Remote treatment of bulimia nervosa and binge eating disorder: A randomized trial of Internet-assisted cognitive behavioural therapy

被引:85
作者
Ljotsson, B.
Lundin, C.
Mitsell, K.
Carlbring, P.
Ramklint, M.
Ghaderi, A. [1 ]
机构
[1] Karolinska Inst, Sect Psychiat, Dept Clin Neurosci, SE-17176 Stockholm, Sweden
[2] Univ Uppsala Hosp, Dept Child & Adolescent Psychiat, Neuropsychiat Treatment Ctr, SE-75185 Uppsala, Sweden
[3] Linkoping Univ, Dept Behav Sci, SE-58332 Linkoping, Sweden
[4] Univ Uppsala Hosp, Dept Neurosci & Psychiat, SE-75185 Uppsala, Sweden
[5] Uppsala Univ, Dept Psychol, SE-75142 Uppsala, Sweden
关键词
bulimia; bibliotherapy; Internet; self-help-techniques; treatment;
D O I
10.1016/j.brat.2006.06.010
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The present study investigated the efficacy of self-help based on cognitive behaviour therapy in combination with Internet support in the treatment of bulimia nervosa and binge eating disorder. After confirming the diagnosis with an in-person interview, 73 patients were randomly allocated to treatment or a waiting list control group. Treated individuals showed marked improvement after 12 weeks of self-help compared to the control group on both primary and secondary outcome measures. Intent-to-treat analyses revealed that 37% (46% among completers) had no binge eating or purging at the end of the treatment and a considerable number of patients achieved clinically significant improvement on most of the other measures as well. The results were maintained at the 6-month follow-up, and provide evidence to support the continued use and development of self-help programmes. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:649 / 661
页数:13
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