Dialectical behaviour therapy and an added cognitive behavioural treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments. An open trial with a 15-month follow-up
Dialectical behaviour therapy and an added cognitive behavioural treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments. An open trial with a 15-month follow-up
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DOI：
10.1016/j.jbtep.2010.04.001
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发表时间：
2010-12-01
影响因子：
1.8
通讯作者：
Reinecker, Hans
中科院分区：
文献类型：
--
作者：
Kroeger, Christoph;Schweiger, Ulrich;Reinecker, Hans
有来自案例研究的证据表明，对边缘性人格障碍(BPD)和进食障碍(ED)进行适应性辩证行为疗法(DBT)可能会改善与障碍相关的抱怨。24名患有BPD的女性(9名患有神经性厌食症[AN]，15名患有神经性暴食症[BN])，对以前与进食障碍相关的住院治疗没有反应，连续接受了适应的住院DBT计划。治疗前、治疗后和15个月随访点为评估点。随访时，BN缓解率为54%，AN缓解率为33%。然而，44%的患有ANN的女性和一名女性额外符合ANN的标准。对于患有AN的女性，平均体重在治疗后没有明显增加，但在随访时有所改善。对于患有BN的女性，暴饮暴食的频率在治疗后和随访时都减少了。自评与饮食有关的抱怨和一般精神病理学，以及对全球心理社会功能的评级，在治疗后和随访时都有显著改善。虽然这些发现支持这样的假设，即适应的DBT住院计划对于那些对以前的饮食障碍相关住院治疗无效的人来说是一种潜在的有效治疗，但缓解率和维持饮食相关的精神病理学也表明这种治疗需要进一步改进。(C)2010爱思唯尔有限公司。保留所有权利。
There is evidence from case studies suggesting that adapted dialectical behavior therapy (DBT) for borderline personality disorder (BPD) and eating disorders (ED) might improve disorder related complaints. Twenty-four women with BPD (9 with comorbid anorexia nervosa [AN] and 15 with bulimia nervosa [BN]), who already had failed to respond to previous eating-disorder related inpatient treatments were consecutively admitted to an adapted inpatient DBT program. Assessment points were at pre-treatment, post-treatment, and 15-month follow-up. At follow-up, the remission rate was 54% for BN, and 33% for AN. Yet 44% of women with AN crossed over to BN and one woman additionally met the criteria of AN. For women with AN, the mean weight was not significantly increased at post-treatment, but had improved at follow-up. For women with BN, the frequency of binge-eating episodes was reduced at post-treatment as well as at follow-up. Self-rated eating-related complaints and general psychopathology, as well as ratings on global psychosocial functioning, were significantly improved at post-treatment and at follow-up. Although these findings support the assumption that the adapted DBT inpatient program is a potentially efficacious treatment for those who failed to respond to previous eating-disorder related inpatient treatments, remission rates and maintained eating-related psychopathology also suggest that this treatment needs further improvement. (C) 2010 Elsevier Ltd. All rights reserved.