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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.
J Behav Ther Exp Psychiatry. 2010 Dec; 41(4):381-8.JB

Abstract

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.

Authors+Show Affiliations

Technical University of Braunschweig, Department of Psychology, Humboldtstrasse 33, 38106 Braunschweig, Germany. c.kroeger@tu-bs.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

20444442

Citation

Kröger, Christoph, et al. "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." Journal of Behavior Therapy and Experimental Psychiatry, vol. 41, no. 4, 2010, pp. 381-8.
Kröger C, Schweiger U, Sipos V, et al. 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. J Behav Ther Exp Psychiatry. 2010;41(4):381-8.
Kröger, C., Schweiger, U., Sipos, V., Kliem, S., Arnold, R., Schunert, T., & Reinecker, H. (2010). 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. Journal of Behavior Therapy and Experimental Psychiatry, 41(4), 381-8. https://doi.org/10.1016/j.jbtep.2010.04.001
Kröger C, et al. 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. J Behav Ther Exp Psychiatry. 2010;41(4):381-8. PubMed PMID: 20444442.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Kröger,Christoph, AU - Schweiger,Ulrich, AU - Sipos,Valerija, AU - Kliem,Sören, AU - Arnold,Ruediger, AU - Schunert,Tanja, AU - Reinecker,Hans, Y1 - 2010/04/14/ PY - 2008/07/30/received PY - 2010/04/08/revised PY - 2010/04/08/accepted PY - 2010/5/7/entrez PY - 2010/5/7/pubmed PY - 2010/12/14/medline SP - 381 EP - 8 JF - Journal of behavior therapy and experimental psychiatry JO - J Behav Ther Exp Psychiatry VL - 41 IS - 4 N2 - 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. SN - 1873-7943 UR - https://www.unboundmedicine.com/medline/citation/20444442/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_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0005-7916(10)00043-1 DB - PRIME DP - Unbound Medicine ER -