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Gepubliceerd in: Cognitive Therapy and Research 4/2019

13-02-2019 | Original Article

Early Versus Later Improvements in Dialectical Behavior Therapy Skills Use and Treatment Outcome in Eating Disorders

Auteurs: Tiffany A. Brown, Anne Cusack, Leslie Anderson, Erin E. Reilly, Laura A. Berner, Christina E. Wierenga, Jason M. Lavender, Walter H. Kaye

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2019

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Abstract

Dialectical behavior therapy (DBT) has demonstrated initial efficacy for the treatment of eating disorders (EDs). However, no study has examined potential processes that may contribute to observed improvements in DBT for EDs. The present study sought to investigate changes in DBT skills use throughout treatment as a predictor of symptom change in a DBT-based partial hospital program (PHP) for adults with EDs. Adults [n = 135; M(SD) age = 25.08 (7.88)] with EDs completed self-report measures at treatment admission, one-month post-admission, and discharge from PHP. DBT skills use, as measured by the DBT Ways of Coping Checklist, increased by 12.65% from admission to one-month post-admission and increased by 24.10% from admission to discharge. Early (admission to month 1) and later (month 1 to discharge) improvements in DBT skills use predicted greater improvements in ED, depressive, and emotion dysregulation symptoms from treatment admission to discharge. Notably, early versus later change in skills use was a stronger predictor of outcome. Results are consistent with the theoretical model of DBT and add to a growing literature on DBT for EDs.
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Metagegevens
Titel
Early Versus Later Improvements in Dialectical Behavior Therapy Skills Use and Treatment Outcome in Eating Disorders
Auteurs
Tiffany A. Brown
Anne Cusack
Leslie Anderson
Erin E. Reilly
Laura A. Berner
Christina E. Wierenga
Jason M. Lavender
Walter H. Kaye
Publicatiedatum
13-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-10006-1

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