000149100 001__ 149100 000149100 005__ 20250124213232.0 000149100 0247_ $$2doi$$a10.1007/s10608-020-10170-9 000149100 0248_ $$2sideral$$a125104 000149100 037__ $$aART-2021-125104 000149100 041__ $$aeng 000149100 100__ $$0(orcid)0000-0001-9726-3250$$aNavarro Haro, Maria V.$$uUniversidad de Zaragoza 000149100 245__ $$aDialectical behavior therapy in the treatment of comorbid borderline personality disorder and eating disorder in a naturalistic setting: A six-year follow-up study 000149100 260__ $$c2021 000149100 5060_ $$aAccess copy available to the general public$$fUnrestricted 000149100 5203_ $$aBackground: Dialectical Behavior Therapy (DBT) has shown evidence of its effectiveness in the treatment of borderline personality disorder (BPD) and eating disorders (EDs) separately, and there is preliminary evidence for co-occurrent BPD and EDs. However, the long-term effectiveness of DBT for this specific population is still unknown. The main goal of this study was to assess long-term treatment effectiveness in people diagnosed with BPD and ED. Methods: Participants (N = 109) had previously received a 6-month treatment during a clinical trial (DBT = 64 vs. Treatment as Usual, Cognitive Behavior Therapy; TAU CBT = 45). Outcome measures (emotional eating, depressive symptoms, anger, emotion regulation, impulsiveness, and resilience) were evaluated prospectively at 4- and 6-year follow-ups.Results: There was a statistically significant improvement in most study outcomes from pre-treatment to the follow-ups in the DBT condition, and in depression, resilience and trait anger in the TAU CBT. No statistically significant between-group differences were found. Nonetheless, a high percentage of participants showed a clinically significant improvement over time in the DBT condition. Conclusions: Findings of this study contribute to determinate the long-term treatment effectiveness of DBT for people with BPD and ED in routine psychotherapeutic practice. Longitudinal studies with larger sample sizes are needed to confirm these results. 000149100 536__ $$9info:eu-repo/grantAgreement/ES/MINECO/PSI2010-21423-PSIC 000149100 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000149100 590__ $$a3.091$$b2021 000149100 591__ $$aPSYCHOLOGY, CLINICAL$$b73 / 131 = 0.557$$c2021$$dQ3$$eT2 000149100 592__ $$a1.186$$b2021 000149100 593__ $$aClinical Psychology$$c2021$$dQ1 000149100 593__ $$aExperimental and Cognitive Psychology$$c2021$$dQ1 000149100 594__ $$a4.1$$b2021 000149100 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion 000149100 700__ $$aGuillén Botella, Verónica 000149100 700__ $$aBadenes Ribera, Laura 000149100 700__ $$0(orcid)0000-0002-1437-2353$$aBorao, Luis$$uUniversidad de Zaragoza 000149100 700__ $$aGarcía Palacios, Azucena 000149100 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac 000149100 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló. 000149100 773__ $$g45, 3 (2021), 480–493$$pCogn. ther. res.$$tCOGNITIVE THERAPY AND RESEARCH$$x0147-5916 000149100 8564_ $$s344939$$uhttps://zaguan.unizar.es/record/149100/files/texto_completo.pdf$$yPostprint 000149100 8564_ $$s1428111$$uhttps://zaguan.unizar.es/record/149100/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint 000149100 909CO $$ooai:zaguan.unizar.es:149100$$particulos$$pdriver 000149100 951__ $$a2025-01-24-21:10:12 000149100 980__ $$aARTICLE