Effectiveness of Dialectical Behavioural Therapy for Anorexia Nervosa: Research Proposal

Running head: RESEARCH PROPOSAL 1
Research Proposal
Name:
Institution Affiliation:

RESEARCH PROPOSAL 2
Abstract/overview of the project
The aim of this study is to highlight the effectiveness of Dialectical Behavioural Therapy as the
treatment to eating disorder especially Anorexia Nervosa (AN). Case studies have shown that
Anorexia Nervosa has been life threatening disorder which has been extremely difficult to deal
with. There has been evidence that family dependent treatments are very effective for the AN but
generally there has no treatment that has been shown to be clearly effective for the AN (Hay,
2013). The methodological issues that have been related to studying the disorder have resulted to
recommendation to new treatment which has been undergoing preliminary testing before it has
been examined in the randomized clinical trial (Hay, 2013). Within this research proposal study
would be to offer some preliminary proof on the effectiveness to the treatment program that is
depending on the novel of adapting Dialectical Behavior Therapy for Anorexia Nervosa which
conceptualizes AN as a disorder to over control.
Condition Anorexia Nervosa and intervention (DBT)
Anorexia Nervosa (AN) is an extremely severe psychiatric illness that has been characterized by
low body weight and intense fear of being overweight (Kahl, Winter & Schweiger, 2012). With
regards to the adult the course of AN is chronic, and is considered difficult with regards to
treatment (Kahl, Winter & Schweiger, 2012). The rates of mortality in AN usually are high than
any psychological condition, with death that might result from cardiac issues or suicide. Based
on study it recommend that less than half of the adults with the AN, develop although many
continue on the chronic course or maybe partially improve (Hay, 2013). With regards to adults
that have AN, there have been absolutely no particular treatment that has shown to be much
superior in place since there us dearth adequately designed and has been powered randomized

RESEARCH PROPOSAL 3
managed trials (Hay, 2013). There are numerous treatment that have failed to deal with on the
core symptoms related to AN. Therefore, there has been new theoretical as well as treatment
techniques which are required for this disorder (Kahl, Winter & Schweiger, 2012). There has
been numerous psychological treatments which have been tested in outpatient setting, however,
based on the reviews as well as meta analyzes there no evidence which has been shown in the
superiority of one treatment approach over the other (Baer, Fischer & Huss, 2005). Nonetheless,
treatment which has shown some degree of improvement of the condition has been DBT
intervention. This intervention was initially created for the people with borderline personality
disorder , but lately it has demonstrated to be effective in two RCTs focusing on binge purge
eating disorder especially with the uncontrolled problems for example serious emotion
dysregulation (Hay, 2013). The interest in the DBT has grown and experts they have actually
begun to use DBT to other clinical populations (Baer, Fischer & Huss, 2005). The adaptation of
the DBT to treatment of the patient who experience AN, remains to be modified via the biosocial
theory and it continues proposed that people who develop eating disorders they might have
certain biological susceptibility to regulate emotions (Kahl, Winter & Schweiger, 2012). In case
the biological susceptibility interacts with precise kind of environment, they patient might
develop an eating disorder. The invalidating environment could take place across a spectrum
from the poor fit between temperament of a person and also their environment.
Evaluate evidence
Currently, DBT is regarded as the frequently looked into psychosocial intervention for the AN
treatment. It is an extensive treatment plan that has been targeted at promoting motivation
alterations by comprehensive chain evaluates validation techniques and management of
reinforcement contingencies in person treatment (Kahl , Winter & Schweiger , 2012). Based on

RESEARCH PROPOSAL 4
the practice guideline for the therapy of the patient with the eating disorder of United States
Psychiatric Association (2006), both males and females with ED for instance AN must evaluated
for individuality disorders. Depending on the earlier studies, demonstrate that comorbidity rate
for the ED was 3% for the Anorexia nervosa when accessed through diagnostic interviews.
When thinking about the feasible confounding impact of malnutrition at intake, personality
pathology could possibly be challenging regarding detecting samples with AN (Bankoff, Karpel ,
Forbes & Pantalone, 2012). However, women who retrieved from anorexia nervosa, restricting
type AN-R, they showed significantly low and equivalent rate as those of cluster B issues. DBT
concentrates in assisting patients to much more efficiently regulate on their feelings. Given that
the patients with ED often display particular degree of difficulties with regards to regulating their
emotions so they often display an eating pathology (Navarro-Haro et al 2018). DBT might be
deemed as methods to deal with that facet of the emotional susceptibility. The deficits in impacts
regulation in the eating disorders patients are wide when it comes to the scope so they differ in
AN.
Patients with AN have difficulties in terms of the identification as well as awareness of the
emotions, and avoiding of the feelings to some scope. The inherent framework of the DBT is
evidently a great model employed to treat ED (Lenz, Taylor, Fleming & Serman, 2014). It
provides certain distinct behavioral hierarchy which acts as guides to the therapists especially in
focusing on the interventions. Elements for example suicidal and non-suicidal self destructive
behaviors components which are not common in AN are sorted out first (Waller, 2016). On the
second elements are the habits that could inter with the therapy and then mentioned after which
followed by the quality of life interfering behaviors. DBT consists of particular methods with
regards to working with the variables commitment to change (Kröger et al 2010). The AN