A dialectical behavior therapy program for people with an eating disorder and borderline personality disorder—description and outcome

Palmer, Robert L.; Birchall, Helen; Damani, Sadhana; Gatward, Nicholas; McGrain, Lesley; Parker, Lorraine

doi:10.1002/eat.10141

Cited by 87 publications

(67 citation statements)

References 7 publications

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“…To date, several preliminary studies have shown that DBT may be a valuable intervention for ED patients with comorbid BPD and those with chronic ED symptoms. [24][25][26][27] As described by others, these data suggest that patients with severe EDs and additional comorbid diagnoses may require more comprehensive interventions. 1,2 In light of these findings, and with the aim of further exploring the efficacy of DBT for complex patients with EDs, the Multidiagnostic Eating Disorder-DBT (MED-DBT) Program was developed and is currently being evaluated in a specialized outpatient treatment center (see Ref.…”

Section: Introductionsupporting

confidence: 69%

An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis

Federici¹,

Wiśniewski

2013

Intl J Eating Disorders

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Objective: This study presents case-series data on a novel outpatient program that blends dialectical behavior therapy (DBT) with standard eating disorder (ED) interventions (i.e., food exposure, weight monitoring, cognitive modification, ED psychoeducation) for patients with complex and multidiagnostic ED presentations.Method: Quantitative and qualitative data was collected on a sample of seven consecutively admitted women who presented with a severe ED, a history of several failed treatment attempts, pervasive emotion dysregulation, and significant Axis I or II psychiatric comorbidity (e.g., PTSD, borderline personality disorder).Results: Treatment was associated with reductions in ED symptoms, suicidal and self-injurious behaviors, treatment interfering behaviors, psychiatric and medical hospitalizations, and clinican burnout.Discussion: Overall, the results suggest that this blended DBT/cognitive behavior therapy for ED treatment model is a promising intervention for this complex and ''hard to treat'' population. V V C 2013 by Wiley Periodicals, Inc.

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Section: Introductionsupporting

confidence: 69%

An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis

Federici¹,

Wiśniewski

2013

Intl J Eating Disorders

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“…Telephone skill-coaching is an integral component in some (e.g. Wisniewski & Kelly, 2003;McCabe et al, 2004;Palmer et al, 2003), but not all (e.g. Telch et al, 2001;Safer et al, 2001b), DBT treatments for eating disorders described in the literature.…”

Section: Discussionmentioning

confidence: 98%

“…There is a growing body of literature on the application of DBT to the treatment of clients with eating disorder as the primary diagnosis (e.g. Palmer et al, 2003;Telch, Agras, & Linehan, 2000Safer, Telch, & Agras, 2001a;Wisniewski & Kelly, 2003). Furthermore, it has been shown that personality disorder symptoms predict poor treatment outcome in eating disorder clients (Rossiter, Agras, Telch, & Schneider, 1993).…”

Section: Introductionmentioning

confidence: 99%

Telephone skill-coaching with eating-disordered clients: clinical guidelines using a DBT framework

Wiśniewski¹,

Ben-Porath²

2005

Eur. Eat. Disorders Rev.

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One component of standard dialectical behaviour therapy (DBT), a treatment that combines cognitive-behavioural and acceptancebased techniques, is intersession telephone skills-coaching. We propose that a DBT-based telephone skill-coaching model can be a useful adjunct to the treatment of eating disorders. The current paper describes the standard telephone skill-coaching model, the adaptations necessary for its use with eating disorder clients and a protocol that may be used with this population. A clinical vignette illustrates the principles described in the protocol.

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“…Die Effektivität des Ansatzes ist durch mehrere kontrollierte, randomisierte Studien gut belegt [Linehan et al, 1991[Linehan et al, , 1993. Abwandlungen des Originalansatzes der ambulanten DBT sind bis heute für unterschiedliche Patientengruppen erschienen: Jugendliche [Miller et al, 1997], Patienten mit Suchtstörungen [Linehan et al, 1999] oder Essstörungen [Palmer et al, 2003] und forensische Patienten [Evershed, 2003]. Eine weitere Abwandlung des Originalansatzes stellten Barley und Mitarbeiter [1993] vor.…”

Section: Schlüsselwörterunclassified

Dialektisch-Behaviorale Therapie der Borderline- Persönlichkeitsstörung in der Regelversorgung – das Saarbrücker Modell

Höschel

2006

Verhaltenstherapie

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Hintergrund: Die Dialektisch-Behaviorale Therapie (DBT) ist ein Ansatz zur psychotherapeutischen Behandlung von Patienten mit Borderline-Persönlichkeitsstörung und hat sich im ambulanten und stationären Setting als effektiv erwiesen. Im Saarbrücker DBT-Modell wurde ein stationäres Konzept an die Erfordernisse der Regelversorgung angepasst. Dieses Modell mit reduzierten vollstationären Behandlungszeiten und ohne einheitliche DBT-Station wird vorgestellt. Patienten und Methoden: Die Symptomatik von 24 in Saarbrücken behandelten Patienten mit Borderline-Persönlichkeitsstörung wird in einem unkontrollierten Prä-Post-Vergleich im Hinblick auf die Häufigkeit selbstverletzenden Verhaltens und Parameter wie Depressivität, Ängstlichkeit, Wutgefühle und Gesamtsymptombelastung evaluiert. Ergebnisse: Es ergaben sich deutliche und befriedigende Verbesserungen bei der Häufigkeit selbstverletzenden Verhaltens und bei klinischen Parametern wie Depressivität, Ängstlichkeit und Symptombelastung. Überdauernde Wutgefühle konnten nur mäßig verändert werden. Es ergaben sich keine bedeutsamen Unterschiede zu den Ergebnissen, die in der Freiburger Universitätspsychiatrie mit längeren vollstationären Behandlungszeiten und einer einheitlichen DBT-Station erreicht wurden. Diskussion: Die Ergebnisse des Saarbrücker DBT-Modells sind ermutigend für die Durchführung von DBT in der Regelversorgung mit einer reduzierten stationären Behandlungsdauer und sprechen für die Gründung weiterer ambulant-stationärer Behandlungsnetzwerke.

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A dialectical behavior therapy program for people with an eating disorder and borderline personality disorder—description and outcome

Abstract: Full DBT is an expensive and demanding treatment but deserves consideration for patients with an eating disorder and co-morbid borderline personality disorder and self-harm. There is a need for a more systematic and thorough evaluation.

Cited by 87 publications

References 7 publications

An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis

An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis

Telephone skill-coaching with eating-disordered clients: clinical guidelines using a DBT framework

Dialektisch-Behaviorale Therapie der Borderline- Persönlichkeitsstörung in der Regelversorgung – das Saarbrücker Modell

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