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

TY - JOUR

T1 - Randomised controlled trial of CD-ROM-based cognitive-behavioural self-care for bulimia nervosa

AU - Schmidt, U.

AU - Andiappan, M.

AU - Grover, M.

AU - Robinson, S.

AU - Perkins, S.

AU - Dugmore, O.

AU - Landau, S.

AU - Treasure, J.

AU - Eisler, I.

AU - Williams, C.

PY - 2008/12

Y1 - 2008/12

N2 - 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.

AB - 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.

U2 - 10.1192/bjp.bp.107.046607

DO - 10.1192/bjp.bp.107.046607

M3 - Article

SN - 1472-1465

VL - 193

SP - 493

EP - 500

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 6

ER -