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Effects of a dialectical behavior therapy-based skills group intervention for obese individuals: a Brazilian pilot study.
Cancian, Ana Carolina Maciel; de Souza, Lucas André Schuster; Liboni, Ronald Patrick Araujo; Machado, Wagner de Lara; Oliveira, Margareth da Silva.
Afiliação
  • Cancian ACM; Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga, 6681 Partenon, Porto Alegre, Rio Grande Do Sul, 90619-900, Brazil. anacancian@gmail.com.
  • de Souza LAS; Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga, 6681 Partenon, Porto Alegre, Rio Grande Do Sul, 90619-900, Brazil.
  • Liboni RPA; Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga, 6681 Partenon, Porto Alegre, Rio Grande Do Sul, 90619-900, Brazil.
  • Machado WL; Pontifícia Universidade Católica de Campinas, Campinas, Brazil.
  • Oliveira MDS; Pontifícia Universidade Católica do Rio Grande do Sul, Av. Ipiranga, 6681 Partenon, Porto Alegre, Rio Grande Do Sul, 90619-900, Brazil.
Eat Weight Disord ; 24(6): 1099-1111, 2019 Dec.
Article em En | MEDLINE | ID: mdl-29197947
PURPOSE: This pilot study aimed to analyze the effects of an adapted dialectical behavior therapy (DBT) skills training group on problematic and adaptive eating behaviors in Brazilian obese individuals. METHODS: Thirty-one obese individuals were randomly assigned to 10 sessions of adapted DBT skills training (n = 14) or two months of a waiting list comparison condition (n = 17). RESULTS: Attrition rates were similar to what's been found in comparable studies, with most dropouts happening at the beginning of the treatment. Results showed improvements in binge eating severity (d = 0.80) and depression (d = 0.82) compared to no treatment condition. After the intervention, adaptive eating and distress outcomes showed an improvement trend, reaching nonclinical levels for most participants in the intervention group. Large to moderate between-group effect sizes were observed, but none of those were statistically significant. Large within-group effect sizes were observed in the intervention group in binge eating severity (d = 1.34), intuitive eating (d = 1.33) and depression (d = 1.12). Medium effect sizes were observed in emotional eating (d = 0.73) and in emotion regulation (d = 0.72). Despite positive outcomes in other variables, mindful eating worsened after the intervention (d = 0.66). CONCLUSIONS: These results are preliminary and require further replications with larger samples, yet they suggest that the intervention may be useful to improve distress outcomes and adaptive eating among obese people. Implications for clinical practice and recommendations for future research are discussed. LEVEL OF EVIDENCE: Level I, randomized controlled trial.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bulimia / Depressão / Comportamento Alimentar / Terapia do Comportamento Dialético / Regulação Emocional / Obesidade Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Eat Weight Disord Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Bulimia / Depressão / Comportamento Alimentar / Terapia do Comportamento Dialético / Regulação Emocional / Obesidade Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Eat Weight Disord Ano de publicação: 2019 Tipo de documento: Article