Dialectical Behavior Therapy for Bulimia Nervosa
Abstract
OBJECTIVE: The effects of dialectical behavior therapy adapted for the treatment of binge/purge behaviors were examined. METHOD: Thirty-one women (averaging at least one binge/purge episode per week) were randomly assigned to 20 weeks of dialectical behavior therapy or 20 weeks of a waiting-list comparison condition. The manual-based dialectical behavior therapy focused on training in emotion regulation skills. RESULTS: An intent-to-treat analysis showed highly significant decreases in binge/purge behavior with dialectical behavior therapy compared to the waiting-list condition. No significant group differences were found on any of the secondary measures. CONCLUSIONS: The use of dialectical behavior therapy adapted for treatment of bulimia nervosa was associated with a promising decrease in binge/purge behaviors.
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Modifications of DBT are effective in bulimia.
“bulimia (Safer, Telch, & Agras, 2001)”
From Effects of mindfulness on psychological health: A review of empirical studies (2011) · cites this paper as Safer, Telch, & Agras, 2001
Dialectical behavior therapy (DBT) has been proved effective to treat ED in disorders other than autism spectrum disorder.
“Dialectical behavior therapy (DBT) has been proved effective to treat ED in disorders other than autism spectrum disorder.”
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 Safer et al., 2001
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 Safer et al., 2001
Independent of a BPD diagnosis, empirical literature supports use of DBT for treatment-resistant depression, eating disorders, and depression in older adults with mixed personality features.
“Independent of a BPD diagnosis, empirical literature supports the use of DBT for individuals with treatment-resistant depression (Harley, Sprich, Safren, Jacobo, & Fava, 2008), eating disorders (Safer, Telch, & Agras, 2001;Telch, Agras, & Linehan, 2001), and depression in older adults with mixed personality features (Lynch et al., 2007).”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Safer, Telch, & Agras, 2001
Considerable empirical evidence supports use of DBT adapted for eating disorders, substance use disorders, and posttraumatic stress disorder.
“Considerable empirical evidence now supports the use of DBT adapted for eating disorders, substance use disorders, and posttraumatic stress disorder.”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Safer, Telch, & Agras, 2001
There is growing empirical support that DBT is effective for clients with EDs, particularly in the areas of BN and BED.
“There is growing empirical support that DBT is effective for clients with EDs, particularly in the areas of BN and BED (Safer, Telch, & Agras, 2001;Telch, Agras, & Linehan 2001).”
From Transdiagnostic applications of DBT for adolescents and adults (2015) · cites this paper as Safer, Telch, & Agras, 2001
DBT has been adapted and successfully tested for BPD with several comorbidities and other psychiatric conditions in which problems in emotion regulation lead to psychopathology, such as substance misuse, eating disorder, post-traumatic stress disorder, or depression.
“In addition, DBT has been adapted and successfully tested for BPD with several comorbidities and other psychiatric conditions in which problems in emotion regulation lead to psychopathology such as substance misuse (Linehan et al., 1999, 2002; Dimeff and Linehan, 2008), eating disorder (Safer et al., 2001; Telch et al., 2001; Kröger et al., 2010), post-traumatic stress disorder (Steil et al., 2011”
From Emotion regulation in schema therapy and dialectical behavior therapy. (2016) · cites this paper as Safer et al., 2001
DBT has shown effect in treating BPD with several comorbidities and other psychiatric conditions such as substance misuse, eating disorder, PTSD, or depression.
“DBT has also shown effect in treating BPD with several comorbidities and other psychiatric conditions such as substance misuse (Linehan et al., 1999, 2002; Dimeff and Linehan, 2008), eating disorder (Safer et al., 2001; Telch et al., 2001; Kröger et al., 2010), post-traumatic stress disorder (Steil et al., 2011; Harned et al., 2012, 2014; Bohus et al., 2013), or depression (Lynch et al., 2007).”
From Emotion regulation in schema therapy and dialectical behavior therapy. (2016) · cites this paper as Safer et al., 2001
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- Authors
- Safer, D. L., Telch, C. F., & Agras, W. S.
- Affiliations
- Stanford Medicine (US)
- Venue
- American Journal of Psychiatry
- Published
- 2001-04-01
- Volume
- 158
- Issue
- 4
- Pages
- 632-634
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2132031412
- Cited by
- 526
- References
- 20
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 16 · 2023: 9 · 2022: 17 · 2021: 49 · 2020: 14 · 2019: 23 · 2018: 19 · 2017: 22 · 2016: 21 · 2015: 21 · 2014: 30 · 2013: 26 · 2012: 34
- FWCI
- 11.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (5-T32 NG-19938)
- National Institute of Mental Health (MH-19938, MH50371, T32MH019938)
- 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, bulimia nervosa, binge-purge behavior, emotion regulation skills, women, psychotherapy treatment
- MeSH terms
- Adolescent, Adult, Behavior Therapy, Bulimia, Emotions, Female, Humans, Middle Aged, Personality Inventory, Research Design, Treatment Outcome
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