Dialectical behavioral therapy: an update and review of the existing treatment models adapted for adults with eating disorders.

Dialectical behavioral therapy: an update and review of the existing treatment models adapted for adults with eating disorders. Eat Disord. 2020 Mar 04;:1-21 Authors: Ben-Porath D, Duthu F, Luo T, Gonidakis F, Compte EJ, Wisniewski L Abstract Despite the effectiveness of CBT in reducing shape/weight concerns and dietary restraint, research suggests that patients considered recovered may still exhibit emotional difficulties related to eating disorders (EDs). Dialectical behavior therapy (DBT) has been adapted for a variety of mental disorders characterized by emotion dysregulation and, more recently, for EDs specifically. The current review found that the majority of the research studies employed one of the following three adaptations of DBT for EDs: The Stanford Model, Radically Open-DBT (RO-DBT), or Multidiagnostic ED-DBT (MED-DBT). Therefore, this review sought to review and update the empirical research on each adaptation and (2) offer preliminary recommendations for when and which adaptation of DBT to use when treating adults with EDs. Findings from the empirical literature on DBT and EDs indicate that the Stanford Model has the most rigorous and numerous studies demonstrating efficacy and effectiveness in those diagnosed with binge eating disorder. Fewer studies have been conducted using the Stanford Model with bulimia nervosa; therefore, less strong assertions can be made about DBT with those diagnosed with bulimia. The MED-DBT model has been evalu...
Source: Eating Disorders - Category: Eating Disorders & Weight Management Authors: Tags: Eat Disord Source Type: research

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CONCLUSIONS: Findings extend previous reports of metabolic dysfunction in binge-eating disorders, identifying unique associations across disorders and under stress. Moreover, we observed disrupted homeostatic signaling in AN following psychological stress, which may explain, in part, the maintenance of dysregulated eating in this serious illness. PMID: 32460904 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Clients frequently come to me with negative thoughts and feelings around their body and want to work on their body image issues. They want to get to a place of loving their body and feeling good in their body. Or at the very least, they want less of the self-critical noise in their heads and more body acceptance.  Many of these folks have had eating disorders or disordered eating and have made huge progress away from restrictive eating and toward fully honoring their desires and needs to eat. They have also already tried the classic “body image builders” like trying to be grateful for what their body can d...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anorexia Binge Eating Bulimia Eating Disorders body acceptance Body Image dieting Self-Esteem Source Type: blogs
Abstract Emotion regulation deficits are associated with eating disorder (ED) symptoms, regardless of eating disorder diagnosis. Thus, recent treatment approaches for EDs, such as dialectical behavior therapy (DBT), have focused on teaching patients skills to better regulate emotions. The present study examined changes in emotion regulation among adult patients with EDs during DBT-oriented partial hospital treatment, and at follow-up (M[SD] = 309.58[144.59] days from discharge). Exploratory analyses examined associations between changes in emotion regulation and ED symptoms. Patients with anorexia nervosa, restric...
Source: Behavior Therapy - Category: Psychiatry & Psychology Authors: Tags: Behav Ther Source Type: research
Staying home to help prevent the spread of coronavirus has brought major life changes for many. For those who have been diagnosed with an eating disorder, social isolating can pose a serious risk to their recovery. When U.S. health officials began recommending that people stay at home in March, Allison Caswell didn’t expect doing so would trigger old anxieties about food that she struggled with daily in the past. For one thing, Caswell, a 29-year-old in Wilmington, North Carolina, had been in recovery for her eating disorder for 12 years. For another, as a health care worker, she felt that she had a good understandin...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized clickmonsters COVID-19 feature Source Type: news
ConclusionsProblems of the GI tract are frequent in patients with ED and it is likely that they complicate therapy, especially in patients with AN.Systematic Review RegistrationPROSPERO registration number: CRD42019100585.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Eating disorders build themselves on perceived feelings of control. Yet, as we find ourselves in the midst of unprecedented and uncertain times, with the coronavirus pandemic, how do those with eating disorders manage? As an individual with an eating disorder, I struggle with the Christmas season, mostly as my ‘safe’ foods are suddenly superseded with aisles of turkeys and potatoes and normal life grinds to a halt for a day as shops close and families and friends gather at home. Coronavirus feels like this, but every single day and on a much bigger scale.  Food aisles are being stripped bare by panic ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anorexia Binge Eating Bulimia Eating Disorders Motivation and Inspiration Personal coronavirus COVID-19 Isolation social distancing Source Type: blogs
CONCLUSIONS: It is necessary to understand the physiological role of FC and also consider the significance of each food in an individual eating context (eating attitudes) and whether it is treated like a "drug" or just as a desired tasty food and future studies should verify possible neural changes involved in FC after nutritional treatment. PMID: 32151450 [PubMed - as supplied by publisher]
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
CONCLUSION: We found an additional effect of the BPT on TAU. The usual ED protocol added with BPT activities showed significantly better clinical results. We have interpreted these results in light of recent developments in the neuroscientific field of body image. LEVEL OF EVIDENCE: Level II: controlled trial without randomization. PMID: 32124409 [PubMed - as supplied by publisher]
Source: Eating and weight disorders : EWD - Category: Eating Disorders & Weight Management Authors: Tags: Eat Weight Disord Source Type: research
This article discusses the concept of intuitive eating, where no food is off limits, and how it dramatically changed the life of Harriet, a woman with PCOS who has struggled with obesity since childhood. We Tell Suicidal People to Go to Therapy. So Why Are Therapists Rarely Trained in Suicide?: Suicide is the nation’s 10th leading cause of death, yet training for mental health practitioners who treat suicidal patients — psychologists, social workers, marriage and family therapists, among others — is dangerously inadequate, says the author. This article thoroughly probes this topic and explores what can be...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anorexia Binge Eating Depression Disorders Eating Disorders General Mental Health and Wellness Psychiatry Psychology Psychology Around the Net Psychotherapy Self-Help Anorexia Nervosa Binge Eating Disorder Bulimia Nervosa cor Source Type: blogs
CONCLUSIONS: Epidemiology of ED patients in treatment in Flanders (Belgium) seems to resemble worldwide findings. The long duration of illness, the common evolution towards chronicity and the early work impairment underline the severe personal and societal impact of ED and call to the need for early detection and treatment of these patients. LEVEL OF EVIDENCE: Level V: cross-sectional descriptive study. PMID: 32080821 [PubMed - as supplied by publisher]
Source: Eating and weight disorders : EWD - Category: Eating Disorders & Weight Management Authors: Tags: Eat Weight Disord Source Type: research
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