Dialektisch-behaviorale Therapie für Essstörungen (DBT-E)

 

 Buy Article Permissions and Reprints

Zusammenfassung

Essstörungen gehören zu den führenden Ursachen verlorener Lebensjahre bei jungen erwachsenen Frauen. Bisherige verhaltenstherapeutische Behandlungsansätze sind wirksam, erreichen aber nur einen Teil der Patientinnen. Die dialektisch-behaviorale Therapie für Essstörungen (DBT-E) geht davon aus, dass verändertes Essverhalten eine Konsequenz von Stressbelastung, Traumatisierung oder Schwierigkeiten der Emotionsregulation darstellt. DBT-E hat ihren Schwerpunkt in der Vermittlung einer Gruppe von Fertigkeiten, die der Verbesserung des Selbstmanagements des Essverhaltens, der Emotionsregulation und der Stresstoleranz dienen. Pilotstudien weisen auf eine gute Wirksamkeit von DBT-E hin.

Abstract

Eating disorders belong to the leading causes of lost life years in young adult women. Current behavioral treatments are efficacious but reach only part of the affected women. Dialectic behavioral therapy for eating disorders (DBT-E) assumes that altered eating behavior is a consequence of stress, traumatization or of difficulties in emotion regulation. DBT-E focuses on imparting skills that improve the self-management of eating behavior, emotion regulation and stress tolerance. Pilot data point to a good effectiveness of the treatment.

Literatur

• 1 Papadopoulos F C, Ekbom A, Brandt L et al. Excess mortality, causes of death and prognostic factors in anorexia nervosa.  Br J Psychiatry. 2009;  194 10-17
  CrossrefPubMedGoogle Scholar
• 2 Simon J, Schmidt U, Pilling S. The health service use and cost of eating disorders.  Psychol Med. 2005;  35 1543-1551
  CrossrefPubMedGoogle Scholar
• 3 Crow S J, Peterson C B, Swanson S A et al. Increased mortality in bulimia nervosa and other eating disorders.  Am J Psychiatry. 2009;  166 1342-1346
  CrossrefPubMedGoogle Scholar
• 4 Fairburn C G. Cognitive behavior therapy and eating disorders. New York: Guilford; 2008
  Google Scholar
• 5 Safer D L, Telch C F, Chen E Y. Dialectical behavior therapy for binge eating and bulimia. New York: Guilford; 2009
  Google Scholar
• 6 Sipos V, Schweiger U. Dialektisch Behaviorale Therapie für Essstörung. Stuttgart: Kohlhammer; 2010
  Google Scholar
• 7 Wilson G T. Psychological treatment of eating disorders.  Annu Rev Clin Psychol. 2005;  1 439-465
  CrossrefPubMedGoogle Scholar
• 8 Fairburn C G, Cooper Z, Doll H A et al. Transdiagnostic Cognitive-Behavioral Therapy for Patients With Eating Disorders: A Two-Site Trial With 60-Week Follow-Up.  Am J Psychiatry. 2009;  166 311-319
  CrossrefPubMedGoogle Scholar
• 9 Linehan M M. Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford; 1993
  Google Scholar
• 10 Bohus M, Buchheim P, Doering S et al. Behandlungsleitlinie Persönlichkeitsstörung. Heidelberg: Steinkopff; 2009
  Google Scholar
• 11 Bohus M, Wolf M. Interaktives Skills Training für Borderline Patienten. Stuttgart: Schattauer; 2009
  Google Scholar
• 12 Lynch T R, Trost W T, Salsman N et al. Dialectical behavior therapy for borderline personality disorder.  Annu Rev Clin Psychol. 2007;  3 181-205
  CrossrefPubMedGoogle Scholar
• 13 Chen E Y, Matthews L, Allen C et al. Dialectical behavior therapy for clients with binge-eating disorder or bulimia nervosa and borderline personality disorder.  Int J Eat Disord. 2008;  41 505-512
  CrossrefPubMedGoogle Scholar
• 14 Safer D L, Telch C F, Agras W S. Dialectical behavior therapy for bulimia nervosa.  Am J Psychiatry. 2001;  158 632-634
  CrossrefPubMedGoogle Scholar
• 15 Telch C F, Agras W S, Linehan M M. Dialectical behavior therapy for binge eating disorder.  J Consult Clin Psychol. 2001;  69 1061-1065
  Google Scholar
• 16 Thompson-Brenner H, Westen D. Personality subtypes in eating disorders: validation of a classification in a naturalistic sample.  Br J Psychiatry. 2005;  186 516-524
  CrossrefPubMedGoogle Scholar
• 17 Wonderlich S A, Crosby R D, Joiner T et al. Personality subtyping and bulimia nervosa: psychopathological and genetic correlates.  Psychol Med. 2005;  35 649-657
  CrossrefPubMedGoogle Scholar
• 18 Peters A, Schweiger U, Pellerin L et al. The selfish brain: competition for energy resources.  Neurosci Biobehav Rev. 2004;  28 143-180
  CrossrefPubMedGoogle Scholar
• 19 Peters A, Pellerin L, Dallman M F et al. Causes of obesity: looking beyond the hypothalamus.  Prog Neurobiol. 2007;  81 61-88
  Google Scholar
• 20 Keys A, Brozek J, Henschel A et al. The biology of human starvation. Minneapolis: University of Minnesota Press; 1950
  Google Scholar
• 21 Laessle R G, Platte P, Schweiger U et al. Biological and psychological correlates of intermittent dieting behavior in young women. A model for bulimia nervosa.  Physiol Behav. 1996;  60 1-5
  CrossrefPubMedGoogle Scholar
• 22 Fox J R, Froom K. Eating disorders: a basic emotion perspective.  Clin Psychol Psychother. 2009;  16 328-335
  CrossrefPubMedGoogle Scholar
• 23 Cooper M J. Cognitive theory in anorexia nervosa and bulimia nervosa: progress, development and future directions.  Clin Psychol Rev. 2005;  25 511-531
  CrossrefPubMedGoogle Scholar
• 24 Dhingra R, Sullivan L, Jacques P F et al. Soft drink consumption and risk of developing cardiometabolic risk factors and the metabolic syndrome in middle-aged adults in the community.  Circulation. 2007;  116 480-488
  CrossrefPubMedGoogle Scholar
• 25 Nettleton J A, Lutsey P L, Wang Y et al. Diet soda intake and risk of incident metabolic syndrome and type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA).  Diabetes Care. 2009;  32 688-694
  CrossrefPubMedGoogle Scholar
• 26 Noakes T D, St Clair Gibson A, Lambert E V. From catastrophe to complexity: a novel model of integrative central neural regulation of effort and fatigue during exercise in humans: summary and conclusions.  Br J Sports Med. 2005;  39 120-124
  CrossrefPubMedGoogle Scholar

Dr. phil. Dipl.-Psych. Valerija Sipos

Klinik für Psychiatrie und Psychotherapie
Universität zu Lübeck

Ratzeburger Allee 160

23538 Lübeck

Email: valerija.sipos@psychiatrie.uk-sh.de