Department of Psychiatry, University of California, San Diego, CA, USA.
Department of Psychology, Hofstra University, Hempstead, NY, USA.
Eat Disord. 2020 Mar-Apr;28(2):122-141. doi: 10.1080/10640266.2020.1743098. Epub 2020 Apr 17.
Over the past several decades, Dialectical Behavior Therapy (DBT) has been adapted for a range of presenting problems related to emotion dysregulation. Considerable enthusiasm exists regarding the use of DBT for treating eating disorders; however, to date, there have been no reviews summarizing empirical efforts to adapt DBT for eating disorders in youth. Accordingly, in the present narrative review, we provide a comprehensive summary of existing work testing DBT for adolescent eating disorders. First, we briefly review existing work applying DBT to eating disorders in adults and general adolescent samples. We then review research focused specifically on the use of DBT for adolescent eating disorders, including both those studies applying DBT as the primary treatment and investigations of DBT as an adjunctive treatment. Overall, initial results for DBT-based approaches are promising. However, rigorous empirical work testing DBT for treating adolescent eating disorders remains limited; the majority of existing research is comprised of case series and small-scale studies. Therefore, we close with specific recommendations for future research testing this approach.
在过去的几十年中，辩证行为疗法（DBT）已被应用于一系列与情绪调节障碍相关的表现问题。人们对使用 DBT 治疗饮食失调症非常感兴趣；然而，迄今为止，尚无综述总结为青少年饮食失调症改编 DBT 的经验性努力。因此，在本叙述性综述中，我们全面总结了现有测试 DBT 治疗青少年饮食失调症的工作。首先，我们简要回顾了将 DBT 应用于成人和一般青少年样本中饮食失调症的现有工作。然后，我们回顾了专门针对青少年饮食失调症使用 DBT 的研究，包括将 DBT 作为主要治疗方法的研究和将 DBT 作为辅助治疗方法的研究。总的来说，基于 DBT 的方法的初步结果很有希望。然而，测试 DBT 治疗青少年饮食失调症的严格实证工作仍然有限；现有的大多数研究都是病例系列和小规模研究。因此，我们最后提出了具体的建议，以供未来测试该方法的研究。
