Radical Acceptance and Obesity-Related Health Conditions: A Case Report

Burton, E. Thomaseo; Kamody, Rebecca C.; Pluhar, Emily; Gray, Emily; Abdullah, Syidah

doi:10.1007/s10880-019-09696-2

Cited by 5 publications

(10 citation statements)

References 42 publications

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“…Acceptability was supported by 100% treatment retention in all studies. Studies demonstrated high patient satisfaction, with DBT skills groups being rated as feasible, acceptable, and helpful [ 64 , 65 ]. Patients reported significant decreases in binge eating by the end of treatment in all studies, and 80% of patients no longer met criteria for BED post-treatment in one [ 65 ].…”

Section: Resultsmentioning

confidence: 99%

“…Patients reported significant decreases in binge eating by the end of treatment in all studies, and 80% of patients no longer met criteria for BED post-treatment in one [ 65 ]. Significant decreases in emotional eating [ 65 ] and mindless eating [ 64 ] were also observed. Notably, Safer et al [ 66 ] found significant reductions in eating restraint, but not weight, shape, or eating concerns, post-treatment.…”

Section: Resultsmentioning

confidence: 99%

“…Notably, Safer et al [ 66 ] found significant reductions in eating restraint, but not weight, shape, or eating concerns, post-treatment. In another study [ 64 ], depression scores improved throughout treatment, but anxious and somatic symptoms remained unchanged. Only one study, a case report of DBT-informed individual therapy [ 66 ], presented follow-up data and found further reduction in binge episodes by 3-month follow-up.…”

Section: Resultsmentioning

confidence: 99%

“…In studies that examined DBT skills group mechanisms, patients with BED consistently rated radical acceptance as the most helpful skill [ 64 , 67 ], followed by mindful eating, and three mind states [ 67 ]. By the end of treatment, patients showed increases in distress tolerance, cognitive reappraisal, and expressive suppression.…”

Section: Resultsmentioning

confidence: 99%

“…Treatment was perceived as “appropriate” and “acceptable” by all patients and their families (TSPE). Patients reported therapeutic alliance as moderate, while parents rated it highly (HAq) Fair a Burton et al (2020) [ 64 ] Case study BED 18 [N/A] DBT skills group (1) 0 10 sessions over 10 wks (≈ 2 mo) None Throughout treatment, statistically significant decline in urges to engage in binge eating and mindless eating, with abstinence from mindless eating by week 2. At post-treatment, clinically significant improvement in depressive symptoms ( RCI = 3.13), but no change in anxious or somatic symptoms.…”

Section: Methodsmentioning

confidence: 99%

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A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders

2021

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Background Eating disorders have serious psychological and physical consequences. Current evidence-based treatments for adolescents with eating disorders have modest effects, underscoring the need to improve current treatment approaches. Cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT) have been proposed as alternative treatment options, with burgeoning research in this area. This review aims to summarize and critically analyze the current literature on the feasibility, acceptability, effectiveness, and efficacy of CBT and DBT for adolescent eating disorders, and then proposes areas of future research. Methods PsycINFO and PubMed were searched using the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to identify studies examining the feasibility, acceptability, effectiveness and/or efficacy of CBT or DBT for adolescent eating disorders. Results Eligible studies (N = 50; CBT: n = 40, DBT: n = 10) indicated that both treatments are reasonably feasible, acceptable, and possibly effective for adolescent eating disorders across diagnoses and levels of care, though efficacy trials are lacking. Conclusions CBT and DBT demonstrate promise as alternatives to family-based approaches for adolescent eating disorders. Adequately powered trials to establish the effectiveness and efficacy of CBT and DBT are needed, particularly ones that compare these treatments against other leading approaches. Plain English summary Despite high rates of relapse and likelihood for severe and enduring illness, there is a dearth of evidence-based treatment options for adolescents with eating disorders. Potentially viable but less well-studied treatments for adolescents with eating disorders include cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT). This systematic review of CBT and DBT for adolescent eating disorders focuses on feasibility (i.e., how easy it was to implement the treatment), acceptability (i.e., how well the intervention was received by patients and therapists), effectiveness (i.e., how well the intervention performed under routine, real-world circumstances), and efficacy (i.e., how well the intervention performed in highly-controlled research settings). This review concludes that research supports the feasibility and acceptability of these approaches, as well as preliminary evidence of their effectiveness. However, the field is lacking studies that systematically compare CBT and DBT to other evidence-based approaches. Recommendations to advance research on CBT and DBT for adolescent eating disorders are provided, including a call for efficacy studies that clarify their performance compared to other leading approaches.

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Section: Resultsmentioning

confidence: 99%