BACKGROUND: Cognitive-behavioural self-care is advocated as a first step in the treatment of bulimia nervosa. AIMS: To 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. METHOD: Ninety-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. RESULTS: Only two-thirds of participants started treatment. Although there were significant group x 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.
RCT Entities:
BACKGROUND: Cognitive-behavioural self-care is advocated as a first step in the treatment of bulimia nervosa. AIMS: To 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. METHOD: Ninety-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. RESULTS: Only two-thirds of participants started treatment. Although there were significant group x 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.
Authors: M M Fichter; N Quadflieg; K Nisslmüller; S Lindner; U Voderholzer; W Wünsch-Leiteritz; B Osen; T Huber; S Zahn; R Meermann; V Irrgang; F Bleichner Journal: Nervenarzt Date: 2011-09 Impact factor: 1.214
Authors: Gudrun Wagner; Gudrun Wagner; Eva Penelo; Gerald Nobis; Anna Mayerhofer; Johanna Schau; Marion Spitzer; Hartmut Imgart; Andreas Karwautz Journal: Neuropsychiatr Date: 2013-04-23
Authors: V C Sánchez-Ortiz; J House; C Munro; J Treasure; H Startup; C Williams; U Schmidt Journal: Eat Weight Disord Date: 2011-06 Impact factor: 4.652
Authors: Carrie-Anne McClay; Louise Waters; Ciaran McHale; Ulrike Schmidt; Christopher Williams Journal: J Med Internet Res Date: 2013-03-15 Impact factor: 5.428