Effectiveness of Dialectical Behavior Therapy for Treating Eating Disorders

Lenz, A. Stephen; Taylor, Rebecca D.; Fleming, Molly; Serman, Nina

doi:10.1002/j.1556-6676.2014.00127.x

Cited by 42 publications

(22 citation statements)

References 44 publications

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“…30 Indeed, meta-analytic work supports DBT as effective in decreasing disordered eating. 31 Should changes in negative urgency precede recovery, it may be that negative urgency serves as a mediator for treatment such as DBT and eating disorder outcomes/recovery.…”

Section: Discussionmentioning

confidence: 99%

Dimensions of impulsivity in relation to eating disorder recovery

Bardone‐Cone

Butler

Balk

et al. 2016

Intl J Eating Disorders

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Objective Impulsivity is associated with eating pathology, but different dimensions of impulsivity have not been extensively studied in the eating disorders. The current study examined the relationship between four facets of impulsivity and eating disorder recovery status. Method Females formerly seen for an eating disorder were categorized as having an eating disorder (n=53), partially recovered (n=15), or fully recovered (n=20) based on a diagnostic interview and physical, behavioral, and psychological indices. These groups and non-eating disorder controls were compared on impulsivity facets from the UPPS Impulsive Behavior Scale (UPPS): Urgency (negative urgency), Premeditation (lack of), Perseverance (lack of), and Sensation Seeking. Results Negative urgency (the tendency to engage in impulsive behavior to alleviate negative affect) was related to recovery. The fully recovered group and controls experienced significantly less negative urgency than those with a current eating disorder; the partially recovered group did not differ from the eating disorder group. Discussion Findings suggest that negative urgency may be a particularly important facet of impulsivity to target in therapeutic intervention for eating disorders, especially among those with a history of binge eating and/or purging. Future longitudinal work is needed to test a potential causal relationship between negative urgency and eating disorder recovery.

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Section: Discussionmentioning

confidence: 99%

Dimensions of impulsivity in relation to eating disorder recovery

Bardone‐Cone

Butler

Balk

et al. 2016

Intl J Eating Disorders

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“…An alternative treatment that has achieved widespread implementation and positive outcomes for patients suffering from an eating disorder is dialectical behaviour therapy (DBT) (Bankoff, Karpel, Forbes, & Pantalone, 2012;Lenz, Taylor, Fleming, & Serman, 2014). DBT is a cognitive behavioural treatment that was originally developed to treat chronically suicidal patients diagnosed with borderline personality disorder (BPD) (Linehan, 1987), and is now recognized as the leading psychological treatment for this population (National Guideline Clearinghouse, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Research has shown that DBT is effective in treating a wide range of disorders, such as substance dependence (Linehan, Schmidt, Dimeff, Craft, Kanter, & Comtois, 1999), depression (Harley, Sprich, Safren, Jacobo, & Fava, 2008), post-traumatic stress disorder (Harned, Korslund, & Linehan, 2014), and eating disorders (Federici & Wisniewski, 2013;Lenz, Taylor, Fleming, & Serman, 2014;Lynch et al, 2013;Masson, von Ranson, Wallace, & Safer, 2013).…”

Section: Introductionmentioning

confidence: 99%

Therapists' self-reported drift from dialectical behavior therapy techniques for eating disorders

Wiśniewski¹,

Hernández

Waller

2018

Eating Behaviors

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“…A broader definition of mindfulness treatments includes non-meditative approaches to regulate emotions, as well as strengthen distress tolerance and compassion for oneself and others. Such non-mediative mindfulness interventions have been found to positively impact the outcomes in eating disorder treatments [56]. Adults with high dispositional ("trait") mindfulness appear to display lower levels of ED symptoms compared to those with lower dispositional mindfulness [57].…”

Section: Discussionmentioning

confidence: 99%

Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents

et al. 2019

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There are few well-established treatments for adolescent eating disorders, and for those that do exist, remission rates are reported to be between 30 and 40%. There is a need for the development and implementation of novel treatment approaches. Mindfulness approaches have shown improvements in eating disorder-related psychopathology in adults and have been suggested for adolescents. The present review identifies and summarizes studies that have used mindfulness approaches to modify eating behaviors and to treat eating disorders in adolescents. Focused searches were conducted in Embase, Medline, and PsycINFO, and identified articles were checked for relevance. A small number of studies (n = 15) were designated as appropriate for inclusion in the review. These studies were divided into those that focused on the promotion of healthy eating/the prevention of disordered eating (n = 5), those that concentrated on targeted prevention among high risk adolescents (n = 5), and those that focused on clinical eating disordered adolescents (n = 5). Thirteen of the 15 studies reviewed reported at least one positive association between mindfulness treatment techniques and reduced weight/shape concerns, dietary restraint, decreased body mass index (BMI), eating in the absence of hunger (EAH), binge eating, increased willingness to eat novel healthy foods, and reduced eating disorder psychopathology. In summary, incorporating mindfulness to modify eating behaviors in adolescent non-clinical and clinical samples is still in the early stages, with a lack of data showing clear evidence of acceptability and efficacy. Further studies and preferably controlled conditions are warranted.

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Effectiveness of Dialectical Behavior Therapy for Treating Eating Disorders

Cited by 42 publications

References 44 publications

Dimensions of impulsivity in relation to eating disorder recovery

Dimensions of impulsivity in relation to eating disorder recovery

Therapists' self-reported drift from dialectical behavior therapy techniques for eating disorders

Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents

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