Dialectical behavior therapy for clients with binge‐eating disorder or bulimia nervosa and borderline personality disorder
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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DBT has been found to be effective in several psychiatric disorders characterized by ED, e.g., complex post-traumatic stress disorder (c-PTSD), depression, anxiety and eating disorders.
“In addition to BPD, DBT has been found to be effective in several psychiatric disorders characterized by ED, e.g., complex post-traumatic stress disorder (c-PTSD), depression, anxiety and eating disorders (Safer et al., 2001; Lynch et al., 2003; Chen et al., 2008; Harley et al., 2008; Bohus et al., 2013; Neacsiu et al., 2014).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Chen et al., 2008
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- Authors
- Chen, E. Y., Matthews, L., Allen, C., Kuo, J. R., & Linehan, M. M.
- Affiliations
- University of Chicago (US)
- University of Washington (US)
- Corresponding author
- Chen, Eunice Y.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2008-03-17
- Volume
- 41
- Issue
- 6
- Pages
- 505-512
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W2070073338
- Cited by
- 166
- References
- 33
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 12 · 2019: 9 · 2018: 4 · 2017: 12 · 2016: 9 · 2015: 15 · 2014: 18 · 2013: 11 · 2012: 15
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K23MH081030)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- dialectical behavior therapy, binge eating disorder, bulimia nervosa, borderline personality disorder, eating disorders, suicidal behavior, self-harm, treatment development, women
- MeSH terms
- Adolescent, Adult, Behavior Therapy, Borderline Personality Disorder, Demography, Female, Follow-Up Studies, Humans, Middle Aged, Retention, Psychology, Suicide, Attempted, Bulimia Nervosa
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