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Cognitive-behavioural therapy for adolescents with bulimic symptomatology: The acceptability and effectiveness of internet-based delivery |
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| Authors: | N. Pretorius J. Beecham H. Dawson I. Eisler S. Gowers E. Johnson-Sabine C. Newell L. Richards L. Rowlands J. Treasure C. Williams M. Yoshioka |
| Affiliation: | a Section of Eating Disorders, Institute of Psychiatry, King's College, Box 059, De Crespigny Park, London SE5 8AZ, United Kingdom b Leicester Eating Disorder Service, Brandon Mental Health Unit, Leicester General Hospital, United Kingdom c PSSRU, London School of Economics, United Kingdom d University of Kent, United Kingdom e Young People's Unit, Royal Edinburgh Hospital, Edinburgh, United Kingdom f University of Liverpool, Cheshire & Merseyside Eating Disorders Service for Adolescents, Cheshire & Wirral Partnership Trust, United Kingdom g Child and Adolescent Eating Disorders Service, South London and Maudsley NHS Trust, United Kingdom h St Ann's Eating Disorder Service, London, United Kingdom i Media Innovations Limited, Airebank House, Leeds, United Kingdom j Eating Disorders Service, Truro Health Office, The Leats, Cornwall, United Kingdom k Kimmeridge Court Therapy Service, Dorset Healthcare NHS Foundation Trust, Dorset, United Kingdom l beat, 103 Prince of Wales Road, Norwich, United Kingdom m Division of Community Based Sciences, Faculty of Medicine, University of Glasgow, United Kingdom n Frimley Children's Centre, Frimley, England, United Kingdom |
| Abstract: | BackgroundThe evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited.AimsTo assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology.Method101 participants were recruited from eating disorders clinics or from beat, a UK-wide eating disorders charity. The programme consisted of online CBT sessions (‘Overcoming Bulimia Online’), peer support via message boards, and email support from a clinician. Participants' bulimic symptomatology and service utilisation were assessed by interview at baseline and at three and six months. Participants' views of the treatment package were also determined.ResultsThere were significant improvements in eating disorder symptoms and service contacts from baseline to three months, which were maintained at six months. Participants' views of the intervention were positive.ConclusionsThe intervention has the potential for use as a first step in the treatment of adolescents with bulimic symptomatology. |
| Keywords: | Bulimia Adolescents Cognitive-behavioural therapy Internet |
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