@MASTERSTHESIS{ 2018:572365128, title = {Estudo de desfecho e manutenção dos efeitos de uma intervenção baseada na terapia comportamental dialética para pessoas com obesidade}, year = {2018}, url = "http://tede2.pucrs.br/tede2/handle/tede/8161", abstract = "(Artigo 1: Problematic and adaptive eating in obese people after a DBT based skills training intervention: 3 and 8-month follow-up) Background and Objectives: Dialectical Behavior Therapy conceptualizes problematic behaviors as attempts to regulate emotions, occurring when the individuals has a lack of effective skills to manage emotions and to cope with distress. Binge eating is one kind of problematic behaviors that may serve to alleviate aversive emotional states. DBT skills training has been proved effective to reduce binge eating in several clinical studies. Few studies have shown the effect of DBT on adaptive eating behaviors, and in the stability of the outcomes. Objectives: this study aimed at testing the effect of a brief DBT based skills training intervention, and the stability of the outcomes at 3 and 8 month follow-up. Methods: self-report measures of Binge Eating, Emotional Eating, Intuitive Eating and Mindful Eating were taken on 5 timepoints before and after a 10-session DBT skills training intervention (two baseline measures, one post-test and two follow-ups). Data were analyzed with a mixed model intention-to-treat approach. Results: after the intervention, intuitive eating and mindful eating scores were significantly higher than before the intervention, while emotional eating and binge eating scores were lower. Results remained stable during the first follow-up outtake, with minor fluctuations and small trends towards returning to baseline values in binge eating and emotional eating at the 8 month follow-up. Limitations: given that results are entirely based on self-report measures, that and some instruments showed poor reliability, besides the high attrition rates, results should be taken cautiously. Conclusions: the results give support to the hypothesis that a DBT brief intervention is effective not only in reducing problematic eating, but also in increasing adaptive eating, achieving reasonably stable results. Yet, more research is needed, especially using different assessment methods and mediational designs in order to draw stronger conclusions regarding effectiveness and mechanisms of action of DBT for problematic eating.", publisher = {Pontifícia Universidade Católica do Rio Grande do Sul}, scholl = {Programa de Pós-Graduação em Psicologia}, note = {Escola de Ciências da Saúde} }