Acceptance-based skill acquisition and cognitive reappraisal in a culturally responsive treatment for binge eating in adolescence.
Eat Disord
; 28(2): 184-201, 2020.
Article
en En
| MEDLINE
| ID: mdl-32151205
ABSTRACT
Emotional overeating, or eating in excess to soothe negative emotions, is a high-risk behavior for the future development of the binge-eating disorder (BED). The Emotional Overeating Intervention (EOI) is a culturally responsive, 10-week condensed dialectical behavior therapy (DBT) skills group intervention for adolescents endorsing emotional-overeating and binge-eating behaviors. The present study served as a secondary analysis of the intervention data, with the aim of using quantitative measures and qualitative interviews to examine intervention acceptability and DBT skill acquisition. Data were analyzed using descriptive statistics for quantitative surveys and qualitative content analysis for interviews. Among the 15 adolescents (Mage = 15.40 years; 73.3% identifying as female; 100% identifying as Black) who participated in the EOI pilot trial, most identified learning acceptance-based DBT skills, particularly radical acceptance, as both highly acceptable and the most useful aspect of treatment. Participants reported increases in distress tolerance appraisal and emotion regulation cognitive reappraisal scale scores from baseline to post-intervention. Accordingly, acceptance-based DBT skills may be associated with change-based cognitive strategies, which may contribute to improvements in emerging BED pathology. Findings serve as an initial step in informing preventative models of scalable interventions for subthreshold BED among adolescents, by identifying variables that warrant investigation as potential mechanisms of change.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Aceptación de la Atención de Salud
/
Trastorno por Atracón
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Terapia Conductual Dialéctica
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Regulación Emocional
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Adolescent
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Female
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Humans
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Male
Idioma:
En
Revista:
Eat Disord
Asunto de la revista:
CIENCIAS DA NUTRICAO
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos