Examining DBT Day Treatment in Treating Mood Dysregulation Expectancy and Anxiety in Women Diagnosed with Eating Disorde

  • PDF / 771,257 Bytes
  • 6 Pages / 595.276 x 790.866 pts Page_size
  • 7 Downloads / 163 Views

DOWNLOAD

REPORT


ORIGINAL PAPER

Examining DBT Day Treatment in Treating Mood Dysregulation Expectancy and Anxiety in Women Diagnosed with Eating Disorders Shannon O’Mara1 · Leah VanDine1 · Anthony M. Tarescavage1   · Denise Ben‑Porath1 Accepted: 22 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Eating disorders (EDs), particularly anorexia nervosa (AN) and bulimia nervosa (BN), are characterized by emotional and behavioral disturbances in eating patterns and body image that result in significant distress and functional impairment (as reported by APA, (APA dictionary of psychology, American Psychological Association, Washington, DC, 2015)). Ben-Porath and colleagues (Journal of Contemporary Psychotherapy 40:115-123, 2010) have researched the effectiveness of dialectical behavioral therapy (DBT) day treatment program in reducing negative mood regulation and anxiety among women diagnosed with AN, BN, and eating disorder not otherwise specified (EDNOS). The current study extended past research on the effectiveness of DBT day treatment by analyzing the improvement in these patients’ scores on the beck anxiety inventory (BAI) and the generalized expectancy for negative mood regulation (NMR) Scale after treatment. We compared pre- and post-treatment scores using paired samples t-tests. We also examined rates of clinically significant change in these areas post-treatment. The results indicated that participants demonstrated a reduction in expectancies for negative mood dysregulation and anxiety after undergoing DBT day treatment for EDs. Limitations and implications of this study are discussed. Keywords  Eating disorders · Mood regulation expectancy · Anxiety · Day treatment Eating disorders (EDs) are marked by emotional and behavioral disturbances in eating patterns and body image, resulting in significant distress and functional impairment (APA 2015). Anorexia nervosa (AN) is an ED characterized by persistent refusal of food, excessive fear of weight gain, refusal to maintain a minimally normal body weight, and a distorted perception of body image (APA 2015). Bulimia nervosa (BN) is an ED distinguished by recurrent episodes of binge eating (periods of uncontrolled consumption of a large quantity of food) followed by inappropriate compensatory behaviors, such as self-induced vomiting, compulsive exercise, etc. (APA 2015). Several studies have found that both the lifetime and 12 month prevalence of AN and BN is higher among women Portions of this article were presented at the 2020 John Carroll University Celebration of Scholarship in University Heights, OH. * Anthony M. Tarescavage [email protected] 1



Department of Psychological Sciences, John Carroll University, 1 John Carroll Boulevard, University Heights, OH 44118, USA

(Hudson et al. 2013; Nagl et al.2016; Udo and Grilo 2018). Udo and Grilo (2018) examined a sample of 36,306 US adults and found that 1.4% of women had a lifetime prevalence of AN and 0.5% had a lifetime prevalence of BN. Women diagnosed with an ED commonly experience m