A preliminary investigation into the feasibility and efficacy of a CD-ROM-based cognitive-behavioral self-help intervention for bulimia nervosa.
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.
Bara-Carril
Nuria
N
Eating Disorders Unit, South London and Maudsley NHS Trust, London, United Kingdom.
Williams
Christopher J
CJ
Pombo-Carril
Maria G
MG
Reid
Yael
Y
Murray
Kathryn
K
Aubin
Susan
S
Harkin
Patrick J R
PJ
Treasure
Janet
J
Schmidt
Ulrike
U
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