Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder
Article first published online: 17 MAR 2008
Copyright © 2008 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 41, Issue 6, pages 505–512, September 2008
How to Cite
Chen, E. Y., Matthews, L., Allen, C., Kuo, J. R. and Linehan, M. M. (2008), Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder. Int. J. Eat. Disord., 41: 505–512. doi: 10.1002/eat.20522
- Issue published online: 8 AUG 2008
- Article first published online: 17 MAR 2008
- Manuscript Accepted: 16 DEC 2007
- Borderline Personality Disorder Research Foundation
- dialectical behavior therapy;
- binge-eating disorder;
- bulimia nervosa;
- borderline personality disorder
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).
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.
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.
This provides promising pilot data for larger studies utilizing DBT for BED or BN and BPD. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2008