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Keywords:

  • dialectical behavior therapy;
  • binge-eating disorder;
  • bulimia nervosa;
  • borderline personality disorder

Abstract

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).

Method:

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.

Conclusion:

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