title: How effective is bibliotherapy-based self-help cognitive behavioral therapy with Internet support in clinical settings? Results from a pilot study.
abstract: Cognitive behavioral therapy-based guided self-help (CBT-GSH) via the Internet has been shown to be effective in the treatment of bulimia nervosa (BN) and similar eating disorders (EDs), but it is rarely offered, and little is known about the effects, in clinical settings. The present study investigated the effects of a bibliotherapy-based CBT-GSH with Internet support in a clinical setting. Participants were 48 adult outpatients who were recruited without randomization from a specialized ED clinic, diagnosed with BN or similar eating disorder. Forty-eight patients in an intensive day patient program (DPP) were used as comparison group. The Eating Disorder Examination Questionnaire (EDE-Q) and the Eating Disorder Inventory 2 measured pre- and post treatment symptoms. Results showed that both groups attained significant improvements in core- as well as related ED symptoms in both instruments. As expected, treatment effects were larger in the more intensive DPP. Nonetheless, bibliotherapy CBT-GSH appears to be a cost-effective treatment that represents a new way to provide more CBT in clinical settings.
authors.affiliation: Karolinska Institutet, KÄTS Z8:02, Karolinska Universitetssjukhuset Solna, 171 76, Stockholm, Sweden, louise.hogdahl@ki.se.
authors.forename: Louise
authors.initials: L
authors.lastname: Högdahl
authors.forename: Andreas
authors.initials: A
authors.lastname: Birgegård
authors.forename: Caroline
authors.initials: C
authors.lastname: Björck
mesh_terms: D000328:Adult; D001638:Bibliotherapy; D002032:Bulimia / Q000523:psychology / Q000628:therapy*; D052018:Bulimia Nervosa / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003362:Cost-Benefit Analysis; D005260:Female; D015438:Health Behavior; D006801:Humans; D020407:Internet; D008297:Male; D010865:Pilot Projects; D019114:Remote Consultation; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult