title: Is technology assisted guided self-help successful in treating female adolescents with bulimia nervosa?
abstract: OBJECTIVE
  This study aims to evaluate the long-term outcome of new technology assisted guided self-help in adolescents with bulimia nervosa (BN).
  
  
  METHODS
  One hundred and twenty-six patients with BN (29 adolescents and 97 adults) were randomly allocated to a cognitive behavioural therapy-based self-help program delivered by the Internet or bibliotherapy, both accompanied by e-mail guidance. Outcomes were assessed at baseline, month 4, 7 and 18 including remission rates and eating disorder associated psychopathology.
  
  
  RESULTS
  In all, 44% of adolescents vs. 38.7% of adults were in remission at month 7, and 55% of adolescents vs. 62.5% of adults were in remission at follow-up. Objective binge eating and compensatory behaviour improved significantly over time in both groups, with the highest decrease during the first 4 months. A significant decrease over time and no group differences have been found in almost all EDI-2 subscales.
  
  
  CONCLUSIONS
  E-mail guided self-help (delivered via the Internet or bibliotherapy) is equally effective for adolescents as for adults with BN, and can be recommended as an initial step of treatment for this younger age group.
authors.affiliation: Department of Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. gudrun.wagner@meduniwien.ac.at
authors.forename: Gudrun
authors.initials: G
authors.lastname: Wagner
authors.forename: Gudrun
authors.initials: G
authors.lastname: Wagner
authors.forename: Eva
authors.initials: E
authors.lastname: Penelo
authors.forename: Gerald
authors.initials: G
authors.lastname: Nobis
authors.forename: Anna
authors.initials: A
authors.lastname: Mayerhofer
authors.forename: Johanna
authors.initials: J
authors.lastname: Schau
authors.forename: Marion
authors.initials: M
authors.lastname: Spitzer
authors.forename: Hartmut
authors.initials: H
authors.lastname: Imgart
authors.forename: Andreas
authors.initials: A
authors.lastname: Karwautz
mesh_terms: D000293:Adolescent; D056912:Binge-Eating Disorder; D002032:Bulimia; D052018:Bulimia Nervosa; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D012648:Self Care