Evaluation of a new Internet-based self-help guide for patients with bulimic symptoms in Sweden
Abstract
The current study evaluated a new Internet-based self-help guide based on cognitive-behavioural therapy for patients with bulimic symptoms. Thirty-eight participants from a waiting list at an eating-disorder outpatient unit were assessed pre-treatment, post-treatment and at a 2-month follow-up using the Rating of Anorexia and Bulimia interview-revised version, an anamnesis questionnaire, the Eating Disorder Inventory-2 (EDI-2) and Symptom Check List-90-Revised (SCL-90R). The SCL-90R Global Severity Index and most EDI-2 subscales showed significant differences from pre-to post-treatment and the 2-month follow-up, apart from ineffectiveness, impulse regulation and social insecurity. Expert ratings revealed a significant reduction in vomiting, dietary restraints and weight phobia, with the exception of binge eating from pre-treatment to the 2-month follow-up. Exercise increased significantly, indicating that participants changed their method of compensation. An Internet-based self-help guide for bulimic symptoms is a promising new tool and can be used effectively as the first step in a stepped-care model. Further evaluations with randomized controlled trials are necessary.
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For bulimia nervosa, online delivery of CBT-based self-help treatment programs improves binge eating and related psychopathology.
“For eating disorders, significant research on online delivery of CBT based self-help treatment programs has been conducted with bulimia nervosa [29-33], showing that binge eating and related psychopathology can be improved with the use of Internet programs.”
From Acceptance and efficacy of a guided internet self-help treatment program for obese patients with binge eating disorder (2011) · cites this paper as [32]
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- Authors
- Nevonen, L., Mark, M., Levin, B., Lindström, M., & Paulson-Karlsson, G.
- Affiliations
- Drottning Silvias barn- och ungdomssjukhus (SE)
- Corresponding author
- Nevonen, Lauri
- ORCID
- Nevonen, Lauri
- Venue
- Nordic Journal of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2006-01
- Volume
- 60
- Issue
- 6
- Pages
- 463-468
- ISSN
- 0029-1455 (ISSN-L)
- 0803-9488
- 1502-4725
- OpenAlex
- W2090594582
- Cited by
- 29
- References
- 15
- Citations by year
- 2021: 1 · 2019: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 5
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nordic Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- bulimic symptoms, online self-help, cognitive behavioral therapy, eating disorders, stepped care, binge eating, vomiting, dietary restraint
- MeSH terms
- Adolescent, Adult, Bulimia, Female, Follow-Up Studies, Humans, Interviews as Topic, Mass Screening, Surveys and Questionnaires, Self-Help Groups, Severity of Illness Index, Sweden, Time Factors, Cognitive Behavioral Therapy, Internet
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