Dialectical behavior therapy (DBT) has theoretical and clinical relevance, as well as burgeoning empirical support, for the treatment of eating disorders (ED). Originally developed for patients with Borderline Personality Disorder, DBT works from the perspective that maladaptive, impulsive behaviors function as misguided attempts to regulate unwanted emotions (Linehan, Heard, & Armstrong, 1993). As such, DBT focuses on developing adaptive skillful behaviors to help improve effective self-regulation. Given well-documented associations between difficulties with emotion regulation and eating disorder symptoms (Lavender et al., 2015), a growing body of research has examined the efficacy of DBT for EDs (Bankoff, Karpel, Forbes, & Pantalone, 2012). To date, studies have demonstrated the efficacy of DBT for bulimia nervosa (BN) and binge eating disorder (BED) compared with waitlist (Safer, Telch, & Agras, 2001; Telch, Agras, & Linehan, 2001) and active control conditions (Chen et al., 2017; Safer, Robinson, & Jo, 2010). Per APA practice guidelines, DBT has demonstrated efficacy for the treatment of BED and initial efficacy in the treatment of BN (Yager et al., 2005). Clinically, DBT appears to be a particularly good fit for patients with complex presentations and comorbid disorders; as such, recent research has focused on adapting and applying DBT for these groups (Ben-Porath,Wisniewski, &Warren, 2010; Brown et al., 2018). Given our clinical and research experience withDBT for individuals with eating disorders, we came together as co-editors of this special issue of Eating Disorders. The Journal of Treatment and Prevention on “Dialectical Behavior Therapy: State of the Research and NewDirections.”Our goal for this special issue is to summarize the expanding evidence for DBT for eating disorders and comorbid conditions and to illustrate the broad scope of the ongoing work in this important area.

中文翻译：

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饮食失调的辩证行为疗法：研究现状和新方向

辩证行为疗法 (DBT) 具有理论和临床相关性，以及新兴的经验支持，用于治疗饮食失调 (ED)。DBT 最初是为边缘型人格障碍患者开发的，它从适应不良、冲动行为作为调节不良情绪的误导性尝试的角度起作用（Linehan、Heard 和 Armstrong，1993）。因此，DBT 专注于发展适应性熟练的行为，以帮助提高有效的自我调节。鉴于情绪调节困难与饮食失调症状之间存在充分证明的关联（Lavender 等，2015），越来越多的研究检查了 DBT 对 ED 的功效（Bankoff、Karpel、Forbes 和 Pantalone，2012）。迄今为止，研究表明，与候补名单（Safer、Telch 和 Agras，2001 年；Telch、Agras 和 Linehan，2001 年）和主动控制条件（Chen 等人）相比，DBT 对神经性贪食症 (BN) 和暴食症 (BED) 的疗效.，2017 年；更安全、罗宾逊和乔，2010 年）。根据 APA 实践指南，DBT 已经证明了治疗 BED 的疗效和治疗 BN 的初步疗效（Yager 等，2005）。临床上，DBT 似乎特别适合具有复杂表现和合并症的患者；因此，最近的研究侧重于为这些群体调整和应用 DBT（Ben-Porath、Wisniewski、&Warren，2010 年；Brown 等人，2018 年）。鉴于我们对饮食障碍患者进行 DBT 的临床和研究经验，我们共同担任本期饮食障碍特刊的共同编辑。