Tags

Type your tag names separated by a space and hit enter

Investigating the use of CD-Rom CBT for bulimia nervosa and binge eating disorder in an NHS adult outpatient eating disorders service.
Behav Cogn Psychother. 2011 Jul; 39(4):443-56.BC

Abstract

BACKGROUND

Many patients who experience bulimia nervosa (BN) and binge eating disorder (BED) find it hard to access evidence-based treatments. Rates of failure to enter outpatient services following initial assessment are high, as are dropout rates from specialist outpatient eating disorders services.

AIMS

To offer CD-Rom CBT, a cognitive-behavioural multi-media supported self-help treatment, in a locality-based outpatient NHS Eating Disorders Service to patients who have binge eating disorder and bulimia nervosa.

METHOD

Patients referred to a catchment-based NHS outpatient eating disorders service who were assessed and had an eating disorder with a binge-eating component were offered CD-Rom based CBT (Overcoming Bulimia) whilst on the waiting list for individual CBT.

RESULTS

Forty patients completed the 8 sessions and attended the evaluation appointment (13 had BN, 27 had BED). For both groups, there were significant improvements in well-being and functioning, as well as significant reductions in problems and risk. There was also a significant reduction on the "Bulimic Subscale" of the EDI. These results were comparable with the original study findings (Schmidt, Treasure and Williams, 2001). Dropouts from the CD-Rom reflected rates common to other EDS treatments suggesting that CD-Rom did not directly impact upon service dropout rates.

CONCLUSIONS

Computer assisted CBT for Eating Disorders offers a promising, feasible and acceptable first step for patients who have bulimia nervosa or binge eating disorder and access treatment from specialist eating disorders services.

Authors+Show Affiliations

Lancashire Care NHS Foundation Trust, Chorley, UK. lisa.graham@lancashirecare.nhs.ukNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21208485

Citation

Graham, Lisa, and Mark Walton. "Investigating the Use of CD-Rom CBT for Bulimia Nervosa and Binge Eating Disorder in an NHS Adult Outpatient Eating Disorders Service." Behavioural and Cognitive Psychotherapy, vol. 39, no. 4, 2011, pp. 443-56.
Graham L, Walton M. Investigating the use of CD-Rom CBT for bulimia nervosa and binge eating disorder in an NHS adult outpatient eating disorders service. Behav Cogn Psychother. 2011;39(4):443-56.
Graham, L., & Walton, M. (2011). Investigating the use of CD-Rom CBT for bulimia nervosa and binge eating disorder in an NHS adult outpatient eating disorders service. Behavioural and Cognitive Psychotherapy, 39(4), 443-56. https://doi.org/10.1017/S1352465810000688
Graham L, Walton M. Investigating the Use of CD-Rom CBT for Bulimia Nervosa and Binge Eating Disorder in an NHS Adult Outpatient Eating Disorders Service. Behav Cogn Psychother. 2011;39(4):443-56. PubMed PMID: 21208485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Investigating the use of CD-Rom CBT for bulimia nervosa and binge eating disorder in an NHS adult outpatient eating disorders service. AU - Graham,Lisa, AU - Walton,Mark, Y1 - 2011/01/05/ PY - 2011/1/7/entrez PY - 2011/1/7/pubmed PY - 2011/12/13/medline SP - 443 EP - 56 JF - Behavioural and cognitive psychotherapy JO - Behav Cogn Psychother VL - 39 IS - 4 N2 - BACKGROUND: Many patients who experience bulimia nervosa (BN) and binge eating disorder (BED) find it hard to access evidence-based treatments. Rates of failure to enter outpatient services following initial assessment are high, as are dropout rates from specialist outpatient eating disorders services. AIMS: To offer CD-Rom CBT, a cognitive-behavioural multi-media supported self-help treatment, in a locality-based outpatient NHS Eating Disorders Service to patients who have binge eating disorder and bulimia nervosa. METHOD: Patients referred to a catchment-based NHS outpatient eating disorders service who were assessed and had an eating disorder with a binge-eating component were offered CD-Rom based CBT (Overcoming Bulimia) whilst on the waiting list for individual CBT. RESULTS: Forty patients completed the 8 sessions and attended the evaluation appointment (13 had BN, 27 had BED). For both groups, there were significant improvements in well-being and functioning, as well as significant reductions in problems and risk. There was also a significant reduction on the "Bulimic Subscale" of the EDI. These results were comparable with the original study findings (Schmidt, Treasure and Williams, 2001). Dropouts from the CD-Rom reflected rates common to other EDS treatments suggesting that CD-Rom did not directly impact upon service dropout rates. CONCLUSIONS: Computer assisted CBT for Eating Disorders offers a promising, feasible and acceptable first step for patients who have bulimia nervosa or binge eating disorder and access treatment from specialist eating disorders services. SN - 1469-1833 UR - https://www.unboundmedicine.com/medline/citation/21208485/Investigating_the_use_of_CD_Rom_CBT_for_bulimia_nervosa_and_binge_eating_disorder_in_an_NHS_adult_outpatient_eating_disorders_service_ L2 - https://www.cambridge.org/core/product/identifier/S1352465810000688/type/journal_article DB - PRIME DP - Unbound Medicine ER -