Zusammenfassung
Essstörungen gehören zu den führenden Ursachen
verlorener Lebensjahre bei jungen erwachsenen Frauen. Bisherige
verhaltenstherapeutische Behandlungsansätze sind wirksam, erreichen aber
nur einen Teil der Patientinnen. Die dialektisch-behaviorale Therapie für
Essstörungen (DBT-E) geht davon aus, dass verändertes Essverhalten
eine Konsequenz von Stressbelastung, Traumatisierung oder Schwierigkeiten der
Emotionsregulation darstellt. DBT-E hat ihren Schwerpunkt in der Vermittlung
einer Gruppe von Fertigkeiten, die der Verbesserung des Selbstmanagements des
Essverhaltens, der Emotionsregulation und der Stresstoleranz dienen.
Pilotstudien weisen auf eine gute Wirksamkeit von DBT-E hin.
Abstract
Eating disorders belong to the leading causes of lost life years in
young adult women. Current behavioral treatments are efficacious but reach only
part of the affected women. Dialectic behavioral therapy for eating disorders
(DBT-E) assumes that altered eating behavior is a consequence of stress,
traumatization or of difficulties in emotion regulation. DBT-E focuses on
imparting skills that improve the self-management of eating behavior, emotion
regulation and stress tolerance. Pilot data point to a good effectiveness of
the treatment.
Schlüsselwörter
Verhaltenstherapie - Essstörungen - Emotionen
Keywords
behavior therapy - eating disorders - emotions
Literatur
-
1
Papadopoulos F C, Ekbom A, Brandt L et al.
Excess mortality, causes of death and prognostic factors in
anorexia nervosa.
Br J Psychiatry.
2009;
194
10-17
-
2
Simon J, Schmidt U, Pilling S.
The health service use and cost of eating disorders.
Psychol Med.
2005;
35
1543-1551
-
3
Crow S J, Peterson C B, Swanson S A et al.
Increased mortality in bulimia nervosa and other eating
disorders.
Am J Psychiatry.
2009;
166
1342-1346
-
4 Fairburn C G. Cognitive behavior therapy and eating disorders. New York: Guilford; 2008
-
5 Safer D L, Telch C F, Chen E Y. Dialectical behavior therapy for binge eating and
bulimia. New York: Guilford; 2009
-
6 Sipos V, Schweiger U. Dialektisch Behaviorale Therapie für
Essstörung. Stuttgart: Kohlhammer; 2010
-
7
Wilson G T.
Psychological treatment of eating disorders.
Annu Rev Clin Psychol.
2005;
1
439-465
-
8
Fairburn C G, Cooper Z, Doll H A et al.
Transdiagnostic Cognitive-Behavioral Therapy for Patients
With Eating Disorders: A Two-Site Trial With 60-Week Follow-Up.
Am J Psychiatry.
2009;
166
311-319
-
9 Linehan M M. Cognitive-behavioral treatment of borderline personality
disorder. New York: Guilford; 1993
-
10 Bohus M, Buchheim P, Doering S et al. Behandlungsleitlinie Persönlichkeitsstörung. Heidelberg: Steinkopff; 2009
-
11 Bohus M, Wolf M. Interaktives Skills Training für Borderline
Patienten. Stuttgart: Schattauer; 2009
-
12
Lynch T R, Trost W T, Salsman N et al.
Dialectical behavior therapy for borderline personality
disorder.
Annu Rev Clin Psychol.
2007;
3
181-205
-
13
Chen E Y, Matthews L, Allen C et al.
Dialectical behavior therapy for clients with binge-eating
disorder or bulimia nervosa and borderline personality disorder.
Int J Eat Disord.
2008;
41
505-512
-
14
Safer D L, Telch C F, Agras W S.
Dialectical behavior therapy for bulimia nervosa.
Am J Psychiatry.
2001;
158
632-634
-
15
Telch C F, Agras W S, Linehan M M.
Dialectical behavior therapy for binge eating disorder.
J Consult Clin Psychol.
2001;
69
1061-1065
-
16
Thompson-Brenner H, Westen D.
Personality subtypes in eating disorders: validation of a
classification in a naturalistic sample.
Br J Psychiatry.
2005;
186
516-524
-
17
Wonderlich S A, Crosby R D, Joiner T et al.
Personality subtyping and bulimia nervosa: psychopathological
and genetic correlates.
Psychol Med.
2005;
35
649-657
-
18
Peters A, Schweiger U, Pellerin L et al.
The selfish brain: competition for energy resources.
Neurosci Biobehav Rev.
2004;
28
143-180
-
19
Peters A, Pellerin L, Dallman M F et al.
Causes of obesity: looking beyond the hypothalamus.
Prog Neurobiol.
2007;
81
61-88
-
20 Keys A, Brozek J, Henschel A et al. The biology of human starvation. Minneapolis: University of Minnesota Press; 1950
-
21
Laessle R G, Platte P, Schweiger U et al.
Biological and psychological correlates of intermittent
dieting behavior in young women. A model for bulimia nervosa.
Physiol Behav.
1996;
60
1-5
-
22
Fox J R, Froom K.
Eating disorders: a basic emotion perspective.
Clin Psychol Psychother.
2009;
16
328-335
-
23
Cooper M J.
Cognitive theory in anorexia nervosa and bulimia nervosa:
progress, development and future directions.
Clin Psychol Rev.
2005;
25
511-531
-
24
Dhingra R, Sullivan L, Jacques P F et al.
Soft drink consumption and risk of developing cardiometabolic
risk factors and the metabolic syndrome in middle-aged adults in the
community.
Circulation.
2007;
116
480-488
-
25
Nettleton J A, Lutsey P L, Wang Y et al.
Diet soda intake and risk of incident metabolic syndrome and
type 2 diabetes in the Multi-Ethnic Study of Atherosclerosis (MESA).
Diabetes Care.
2009;
32
688-694
-
26
Noakes T D, St Clair Gibson A, Lambert E V.
From catastrophe to complexity: a novel model of integrative
central neural regulation of effort and fatigue during exercise in humans:
summary and conclusions.
Br J Sports Med.
2005;
39
120-124
Dr. phil. Dipl.-Psych. Valerija Sipos
Klinik für Psychiatrie und
Psychotherapie
Universität zu Lübeck
Ratzeburger Allee 160
23538 Lübeck
Email: valerija.sipos@psychiatrie.uk-sh.de