BACKGROUND:Manualized cognitive-behavioural treatment (CBT) is underutilized in the treatment of bulimic symptoms. Internet-delivered treatment may reduce current barriers. OBJECTIVE: This study aimed to assess the efficacy of a new online CBT of bulimic symptoms. METHOD:Participants with bulimic symptoms (n = 105) were randomly allocated to online CBT, bibliotherapy or waiting list/delayed treatment condition. Data were gathered at pre-treatment, post-treatment and 1-year follow-up. OUTCOME MEASURES: The primary outcome measures were the Eating Disorder Examination Questionnaire (EDE-Q) and the frequency of binge eating and purging episodes. The secondary outcome measure was the Body Attitude Test. RESULTS: Dropout from Internet treatment was 26%. Intention-to-treat ANCOVAs of post-test data revealed that the EDE-Q scores and the frequency of binging and purging reduced more in the online CBT group compared with the bibliotherapy and waiting list groups (pooled between-group effect size: d = 0.9). At 1-year follow-up, improvements in the online CBT group had sustained. CONCLUSION: This study identifies online CBT as a viable alternative in the treatment of bulimic symptoms.
RCT Entities:
BACKGROUND: Manualized cognitive-behavioural treatment (CBT) is underutilized in the treatment of bulimic symptoms. Internet-delivered treatment may reduce current barriers. OBJECTIVE: This study aimed to assess the efficacy of a new online CBT of bulimic symptoms. METHOD:Participants with bulimic symptoms (n = 105) were randomly allocated to online CBT, bibliotherapy or waiting list/delayed treatment condition. Data were gathered at pre-treatment, post-treatment and 1-year follow-up. OUTCOME MEASURES: The primary outcome measures were the Eating Disorder Examination Questionnaire (EDE-Q) and the frequency of binge eating and purging episodes. The secondary outcome measure was the Body Attitude Test. RESULTS: Dropout from Internet treatment was 26%. Intention-to-treat ANCOVAs of post-test data revealed that the EDE-Q scores and the frequency of binging and purging reduced more in the online CBT group compared with the bibliotherapy and waiting list groups (pooled between-group effect size: d = 0.9). At 1-year follow-up, improvements in the online CBT group had sustained. CONCLUSION: This study identifies online CBT as a viable alternative in the treatment of bulimic symptoms.
Authors: Elke D Ter Huurne; Hein A de Haan; Marloes G Postel; Cor A J DeJong; Joanne E L VanDerNagel; Job van der Palen Journal: Eat Weight Disord Date: 2020-05-24 Impact factor: 4.652
Authors: Gabrielle Humphreys; Rebecca Evans; Harriet Makin; Richard Cooke; Andrew Jones Journal: J Med Internet Res Date: 2021-02-09 Impact factor: 5.428
Authors: Elke D ter Huurne; Hein A de Haan; Marloes G Postel; Job van der Palen; Joanne E L VanDerNagel; Cornelis A J DeJong Journal: J Med Internet Res Date: 2015-06-18 Impact factor: 5.428
Authors: Elke D ter Huurne; Marloes G Postel; Hein A de Haan; Constance H C Drossaert; Cor A J DeJong Journal: J Med Internet Res Date: 2013-02-04 Impact factor: 5.428