PDF(Pubmed)
Abstract：
OBJECTIVE: Individuals with eating disorders (ED) and comorbid borderline personality disorder (BPD) may benefit from therapies focusing on emotion regulation, such as dialectical behavioral therapy (DBT). The aim of the study was to evaluate the effectiveness of one-year standard DΒΤ enhanced with cognitive-behavioral therapy (CBT) strategies for patients suffering from ED and BPD.
METHODS: Seventy-two BPD and ED (anorexia and bulimia nervosa) participants were recruited from the eating disorders unit of the 1st Psychiatric Department of National and Kapodistrian University of Athens. All participants completed one year of standard DBT. ED-related behaviors were added to the treatment plan according to the DBT targeting hierarchy. Individual therapy and skills training group sessions were adapted to incorporate CBT strategies for nutritional and weight restoration. BPD and ED symptomatology were measured at the beginning and at the end of one year of treatment.
RESULTS: The major finding of the study was the significant improvement of patients in all the outcome measurements after one year of treatment. The study\'s second finding was that the severity of BPD symptomatology was significantly related to the severity of ED symptomatology. It was also shown that improvement of the patients coping skills was correlated with the reduction of ED and BPD symptomatology.
CONCLUSIONS: These results support previous studies on the effectiveness of DBT for comorbid BPD and EDs. Despite the promising results, randomized controlled trials are needed to establish the efficacy of DBT for BPD and ED patients.
METHODS: Level IV: Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
METHODS: Seventy-two BPD and ED (anorexia and bulimia nervosa) participants were recruited from the eating disorders unit of the 1st Psychiatric Department of National and Kapodistrian University of Athens. All participants completed one year of standard DBT. ED-related behaviors were added to the treatment plan according to the DBT targeting hierarchy. Individual therapy and skills training group sessions were adapted to incorporate CBT strategies for nutritional and weight restoration. BPD and ED symptomatology were measured at the beginning and at the end of one year of treatment.
RESULTS: The major finding of the study was the significant improvement of patients in all the outcome measurements after one year of treatment. The study\'s second finding was that the severity of BPD symptomatology was significantly related to the severity of ED symptomatology. It was also shown that improvement of the patients coping skills was correlated with the reduction of ED and BPD symptomatology.
CONCLUSIONS: These results support previous studies on the effectiveness of DBT for comorbid BPD and EDs. Despite the promising results, randomized controlled trials are needed to establish the efficacy of DBT for BPD and ED patients.
METHODS: Level IV: Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.
摘要：
目的：进食障碍（ED）和边缘性人格障碍（BPD）合并症的个体可能受益于专注于情绪调节的治疗，如辩证行为疗法(DBT)。该研究的目的是评估认知行为疗法（CBT）策略对患有ED和BPD的患者增强的一年标准DTB的有效性。
方法：72名BPD和ED（神经性厌食症和神经性贪食症）参与者来自国家第一精神病学系和雅典卡波迪桑大学的饮食失调部门。所有参与者都完成了一年的标准DBT。根据DBT靶向层级将ED相关行为添加到治疗计划中。对个人治疗和技能训练小组会议进行了调整，以纳入营养和体重恢复的CBT策略。在治疗一年的开始和结束时测量BPD和ED症状学。
结果：该研究的主要发现是治疗一年后患者在所有结果测量上的显著改善。该研究的第二个发现是BPD症状的严重程度与ED症状的严重程度显著相关。还表明，患者应对能力的提高与ED和BPD症状的减少有关。
结论：这些结果支持了先前关于DBT治疗合并症BPD和ED有效性的研究。尽管结果很有希望，需要随机对照试验来确定DBT对BPD和ED患者的疗效。
方法：IV级：从有或没有干预的多个时间序列中获得的证据，比如案例研究。不受控制的试验中的戏剧性结果也可能被视为此类证据。
方法：72名BPD和ED（神经性厌食症和神经性贪食症）参与者来自国家第一精神病学系和雅典卡波迪桑大学的饮食失调部门。所有参与者都完成了一年的标准DBT。根据DBT靶向层级将ED相关行为添加到治疗计划中。对个人治疗和技能训练小组会议进行了调整，以纳入营养和体重恢复的CBT策略。在治疗一年的开始和结束时测量BPD和ED症状学。
结果：该研究的主要发现是治疗一年后患者在所有结果测量上的显著改善。该研究的第二个发现是BPD症状的严重程度与ED症状的严重程度显著相关。还表明，患者应对能力的提高与ED和BPD症状的减少有关。
结论：这些结果支持了先前关于DBT治疗合并症BPD和ED有效性的研究。尽管结果很有希望，需要随机对照试验来确定DBT对BPD和ED患者的疗效。
方法：IV级：从有或没有干预的多个时间序列中获得的证据，比如案例研究。不受控制的试验中的戏剧性结果也可能被视为此类证据。
