Factors determining uptake of a CD‐ROM‐based CBT self‐help treatment for bulimia: patient characteristics and subjective appraisals of self‐help treatment
Abstract
Background: Cognitive‐behavioural self‐help treatments are widely advocated as the first step in the management of bulimia nervosa. Very little is known about the characteristics and attitudes of patients who are able to utilize self‐help treatments. Aims: The aim of this study was to identify whether there are any pre‐treatment differences in patient characteristics and patients' expectations about computerized self‐help between those who do or do not take up this type of treatment. Subjects and Methods: 81 patients who were offered a CD‐ROM‐based self‐help treatment for bulimia nervosa completed baseline assessments including a questionnaire assessing their attitudes to and past experiences with self‐help, confidence in using a computer and knowledge about and ability to manage aspects of their eating disorder. Results: Patients who did not take up the CD‐ROM‐based treatment had a significantly lower expectation of the usefulness of self‐help for themselves but not for others. There were no baseline differences between groups in terms of mean BMI and symptom severity, in particular there were no differences in previous utilization of self‐help or attitudes to previous self‐help, or differences in confidence in using a computer. Qualitative comments of participants who failed to take up the package highlighted a diverse range of concerns and anxieties about computer treatment, some of which were based on misunderstandings about this treatment. Conclusions: These findings show that patients' views about self‐help need to be carefully explored and misconceptions corrected if self‐help treatment is to be considered by a subgroup of patients. Copyright © 2003 John Wiley & Sons, Ltd and Eating Disorders Association.
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Murray et al found that participants who rejected computerized treatments had significantly lower expectations of the usefulness of self-help and had general concerns, anxiety, and misunderstandings about computerized treatments.
“This is supported by Murray et al [57], whose study found that participants who rejected computerized treatments had significantly lower expectations of the usefulness of self-help and had general concerns, anxiety, and misunderstandings about computerized treatments.”
From Acceptability of Web-Based Mental Health Interventions in the Workplace: Systematic Review (2022) · cites this paper as [57]
CCBT has been used for 25 different clinical disorders, not only mental health conditions.
“Furthermore, CCBT has been used for 25 different clinical disorders [27], not only mental health conditions [59-62].”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [60]
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- Authors
- Murray, K., Pombo‐Carril, M. G., Bara‐Carril, N., Grover, M., Reid, Y., Langham, C., Birchall, H., Williams, C., Treasure, J., & Schmidt, U.
- Affiliations
- University of Leicester (GB)
- Gartnavel General Hospital (GB)
- Corresponding author
- Schmidt, Ulrike
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2003-04-25
- Volume
- 11
- Issue
- 3
- Pages
- 243-260
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W2079323949
- Cited by
- 46
- References
- 14
- Citations by year
- 2022: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 4 · 2012: 2
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- bulimia nervosa, self-help treatment, treatment uptake, patient expectations, patient characteristics, computer confidence, eating disorders
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