title: A preliminary investigation into the feasibility and efficacy of a CD-ROM-based cognitive-behavioral self-help intervention for bulimia nervosa.
abstract: OBJECTIVE
  Many patients with bulimia nervosa find it hard to access evidence-based treatment such as cognitive-behavioral therapy (CBT). The aim of the current study was to evaluate the feasibility and efficacy of a novel CD-ROM-based cognitive-behavioral multimedia self-help intervention for the treatment of bulimia nervosa.
  
  
  METHODS
  Patients with bulimia nervosa referred to a catchment area-based eating disorder service were offered eight sessions of a novel CD-ROM cognitive-behavioral self-help treatment without any added therapist input. We report here the take-up and drop-out rates and efficacy of this intervention.
  
  
  RESULTS
  Of 60 participants who were offered the intervention, 47 took it up. At follow-up, there were significant reductions in binging and compensatory behaviors, most clearly in self-induced vomiting.
  
  
  CONCLUSIONS
  This intervention has potential as a first step in the treatment of bulimia nervosa and for dissemination to nonspecialist settings.
authors.affiliation: Eating Disorders Unit, South London and Maudsley NHS Trust, London, United Kingdom.
authors.forename: Nuria
authors.initials: N
authors.lastname: Bara-Carril
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Williams
authors.forename: Maria G
authors.initials: MG
authors.lastname: Pombo-Carril
authors.forename: Yael
authors.initials: Y
authors.lastname: Reid
authors.forename: Kathryn
authors.initials: K
authors.lastname: Murray
authors.forename: Susan
authors.initials: S
authors.lastname: Aubin
authors.forename: Patrick J R
authors.initials: PJ
authors.lastname: Harkin
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000328:Adult; D002032:Bulimia / Q000628:therapy*; D016251:CD-ROM; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012657:Self-Help Groups