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Adapting dialectical behavior therapy for outpatient adult anorexia nervosa-A pilot study

Adapting dialectical behavior therapy for outpatient adult anorexia nervosa-A pilot study
Adapting dialectical behavior therapy for outpatient adult anorexia nervosa-A pilot study
Objective

Anorexia Nervosa (AN) is associated with excessive self-control. This iterative case series describes the augmentation of Dialectical Behavior Therapy (DBT) for outpatient adult AN with skills addressing emotional and behavioral overcontrol. An overly controlled style is theorized to develop from the transaction between an individual with heightened threat sensitivity and reduced reward sensitivity, interacting with an environment reinforcing overcontrol and punishing imperfection.

Method

Case Series 1 utilized standard DBT, resulting in retention of 5/6 patients and a body mass index (BMI) effect size increase of d?=??0.5 from pre- to post-treatment. Case series 2, using standard DBT augmented with skills addressing overcontrol, resulted in retention of 8/9 patients with an effect size increase in BMI at post-treatment that was maintained at 6- and 12-months follow-up (d?=??1.12, d?=??0.87, and d?=??1.12).

Discussion

Findings suggest that skills training targeting rigidity and increasing openness and social connectedness warrant further study of this model and treatment for AN.
anorexia nervosa, dialectical behavior therapy, adult, outpatient, case series
0276-3478
1-10
Chen, Eunice Y.
edeeb058-ef54-4624-ad05-2c93550fd204
Segal, Kay
646f79cd-9be9-4ecf-9d5c-7f51d7f3c5a4
Weissman, Jessica
c9860db4-a3b2-4154-bd69-c6f5af4b184c
Zeffiro, Thomas A.
903c26fc-dc3d-40ec-816f-2492d56e884e
Gallop, Robert
451edbcf-85b5-489c-adc2-7464d005722c
Linehan, Marsha M.
20c6a609-ef1c-4ff2-b83a-0f8fa01ffb04
Bohus, Martin
4d829dfa-dedd-4335-8ac2-9ef8b3538bff
Lynch, Thomas R.
29e90123-0aef-46c8-b320-1617fb48bb20
Chen, Eunice Y.
edeeb058-ef54-4624-ad05-2c93550fd204
Segal, Kay
646f79cd-9be9-4ecf-9d5c-7f51d7f3c5a4
Weissman, Jessica
c9860db4-a3b2-4154-bd69-c6f5af4b184c
Zeffiro, Thomas A.
903c26fc-dc3d-40ec-816f-2492d56e884e
Gallop, Robert
451edbcf-85b5-489c-adc2-7464d005722c
Linehan, Marsha M.
20c6a609-ef1c-4ff2-b83a-0f8fa01ffb04
Bohus, Martin
4d829dfa-dedd-4335-8ac2-9ef8b3538bff
Lynch, Thomas R.
29e90123-0aef-46c8-b320-1617fb48bb20

Chen, Eunice Y., Segal, Kay, Weissman, Jessica, Zeffiro, Thomas A., Gallop, Robert, Linehan, Marsha M., Bohus, Martin and Lynch, Thomas R. (2014) Adapting dialectical behavior therapy for outpatient adult anorexia nervosa-A pilot study. International Journal of Eating Disorders, 1-10. (doi:10.1002/eat.22360). (PMID:25346237)

Record type: Article

Abstract

Objective

Anorexia Nervosa (AN) is associated with excessive self-control. This iterative case series describes the augmentation of Dialectical Behavior Therapy (DBT) for outpatient adult AN with skills addressing emotional and behavioral overcontrol. An overly controlled style is theorized to develop from the transaction between an individual with heightened threat sensitivity and reduced reward sensitivity, interacting with an environment reinforcing overcontrol and punishing imperfection.

Method

Case Series 1 utilized standard DBT, resulting in retention of 5/6 patients and a body mass index (BMI) effect size increase of d?=??0.5 from pre- to post-treatment. Case series 2, using standard DBT augmented with skills addressing overcontrol, resulted in retention of 8/9 patients with an effect size increase in BMI at post-treatment that was maintained at 6- and 12-months follow-up (d?=??1.12, d?=??0.87, and d?=??1.12).

Discussion

Findings suggest that skills training targeting rigidity and increasing openness and social connectedness warrant further study of this model and treatment for AN.

Text
Chen, et al 2014 Adapting DBT for Outpatient Adult Anorexia Nervosa.pdf - Other
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More information

e-pub ahead of print date: 27 October 2014
Published date: 27 October 2014
Keywords: anorexia nervosa, dialectical behavior therapy, adult, outpatient, case series
Organisations: Psychology

Identifiers

Local EPrints ID: 370772
URI: https://eprints.soton.ac.uk/id/eprint/370772
ISSN: 0276-3478
PURE UUID: 04e5384d-722c-4973-a82c-913958ba70d9
ORCID for Thomas R. Lynch: ORCID iD orcid.org/0000-0003-1270-6097

Catalogue record

Date deposited: 06 Nov 2014 11:31
Last modified: 13 Jun 2019 00:34

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Contributors

Author: Eunice Y. Chen
Author: Kay Segal
Author: Jessica Weissman
Author: Thomas A. Zeffiro
Author: Robert Gallop
Author: Marsha M. Linehan
Author: Martin Bohus
Author: Thomas R. Lynch ORCID iD

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