Randomised controlled trial of CD-ROM-based cognitive-behavioural self-care for bulimia nervosa.

Full Abstract

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.

Author information

Author/s: Schmidt, U (U); Andiappan, M (M); Grover, M (M); Robinson, S (S); Perkins, S (S); Dugmore, O (O); Treasure, J (J); Landau, S (S); Eisler, I (I); Williams, C (C);

Affiliation: Section of Eating Disorders, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AZ, UK. u.schmidt(-atsign-)iop.kcl.ac.uk

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: The British journal of psychiatry : the journal of mental science (Br J Psychiatry), published in England. (Language: eng)

Reference: 2008-Dec; vol 193 (issue 6) : pp 493-500

Dates: Created 2008/12/01; Completed 2009/02/05; Revised 2009/03/25;

PMID: 19043154, status: MEDLINE (last retrieved date: 3/25/2009)

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