ArticlePsicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS2019
Problematic and adaptive eating in people with obesity after a DBT-based skills training intervention: 3- and 8-month follow-up and mediation analysis.
Article in Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Mindfulness-based interventions for binge eating: an updated systematic review and meta-analysis.Journal of behavioral medicine · 2025Pooled it
- Article
- Body Dissatisfaction, Eating Styles, Weight-Related Behaviors, and Health among Young Women in the United States.Nutrients · 2022Article
- Eating behavior, non-food substance consumption and negative urgency in women.Einstein (Sao Paulo, Brazil) · 2020Article
- The association between distress tolerance and eating expectancies among trauma-exposed college students with obesity.Journal of American college health : J of ACHArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDialectical behavior therapy conceptualizes problematic behaviors as attempts to regulate emotions that occur when the individual lacks effective skills with which to manage his or her emotions and cope with distress. Problematic eating behaviors, e.g., binge and emotional eating, may serve to alleviate aversive emotional states, being highly associated with overweight and obesity. Dialectical behavior therapy skills training has been proven effective in reducing binge eating in several clinical studies. However, few studies reveal the effects of DBT on adaptive eating behaviors or the stability of outcomes.
objectivesThis study aimed to test the effect of a brief DBT-based skills training intervention, and the stability of outcomes at 3- and 8-month follow-ups.
methodsSelf-report measures of binge eating, emotional eating, intuitive eating, and mindful eating were taken on 5 timepoints before and after a 10-session DBT skills training intervention (2 baseline measures, 1 post-test, and 2 follow-ups). Data were analyzed using a mixed-model intention-to-treat approach and mediation analysis was conducted with path analysis.
resultsAfter the intervention, intuitive eating and mindful eating scores were significantly higher than before the intervention, while emotional eating and binge eating scores were lower. The results remained stable during the follow-up period, with minor fluctuations and small trends towards returning to baseline values for binge eating and emotional eating. Mindful eating partially mediated the improvements in all outcomes. LIMITATIONS: Given that results are entirely based on self-report measures and that some instruments showed poor reliability, in addition to the high attrition rates, the results should be interpreted as preliminary.
conclusionsThe results provide evidence that a brief DBT intervention is effective not only in reducing problematic eating but also in increasing adaptive eating, achieving reasonably stable results. Also, the mediation analysis results support the hypothesis that mindful eating partially explains the effects of the intervention on binge and emotional eating. Future research should address the limitations of this study by investigating a more diverse sample, triangulating different measurement strategies, and including other putative mediators.
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