The current study was a preliminary investigation of Live FREE, a pilot study of a treatment that included a combination of Dialectical Behavioral Therapy (DBT) and behavioral weight loss techniques for overweight/obese adult emotional eaters. Live FREE was based on the premise that impaired emotion regulation skills promote emotional eating behavior and lead to weight gain. Consistent with the ORBIT model of behavioral treatment development, the primary study aim was to refine the treatment protocol. Adults with overweight/obesity (n = 10) who self-identified as emotional eaters were enrolled in Live FREE and completed baseline and post-treatment assessments. The intervention delivered 10-weeks of emotion regulation skills training followed by 6-weeks of behavioral weight loss treatment in a group-based format. Pilot study findings resulted in several changes to the treatment protocol. Changes included reducing the number of skills introduced, extending session length, and reviewing DBT material. Ninety percent of subjects completed the program, and all of these participants attended 14–16 sessions total. Preliminary data showed significant improvements in BMI, emotional eating, emotion regulation, and DBT skills use over the course of the program. The Live FREE program was refined and is ready to be examined for clinically significant effects. Targeting emotion regulation in overweight/obese adult emotional eaters may be an effective strategy for enhancing weight loss. Future investigations should use a larger sample size, a longer follow-up period, and a randomized controlled trial design to examine the efficacy of Live FREE. Trial Registration: Clinicaltrials.gov. NCT04185506; retrospectively registered on 12/2/19. https://clinicaltrials.gov/ct2/show/NCT04185506?cond=Freedom+from+emotional+eating&draw=2&rank=1

中文翻译：

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使用辩证行为治疗技巧治疗超重/肥胖和情绪化饮食的成人的初步研究

当前的研究是对 Live FREE 的初步调查，这是一项针对超重/肥胖成人情绪化进食者的治疗的初步研究，该治疗包括辩证行为疗法 (DBT) 和行为减肥技术的组合。Live FREE 的前提是情绪调节技能受损会促进情绪化饮食行为并导致体重增加。与行为治疗发展的 ORBIT 模型一致，主要研究目的是改进治疗方案。自我认定为情绪化进食者的超重/肥胖成人（n = 10）参加了 Live FREE 并完成了基线和治疗后评估。干预提供了 10 周的情绪调节技能训练，然后是 6 周的行为减肥治疗，以小组为基础。试点研究结果导致治疗方案发生了一些变化。变化包括减少引入的技能数量、延长课程长度和审查 DBT 材料。90% 的受试者完成了该计划，所有这些参与者总共参加了 14-16 节课。初步数据显示，在整个项目过程中，BMI、情绪化饮食、情绪调节和 DBT 技能使用都有显着改善。Live FREE 计划已经过改进，可随时接受临床显着影响的检查。针对超重/肥胖成年情绪化饮食者的情绪调节可能是促进减肥的有效策略。未来的研究应该使用更大的样本量、更长的随访期和随机对照试验设计来检查 Live FREE 的疗效。试用注册：临床试验.gov。NCT04185506；于 19 年 12 月 2 日追溯注册。https://clinicaltrials.gov/ct2/show/NCT04185506?cond=Freedom+from+emotional+eating&draw=2&rank=1