Acceptance-based skill acquisition and cognitive reappraisal in a culturally responsive treatment for binge eating in adolescence
Abstract
Emotional overeating, or eating in excess to soothe negative emotions, is a high-risk behavior for the future development of the binge-eating disorder (BED). The Emotional Overeating Intervention (EOI) is a culturally responsive, 10-week condensed dialectical behavior therapy (DBT) skills group intervention for adolescents endorsing emotional-overeating and binge-eating behaviors. The present study served as a secondary analysis of the intervention data, with the aim of using quantitative measures and qualitative interviews to examine intervention acceptability and DBT skill acquisition. Data were analyzed using descriptive statistics for quantitative surveys and qualitative content analysis for interviews. Among the 15 adolescents (Mage = 15.40 years; 73.3% identifying as female; 100% identifying as Black) who participated in the EOI pilot trial, most identified learning acceptance-based DBT skills, particularly radical acceptance, as both highly acceptable and the most useful aspect of treatment. Participants reported increases in distress tolerance appraisal and emotion regulation cognitive reappraisal scale scores from baseline to post-intervention. Accordingly, acceptance-based DBT skills may be associated with change-based cognitive strategies, which may contribute to improvements in emerging BED pathology. Findings serve as an initial step in informing preventative models of scalable interventions for subthreshold BED among adolescents, by identifying variables that warrant investigation as potential mechanisms of change.
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Low DT has become a key treatment target across both traditional and novel treatment approaches for EDs-B/P.
“As a result, low DT has become a key treatment target across both traditional and novel treatment approaches for EDs-B/P (Fairburn et al., 2003;Juarascio et al., 2017;Kamody et al., 2020), and one hypothesised mechanism underpinning the co-occurrence between EDs-B/P and other types of impulsive-type psychopathology (Kim and Hodgins, 2018).”
From Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis (2022) · cites this paper as Kamody et al., 2020
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- Authors
- Kamody, R. C., Thurston, I. B., & Burton, E. T.
- Affiliations
- Yale University (US)
- University of Tennessee Health Science Center (US)
- Corresponding author
- Kamody, Rebecca C.
- Venue
- Eating Disorders
- Publisher
- Informa UK Limited
- Published
- 2020-03-03
- Volume
- 28
- Issue
- 2
- Pages
- 184-201
- ISSN
- 1064-0266 (ISSN-L)
- 1532-530X
- OpenAlex
- W3010973482
- Cited by
- 16
- References
- 68
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 4 · 2020: 1
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- binge eating, emotional overeating, binge eating disorder, dialectical behavior therapy, radical acceptance, cognitive reappraisal, emotion regulation, distress tolerance, treatment acceptability, culturally sensitive interventions, adolescents, Black adolescents
- MeSH terms
- Dialectical Behavior Therapy, Emotional Regulation, Adolescent, Culture, Female, Humans, Male, Patient Acceptance of Health Care, Psychotherapy, Group, Binge-Eating Disorder
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