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Table 21 Dialectical behavioural therapy for eating disorders

From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Certainty assessment

Impact

Certainty

Importance

№ of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Binge Frequency (assessed with: number per month) Purge Frequency

 2

Case Series

very serious a

not serious

not serious

not serious

none

Two case series and one case report for a total of 22 patients (10 EDNOS, 6 AN, 6 BN) reported a significant decrease in binge frequency. Reduction in vomiting pre and post treatment.

VERY LOW

IMPORTANT

very serious a

not serious

not serious

not serious

none

There were decreases in psychological symptoms.

VERY LOW

IMPORTANT

very serious a

not serious

not serious

not serious

none

A decrease in self harm also noted.

VERY LOW

IMPORTANT

Binge Frequency, EDE scores

 1

Case Report

very serious a

not serious

not serious

not serious

none

N = 1 female with BED – decreased frequency of binge episodes

VERY LOW

IMPORTANT

very serious a

not serious

not serious

not serious

none

improvement in EDE scores.

VERY LOW

IMPORTANT

  1. Explanations
  2. ano control group
  3. Bibliography:
  4. Case Series – Salbach-Andrae 2008 [133], Fischer 2015 [131]
  5. Case Report - Safer 2007 [132]