149100 20251017144608.0 doi 10.1007/s10608-020-10170-9 sideral 125104 ART-2021-125104 eng Navarro Haro, Maria V. Universidad de Zaragoza (orcid)0000-0001-9726-3250 Dialectical behavior therapy in the treatment of comorbid borderline personality disorder and eating disorder in a naturalistic setting: A six-year follow-up study 2021 Access copy available to the general public Unrestricted Background: 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. info:eu-repo/grantAgreement/ES/MINECO/PSI2010-21423-PSIC info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 3.091 2021 PSYCHOLOGY, CLINICAL 73 / 131 = 0.557 2021 Q3 T2 1.186 2021 Experimental and Cognitive Psychology 2021 Q1 Clinical Psychology 2021 Q1 4.1 2021 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Guillén Botella, Verónica Badenes Ribera, Laura Borao, Luis Universidad de Zaragoza (orcid)0000-0002-1437-2353 García Palacios, Azucena 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 4009 680 Universidad de Zaragoza Dpto. Psicología y Sociología Área Person.Eval.Trat.Psicoló. 45, 3 (2021), 480–493 Cogn. ther. res. COGNITIVE THERAPY AND RESEARCH 0147-5916 344939 http://zaguan.unizar.es/record/149100/files/texto_completo.pdf Postprint 1428111 http://zaguan.unizar.es/record/149100/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:149100 articulos driver 2025-10-17-14:16:12 ARTICLE