ArticleJournal of eating disorders2020
Targeting maladaptive overcontrol with radically open dialectical behaviour therapy in a day programme for adolescents with restrictive eating disorders: an uncontrolled case series.
Article in Journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06792071 (Feasibility and Efficacy of Radically Open Dialectical Behavior Therapy for Youth At Risk for Developing Severe and Enduring Eating Disorders), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility and Efficacy of Radically Open Dialectical Behavior Therapy for Youth At Risk for Developing Severe and Enduring Eating Disorders
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Day Programs for children and adolescents with eating disorders: A systematic review.European eating disorders review : the journal of the Eating Disorders Association · 2023Pooled it
- Obsessive-compulsive personality disorder in radically open dialectical behavior therapy for treatment-refractory depression.Personality disorders · 2026Trial
- Moderators of treatment effect in a randomised controlled trial of single- and multi-family therapy for anorexia nervosa in adolescents and emerging adults.European eating disorders review : the journal of the Eating Disorders Association · 2026Trial
- Processes of change in a randomized clinical trial of radically open dialectical behavior therapy (RO DBT) for adults with treatment-refractory depression.Journal of consulting and clinical psychology · 2023Trial
- Changes in Parental Well-Being Following Intensive Day Programme Treatment for Restrictive Eating Disorders in Adolescents.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- The intensive outreach programme for child and adolescent eating disorders: an uncontrolled case series of clinical characteristics and treatment outcomes.Journal of eating disorders · 2026Article
- Validation of the caregiver skills (CASK) scale in a Dutch sample of carers for adolescents with eating disorders.Journal of eating disorders · 2026Article
- Clinician's Experience of Working with an Intensive Outpatient Programme for Child and Adolescent Eating Disorders-A Reflexive Thematic Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- Avoidance habit learning in adolescents and young women with anorexia nervosa: an fMRI study.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- The mediating role of social connectedness between inflexibility, the suppression of emotional expression, and symptoms of eating disorders and depression in adolescents with restrictive eating disorders referred for radically open dialectical behaviour therapy (RO DBT).Journal of eating disorders · 2025Article
- What is day programme treatment for anorexia nervosa really like? Part 2: A reflexive thematic analysis of feedback from caregivers.Journal of eating disorders · 2025Article
- The Role of the Dietitian Within a Day Programme for Adolescent Anorexia Nervosa: A Reflexive Thematic Analysis of Child and Adolescent Eating Disorder Clinician Perspectives.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Treatment outcomes for adolescent bulimia nervosa: a systematic scoping review of quantitative findings.Journal of eating disorders · 2025Review
- Exaggerated frontoparietal control over cognitive effort-based decision-making in young women with anorexia nervosa.Molecular psychiatry · 2025Article
- Does Evidence Support an Emotion Regulation Model of Anorexia Nervosa? A Systematic Review of Over a Decade of Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2025Article
- Mealtime challenges from the perspectives of adolescents with anorexia nervosa and atypical anorexia nervosa and their caregivers enrolled in family-based treatment.Eating behaviors · 2025Article
- Intolerance of uncertainty and repetitive negative thinking: transdiagnostic moderators of perfectionism in eating disorders.Journal of eating disorders · 2024Article
- Telehealth-Delivered Radically Open Dialectical Behavior Therapy for Adolescents (RO DBT-A): A Pilot Mixed-Methods Study.American journal of psychotherapy · 2024Article
- Article
- What is day hospital treatment for anorexia nervosa really like? A reflexive thematic analysis of feedback from young people.Journal of eating disorders · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRadically Open Dialectical Behaviour Therapy (RO-DBT) was developed to target maladaptive overcontrol, a proposed core difficulty of restrictive eating disorders. RO-DBT is now the main group treatment model at the Intensive day Treatment Programme (ITP), Maudsley Hospital. This ITP case series aimed to investigate whether overcontrol is associated with restrictive eating disorder symptoms in adolescents and to evaluate ITP outcomes since RO-DBT skills classes were introduced.
methodSelf-report measures of eating disorder symptoms and temperament, personality and social characteristics linked to overcontrol were collected at assessment and discharge from ITP for all consecutive adolescents who attended between February 2015 and January 2019 (N = 131). Weight change, global outcomes and treatment needs post-ITP were also recorded.
resultsEating disorder symptoms at assessment were significantly correlated with overcontrol factors, including social connectedness (r = -.67), reward responsivity (r = -.54), and cognitive inflexibility (r = .52). Adolescents stayed in ITP on average 13.40 weeks. 70.8% had a Good-Intermediate outcome on Morgan-Russell scale. 4.6% did not respond and were referred to inpatient treatment from ITP. Significant improvements in drive for thinness (d = .33), depressive mood (d = .41), social connectedness (d = .48), and emotional expressiveness (d = .97) were reported at discharge. No changes were observed in perfectionism or negative temperament.
conclusionsThis study offers preliminary evidence that eating disorder symptoms are associated with overcontrol factors in adolescence and that they can improve with RO-DBT informed day programme treatment. RO-DBT is a promising treatment that offers a new way of conceptualising treatment targets and recovery for adolescent restrictive eating disorders.
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