title: Randomised controlled trial of CD-ROM-based cognitive-behavioural self-care for bulimia nervosa.
abstract: BACKGROUND
  Cognitive-behavioural self-care is advocated as a first step in the treatment of bulimia nervosa.
  
  
  OBJECTIVE
  To examine the effectiveness of a CD-ROM-based cognitive-behavioural intervention in bulimia nervosa and eating disorder not otherwise specified (NOS) (bulimic type) in a routine setting.
  
  
  METHODS
  Ninety-seven people with bulimia nervosa or eating disorder NOS were randomised to either CD-ROM without support for 3 months followed by a flexible number of therapist sessions or to a 3-month waiting list followed by 15 sessions of therapist cognitive-behavioural therapy (CBT) (ISRCTN51564819). Clinical symptoms were assessed at pre-treatment, 3 months and 7 months.
  
  
  RESULTS
  Only two-thirds of participants started treatment. Although there were significant group x time interactions for bingeing and vomiting, favouring the CD-ROM group at 3 months and the waiting-list group at 7 months, post hoc group comparisons at 3 and 7 months found no significant differences for bingeing or vomiting. CD-ROM-based delivery of this intervention, without support from a clinician, may not be the best way of exploiting its benefits.
authors.affiliation: Section of Eating Disorders, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AZ, UK. u.schmidt@iop.kcl.ac.uk
authors.forename: U
authors.initials: U
authors.lastname: Schmidt
authors.forename: M
authors.initials: M
authors.lastname: Andiappan
authors.forename: M
authors.initials: M
authors.lastname: Grover
authors.forename: S
authors.initials: S
authors.lastname: Robinson
authors.forename: S
authors.initials: S
authors.lastname: Perkins
authors.forename: O
authors.initials: O
authors.lastname: Dugmore
authors.forename: J
authors.initials: J
authors.lastname: Treasure
authors.forename: S
authors.initials: S
authors.lastname: Landau
authors.forename: I
authors.initials: I
authors.lastname: Eisler
authors.forename: C
authors.initials: C
authors.lastname: Williams
mesh_terms: D000328:Adult; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D016251:CD-ROM; D015928:Cognitive Behavioral Therapy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012648:Self Care / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome; D014850:Waiting Lists