Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis
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 wheth...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-09-01
|
| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/11/9/931 |
| _version_ | 1797518593418592256 |
|---|---|
| author | Natalia Rozakou-Soumalia Ştefana Dârvariu Jan Magnus Sjögren |
| author_facet | Natalia Rozakou-Soumalia Ştefana Dârvariu Jan Magnus Sjögren |
| author_sort | Natalia Rozakou-Soumalia |
| collection | DOAJ |
| description | 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) (<i>n</i> = 8), some with Bulimia Nervosa (BN) (<i>n</i> = 3), and only one with Anorexia Nervosa (AN). The pooled effect of DBT indicated a greater improvement in Emotion Regulation (ER) (g = −0.69, <i>p</i> = 0.01), depressive symptoms (g = −0.33, <i>p</i> < 0.00001), ED psychopathology (MD = −0.90, <i>p</i> = 0.005), Objective Binge Episodes (OBE) (MD = −0.27, <i>p</i> = 0.003), and BMI (MD = −1.93, <i>p</i> = 0.01) compared to the control group. No improvement was detected in eating ER following DBT (<i>p</i> = 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. |
| first_indexed | 2024-03-10T07:30:57Z |
| format | Article |
| id | doaj.art-6f7c30413a474713a2804d69ff9cf136 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T07:30:57Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-6f7c30413a474713a2804d69ff9cf1362023-11-22T13:51:17ZengMDPI AGJournal of Personalized Medicine2075-44262021-09-0111993110.3390/jpm11090931Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-AnalysisNatalia Rozakou-Soumalia0Ştefana Dârvariu1Jan Magnus Sjögren2Psychiatric Centre Ballerup, Eating Disorder Research Unit, 2750 Copenhagen, DenmarkPsychiatric Centre Ballerup, Eating Disorder Research Unit, 2750 Copenhagen, DenmarkPsychiatric Centre Ballerup, Eating Disorder Research Unit, 2750 Copenhagen, DenmarkEmotion 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) (<i>n</i> = 8), some with Bulimia Nervosa (BN) (<i>n</i> = 3), and only one with Anorexia Nervosa (AN). The pooled effect of DBT indicated a greater improvement in Emotion Regulation (ER) (g = −0.69, <i>p</i> = 0.01), depressive symptoms (g = −0.33, <i>p</i> < 0.00001), ED psychopathology (MD = −0.90, <i>p</i> = 0.005), Objective Binge Episodes (OBE) (MD = −0.27, <i>p</i> = 0.003), and BMI (MD = −1.93, <i>p</i> = 0.01) compared to the control group. No improvement was detected in eating ER following DBT (<i>p</i> = 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.https://www.mdpi.com/2075-4426/11/9/931emotion regulationeating disordersdialectical behaviour therapybinge eating disorderbulimia nervosa |
| spellingShingle | Natalia Rozakou-Soumalia Ştefana Dârvariu Jan Magnus Sjögren Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis Journal of Personalized Medicine emotion regulation eating disorders dialectical behaviour therapy binge eating disorder bulimia nervosa |
| title | Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis |
| title_full | Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis |
| title_fullStr | Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis |
| title_short | Dialectical Behaviour Therapy Improves Emotion Dysregulation Mainly in Binge Eating Disorder and Bulimia Nervosa: A Systematic Review and Meta-Analysis |
| title_sort | dialectical behaviour therapy improves emotion dysregulation mainly in binge eating disorder and bulimia nervosa a systematic review and meta analysis |
| topic | emotion regulation eating disorders dialectical behaviour therapy binge eating disorder bulimia nervosa |
| url | https://www.mdpi.com/2075-4426/11/9/931 |
| work_keys_str_mv | AT nataliarozakousoumalia dialecticalbehaviourtherapyimprovesemotiondysregulationmainlyinbingeeatingdisorderandbulimianervosaasystematicreviewandmetaanalysis AT stefanadarvariu dialecticalbehaviourtherapyimprovesemotiondysregulationmainlyinbingeeatingdisorderandbulimianervosaasystematicreviewandmetaanalysis AT janmagnussjogren dialecticalbehaviourtherapyimprovesemotiondysregulationmainlyinbingeeatingdisorderandbulimianervosaasystematicreviewandmetaanalysis |