Online cognitive-behavioural treatment of bulimic symptoms: a randomized controlled trial

Jeroen Ruwaard; Alfred Lange; Janneke Broeksteeg; Aitziber Renteria-Agirre; Bart Schrieken; Conor V Dolan; Paul Emmelkamp

doi:10.1002/cpp.1767

Online cognitive-behavioural treatment of bulimic symptoms: a randomized controlled trial

Jeroen Ruwaard, Alfred Lange, Janneke Broeksteeg, Aitziber Renteria-Agirre, Bart Schrieken, Conor V Dolan, Paul Emmelkamp

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

BACKGROUND: Manualized cognitive-behavioural treatment (CBT) is underutilized in the treatment of bulimic symptoms. Internet-delivered treatment may reduce current barriers.

OBJECTIVE: This study aimed to assess the efficacy of a new online CBT of bulimic symptoms.

METHOD: Participants with bulimic symptoms (n = 105) were randomly allocated to online CBT, bibliotherapy or waiting list/delayed treatment condition. Data were gathered at pre-treatment, post-treatment and 1-year follow-up.

OUTCOME MEASURES: The primary outcome measures were the Eating Disorder Examination Questionnaire (EDE-Q) and the frequency of binge eating and purging episodes. The secondary outcome measure was the Body Attitude Test.

RESULTS: Dropout from Internet treatment was 26%. Intention-to-treat ANCOVAs of post-test data revealed that the EDE-Q scores and the frequency of binging and purging reduced more in the online CBT group compared with the bibliotherapy and waiting list groups (pooled between-group effect size: d = 0.9). At 1-year follow-up, improvements in the online CBT group had sustained.

CONCLUSION: This study identifies online CBT as a viable alternative in the treatment of bulimic symptoms.

Original language	English
Pages (from-to)	308-18
Number of pages	11
Journal	Clinical Psychology and Psychotherapy
Volume	20
Issue number	4
DOIs	https://doi.org/10.1002/cpp.1767
Publication status	Published - 3 Feb 2012

Keywords

Adult
Analysis of Variance
Bibliotherapy
Bulimia
Cognitive Therapy
Female
Follow-Up Studies
Humans
Internet
Netherlands
Patient Compliance
Patient Dropouts
Psychiatric Status Rating Scales
Treatment Outcome
Waiting Lists
Journal Article
Randomized Controlled Trial

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Online cognitive-behavioural treatment of bulimic symptoms: a randomized controlled trial",

abstract = "BACKGROUND: Manualized cognitive-behavioural treatment (CBT) is underutilized in the treatment of bulimic symptoms. Internet-delivered treatment may reduce current barriers.OBJECTIVE: This study aimed to assess the efficacy of a new online CBT of bulimic symptoms.METHOD: Participants with bulimic symptoms (n = 105) were randomly allocated to online CBT, bibliotherapy or waiting list/delayed treatment condition. Data were gathered at pre-treatment, post-treatment and 1-year follow-up.OUTCOME MEASURES: The primary outcome measures were the Eating Disorder Examination Questionnaire (EDE-Q) and the frequency of binge eating and purging episodes. The secondary outcome measure was the Body Attitude Test.RESULTS: Dropout from Internet treatment was 26%. Intention-to-treat ANCOVAs of post-test data revealed that the EDE-Q scores and the frequency of binging and purging reduced more in the online CBT group compared with the bibliotherapy and waiting list groups (pooled between-group effect size: d = 0.9). At 1-year follow-up, improvements in the online CBT group had sustained.CONCLUSION: This study identifies online CBT as a viable alternative in the treatment of bulimic symptoms.",

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author = "Jeroen Ruwaard and Alfred Lange and Janneke Broeksteeg and Aitziber Renteria-Agirre and Bart Schrieken and Dolan, {Conor V} and Paul Emmelkamp",

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AU - Schrieken, Bart

AU - Dolan, Conor V

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AB - BACKGROUND: Manualized cognitive-behavioural treatment (CBT) is underutilized in the treatment of bulimic symptoms. Internet-delivered treatment may reduce current barriers.OBJECTIVE: This study aimed to assess the efficacy of a new online CBT of bulimic symptoms.METHOD: Participants with bulimic symptoms (n = 105) were randomly allocated to online CBT, bibliotherapy or waiting list/delayed treatment condition. Data were gathered at pre-treatment, post-treatment and 1-year follow-up.OUTCOME MEASURES: The primary outcome measures were the Eating Disorder Examination Questionnaire (EDE-Q) and the frequency of binge eating and purging episodes. The secondary outcome measure was the Body Attitude Test.RESULTS: Dropout from Internet treatment was 26%. Intention-to-treat ANCOVAs of post-test data revealed that the EDE-Q scores and the frequency of binging and purging reduced more in the online CBT group compared with the bibliotherapy and waiting list groups (pooled between-group effect size: d = 0.9). At 1-year follow-up, improvements in the online CBT group had sustained.CONCLUSION: This study identifies online CBT as a viable alternative in the treatment of bulimic symptoms.

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Online cognitive-behavioural treatment of bulimic symptoms: a randomized controlled trial

Abstract

Keywords

UN SDGs

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