Rozakou-Soumalia Natalia, Dârvariu Ştefana, Sjögren Jan Magnus
Psychiatric Centre Ballerup, Eating Disorder Research Unit, 2750 Copenhagen, Denmark.
J Pers Med. 2021 Sep 18;11(9):931. doi: 10.3390/jpm11090931.
Emotion dysregulation is a transdiagnostic phenomenon in Eating Disorders (ED), and Dialectical Behaviour Therapy (DBT) (which was developed for reducing dysregulated emotions in personality disorders) has been employed in patients with ED. This systematic review and meta-analysis investigated whether the effect of DBT was stronger on emotion dysregulation, general psychopathology, and Body Mass Index (BMI) in participants with ED, when compared to a control group (active therapy and waitlist). Eleven studies were identified in a systematic search in accordance with PRISMA guidelines. Most studies included participants with Binge Eating Disorder (BED) ( = 8), some with Bulimia Nervosa (BN) ( = 3), and only one with Anorexia Nervosa (AN). The pooled effect of DBT indicated a greater improvement in Emotion Regulation (ER) (g = -0.69, = 0.01), depressive symptoms (g = -0.33, < 0.00001), ED psychopathology (MD = -0.90, = 0.005), Objective Binge Episodes (OBE) (MD = -0.27, = 0.003), and BMI (MD = -1.93, = 0.01) compared to the control group. No improvement was detected in eating ER following DBT ( = 0.41). DBT demonstrated greater efficacy compared with the control group in improving emotion dysregulation, ED psychopathology, and BMI in ED. The limitations included the small number of studies and high variability.
情绪调节障碍是饮食失调（ED）中的一种跨诊断现象，辩证行为疗法（DBT）（该疗法是为减少人格障碍中失调的情绪而开发的）已应用于饮食失调患者。本系统评价和荟萃分析调查了与对照组（积极治疗组和等待名单组）相比，DBT对饮食失调参与者的情绪调节障碍、一般精神病理学和体重指数（BMI）的影响是否更强。根据PRISMA指南进行系统检索，共识别出11项研究。大多数研究纳入了暴饮暴食症（BED）患者（n = 8），一些纳入了神经性贪食症（BN）患者（n = 3），只有一项纳入了神经性厌食症（AN）患者。DBT的综合效应表明，与对照组相比，在情绪调节（ER）（g = -0.69，p = 0.01）、抑郁症状（g = -0.33，p < 0.00001）、饮食失调精神病理学（MD = -0.90，p = 0.005）、客观暴饮暴食发作（OBE）（MD = -0.27，p = 0.003）和BMI（MD = -1.93，p = 0.01）方面有更大改善。DBT治疗后饮食ER未检测到改善（p = 0.41）。与对照组相比，DBT在改善饮食失调患者的情绪调节障碍、饮食失调精神病理学和BMI方面显示出更大的疗效。局限性包括研究数量少和高变异性。
