A randomized controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population

V. C. Sanchez-Ortiz, C. Munro, D. Stahl, J. House, H. Startup, J. Treasure, C. Williams, U. Schmidt

Research output: Contribution to journalArticlepeer-review

117 Citations (Scopus)

Abstract

Background: Bulimic eating disorders are common among female students, yet the majority do not access effective treatment. Internet-based cognitive-behavioural therapy (iCBT) may be able to bridge this gap.

Method: Seventy-six students with bulimia nervosa (BN) or eating disorder not otherwise specified (EDNOS) were randomly assigned to immediate iCBT with e-mail support over 3 months or to a 3-month waiting list followed by iCBT [waiting list/delayed treatment control (WL/DTC)]. ED outcomes were assessed with the Eating Disorder Examination (EDE) at baseline, 3 months and 6 months. Other outcomes included depression, anxiety and quality of life.

Results: Students who had immediate iCBT showed significantly greater improvements at 3 and 6 months than those receiving WL/DTC in ED and other symptoms.

Conclusions: iCBT with e-mail support is efficacious in students with bulimic disorders and has lasting effects.
Original languageEnglish
Pages (from-to)407 - 417
Number of pages11
JournalPsychological Medicine
Volume41
Issue number2
DOIs
Publication statusPublished - Feb 2011

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