A randomized controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population.
ABSTRACT Bulimic eating disorders are common among female students, yet the majority do not access effective treatment. Internet-based cognitive-behavioural therapy (iCBT) may be able to bridge this gap.
Seventy-six students with bulimia nervosa (BN) or eating disorder not otherwise specified (EDNOS) were randomly assigned to immediate iCBT with e-mail support over 3 months or to a 3-month waiting list followed by iCBT [waiting list/delayed treatment control (WL/DTC)]. ED outcomes were assessed with the Eating Disorder Examination (EDE) at baseline, 3 months and 6 months. Other outcomes included depression, anxiety and quality of life.
Students who had immediate iCBT showed significantly greater improvements at 3 and 6 months than those receiving WL/DTC in ED and other symptoms.
iCBT with e-mail support is efficacious in students with bulimic disorders and has lasting effects.
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- "Disorders has been formed to improve access to treatment through the States for Treatment Access and Research program, which focuses on educational work and lobbying legislators (Gregorio, 2009). Given the demand for eating disorder services and the limited supply of treatment resources, work on increasing access to treatment has tended to focus on internet-based solutions, such as cognitive behavioral therapy for bulimia nervosa (Carrard et al., 2011; Graham & Walton, 2011; Ljotsson et al., 2007; Sánchez-Ortiz et al., 2011). However, ensuring that more patients receive adequate help is not merely a question of improving access to services. "
ABSTRACT: Lack of patient motivation and dropout are common problems in the treatment of eating disorders. The present study explored patient experiences with open access to specialist eating disorder services through a drop-in program aiming to enable early identification of eating disorders, address motivational problems, and strengthen the therapeutic alliance. Semi-structured qualitative interviews were used to explore the experiences of 11 individuals attending the program. Results suggest that drop-in access may strengthen the therapeutic alliance, motivate engagement in treatment, and reduce dropout. Strengths and weaknesses of the program are discussed and the need for more systematic research is elaborated.Eating disorders 05/2014; DOI:10.1080/10640266.2014.912553
European Eating Disorders Review 11/2013; 21(6). DOI:10.1002/erv.2257 · 1.38 Impact Factor
- "for adolescents with AN (Lock et al., 2010; Godart et al., 2012), therapist-aided and self-care versions of cognitive-behavioural therapy (CBT) for adolescents and adults with BN (e.g. Fairburn et al., 2009; Mitchell et al., 2011; Schmidt et al., 2007; 2008; Lavender et al., 2012; Sánchez-Ortiz et al., 2011; Carrard et al., 2010), and treating binge eating in BED (e.g. Carrard et al., 2011, De Zwaan et al., 2012). "
- Design Automation Conference, 1997. Proceedings of the 34th; 07/1997