Schmidt, U., Andiappan, M., Grover, M., Robinson, S., Perkins, S., Dugmore, O., Treasure, J., Landau, S., Eisler, I. and Williams, C. (2008) Randomised controlled trial of CD-ROM-based cognitive-behavioural self-care for bulimia nervosa. British Journal of Psychiatry, 193(6), pp. 493-500. (doi: 10.1192/bjp.bp.107.046607)
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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.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Williams, Professor Christopher |
Authors: | Schmidt, U., Andiappan, M., Grover, M., Robinson, S., Perkins, S., Dugmore, O., Treasure, J., Landau, S., Eisler, I., and Williams, C. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing |
Journal Name: | British Journal of Psychiatry |
Publisher: | Royal College of Psychiatrists |
ISSN: | 0007-1250 |
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