Supported by federal grant P30 DK 50456 and research grants from Pfizer and Novartis.
Therapeutic factors affecting the cognitive behavioral treatment of bulimia nervosa via telemedicine versus face-to-face delivery†
Version of Record online: 15 NOV 2010
Copyright © 2010 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 44, Issue 8, pages 687–691, December 2011
How to Cite
Ertelt, T. W., Crosby, R. D., Marino, J. M., Mitchell, J. E., Lancaster, K. and Crow, S. J. (2011), Therapeutic factors affecting the cognitive behavioral treatment of bulimia nervosa via telemedicine versus face-to-face delivery. Int. J. Eat. Disord., 44: 687–691. doi: 10.1002/eat.20874
- Issue online: 9 NOV 2011
- Version of Record online: 15 NOV 2010
- Manuscript Accepted: 29 JUL 2010
- bulimia nervosa;
- eating disorder not otherwise specified;
- cognitive behavioral therapy;
- therapeutic alliance;
Recently, Mitchell et al. (Behav Res Ther, 46, 581-592, 2008) conducted a randomized controlled trial of an empirically supported treatment for bulimia nervosa (BN) delivered face-to-face (FTF-CBT) or via telemedicine (TV-CBT). Results suggested that the TV-CBT and FTF-CBT were generally equivalent in effectiveness. The objective of the current study was to examine ratings of therapeutic alliance factors in TV-CBT and FTF-CBT.
Data obtained from 116 adults who met criteria for BN or eating disorder-not otherwise specified with binge eating or purging weekly and six doctoral-level psychologists who delivered the therapy were used in the analyses.
Therapists generally endorsed greater differences between the treatment delivery methods than patients. Patients tended to make significantly higher ratings of therapeutic factors than therapists.
TV-CBT is an acceptable method for the delivery of BN treatment compared to FTF-CBT, and TV-CBT is more easily accepted as a treatment delivery method by patients than therapists. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2010)