Terapia dialéctica conductual en los trastornos de la conducta alimentaria.

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Bibliographic Details
Title: Terapia dialéctica conductual en los trastornos de la conducta alimentaria.
Alternate Title: Dialectical behavior therapy in eating disorders.
Authors: Oñate-Zuñiga, Paola1 paolaonate@udec.cl, García, Felipe E.2, Oñate-Contreras, Aileen3, Sáez-Delgado, Fabiola4
Source: Andes Pediatrica. mar/abr2026, Vol. 97 Issue 2, p166-181. 16p.
Subjects: DIALECTICAL behavior therapy, EATING disorders, BULIMIA, EMOTION regulation, BINGE-eating disorder, PSYCHOTHERAPY, ANOREXIA nervosa
Abstract (English): Dialectical Behavior Therapy (DBT) has been adapted for a variety of mental disorders characterized by emotional dysregulation and, in recent decades, also for eating disorders (EDs). Objective: To update the evidence on the efficacy of DBT in EDs. Method: A search was conducted in PubMed, ScienceDirect, WoS, and Scopus databases using keywords: (eating disorders OR anorexia nervosa OR bulimia nervosa OR binge eating disorder) AND (dialectical behavior therap* OR DBT), covering from 2011 to 2025, following the PRISMA guideline. Results: A total of 833 studies were found, and 20 of them were selected for review. DBT appears to be most effective in Binge Eating Disorder, reducing the binge frequency. In Bulimia, improvements were observed in subscales related to ineffectiveness, interoceptive awareness, and a decrease in vomiting frequency. In Anorexia Nervosa, the results were not statistically significant when compared to an active control group. Conclusions: Empirical evidence suggests positive outcomes from DBT, especially in Binge Eating Disorder, as measured by a reduction and, in some cases, abstinence from binge episodes in the past 28 days. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La terapia dialéctica conductual (DBT) se ha adaptado para una variedad de trastornos mentales caracterizados por la desregulación emocional y, en las últimas décadas, también para los trastornos de conducta alimentaria (TCA). Objetivo: Actualizar la evidencia de la eficacia de DBT en TCA. Método: Búsqueda en bases de datos Pubmed, Sciencedirect, Wos y Scopus, con palabras clave: (eating disorders OR anorexia nervosa OR bulimia nervosa OR binge eating disorder) AND (dialectical behavior therap* or DBT), desde 2011 hasta 2025, siguiendo las directrices PRISMA. Resultados: Se encontraron 833 estudios, siendo 20 de ellos seleccionados. Los resultados demostraron una mayor eficacia de DBT en el Trastorno por Atracón, reduciendo la frecuencia de atracones. En Bulimia habrían mejoras en subescalas de inefectividad, conciencia interoceptiva y disminución en frecuencia de vómitos. En anorexia nerviosa, los resultados no fueron estadísticamente significativos cuando se comparan con grupo control activo. Conclusión: La evidencia empírica sugiere resultados positivos de DBT especialmente en Trastorno por Atracón, medido por la disminución y a veces abstinencia, de los atracones en los últimos 28 días. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Dialectical Behavior Therapy (DBT) has been adapted for a variety of mental disorders characterized by emotional dysregulation and, in recent decades, also for eating disorders (EDs). Objective: To update the evidence on the efficacy of DBT in EDs. Method: A search was conducted in PubMed, ScienceDirect, WoS, and Scopus databases using keywords: (eating disorders OR anorexia nervosa OR bulimia nervosa OR binge eating disorder) AND (dialectical behavior therap* OR DBT), covering from 2011 to 2025, following the PRISMA guideline. Results: A total of 833 studies were found, and 20 of them were selected for review. DBT appears to be most effective in Binge Eating Disorder, reducing the binge frequency. In Bulimia, improvements were observed in subscales related to ineffectiveness, interoceptive awareness, and a decrease in vomiting frequency. In Anorexia Nervosa, the results were not statistically significant when compared to an active control group. Conclusions: Empirical evidence suggests positive outcomes from DBT, especially in Binge Eating Disorder, as measured by a reduction and, in some cases, abstinence from binge episodes in the past 28 days. [ABSTRACT FROM AUTHOR]
ISSN:24526045
DOI:10.32641/andespediatr.v97i2.5715