Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries
Article first published online: 21 SEP 2010
Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.
European Eating Disorders Review
Volume 19, Issue 2, pages 138–149, March/April 2011
How to Cite
Carrard, I., Fernandez-Aranda, F., Lam, T., Nevonen, L., Liwowsky, I., Volkart, A. C., Rouget, P., Golay, A., Van der Linden, M. and Norring, C. (2011), Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries. Eur. Eat. Disorders Rev., 19: 138–149. doi: 10.1002/erv.1043
- Issue published online: 24 FEB 2011
- Article first published online: 21 SEP 2010
- European Commission Salut-Project. Grant Number: IST 2000-25026
- OFES in Switzerland
- eating disorders;
- bulimia nervosa;
- cognitive behaviour therapy
The purposes of this study were to evaluate the use of an online guided self-treatment programme for bulimia nervosa (BN) and to determine predictors of outcome. Data were collected in four European countries where the programme was simultaneously used.
One hundred and twenty-seven BN or subthreshold BN female patients (mean age of 24.7 years) participated in a 4-month intervention using a CBT based online-guided self-help programme. Contact during the treatment period included weekly e-mails with a coach.
Measures included the Eating Disorders Inventory-2 (EDI-2) and the Symptom Check List-Revised (SCL-90R).
Severity of eating disorders symptoms and general psychopathology improved significantly. Twenty-three per cent of patients were symptom free at the end of treatment. The dropout rate was 25.2%. A better score of general psychological health was a predictor of a better outcome.
This study encourages further developments and research on innovative therapy approaches, particularly for those disorders such as BN, with difficult therapy and unclear prognosis. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.