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Int J Eat Disord. 2008 Sep;41(6):505-12. doi: 10.1002/eat.20522.

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

Author information

  • 1Department of Psychiatry, University of Chicago, Chicago, IL 60637, USA. chen@bsd.uchicago.edu

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.

PMID:
18348281
DOI:
10.1002/eat.20522
[PubMed - indexed for MEDLINE]
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