title: Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries.
abstract: OBJECTIVE
  The purposes of this study were to evaluate the use of an online guided self-treatment programme for bulimia nervosa (BN) and to determine predictors of outcome. Data were collected in four European countries where the programme was simultaneously used.
  
  
  METHODS
  One hundred and twenty-seven BN or subthreshold BN female patients (mean age of 24.7 years) participated in a 4-month intervention using a CBT based online-guided self-help programme. Contact during the treatment period included weekly e-mails with a coach.
  
  
  RESULTS
  Measures included the Eating Disorders Inventory-2 (EDI-2) and the Symptom Check List-Revised (SCL-90R).
  
  
  RESULTS
  Severity of eating disorders symptoms and general psychopathology improved significantly. Twenty-three per cent of patients were symptom free at the end of treatment. The dropout rate was 25.2%. A better score of general psychological health was a predictor of a better outcome.
  
  
  CONCLUSIONS
  This study encourages further developments and research on innovative therapy approaches, particularly for those disorders such as BN, with difficult therapy and unclear prognosis.
authors.affiliation: University Hospitals of Geneva, Geneva, Switzerland. isabelle.carrard@hcuge.ch.
authors.forename: I
authors.initials: I
authors.lastname: Carrard
authors.forename: F
authors.initials: F
authors.lastname: Fernandez-Aranda
authors.forename: T
authors.initials: T
authors.lastname: Lam
authors.forename: L
authors.initials: L
authors.lastname: Nevonen
authors.forename: I
authors.initials: I
authors.lastname: Liwowsky
authors.forename: A C
authors.initials: AC
authors.lastname: Volkart
authors.forename: P
authors.initials: P
authors.lastname: Rouget
authors.forename: A
authors.initials: A
authors.lastname: Golay
authors.forename: M
authors.initials: M
authors.lastname: Van der Linden
authors.forename: C
authors.initials: C
authors.lastname: Norring
mesh_terms: D000293:Adolescent; D000328:Adult; D052018:Bulimia Nervosa / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003376:Counseling; D034742:Electronic Mail; D005060:Europe; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D010352:Patient Dropouts / Q000706:statistics & numerical data; D015397:Program Evaluation; D012648:Self Care / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult