A Pilot Study of Maudsley Family Therapy With Group Dialectical Behavior Therapy Skills Training in an Intensive Outpatient Program for Adolescent Eating Disorders

2015 ◽  
Vol 71 (6) ◽  
pp. 527-543 ◽  
Author(s):  
Jennifer A. Y. Johnston ◽  
Jesine S. X. O'Gara ◽  
Stuart L. Koman ◽  
Christina Wood Baker ◽  
Drew A. Anderson
Keyword(s):  
Eating Disorders ◽  
Family Therapy ◽  
Pilot Study ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Skills Training ◽  
Outpatient Program ◽  
Intensive Outpatient Program ◽  
Intensive Outpatient ◽  
Adolescent Eating Disorders

Pilot assessment of a virtual intensive outpatient program for adults with eating disorders

2020 ◽  
Vol 28 (6) ◽  
pp. 789-795
Author(s):  
Dan V. Blalock ◽  
Daniel Le Grange ◽  
Craig Johnson ◽  
Alan Duffy ◽  
Jamie Manwaring ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Outpatient Program ◽  
Intensive Outpatient Program ◽  
Intensive Outpatient

scholarly journals A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Emily N. Vogel ◽  
Simar Singh ◽  
Erin C. Accurso
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Cognitive Behavior Therapy ◽  
Treatment Options ◽  
Current Evidence ◽  
Evidence Based ◽  
Cognitive Behavior ◽  
Adolescent Eating Disorders

Abstract Background Eating disorders have serious psychological and physical consequences. Current evidence-based treatments for adolescents with eating disorders have modest effects, underscoring the need to improve current treatment approaches. Cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT) have been proposed as alternative treatment options, with burgeoning research in this area. This review aims to summarize and critically analyze the current literature on the feasibility, acceptability, effectiveness, and efficacy of CBT and DBT for adolescent eating disorders, and then proposes areas of future research. Methods PsycINFO and PubMed were searched using the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines to identify studies examining the feasibility, acceptability, effectiveness and/or efficacy of CBT or DBT for adolescent eating disorders. Results Eligible studies (N = 50; CBT: n = 40, DBT: n = 10) indicated that both treatments are reasonably feasible, acceptable, and possibly effective for adolescent eating disorders across diagnoses and levels of care, though efficacy trials are lacking. Conclusions CBT and DBT demonstrate promise as alternatives to family-based approaches for adolescent eating disorders. Adequately powered trials to establish the effectiveness and efficacy of CBT and DBT are needed, particularly ones that compare these treatments against other leading approaches. Plain English summary Despite high rates of relapse and likelihood for severe and enduring illness, there is a dearth of evidence-based treatment options for adolescents with eating disorders. Potentially viable but less well-studied treatments for adolescents with eating disorders include cognitive behavior therapy (CBT) and dialectical behavior therapy (DBT). This systematic review of CBT and DBT for adolescent eating disorders focuses on feasibility (i.e., how easy it was to implement the treatment), acceptability (i.e., how well the intervention was received by patients and therapists), effectiveness (i.e., how well the intervention performed under routine, real-world circumstances), and efficacy (i.e., how well the intervention performed in highly-controlled research settings). This review concludes that research supports the feasibility and acceptability of these approaches, as well as preliminary evidence of their effectiveness. However, the field is lacking studies that systematically compare CBT and DBT to other evidence-based approaches. Recommendations to advance research on CBT and DBT for adolescent eating disorders are provided, including a call for efficacy studies that clarify their performance compared to other leading approaches.

scholarly journals Disability Status Attenuates Treatment Effects in an Intensive Outpatient Program for PTSD

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 190-197
Author(s):  
Tim Hoyt ◽  
Brianna E Staley Shumaker
Keyword(s):  
Evaluation System ◽  
Disability Evaluation ◽  
Skills Training ◽  
Ptsd Symptoms ◽  
Military Health ◽  
Ptsd Treatment ◽  
Outpatient Program ◽  
Intensive Outpatient Program ◽  
Program Enrollment ◽  
Intensive Outpatient

ABSTRACT Introduction The utilization of intensive outpatient programs for the treatment of military-related post-traumatic stress disorder (PTSD) has increased through initiatives both inside and outside the military health care system. However, research in veteran populations suggest that patients concurrently undergoing disability evaluation may not respond well to such interventions. This study evaluates the relationship between disability separation and endorsement of PTSD symptoms during treatment at an intensive outpatient program. Methods Patients in this retrospective study were 81 service members enrolled in a half-day, 6-week intensive outpatient program for PTSD. Sixty-seven percent (n = 54) were concurrently enrolled in the integrated disability evaluation system and were pending medical separation. Fifty-two percent (n = 42) also received a 4-week skills training intervention before beginning PTSD treatment. Patients completed the PTSD Checklist before, during, and after the treatment program as an index of PTSD symptoms. Results A significant interaction effect was observed in which PTSD symptoms throughout program enrollment differed as a function of enrollment in the integrated disability evaluation system. Patients undergoing disability evaluations did not show significant changes in endorsed PTSD symptoms during program enrollment, whereas significant decreases in PTSD symptoms were observed in patients not undergoing disability evaluations. These effects controlled for lost treatment days as a result of training or other appointments. Conclusions These results provide preliminary data indicating that participation in disability separation may attenuate the effect of PTSD treatment and endorsement of PTSD symptoms in an intensive outpatient setting.

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