Qualitative analysis of a Dialectical Behavior Therapy adapted Skills Training group for women with obesity

Abstract

The present study aimed to explore the perceptions about the experience of participating in an intervention based on Dialectical Behavior Therapy (DBT) Skills Training. Three participants with obesity of an intervention group agree to answer a semi-structured interview two month after the group. The semi structured interview focused on three areas: (1) experience of participating in an adapted DBT protocol; (2) treatment impact; (3) helpful or unhelpful aspects. The interviews were transcribed, and a thematic analysis was performed by three independent judges to evaluate treatment outcome in the sample. The results of the thematic analysis are divided in three domains: group experience, perceived effects and skills. Participants perceived impact on interpersonal environment and personal changes in self-control, dialectic vision, self-awareness and attention to eating context. The experience of group sharing is perceived as validating, however participants also referred anxiety in the group, especially regarding learning the skills. Recommendations on conductions of Skills Training groups for this population are discussed.

Keywords: Dialectical Behavior Therapy; Qualitative Study; Obesity.