Mobile therapy: Use of text-messaging in the treatment of bulimia nervosa
Article first published online: 28 AUG 2009
Copyright © 2010 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 43, Issue 6, pages 513–519, September 2010
How to Cite
Shapiro, J. R., Bauer, S., Andrews, E., Pisetsky, E., Bulik-Sullivan, B., Hamer, R. M. and Bulik, C. M. (2010), Mobile therapy: Use of text-messaging in the treatment of bulimia nervosa. Int. J. Eat. Disord., 43: 513–519. doi: 10.1002/eat.20744
- Issue published online: 13 AUG 2010
- Article first published online: 28 AUG 2009
- Manuscript Accepted: 28 JUN 2009
- Mental Health Initiative (A Foundation for Mental Health and an Alexander von Humboldt Stiftung German-American Trans-Coop grant)
- bulimia nervosa;
- text messaging
To examine a text-messaging program for self-monitoring symptoms of bulimia nervosa (BN) within the context of cognitive-behavioral therapy (CBT).
Thirty-one women participated in 12 weekly group CBT sessions and a 12 week follow-up. Participants submitted a text message nightly indicating the number of binge eating and purging episodes and rating their urges to binge and purge. Automatic feedback messages were tailored to their self-reported symptoms.
Fully 87% of participants adhered to self-monitoring and reported good acceptability. The number of binge eating and purging episodes as well as symptoms of depression (BDI), eating disorder (EDI), and night eating (NES) decreased significantly from baseline to both post-treatment and follow-up.
Given the frequent use of mobile phones and text-messaging globally, this proof-of-principle study suggests their use may enhance self-monitoring and treatment for BN leading to improved attendance, adherence, engagement in treatment, and remission from the disorder. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010; 43:513–519