Targeting maladaptive overcontrol with radically open dialectical behaviour therapy in a day programme for adolescents with restrictive eating disorders: an uncontrolled case series

Autor:	Catherine Stewart, Helena Griffiths, Julian Baudinet, Cecily Donnelly, Elizabeth Goddard, Mima Simic
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	050103 clinical psychology lcsh:RC435-571 media_common.quotation_subject Anorexia nervosa medicine.disease_cause 03 medical and health sciences Behavioral Neuroscience 0302 clinical medicine lcsh:Psychiatry medicine Partial hospitalization programme Personality 0501 psychology and cognitive sciences Emotional expression media_common Nutrition and Dietetics 05 social sciences Weight change Cognitive flexibility Perfectionism (psychology) Day programme medicine.disease 030227 psychiatry Psychiatry and Mental health Eating disorders Temperament Psychology RO-DBT Clinical psychology Research Article
Zdroj:	Journal of Eating Disorders, Vol 8, Iss 1, Pp 1-13 (2020) Journal of Eating Disorders
ISSN:	2050-2974
DOI:	10.1186/s40337-020-00338-9
Popis:	Background Radically Open Dialectical Behaviour Therapy (RO-DBT) was developed to target maladaptive overcontrol, a proposed core difficulty of restrictive eating disorders. RO-DBT is now the main group treatment model at the Intensive day Treatment Programme (ITP), Maudsley Hospital. This ITP case series aimed to investigate whether overcontrol is associated with restrictive eating disorder symptoms in adolescents and to evaluate ITP outcomes since RO-DBT skills classes were introduced. Method Self-report measures of eating disorder symptoms and temperament, personality and social characteristics linked to overcontrol were collected at assessment and discharge from ITP for all consecutive adolescents who attended between February 2015 and January 2019 (N = 131). Weight change, global outcomes and treatment needs post-ITP were also recorded. Results Eating disorder symptoms at assessment were significantly correlated with overcontrol factors, including social connectedness (r = −.67), reward responsivity (r = −.54), and cognitive inflexibility (r = .52). Adolescents stayed in ITP on average 13.40 weeks. 70.8% had a Good-Intermediate outcome on Morgan-Russell scale. 4.6% did not respond and were referred to inpatient treatment from ITP. Significant improvements in drive for thinness (d = .33), depressive mood (d = .41), social connectedness (d = .48), and emotional expressiveness (d = .97) were reported at discharge. No changes were observed in perfectionism or negative temperament. Conclusions This study offers preliminary evidence that eating disorder symptoms are associated with overcontrol factors in adolescence and that they can improve with RO-DBT informed day programme treatment. RO-DBT is a promising treatment that offers a new way of conceptualising treatment targets and recovery for adolescent restrictive eating disorders.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d992c06e275df372979fc1938ab84617 http://link.springer.com/article/10.1186/s40337-020-00338-9 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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