Evaluation of a guided internet self-treatment programme for bulimia nervosa in several european countries

Bulimia nervosa; Cognitive behaviour therapy; Eating disorders; Internet; Self-help; Eating Disorder Inventory 2; Europe; Symptom Checklist 90; Adolescent; Adult; Cognitive Therapy; Counseling; Electronic Mail; Female; Follow-Up Studies; Humans; Patient Dropouts; Program Evaluation; Self Care; Treatment Outcome; Young Adult

Abstract :

[en] Objective: The purposes of this study were to evaluate the use of an online guided self-treatment programme for bulimia bulimia nervosa (BN) and to determine predictors of outcome. Data were collected in four European countries where the programme was simultaneously used. Method: One hundred and twenty-seven BN or subthreshold BN female patients (mean age of 24.7 years) participated in a 4-month intervention using a CBT based online-guided self-help programme. Contact during the treatment period included weekly e-mails with a coach. Assessment: Measures included the Eating Disorders Inventory-2 (EDI-2) and the Symptom Check List-Revised (SCL-90R). Results: Severity of eating disorders symptoms and general psychopathology improved significantly. Twenty-three per cent of patients were symptom free at the end of treatment. The dropout rate was 25.2%. A better score of general psychological health was a predictor of a better outcome. Conclusions: This study encourages further developments and research on innovative therapy approaches, particularly for those disorders such as BN, with difficult therapy and unclear prognosis. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.

Disciplines :

Neurosciences & behavior

Author, co-author :

Carrard, Isabelle; Service of Therapeutic Education for Chronic Diseases, Department of Community Medicine, Geneva University Hospitals, Gabrielle-Perret-Gentil 4, CH-1211 Geneva 14, Switzerland

Fernandez-Aranda, Fernando; University Hospital of Bellvitge and CIBER, Barcelona, Spain

Lam, Tony; Netunion, Lausanne, Switzerland

Nevonen, Lauri; Queen Silvia Children's Hospital, Gothenburg, Sweden

Liwowsky, Iris; Ludwig-Maximilians-Universität, Germany

Volkart, Anne-Christine; Réseau Santé Valais - Institutions Psychiatriques du Valais Romand, Monthey, Switzerland

Rouget, Patrick C.; Service of Therapeutic Education for Chronic Diseases, Department of Community Medicine, Geneva University Hospitals, Gabrielle-Perret-Gentil 4, CH-1211 Geneva 14, Switzerland

Golay, Alain; Service of Therapeutic Education for Chronic Diseases, Department of Community Medicine, Geneva University Hospitals, Gabrielle-Perret-Gentil 4, CH-1211 Geneva 14, Switzerland

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Norring, Claes E.A.; Centre for Psychiatry Research, Stockholm, Sweden

Language :

English

Title :

Evaluation of a guided internet self-treatment programme for bulimia nervosa in several european countries

Publication date :

2011

Journal title :

European Eating Disorders Review

ISSN :

1072-4133

eISSN :

1099-0968

Publisher :

John Wiley & Sons, Hoboken, United States - New Jersey

Volume :

Issue :

Pages :

138-149

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 26 January 2020

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