the direct paths from interpersonal problems and mood intolerance to binge eating lend some credence to scholars' suggestion that factors other than restraint may play a more critical role in the maintenance of binge eating among clinical samples [21,47,48,54,55], and highlight the importance of their inclusion in the CB-E theory, assessment, and target [12,13,21,23,28]. Moreover, the present study indicated that the dietary restraint-binge eating relationship is fully mediated and explained by mood intolerance.…”

Section: Discussionmentioning

confidence: 47%

“…This finding, as well as the evidence that interventions for binge eating that do not focus on reducing OSW and/or dietary restraint (i.e. interpersonal therapy, dialectical-behaviour therapy) decrease binge eating relative to assessment-only control conditions [1,2,11,54,55], seems incompatible with the theoretical assertion of both CB models, i.e. OSW affects binging indirectly through increasing the likelihood of dietary restraint [6,13].…”

Section: Discussionmentioning

confidence: 99%

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Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Dakanalis

Carrà

Calogero

et al. 2014

Eur Arch Psychiatry Clin Neurosci

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(2014) Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: A multi-centre study. European Archives of Psychiatry and Clinical Neuroscience, 265 (8 to the data, the CB-E model accounted for a greater proportion of variance in eating-disordered behaviours than the original one, (b) interpersonal problems, clinical perfectionism and low self-esteem were indirectly associated with dietary restraint through over-evaluation of shape and weight, (c) interpersonal problems and mood intolerance were directly linked to binge eating, whereas restraint only indirectly affected binge eating through mood intolerance, suggesting that factors other than restraint may play a more critical role in the maintenance of binge eating. In terms of strength of the associations, differences across DSM-5 bulimic-type eating disorder diagnostic groups were not observed. The results are discussed with reference to theory and research, including neurobiological findings and recent hypotheses.Keywords DSM-5 · Bulimic-type eating disorders · Binge eating · Maintenance factors · Cognitive-behavioural theory · Latent variable structural equation modelling Abstract The original cognitive-behavioural (CB) model of bulimia nervosa, which provided the basis for the widely used CB therapy, proposed that specific dysfunctional cognitions and behaviours maintain the disorder. However, amongst treatment completers, only 40-50 % have a full and lasting response. The enhanced CB model (CB-E), upon which the enhanced version of the CB treatment was based, extended the original approach by including four additional maintenance factors. This study evaluated and compared both CB models in a large clinical treatment seeking sample (N = 679), applying both DSM-IV and DSM-5 criteria for bulimic-type eating disorders. Application of the DSM-5 criteria reduced the number of cases of DSM-IV bulimic-type eating disorders not otherwise specified to 29.6 %. Structural equation modelling analysis indicated that (a) although both models provided a good fit Electronic supplementary material The online version of this article

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Dakanalis

Carrà

Calogero

et al. 2014

Eur Arch Psychiatry Clin Neurosci

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“…Guided self-help dialectical behavior therapy for binge eating disorder A guided self-help adaptation of DBT for BED (see [16]) was developed and evaluated in a randomized wait-list controlled treatment trial [17]. In guided self-help treatment, a health worker guides an individual through a self-help manual.…”

Section: Purposementioning

confidence: 99%

“…The current study utilizes data from this treatment trial. Previously reported results from this trial [17] are briefly summarized here so as to provide background context regarding the efficacy of treatment. These results indicated that, at post-treatment, participants assigned to the immediate treatment condition reported significantly improved scores compared to participants assigned to the delayed treatment condition in terms of higher rates of binge abstinence (40.0% versus 3.3%) and fewer past-month OBEs (6.0 versus 14.4), respectively.…”

Section: Purposementioning

confidence: 99%

Change in emotion regulation during the course of treatment predicts binge abstinence in guided self-help dialectical behavior therapy for binge eating disorder

et al. 2014

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“…Por otro lado, aunque la tdc muestra algunos resultados prometedores (Klein et al, 2013;Masson et al, 2013;Robinson y Safer, 2011;Roosen et al, 2012;Telch et al, 2001), su superioridad frente a la tcc y la tip no se ha demostrado hasta la fecha, por lo que es necesaria una mayor investigación al respecto, como sugirieron Iacovino et al (2012).…”

Section: Conclusionesunclassified

Tratamientos actuales del trastorno por atracón

González-Calderón

Ormaechea-Alegre

2016

Pensando Psicol.

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ResumenIntroducción: a pesar de que el trastorno por atracón (ta) constituye un importante problema de salud, menos de la mitad de quienes lo padecen reciben tratamiento. Objetivo: revisar la literatura reciente sobre las intervenciones llevadas a cabo en casos de ta. Método: con el fin de llevar a cabo la presente revisión narrativa, se han consultado las bases de datos Pubmed, Medline y Scielo. Solo se eligieron artí-culos en revistas indexadas en la Web of Science. La literatura revisada corresponde a los artículos más citados publicados en el período temporal que abarca desde el 2010 hasta el 2015. Resultados y conclusiones: los resultados muestran que las intervenciones más utilizadas son las de índole psicológica, entre las cuales se destacan la terapia cognitivo-conductual y la terapia interpersonal, recomendada esta última en pacientes con patología más severa. La terapia de conducta de pérdida de peso es menos eficaz al no reducir los atracones, por lo que no constituye el tratamiento de elección. Aunque algunos antidepresivos y antiepiléticos han mostrado cierta utilidad para reducir los atracones, el peso y patologías comórbidas, no hay evidencia de que la intervención farmacológica por sí sola sea más eficaz que la psicológica, ni de que mejore los resultados de la segunda cuando ambos se aplican conjuntamente. The results show that the most commonly used interventions are those of psychological nature, including cognitive behavioral therapy and interpersonal therapy, the latter recommended in patients with a more severe pathology. The behavioral therapy for weight loss is less effective by not reducing binge eating; therefore, it is not the treatment of choice. Although some antidepressant and antiepileptic drugs have shown some utility in reducing binge eating, weight and comorbidities, there is no evidence that pharmacological intervention alone is more effective than psychological intervention, or that it improves the results of the latter when both are applied together.

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A randomized wait-list controlled pilot study of dialectical behaviour therapy guided self-help for binge eating disorder

Cited by 69 publications

References 20 publications

Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Testing the cognitive-behavioural maintenance models across DSM-5 bulimic-type eating disorder diagnostic groups: a multi-centre study

Change in emotion regulation during the course of treatment predicts binge abstinence in guided self-help dialectical behavior therapy for binge eating disorder

Tratamientos actuales del trastorno por atracón

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