Show simple item record

dc.creatorLynch, TR
dc.creatorGray, KLH
dc.creatorHempel, RJ
dc.creatorTitley, M
dc.creatorChen, EY
dc.creatorO'Mahen, HA
dc.date.accessioned2021-01-31T18:20:00Z
dc.date.available2021-01-31T18:20:00Z
dc.date.issued2013-11-07
dc.identifier.issn1471-244X
dc.identifier.issn1471-244X
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/5339
dc.identifier.other24199611 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/5357
dc.description.abstractBackground: Anorexia Nervosa (AN) is a highly life-threatening disorder that is extremely difficult to treat. There is evidence that family-based therapies are effective for adolescent AN, but no treatment has been proven to be clearly effective for adult AN. The methodological challenges associated with studying the disorder have resulted in recommendations that new treatments undergo preliminary testing prior to being evaluated in a randomized clinical trial. The aim of this study was to provide preliminary evidence on the effectiveness of a treatment program based on a novel adaptation of Dialectical Behavior Therapy (DBT) for adult Anorexia Nervosa (Radically Open-DBT; RO-DBT) that conceptualizes AN as a disorder of overcontrol.Methods: Forty-seven individuals diagnosed with Anorexia Nervosa-restrictive type (AN-R; mean admission body mass index = 14.43) received the adapted DBT inpatient program (mean length of treatment = 21.7 weeks).Results: Seventy-two percent completed the treatment program demonstrating substantial increases in body mass index (BMI; mean change in BMI = 3.57) corresponding to a large effect size (d = 1.91). Thirty-five percent of treatment completers were in full remission, and an additional 55% were in partial remission resulting in an overall response rate of 90%. These same individuals demonstrated significant and large improvements in eating-disorder related psychopathology symptoms (d = 1.17), eating disorder-related quality of life (d = 1.03), and reductions in psychological distress (d = 1.34).Conclusions: RO-DBT was associated with significant improvements in weight gain, reductions in eating disorder symptoms, decreases in eating-disorder related psychopathology and increases in eating disorder-related quality of life in a severely underweight sample. These findings provide preliminary support for RO-DBT in treating AN-R suggesting the importance of further evaluation examining long-term outcomes using randomized controlled trial methodology. © 2013 Lynch et al.; licensee BioMed Central Ltd.
dc.format.extent293-
dc.language.isoen
dc.relation.haspartBMC Psychiatry
dc.relation.isreferencedbySpringer Science and Business Media LLC
dc.rightsCC BY
dc.rights.urihttp://creativecommons.org/licenses/by/2.0
dc.subjectAnorexia nervosa
dc.subjectDBT
dc.subjectInpatient
dc.subjectEating disorders
dc.subjectOvercontrol
dc.subjectPersonality disorders
dc.subjectRadical openness
dc.titleRadically open-dialectical behavior therapy for adult anorexia nervosa: Feasibility and outcomes from an inpatient program
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.1186/1471-244X-13-293
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.date.updated2021-01-31T18:19:56Z
refterms.dateFOA2021-01-31T18:20:00Z


Files in this item

Thumbnail
Name:
Radically open-dialectical ...
Size:
542.9Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

CC BY
Except where otherwise noted, this item's license is described as CC BY