An adaptive randomized trial of dialectical behavior therapy and cognitive behavior therapy for binge-eating.

ABSTRACT:

Background

Early weak treatment response is one of the few trans-diagnostic, treatment-agnostic predictors of poor outcome following a full treatment course. We sought to improve the outcome of clients with weak initial response to guided self-help cognitive behavior therapy (GSH).

Method

One hundred and nine women with binge-eating disorder (BED) or bulimia nervosa (BN) (DSM-IV-TR) received 4 weeks of GSH. Based on their response, they were grouped into: (1) early strong responders who continued GSH (cGSH), and early weak responders randomized to (2) dialectical behavior therapy (DBT), or (3) individual and additional group cognitive behavior therapy (CBT+).

Results

Baseline objective binge-eating-day (OBD) frequency was similar between DBT, CBT+ and cGSH. During tre

SUBMITTER: Chen EY 

PROVIDER: S-EPMC7418949 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature