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Dialectical behaviour therapy improves emotion dysregulation mainly in binge eating disorder and bulimia nervosa: A systematic review and meta-analysis

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  1. Inpatient weight restoration treatment is associated with decrease in post-meal anxiety

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  2. Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety

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  1. Why Do Women with Eating Disorders Decline Treatment? A Qualitative Study of Barriers to Specialized Eating Disorder Treatment

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Inpatient weight restoration treatment is associated with decrease in post-meal anxiety

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Why do women with eating disorders decline treatment? A qualitative study of barriers to specialized eating disorder treatment

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  4. Inpatient Weight Restoration Treatment Is Associated with Decrease in Post-Meal Anxiety

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  5. Disturbances in the experiences of embodiment related to attachment, mentalization and self-objectification in anorexia nervosa

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Emotion dysregulation is a transdiagnostic phenomenon in Eating Disorders (ED), and Dialectical Behaviour Therapy (DBT) (which was developed for reducing dysregulated emotions in personality disorders) has been employed in patients with ED. This systematic review and metaanalysis investigated whether the effect of DBT was stronger on emotion dysregulation, general psychopathology, and Body Mass Index (BMI) in participants with ED, when compared to a control group (active therapy and waitlist). Eleven studies were identified in a systematic search in accordance with PRISMA guidelines. Most studies included participants with Binge Eating Disorder (BED) (n = 8), some with Bulimia Nervosa (BN) (n = 3), and only one with Anorexia Nervosa (AN). The pooled effect of DBT indicated a greater improvement in Emotion Regulation (ER) (g = −0.69, p = 0.01), depressive symptoms (g = −0.33, p < 0.00001), ED psychopathology (MD = −0.90, p = 0.005), Objective Binge Episodes (OBE) (MD = −0.27, p = 0.003), and BMI (MD = −1.93, p = 0.01) compared to the control group. No improvement was detected in eating ER following DBT (p = 0.41). DBT demonstrated greater efficacy compared with the control group in improving emotion dysregulation, ED psychopathology, and BMI in ED. The limitations included the small number of studies and high variability.

Original languageEnglish
Article number931
JournalJournal of Personalized Medicine
Volume11
Issue number9
ISSN0885-579X
DOIs
Publication statusPublished - Sep 2021

Bibliographical note

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.

    Research areas

  • Binge eating disorder, Bulimia nervosa, Dialectical behaviour therapy, Eating disorders, Emotion regulation

ID: 68497973