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

2010 ◽  
Vol 41 (2) ◽  
pp. 407-417 ◽  
Author(s):  
V. C. Sánchez-Ortiz ◽  
C. Munro ◽  
D. Stahl ◽  
J. House ◽  
H. Startup ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Waiting List ◽  
Eating Disorder Examination ◽  
Delayed Treatment ◽  
Cognitive Behavioural ◽  
E Mail

BackgroundBulimic 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.MethodSeventy-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.ResultsStudents who had immediate iCBT showed significantly greater improvements at 3 and 6 months than those receiving WL/DTC in ED and other symptoms.ConclusionsiCBT with e-mail support is efficacious in students with bulimic disorders and has lasting effects.

scholarly journals Randomised controlled trial of CD–ROM-based cognitive–behavioural self-care for bulimia nervosa

2008 ◽  
Vol 193 (6) ◽  
pp. 493-500 ◽  
Author(s):  
U. Schmidt ◽  
M. Andiappan ◽  
M. Grover ◽  
S. Robinson ◽  
S. Perkins ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Clinical Symptoms ◽  
Controlled Trial ◽  
Self Care ◽  
Waiting List ◽  
Behavioural Intervention ◽  
Significant Group ◽  
Cd Rom ◽  
Cognitive Behavioural

BackgroundCognitive–behavioural self-care is advocated as a first step in the treatment of bulimia nervosa.AimsTo examine the effectiveness of a CD–ROM-based cognitive–behavioural intervention in bulimia nervosa and eating disorder not otherwise specified (NOS) (bulimic type) in a routine setting.MethodNinety-seven people with bulimia nervosa or eating disorder NOS were randomised to either CD–ROM without support for 3 months followed by a flexible number of therapist sessions or to a 3-month waiting list followed by 15 sessions of therapist cognitive–behavioural therapy (CBT) (ISRCTN51564819). Clinical symptoms were assessed at pre-treatment 3 months and 7 months.ResultsOnly two-thirds of participants started treatment. Although there were significant group × time interactions for bingeing and vomiting, favouring the CD–ROM group at 3 months and the waiting-list group at 7 months, post hoc group comparisons at 3 and 7 months found no significant differences for bingeing or vomiting. CD–ROM-based delivery of this intervention, without support from a clinician, may not be the best way of exploiting its benefits.

scholarly journals Internet-delivered cognitive-behavioural therapy v. conventional guided self-help for bulimia nervosa: long-term evaluation of a randomised controlled trial

2013 ◽  
Vol 202 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Gudrun Wagner ◽  
Eva Penelo ◽  
Christian Wanner ◽  
Paulina Gwinner ◽  
Marie-Louise Trofaier ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Bulimia Nervosa ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Self Help ◽  
Cognitive Behavioural ◽  
Registration Number ◽  
Randomised Controlled

BackgroundCognitive–behavioural therapy (CBT)-based guided self-help is recommended as a first step in the treatment of bulimia nervosa.AimsTo evaluate in a randomised controlled trial (Clinicaltrials.gov registration number: NCT00461071) the long-term effectiveness of internet-based guided self-help (INT-GSH) compared with conventional guided bibliotherapy (BIB-GSH) in females with bulimia nervosa.MethodA total of 155 participants were randomly assigned to INT-GSH or BIB-GSH for 7 months. Outcomes were assessed at baseline, month 4, month 7 and month 18.ResultsThe greatest improvement was reported after 4 months with a continued reduction in eating disorder symptomatology reported at month 7 and 18. After 18 months, 14.6% (n = 7/48) of the participants in the INT-GSH group and 25% (n = 7/28) in the BIB-GSH group were abstinent from binge eating and compensatory measures, 43.8% (n = 21/48) and 39.2% (n = 11/28) respectively were in remission. No differences regarding outcome between the two groups were found.ConclusionsInternet-based guided self-help for bulimia nervosa was not superior compared with bibliotherapy, the gold standard of self-help. Improvements remain stable in the long term.

scholarly journals Efficacy of web-based cognitive–behavioural therapy for chronic fatigue syndrome: randomised controlled trial

2018 ◽  
Vol 212 (2) ◽  
pp. 112-118 ◽  
Author(s):  
A. Janse ◽  
M. Worm-Smeitink ◽  
G. Bleijenberg ◽  
R. Donders ◽  
H. Knoop
Keyword(s):  
Chronic Fatigue Syndrome ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Chronic Fatigue ◽  
Behavioural Therapy ◽  
Waiting List ◽  
Face To Face ◽  
On Demand ◽  
Fatigue Syndrome ◽  
Cognitive Behavioural

BackgroundFace-to-face cognitive–behavioural therapy (CBT) leads to a reduction of fatigue in chronic fatigue syndrome (CFS).AimsTo test the efficacy of internet-based CBT (iCBT) for adults with CFS.MethodA total of 240 patients with CFS were randomised to either iCBT with protocol-driven therapist feedback or with therapist feedback on demand, or a waiting list. Primary outcome was fatigue severity assessed with the Checklist Individual Strength (Netherlands Trial Register: NTR4013).ResultsCompared with a waiting list, intention-to-treat (ITT) analysis showed a significant reduction of fatigue for both iCBT conditions (protocol-driven feedback: B = −8.3, 97.5% CI −12.7 to −3.9, P < 0.0001; feedback on demand: B = −7.2, 97.5% CI −11.3 to –3.1, P < 0.0001). No significant differences were found between both iCBT conditions on all outcome measures (P = 0.3–0.9). An exploratory analysis revealed that feedback-on-demand iCBT required less therapist time (mean 4 h 37 min) than iCBT with protocol-driven feedback (mean 6 h 9 min, P < 0.001) and also less than face-to-face CBT as reported in the literature.ConclusionsBoth iCBT conditions are efficacious and time efficient.Declaration of interestNone.

Cognitive-Behavioural Therapy for Bulimia nervosa and Binge Eating Disorder

2000 ◽  
Vol 69 (6) ◽  
pp. 287-295 ◽  
Author(s):  
Valdo Ricca ◽  
Edoardo Mannucci ◽  
Teresa Zucchi ◽  
Carlo M. Rotella ◽  
Carlo Faravelli
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Cognitive Behavioural Therapy ◽  
Binge Eating Disorder ◽  
Behavioural Therapy ◽  
Cognitive Behavioural
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