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

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)

Full text not currently available from Enlighten.

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
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 > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:British Journal of Psychiatry
Publisher:Royal College of Psychiatrists
ISSN:0007-1250

University Staff: Request a correction | Enlighten Editors: Update this record