Citation

Navarro-Haro MV, Botella C, Guillen V, Moliner R, Marco H, Jorquera M, Baños R, Garcia-Palacios A. Cognit. Ther. Res. 2018; 42(5): 636-649.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10608-018-9906-9

PMID

unavailable

Abstract

Dialectical behavior therapy (DBT) has been shown to be successful in the treatment of borderline personality disorder and eating disorders separately. The present study compares Standard Dialectical Behavior Therapy with a Treatment as Usual Cognitive Behavior Therapy (TAU CBT) for the treatment of borderline personality disorder and eating disorders comorbid features. A total of 118 women diagnosed with borderline personality disorders and eating disorders were assigned to one of two treatment groups in a naturalistic setting (DBT = 71; TAU CBT = 47). DBT showed a greater decrease in dysfunctional behaviors used to regulate emotions and related to borderline personality disorder (i.e. substance abuse, impulsive money spending, unprotected sex, etc.), non-suicidal self-injuries, and depressive symptoms, as well as an increase in cognitive reappraisal and global functioning. DBT and TAU CBT showed similar improvements in suicide attempts, dysfunctional eating behaviors (i.e. binge eating, purgative behaviors, and restriction), hospitalizations, negative and positive affect, and expressive suppression.

RESULTS of this study support the utility and effectiveness of standard DBT for comorbid borderline personality disorder and eating disorders in naturalistic settings. Replications of this study and randomized controlled trials are needed. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Language: en

Keywords

adult; human; female; pilot study; depression; suicide attempt; Borderline personality disorder; hospitalization; comorbidity; Eating disorders; Transdiagnostic; major clinical study; eating disorder; questionnaire; anticonvulsive agent; antidepressant agent; anxiolytic agent; self report; automutilation; Personality disorders; psychotropic agent; borderline state; dialectical behavior therapy; DSM-IV; emotionality; Beck Depression Inventory; Article; Structured Clinical Interview for DSM Disorders; Dialectical Behavior Therapy; naturalistic inquiry; cognitive behavioral therapy; Emotion Regulation Questionnaire; Naturalistic setting; Positive and Negative Affect Schedule; treatment as usual cognitive behavior therapy