ABSTRACT Despite the effectiveness of CBT in reducing shape/weight concerns and dietary restraint, research suggests that patients considered recovered may still exhibit emotional difficulties related to eating disorders (EDs). Dialectical behavior therapy (DBT) has been adapted for a variety of mental disorders characterized by emotion dysregulation and, more recently, for EDs specifically. The current review found that the majority of the research studies employed one of the following three adaptations of DBT for EDs: The Stanford Model, Radically Open-DBT (RO-DBT), or Multidiagnostic ED-DBT (MED-DBT). Therefore, this review sought to review and update the empirical research on each adaptation and (2) offer preliminary recommendations for when and which adaptation of DBT to use when treating adults with EDs. Findings from the empirical literature on DBT and EDs indicate that the Stanford Model has the most rigorous and numerous studies demonstrating efficacy and effectiveness in those diagnosed with binge eating disorder. Fewer studies have been conducted using the Stanford Model with bulimia nervosa; therefore, less strong assertions can be made about DBT with those diagnosed with bulimia. The MED-DBT model has been evaluated in several open trials within higher levels of care with promising results, but the lack of randomized clinically-controlled trials prevents a definitive statement about its efficacy. Finally, research on applying the RO-DBT model to anorexia-nervosa, restricting subtype is in its infancy, prohibiting solid conclusions or recommendations regarding its efficacy or effectiveness.

中文翻译：

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辩证行为疗法：适用于成人饮食失调症的现有治疗模式的更新和回顾

摘要 尽管 CBT 在减少体型/体重问题和饮食限制方面有效，但研究表明，被认为康复的患者可能仍会表现出与饮食失调 (ED) 相关的情绪困难。辩证行为疗法 (DBT) 已适用于以情绪失调为特征的各种精神障碍，最近特别适用于 ED。目前的审查发现，大多数研究采用以下三种 DBT 适应症中的一种：斯坦福模型、Radically Open-DBT (RO-DBT) 或 Multidiagnostic ED-DBT (MED-DBT)。因此，本综述试图回顾和更新关于每种适应的实证研究，并 (2) 为治疗成人 ED 时使用 DBT 的时间和使用哪种适应提供初步建议。DBT 和 ED 的实证文献结果表明，斯坦福模型拥有最严格、数量最多的研究，证明了对诊断为暴食症的患者的疗效和有效性。使用斯坦福模型对神经性贪食症进行的研究较少；因此，对于那些被诊断患有贪食症的人，可以对 DBT 做出不太强烈的断言。MED-DBT 模型已在更高级别护理的几项开放试验中进行了评估，并取得了可喜的结果，但由于缺乏随机临床对照试验，因此无法对其有效性做出明确的陈述。最后，将 RO-DBT 模型应用于神经性厌食症、限制亚型的研究还处于起步阶段，禁止对其功效或有效性做出可靠的结论或建议。