Psychological Medicine, Год журнала: 2024, Номер unknown, С. 1 - 12

Опубликована: Дек. 9, 2024

Abstract Background Dialectical behavior therapy (DBT) is a specialized treatment that has growing evidence base for binge-spectrum eating disorders. However, cost and workforce capacity limit wide-scale uptake of DBT since it involves over 20 in-person sessions with trained professional (and six guided self-help format). Interventions translated delivery through modern technology offer solution to increase the accessibility evidence-based treatments. We developed first DBT-specific skills training smartphone application ( Resilience : eDBT ) disorders evaluated its efficacy in randomized clinical trial. Method Participants reporting recurrent binge were n = 287) or waitlist 289). Primary outcomes objective episodes global levels disorder psychopathology. Secondary behavioral cognitive symptoms, psychological distress, hypothesized processes change (mindfulness, emotion regulation, distress tolerance). Results Intention-to-treat analyses showed intervention group reported greater reductions (incidence rate ratio 0.69) psychopathology d −0.68) than at 6 weeks. Significant differences favoring also observed on secondary outcomes, except subjective eating, tolerance. symptoms further improvements from 12 dropout was high (48%) among group, engagement decreased study period. Conclusion A novel, low-intensity app can effectively reduce Scalable apps like these may

Язык: Английский