A randomized controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population.

Section of Eating Disorders, Institute of Psychiatry, King's College London, UK.
Psychological Medicine (Impact Factor: 5.43). 02/2011; 41(2):407-17. DOI: 10.1017/S0033291710000711
Source: PubMed

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. "
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