FEAST: Support and resources for families affected by eating disordersMetrics details. Dialectical behavior therapy DBT , which appears to be an effective treatment for binge eating disorder BED , focuses on teaching emotion regulation skills. However, the role of improved emotion regulation in predicting treatment outcome in BED is uncertain. This secondary analysis explored whether change in self-reported emotion regulation as measured by the Difficulties in Emotion Regulation Scale during treatment was associated with abstinence from binge eating at post-treatment and 4-, 5-, and 6-month follow-up in individuals who received a guided self-help adaptation of DBT for BED. Participants were 60 community-based men and women with BED who received a self-help manual and six minute support phone calls. Greater improvement in self-reported emotion regulation between pre- and post-treatment predicted abstinence from binge eating at post-treatment, 4-, 5-, and 6-month follow-up. However, some follow-up results were no longer significant when imputed data was excluded, suggesting that the effect of emotion regulation on binge abstinence may be strongest at 4-month follow-up but decline across a longer duration of follow-up.
Binge Eating Disorder and Mindfulness/DBT
Metrics details. Dialectical behavior therapy conceptualizes problematic behaviors as attempts to regulate emotions that occur when the individual lacks effective skills with which to manage his or her emotions and cope with distress. Problematic eating behaviors, e. Dialectical behavior therapy skills training has been proven effective in reducing binge eating in several clinical studies. However, few studies reveal the effects of DBT on adaptive eating behaviors or the stability of outcomes. This study aimed to test the effect of a brief DBT-based skills training intervention, and the stability of outcomes at 3- and 8-month follow-ups.
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Analyses identified two moderators of post-treatment outcome. Results from two randomized clinical trials RCTs comparing CBT and IPT indicate the two treatments have equivalent immediate and longer term binge abstinence rates 4 , 5. A comparison of CBT and BWL demonstrated that there were no significant between group differences in reducing self-reported weekly binges at 16 weeks post-treatment or at 12 month follow-up using intention-to-treat data 6.
Binge eating disorder is an eating disorder that is typically characterized by chaos. Urges to binge can strike the sufferer frequently and without warning, leading to disarray, confusion, guilt, and anxiety. Recovery for binge eating disorder will often involve a variety of techniques and psychotherapy that will help an individual regain their life and freedom from binge eating. Because of the complexities involved with binge eating disorder, treatment must be comprehensive, involving a variety of evidenced-based approaches for optimal recovery. As a person begins to find healing in their recovery journey, they will also learn how to effectively cope with urges to binge. A common approach that is often taught in recovery for binge eating disorder is the practice of mindfulness and Dialectical Behavior Therapy DBT. While there may be some initial skepticism towards these psychotherapy methods, many individuals will find these practices helpful in dealing with urges to binge, which can occur at any point of their recovery from binge eating disorder.