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Radically open dialectical behavior therapy for anorexia nervosa: A multiple baseline single-case experimental design
Martina Isaksson1, Ata Ghaderi2, Mia Ramklint1
1Department of Neuroscience, Psychiatry, Uppsala University, Entrance 10, Floor 3B, 751 85, Uppsala, Sweden.
Journal of Behavior Therapy and Experimental Psychiatry
|February 1, 2021
Summary
Radically Open Dialectical Behavior Therapy (RO DBT) shows promise for treating adult anorexia nervosa (AN). This study found that RO DBT led to full remission in 62% of patients with AN and overcontrol.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Therapy
Background:
- Anorexia nervosa (AN) lacks highly effective treatments.
- Maladaptive overcontrol is a key mechanism in AN.
- Radically Open Dialectical Behavior Therapy (RO DBT) targets overcontrol.
Purpose of the Study:
- To evaluate the effectiveness of RO DBT for adult AN outpatients.
- To assess RO DBT's impact on eating disorder psychopathology and related impairments.
Main Methods:
- A multiple baseline single-case experimental design was used.
- Thirteen adult females with mild to moderate AN participated.
- Treatment involved a 40-week RO DBT phase with weekly assessments.
Main Results:
- Eight patients (62%) completed the RO DBT treatment.
- All completers achieved full remission, indicated by normal BMI and reduced ED psychopathology.
- Improvements were specifically linked to the introduction of RO DBT.
Conclusions:
- RO DBT offers preliminary support for treating adult AN outpatients with overcontrol.
- Further research is needed to confirm these findings in larger, diverse populations.
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