Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder.
OBJECTIVE
This treatment development study provides summary data for standard Dialectical Behavior Therapy (DBT) with minimal adaptation for 8 women with binge-eating disorder (BED) (5) or bulimia nervosa (BN) (3) and Borderline Personality Disorder (BPD).


METHODS
DBT involved 6 months of weekly skills group, individual DBT, therapist consultation team meeting, and 24-hour telephone coaching. Assessments were conducted at pre-, post-treatment, and 6-months follow-up and utilized standardized clinical interviews including the Eating Disorders Examination (EDE), Personality Disorders Exam, and the Structured Clinical Interview for DSM-IV.


RESULTS
From pre- to post-treatment, effect sizes for objective binge eating, total EDE scores and global adjustment were large and for number of non-eating disorder axis I disorders and for suicidal behavior and self-injury were medium. From pre- to 6-months follow-up, effect sizes were large for all these outcomes.


CONCLUSIONS
This provides promising pilot data for larger studies utilizing DBT for BED or BN and BPD.
Chen
Eunice Y
EY
Department of Psychiatry, University of Chicago, Chicago, IL 60637, USA. chen@bsd.uchicago.edu
Matthews
Lauren
L
Allen
Charese
C
Kuo
Janice R
JR
Linehan
Marsha Marie
MM
D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000453:epidemiology / Q000628:therapy*; D052018:Bulimia Nervosa / Q000453:epidemiology / Q000628:therapy*; D003710:Demography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012153:Retention, Psychology; D013406:Suicide, Attempted / Q000706:statistics & numerical data