Senior Lecturer in Psychiatry at the Royal Free and University College London Medical School and Consultant Psychiatrist at the Priory Hospital North London.
Getting better byte by byte: a pilot randomised controlled trial of email therapy for bulimia nervosa and binge eating disorder†
Article first published online: 18 SEP 2007
Copyright © 2007 John Wiley & Sons, Ltd and Eating Disorders Association.
European Eating Disorders Review
Volume 16, Issue 2, pages 84–93, March/April 2008
How to Cite
Robinson, P. and Serfaty, M. (2008), Getting better byte by byte: a pilot randomised controlled trial of email therapy for bulimia nervosa and binge eating disorder. Eur. Eat. Disorders Rev., 16: 84–93. doi: 10.1002/erv.818
Our title is freely adapted from Schmidt and Treasure's ‘Getting Better Bit(e) by Bit(e)’, Psychology Press, 1997.
- Issue published online: 18 FEB 2008
- Article first published online: 18 SEP 2007
- eating disorders;
- bulimia nervosa;
- binge eating;
One hundred and ten people in an university population responded to emailed eating disorder questionnaires. Ninty-seven fulfilling criteria for eating disorders (bulimia nervosa (BN), binge eating disorder (BED), EDNOS) were randomised to therapist administered email bulimia therapy (eBT), unsupported Self directed writing (SDW) or Waiting list control (WLC). Measures were repeated at 3 months. Diagnosis, Beck depression inventory (BDI) and Bulimia investigatory test (BITE) scores were recorded. Follow-up rate was 63% and results must be interpreted cautiously. However significantly fewer participants who had received eBT or SDW fulfilled criteria for eating disorders at follow up compared to WLC. There was no significant difference between eBT and SDW in the analysis of variance (ANOVA), although in separate analyses, eBT was significantly superior to WLC (p < 0.02) and the difference for SDW approached significance (p = 0.06). BDI and BITE scores showed no significant change. For eBT participants there was a significant positive correlation between words written and improvement in BITE severity score. BN, BED and EDNOS can be treated via email. Copyright © 2007 John Wiley & Sons, Ltd and Eating Disorders Association.