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Dialectical behavior therapy for binge eating disorder.

C F Telch1, W S Agras, M M Linehan

  • 1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California 94305-5722, USA.

Journal of Consulting and Clinical Psychology
|January 5, 2002
PubMed
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Dialectical behavior therapy (DBT) significantly reduced binge eating in women with binge eating disorder (BED), with 89% achieving abstinence by treatment end. Follow-up showed sustained, though reduced, effectiveness.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Therapy

Background:

  • Binge eating disorder (BED) is a prevalent eating disorder.
  • Effective treatments for BED are needed.
  • Dialectical behavior therapy (DBT) shows promise for BED.

Purpose of the Study:

  • To evaluate the efficacy of group-based dialectical behavior therapy (DBT) adapted for binge eating disorder (BED).
  • To compare DBT treatment outcomes against a wait-list control group.

Main Methods:

  • A randomized controlled trial involving 44 women diagnosed with BED.
  • Participants were assigned to either group DBT or a wait-list control.
  • Assessments included the Eating Disorder Examination, weight, mood, and affect regulation at baseline and posttreatment.

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Main Results:

  • DBT group showed significant improvements in binge eating and eating pathology compared to controls.
  • 89% of women in the DBT group achieved abstinence from binge eating by the end of treatment.
  • Abstinence rates decreased to 56% at 6-month follow-up; weight, mood, and affect regulation changes were not significant.

Conclusions:

  • Adapted DBT is a promising intervention for reducing binge eating in BED.
  • Further research is warranted to optimize DBT for BED and maintain long-term outcomes.
  • DBT may be a valuable addition to the treatment options for individuals with BED.