The potential of technology-based psychological interventions for anorexia and bulimia nervosa: a systematic review and recommendations for future research
Open accessAbstract
BACKGROUND: Previous studies have shown an unmet need in the treatment of eating disorders. In the last decade, interest in technology-based interventions (TBIs) (including computer- and Internet-based interventions [CBIs] or mobile interventions) for providing evidence-based therapies to individuals with different mental disorders has increased. OBJECTIVE: The aim of this review was to systematically evaluate the potential of TBIs in the field of eating disorders, namely for anorexia nervosa (AN) and bulimia nervosa (BN), for both prevention and treatment, and also for carers of eating disorder patients. METHODS: A systematic literature search was conducted using Medline and PsycINFO. Bibliographies of retrieved articles were also reviewed without date or study type restrictions. RESULTS: Forty studies resulting in 45 publications reporting outcomes fulfilled the inclusion criteria: 22 randomized controlled trials, 2 controlled studies, and 16 uncontrolled studies. In total, 3646 patients were included. Overall, the studies provided evidence for the efficacy of guided CBIs, especially for BN patients and for compliant patients. Furthermore, videoconferencing also appeared to be a promising approach. Evaluation results of Internet-based prevention of eating disorders and Internet-based programs for carers of eating disorder patients were also encouraging. Finally, there was preliminary evidence for the efficacy of mobile interventions. CONCLUSIONS: TBIs may be an additional way of delivering evidence-based treatments to eating disorder patients and their use is likely to increase in the near future. TBIs may also be considered for the prevention of eating disorders and to support carers of eating disorder patients. Areas of future research and important issues such as guidance, therapeutic alliance, and dissemination are discussed.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ICBT may prevent the recurrence of symptoms in those who have recovered from anorexia nervosa.
“suggesting that ICBT may prevent the recurrence of symptoms in those who have recovered from AN (Schlegl et al., 2015).”
From Feasibility of guided internet-based cognitive behavioral therapy for patients with anorexia nervosa (2022) · cites this paper as Schlegl et al., 2015
The Discussion (Summary of Main Results and Conclusions; page unavailable) says computer- and Internet-based interventions might help prevent relapse in anorexia nervosa, particularly after inpatient treatment. It does not establish that participants had recovered from anorexia nervosa, so the claim's population is more specific than the review supports. (LLM, conf=0.82)
Experimental — accuracy not yet measuredCompletion of the RecoveryMANTRA intervention was defined a priori as attendance at a minimum of four of the six offered sessions, based on average completion rates reported in systematic reviews.
“Based on average completion rates reported in systematic reviews of individual psychotherapy (20-40%; Dejong, Broadbent and Schmidt, 2012) and technology-based interventions (57.6%; Schlegl et al. 2015) for eating disorders, we set an a priori definition of ' completion ' as attendance at a minimum of four of the six offered sessions.”
From A randomised clinical trial to evaluate the acceptability and efficacy of an early phase, online, guided augmentation of outpatient care for adults with anorexia nervosa (2020) · cites this paper as Schlegl et al. 2015
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225 · see citing works
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152 · see citing works
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371 · see citing works
Developing and evaluating complex interventions: the new Medical Research Council guidance
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008) · BMJ · doi:10.1136/bmj.a1655 · Cited by 10,995 · cited 1× · see citing works
“Usually TBIs are complex interventions (ie, they consist of a number of interacting components) [127].”
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
Schulz, K. F., Altman, D. G., Moher, D., & for the CONSORT Group (2010) · BMJ · doi:10.1136/bmj.c332 · Cited by 9,329 · see citing works
Lippa, N. C., & Sanderson, S. C. (2013) · Human Heredity · doi:10.1159/000353712 · Cited by 6,093 · see citing works
The Eating Attitudes Test: an index of the symptoms of anorexia nervosa
Garner, D. M., & Garfinkel, P. (1979) · Psychological Medicine · doi:10.1017/s0033291700030762 · Cited by 3,617 · cited 1× · see citing works
“Moreover, higher scores on the EDI “perfectionism” scale and on the Eating Attitudes Test (EAT) [100], as well as a higher minimum BMI significantly correlated with a better outcome [53].”
The development and validation of the body shape questionnaire
Cooper, P., Taylor, M., Cooper, Z., & Fairbum, C. G. (1987) · International Journal of Eating Disorders · doi:10.1002/1098-108x(198707)6:4 · Cited by 2,178 · see citing works
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
SPEK, V., CUIJPERS, P., NYKLÍČEK, I., RIPER, H., KEYZER, J., & POP, V. (2007) · Psychological Medicine · doi:10.1017/s0033291706008944 · Cited by 1,586 · cited 2× · see citing works
“Studies of CBIs for various mental health disorders showed that guidance augments efficacy [27].”
Computer-based psychological treatments for depression: A systematic review and meta-analysis
Richards, D., & Richardson, T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.02.004 · Cited by 1,442 · cited 2× · see citing works
“For example, medium effects at posttreatment were also shown in a meta-analysis of CBIs for depressive disorders [16].”
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., & Titov, N. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013196 · Cited by 1,311 · cited 2× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008) · Journal of Technology in Human Services · doi:10.1080/15228830802094429 · Cited by 1,283 · cited 1× · see citing works
“CBIs have been found to be as effective as face-to-face treatment [18,26].”
Eating Disorder Inventory-2 ; Pro-fessional Manual
Garner, D. (1991) · Medical Entomology and Zoology · Cited by 1,283 · see citing works
Advantages and limitations of Internet-based interventions for common mental disorders
Andersson, G., & Titov, N. (2014) · World Psychiatry · doi:10.1002/wps.20083 · Cited by 1,160 · cited 6× · see citing works
“Some patients may not be able to access technological interventions [132] or may feel uncomfortable using them [129] due to security issues [125] and privacy concerns [133].”
InfluentialIncidence, prevalence and mortality of anorexia nervosa and other eating disorders
Hoek, H. W. (2006) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000228759.95237.78 · Cited by 891 · cited 1× · see citing works
“Among these, the prevalence is 0.3% for anorexia nervosa (AN), 1% for bulimia nervosa (BN) [1], and 2.4% for eating disorders not otherwise specified (EDNOS) [2].”
InfluentialA Self-rating Scale for Bulimia the ‘BITE’
Henderson, M., & Freeman, C. P. L. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.150.1.18 · Cited by 823 · cited 5× · see citing works
“Unguided CBIs showed no effects [44] using the total score of the Bulimic Investigatory Test-Edinburgh (BITE) [87] or small effects [43] using the global score of the Eating Disorder Examination (EDE) [88] from pre- to posttreatment.”
InfluentialMohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.03.008 · Cited by 693 · cited 3× · see citing works
“TBIs should be integrated into existing health care systems and efforts should be made to enhance their acceptability and adoption by patients as well as by health care delivery teams [129].”
The Validity of the Eating Disorder Examination and its Subscales
Cooper, Z., Cooper, P., & Fairburn, C. G. (1989) · The British Journal of Psychiatry · doi:10.1192/bjp.154.6.807 · Cited by 660 · cited 1× · see citing works
“Unguided CBIs showed no effects [44] using the total score of the Bulimic Investigatory Test-Edinburgh (BITE) [87] or small effects [43] using the global score of the Eating Disorder Examination (EDE) [88] from pre-to posttreatment.”
Videoconferencing psychotherapy: a systematic review
Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., Rice-Thorp, N. M., Lohr, J., & Thorp, S. R. (2012) · Psychological Services · doi:10.1037/a0027924 · Cited by 586 · cited 1× · see citing works
“Videoconferencing was also shown to yield similar clinical outcomes as face-to-face therapy with regard to a variety of other disorders [109].”
Hart, L. M., Granillo, M. T., Jorm, A. F., & Paxton, S. J. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.03.004 · Cited by 557 · cited 1× · see citing works
“In their meta-analysis, Hart et al [10] found that only one-quarter of sufferers sought eating disorder-specific treatment.”
Internet-based psychological treatments for depression
Johansson, R., & Andersson, G. (2012) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.63 · Cited by 509 · cited 1× · see citing works
“Research on depression has shown that more severely affected patients respond better to tailored, rather than to nontailored treatment [128].”
Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.09.008 · Cited by 480 · cited 1× · see citing works
“We mainly followed the coding for weaknesses as suggested by Newman et al [121] (see table in Multimedia Appendix 1).”
Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review
Cuijpers, P., Marks, I. M., van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802694776 · Cited by 429 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
GELLATLY, J., BOWER, P., HENNESSY, S., RICHARDS, D., GILBODY, S., & LOVELL, K. (2007) · Psychological Medicine · doi:10.1017/s0033291707000062 · Cited by 419 · cited 2× · see citing works
“Guidance may be essential for both compliance and outcome of CBIs [113,114].”
Waller, R., & Gilbody, S. (2009) · Psychological Medicine · doi:10.1017/s0033291708004224 · Cited by 393 · cited 1× · see citing works
“%) completed the offered TBI parallels the report by Waller and Gilbody [111] that only half of patients completed a full course of CBI for anxiety and depression.”
Time trends in eating disorder incidence
Currin, L. G., Schmidt, U. H., Treasure, J. L., & Jick, H. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.186.2.132 · Cited by 362 · cited 1× · see citing works
“On the other hand, the number of patients seeking treatment in primary care has increased, especially for BN [11].”
Kaltenthaler, E., Brazier, J., De Nigris, E., Tumur, I., Ferriter, M., Beverley, C., Parry, G., Rooney, G., & Sutcliffe, P. (2006) · Health Technology Assessment · doi:10.3310/hta10330 · Cited by 357 · cited 1× · see citing works
“More pragmatic RCTs in naturalistic settings should be performed to evaluate effectiveness and cost-effectiveness of TBIs within a stepped-care program [130].”
The Therapeutic Relationship in E-Therapy for Mental Health: A Systematic Review
Sucala, M., Schnur, J. B., Constantino, M. J., Miller, S. J., Brackman, E. H., & Montgomery, G. H. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2084 · Cited by 344 · cited 1× · see citing works
“A systematic review investigating therapeutic relationships in e-therapy for mental health suggests that a therapeutic alliance equivalent to that in face-to-face therapy can be established in Internet-based therapy [119].”
Watson, H. J., & Bulik, C. M. (2013) · Psychological Medicine · doi:10.1017/s0033291712002620 · Cited by 339 · cited 1× · see citing works
“For adult AN patients, a combination of renourishment and psychotherapy (eg, CBT, supportive clinical management, IPT) is recommended [5].”
Predictors of Treatment Acceptance and Completion in Anorexia Nervosa
Halmi, K. A., Agras, W. S., Crow, S. J., Mitchell, J. D., Wilson, G. T., Bryson, S. W., & KRAEMER, H. C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.7.776 · Cited by 315 · cited 1× · see citing works
“These include difficulties in recruiting participants because this disorder is relatively rare, lack of treatment acceptance, and high dropout rates [6,7].”
The prevalence of eating disorders not otherwise specified
Machado, P. P. P., Machado, B. C., Gonçalves, S. F., & Hoek, H. W. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20358 · Cited by 312 · cited 5× · see citing works
“Bara-Carril et al [42] 8 modules, 8-12 weeks “Overcoming Bulimia” (RCT) BN (N=60); EDNOS (N=37) Schmidt et al [43] 20 min on 3 consecutive days Therapeutic writing (RCT) BN (N=94) Johnston et al [44] Computer-and Internet-based guided self-help 7 modules, 7 months Internet-guided self-help (RCT) BN (N=120) Huon [45] 8…”
InfluentialStice, E. M., Ziemba, C., Margolis, J., & Flick, P. (1996) · Behavior Therapy · doi:10.1016/s0005-7894(96)80042-6 · Cited by 295 · cited 1× · see citing works
“From pre-to postintervention, there were small to medium effects for the Ideal-Body Stereotype Scale-Revised (IBSS-R [91]) [70], as well as medium to large effects for the Body Shape Questionnaire (BSQ [92]) [66,67] and for EDE-Q global [71,72].”
Palmqvist, B., Carlbring, P., & Andersson, G. (2007) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.7.3.291 · Cited by 290 · cited 2× · see citing works
“Guidance may be essential for both compliance and outcome of CBIs [113,114].”
Hedman, E., Andersson, G., Ljótsson, B., Andersson, E., Rück, C., Mörtberg, E., & Lindefors, N. (2011) · PLoS ONE · doi:10.1371/journal.pone.0018001 · Cited by 285 · cited 1× · see citing works
“Outcomes equivalent to face-to-face therapy were also reported [116,117].”
Richardson, T., Stallard, P., & Velleman, S. (2010) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-010-0069-9 · Cited by 272 · cited 1× · see citing works
“Preliminary evidence also suggests that CBIs may be acceptable and effective interventions for adolescents with mental disorders [28,29].”
Kaltenthaler, E., Sutcliffe, P., Parry, G., Beverley, C., Rees, A., & Ferriter, M. (2008) · Psychological Medicine · doi:10.1017/s0033291707002607 · Cited by 267 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Etanercept and efalizumab for the treatment of psoriasis: a systematic review
Woolacott, N. F., Hawkins, N., Mason, A., Kainth, A., Khadjesari, Z., Vergel, Y. B., Misso, K., Light, K., Chalmers, R. J. G., Sculpher, M. J., et al. (2006) · Health Technology Assessment · doi:10.3310/hta10460 · Cited by 241 · see citing works
Reger, M. A., & Gahm, G. A. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20536 · Cited by 234 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Adolescent health : understanding and preventing risk behaviors
DiClemente, R. J., Santelli, J. S., & Crosby, R. A. (2009) · Cited by 230 · see citing works
Cachelin, F. M., & Striegel‐Moore, R. H. (2005) · International Journal of Eating Disorders · doi:10.1002/eat.20213 · Cited by 221 · cited 1× · see citing works
“However, previous international studies on health service utilization showed an unmet need for the treatment of patients with eating disorders [8,9].”
Web-Based Interventions for Behavior Change and Self-Management: Potential, Pitfalls, and Progress
Murray, E. (2012) · Medicine 2.0 · doi:10.2196/med20.1741 · Cited by 219 · cited 1× · see citing works
“…feature the following characteristics: a strong theoretical foundation, perceived personal relevance, tailoring, persuasive technologies, credibility, social networking, and common “push factors,” including human support and/or periodic prompts (by email or telephone), as suggested by Murray [112].”
Mitchell, J. E., Crosby, R. D., Wonderlich, S. A., Crow, S., Lancaster, K., Simonich, H., Swan-Kremeier, L., Lysne, C., & Cook Myers, T. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.02.004 · Cited by 210 · cited 5× · see citing works
“In comparison to a face-to-face treatment, the effects for binging and vomiting at posttreatment were small and zero at follow-up [62].”
InfluentialEstablishing Guidelines for Executing and Reporting Internet Intervention Research
Proudfoot, J., Klein, B., Barak, A., Carlbring, P., Cuijpers, P., Lange, A., Ritterband, L., & Andersson, G. (2011) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2011.573807 · Cited by 202 · cited 1× · see citing works
“To improve the methodological quality and the reporting of studies, researchers should follow the guidelines for executing and reporting Internet intervention research [123].”
Bergström, J., Andersson, G., Ljótsson, B., Rück, C., Andréewitch, S., Karlsson, A., Carlbring, P., Andersson, E., & Lindefors, N. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-54 · Cited by 202 · cited 1× · see citing works
“Outcomes equivalent to face-to-face therapy were also reported [116,117].”
Andersson, G., Paxling, B., Wiwe, M., Vernmark, K., Felix, C. B., Lundborg, L., Furmark, T., Cuijpers, P., & Carlbring, P. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.05.003 · Cited by 202 · cited 1× · see citing works
“Furthermore, Andersson et al [120] speculated that despite high alliance ratings, these relationships may not be as important as in face-to-face therapy.”
Health service utilization for eating disorders: Findings from a community‐based study
Mond, J., Hay, P., Rodgers, B., & Owen, C. A. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20382 · Cited by 193 · cited 1× · see citing works
“However, previous international studies on health service utilization showed an unmet need for the treatment of patients with eating disorders [8,9].”
Methodological issues in research on web-based behavioral interventions
Danaher, B. G., & Seeley, J. R. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9129-0 · Cited by 193 · cited 1× · see citing works
“Research shows that adding more therapy components does not lead to better results [124].”
Amstadter, A. B., Broman-Fulks, J., Zinzow, H., Ruggiero, K. J., & Cercone, J. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.04.001 · Cited by 189 · cited 3× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
The Treatment of Eating Disorders: A Clinical Handbook
Mickley, D. W. (2010) · Eating Disorders · doi:10.1080/10640266.2010.490128 · Cited by 188 · see citing works
Hands-on Help: computer-aided Psychotherapy
Marks, I. M., Cavanagh, K., & Gega, L. (2007) · doi:10.25405/ncl.34083078 · Cited by 182 · see citing works
Ferrer‐García, M., & Gutiérrez‐Maldonado, J. (2011) · Body Image · doi:10.1016/j.bodyim.2011.10.001 · Cited by 178 · cited 1× · see citing works
“Studies that evaluated virtual reality in the treatment of body image were excluded because a review covering this issue has already been published [38].”
Computer-aided psychotherapy: Revolution or bubble?
Marks, I. M., Cavanagh, K., & Gega, L. (2007) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.041152 · Cited by 165 · cited 1× · see citing works
“Computer-and Internet-based guided self-help (guided CBI): support can range from screening for suitability, offering technical advice, monitoring progress and outcome, as well as giving emotional support [14].”
Hof, E. V., Cuijpers, P., & Stein, D. J. (2009) · CNS Spectrums · doi:10.1017/s1092852900027279 · Cited by 156 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Sánchez-Ortiz, V. C., Munro, C., Stahl, D., House, J., Startup, H., Treasure, J., Williams, C., & Schmidt, U. (2011) · Psychological Medicine · doi:10.1017/s0033291710000711 · Cited by 154 · cited 7× · see citing works
“From baseline to follow-up treatment, small to large effects were reported for binging, small to medium effects for vomiting, and medium to large effects for eating disorder psychopathology (EDI-2 total, EDE global) [48,52,55].”
InfluentialLjótsson, B., Lundin, C., Mitsell, K., Carlbring, P., Ramklint, M., & Ghaderi, A. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.06.010 · Cited by 148 · cited 4× · see citing works
“Compared to a waiting list control, there were small to medium effects for binging, small to large effects for vomiting, and large effects for EDE global at postintervention [48,49].”
InfluentialStice, E. M., Rohde, P., Durant, S., & Shaw, H. E. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028016 · Cited by 143 · cited 3× · see citing works
“At posttreatment, no (IBSS-R) [68,70] to small effects (BSQ) [66,67] of prevention programs were seen in comparison to face-to-face conditions, small (EDE-Q global, IBSS-R) [70,71] to medium effects (BSQ) [67] in comparison to controls without intervention, and medium to large effects (IBSS-R) [68]…”
Sepúlveda, A. R., Whitney, J., Hankins, M. C., & Treasure, J. L. (2008) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-6-28 · Cited by 142 · see citing works
Beintner, I., Jacobi, C., & Taylor, C. B. (2012) · European Eating Disorders Review · doi:10.1002/erv.1130 · Cited by 139 · cited 1× · see citing works
“Furthermore, studies evaluating the Internet-based prevention program StudentBodies for eating disorders that generally met our inclusion criteria were excluded because a meta-analysis was recently published on this program [39,40].”
Jacobi, C., Völker, U., Trockel, M. T., & Taylor, C. B. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.09.013 · Cited by 138 · cited 5× · see citing works
“From baseline to follow-up, large effects for binging [75] and EDE-Q global [74,75], but no effect for vomiting [75] was identified.”
InfluentialMeta-review of the effectiveness of computerised CBT in treating depression
Foroushani, P. S., Schneider, J., & Assareh, N. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-131 · Cited by 132 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Harnessing the power of technology for the treatment and prevention of eating disorders
Bauer, S., & Moessner, M. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22109 · Cited by 128 · cited 1× · see citing works
“Bauer and Moessner [37] recently provided a review of randomized controlled trials (RCTs) of CBIs for eating disorders and very useful recommendations for future research.”
Heinicke, B. E., Paxton, S. J., McLean, S. A., & Wertheim, E. H. (2007) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-006-9097-9 · Cited by 125 · cited 4× · see citing works
“Some patients stated that they preferred participating in a program offered via the Internet over face-to-face treatment [71,73].”
InfluentialAn Interactive Psychoeducational Intervention for Women at Risk of Developing an Eating Disorder.
Zabinski, M. F., Wilfley, D. E., Calfas, K. J., Winzelberg, A. J., & Taylor, C. B. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.5.914 · Cited by 122 · cited 8× · see citing works
“…[68,70] to small effects (BSQ) [66,67] of prevention programs were seen in comparison to face-to-face conditions, small (EDE-Q global, IBSS-R) [70,71] to medium effects (BSQ) [67] in comparison to controls without intervention, and medium to large effects (IBSS-R) [68] in comparison to a video…”
InfluentialTechnology-Based Suicide Prevention: Current Applications and Future Directions
Luxton, D. D., June, J. D., & Kinn, J. T. (2011) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2010.0091 · Cited by 122 · cited 2× · see citing works
“Additionally, the lack of immediate exchange may cause a patient who expects immediate response to feel insecure and helpless [133].”
Bauer, S., Okon, E., Meermann, R., & Kordy, H. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028030 · Cited by 119 · cited 2× · see citing works
“Mobile interventions showed abstinence rates between 29.4% [84] and 37.8% [85] (control: 18.1% [85]).”
InfluentialBeintner, I., Jacobi, C., & Schmidt, U. H. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.01.003 · Cited by 119 · cited 1× · see citing works
“…many of these treatments are derived from (guided) self-help interventions based on other media (eg, self-help manuals such as “Overcoming Bulimia”) that have been evaluated by a considerable number of researchers in the past and whose results have been summarized in a current meta-analysis [105].”
Does internet-based prevention reduce the risk of relapse for anorexia nervosa?
Fichter, M. M., Quadflieg, N., Nisslmüller, K., Lindner, S., Osen, B., Huber, T., & Wünsch‐Leiteritz, W. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.12.003 · Cited by 117 · cited 7× · see citing works
“Overall, small short-term effects were found for the global of the Eating Disorder Examination Questionnaire (EDE-Q) [90] and EDI-2 total [63,65].”
InfluentialThe effectiveness of computerized cognitive behavioural therapy in routine care
Cavanagh, K., Shapiro, D. A., Van den Berg, S., Swain, S., Barkham, M., & Proudfoot, J. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466505x84782 · Cited by 113 · cited 1× · see citing works
“Cavanagh et al [131] reported a naturalistic nonrandomized trial of CBI for anxiety and/or depression that found CBI to be effective even under routine conditions, suggesting good generalizability.”
Hu, C., Kung, S., Rummans, T. A., Clark, M. M., & Lapid, M. I. (2015) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2014-002817 · Cited by 113 · cited 1× · see citing works
“In-line with Hu et al [110] who showed that Internet-based interventions were able to reduce stress and to improve well-being of caregivers for others with medical conditions, we found that CBIs may also be helpful for carers of patients with eating disorders.”
Paxton, S. J., McLean, S. A., Gollings, E. K., Faulkner, C., & Wertheim, E. H. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20446 · Cited by 111 · cited 7× · see citing works
“At posttreatment, no (IBSS-R) [68,70] to small effects (BSQ) [66,67] of prevention programs were seen in comparison to face-to-face conditions, small (EDE-Q global, IBSS-R) [70,71] to medium effects (BSQ) [67] in comparison to controls without intervention, and medium to large effects (IBSS-R) [68]…”
InfluentialMobile therapy: Use of text‐messaging in the treatment of bulimia nervosa
Shapiro, J. R., Bauer, S., Andrews, E. M., Pisetsky, E. M., Bulik-Sullivan, B. K., Hamer, R. M., & Bulik, C. M. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20744 · Cited by 110 · cited 2× · see citing works
“For SMS text messaging interventions, the baseline versus follow-up effects were small [84] to large [83] for binging, zero [84] to medium [83] for vomiting, and large for EDI-2 total [83].”
Evaluating the treatment of eating disorders from the patient's perspective
de la Rie, S. M., Noordenbos, G., Donker, M. H., & van Furth, E. F. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20317 · Cited by 109 · cited 1× · see citing works
“However, patients often undergo psychological treatment only after a considerable delay, and waiting times for treatment are long [12,13].”
Grover, M., Naumann, U., Mohammad-Dar, L., Glennon, D., Ringwood, S., Eisler, I., Williams, C. J., Treasure, J. L., & Schmidt, U. H. (2011) · Psychological Medicine · doi:10.1017/s0033291711000766 · Cited by 108 · cited 2× · see citing works
“These ranged from 2.9% [80] (carers) to 50% [82] (carers) with an average of 20.1%.”
InfluentialInternet-based interventions for eating disorders in adults: a systematic review
Dölemeyer, R., Tietjen, A., Kersting, A., & Wagner, B. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-207 · Cited by 99 · cited 1× · see citing works
“Dölemeyer et al [36] presented a meta-analysis including 8 controlled studies evaluating CBIs for eating disorders.”
Ertelt, T. W., Crosby, R. D., Marino, J. M., Mitchell, J. E., Lancaster, K., & Crow, S. J. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20874 · Cited by 99 · cited 1× · see citing works
“Therapists experienced differences between the delivery methods in terms of adherence to therapeutic tasks, adherence to therapeutic goals, and therapeutic bond, whereas patients did not [103].”
Sociocultural influences on eating disorders in professional female ballet dancers
HAMILTON, L. H., Jeanne Brooks-gunn, B., & Warren, M. P. (1985) · International Journal of Eating Disorders · doi:10.1002/1098-108x(198511)4:4 · Cited by 97 · see citing works
Pretorius, N., Arcelus, J., Beecham, J., Dawson, H., Doherty, F., Eisler, I., Gallagher, C., Gowers, S., Isaacs, G., Johnson-Sabine, E., et al. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.05.006 · Cited by 97 · cited 4× · see citing works
“…Leung et al [56] 8 modules, 3 months “Overcoming Bulimia” (adapted for adolescents) (uncontrolled study) BN (N=61); EDNOS (N=40) Pretorius et al [57] 7 modules, 4-7 months “SALUT” (RCT) BN (N=126) Wagner et al [58] Internet-based therapist-delivered treatment Mitchell et al [62] Internet-based…”
InfluentialAftercare intervention through text messaging in the treatment of bulimia nervosa—Feasibility pilot
Robinson, S., Perkins, S., Bauer, S., Hammond, N., Treasure, J. L., & Schmidt, U. H. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20272 · Cited by 95 · cited 3× · see citing works
“For SMS text messaging interventions, the baseline versus follow-up effects were small [84] to large [83] for binging, zero [84] to medium [83] for vomiting, and large for EDI-2 total [83].”
InfluentialBruning, J., Winzelberg, A. J., Abascal, L. B., & Taylor, C. B. (2004) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2003.10.010 · Cited by 90 · see citing works
Service users' views of eating disorder services: An international comparison
Escobar‐Koch, T., Banker, J. D., Crow, S. J., Cullis, J., Ringwood, S., Smith, G., van Furth, E. F., Westin, K., & Schmidt, U. H. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20741 · Cited by 90 · cited 1× · see citing works
“However, patients often undergo psychological treatment only after a considerable delay, and waiting times for treatment are long [12,13].”
Carrard, I., Rouget, P., Fernández-Aranda, F., Volkart, A.-C., Damoiseau, M., & Lam, T. (2006) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2005.07.031 · Cited by 88 · cited 3× · see citing works
“Likewise, Carrard et al [50] showed that completers and noncompleters differed in frequency of binges and vomiting.”
Wagner, G., Penelo, E., Wanner, C., Gwinner, P., Trofaier, M., Imgart, H., Waldherr, K., Wöber, C., & Karwautz, A. F. K. (2012) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.111.098582 · Cited by 86 · cited 4× · see citing works
“…4 months “SALUT” (uncontrolled study) BN (N=100); EDNOS (N=27) Carrard et al [54] 7 modules, 4-7 months “SALUT” (RCT) BN/EDNOS (N=155) Wagner et al [55] 6 components, open-end “SMART EATING” (uncontrolled study) ED (N=280) Leung et al [56] 8 modules, 3 months “Overcoming Bulimia” (adapted for…”
InfluentialKiluk, B. D., Sugarman, D. E., Nich, C., Gibbons, C. J., Martino, S., Rounsaville, B. J., & Carroll, K. M. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.10101443 · Cited by 84 · cited 1× · see citing works
“Kiluk et al [134] advocate that future studies should focus more on potential adverse events in TBIs before a final recommendation for TBIs is made.”
Controversy clarified: an updated review of clinical psychology and tele-health
Perle, J. G., Langsam, L. C., & Nierenberg, B. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.08.003 · Cited by 83 · cited 1× · see citing works
“The issue of human contact in guided CBIs also raises concerns about whether online therapy can establish any meaningful therapeutic alliance [118].”
Crow, S. J., Mitchell, J. E., Crosby, R. D., Swanson, S. A., Wonderlich, S. A., & Lancanster, K. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.02.006 · Cited by 82 · cited 1× · see citing works
“Only 1 study compared cost-effectiveness of face-to-face CBT and CBT delivered via telemedicine [104].”
Internet-Based Cognitive-Behavioral Therapy for Bulimia Nervosa: A Controlled Study
Fernández-Aranda, F., Núñez, A., Martínez, C., Krug, I., Cappozzo, M., Carrard, I., Rouget, P., Jiménez-Murcia, S., Granero, R., Penelo, E., et al. (2009) · CyberPsychology & Behavior · doi:10.1089/cpb.2008.0123 · Cited by 80 · cited 3× · see citing works
“…(uncontrolled study) BN (N=27); EDNOS (N=11) Nevonen et al [52] 7 modules, 4 months “SALUT” (controlled study) BN (N=62) Fernández-Aranda et al [53] 7 modules, 4 months “SALUT” (uncontrolled study) BN (N=100); EDNOS (N=27) Carrard et al [54] 7 modules, 4-7 months “SALUT” (RCT) BN/EDNOS (N=155)…”
Carrard, I., Fernández‐Aranda, F., Lam, T., Nevonen, L., Liwowsky, I., Volkart, A.-C., Rouget, P., Golay, A., der Linden, M. V., & Norring, C. E. A. (2010) · European Eating Disorders Review · doi:10.1002/erv.1043 · Cited by 77 · cited 6× · see citing works
“Patients also said that they would recommend the programs to others [54,72,74,78,97].”
InfluentialOnline Cognitive–Behavioural Treatment of Bulimic Symptoms: A Randomized Controlled Trial
Ruwaard, J., Lange, A., Broeksteeg, J., Renteria‐Agirre, A., Schrieken, B., Dolan, C. V., & Emmelkamp, P. (2013) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1767 · Cited by 75 · cited 8× · see citing works
“The intervention study of Ruwaard et al [74] included 25 scheduled therapist feedback moments, which took approximately 13 hours to complete.”
InfluentialRobinson, P. H., & Serfaty, M. A. (2007) · European Eating Disorders Review · doi:10.1002/erv.818 · Cited by 75 · cited 3× · see citing works
“Sánchez-Ortiz et al [48] as well as Robinson and Serfaty [60] reported that no major adverse events occurred in their studies.”
InfluentialRandomised controlled trial of CD–ROM-based cognitive–behavioural self-care for bulimia nervosa
Schmidt, U. H., Andiappan, M., Grover, M., Robinson, S., Perkins, S., Dugmore, O., Landau, S., Treasure, J. L., Eisler, I., & Williams, C. J. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.046607 · Cited by 69 · cited 6× · see citing works
“Abstinence rates ranged between 12% [43] and 46.2% [42] for unguided CBIs (waiting list: 10% to 20% [43]), between 16.6% [45] and 46.6% [45] for guided CBIs (waiting list: 0% [45] to 20.7% [48]), and between 21% [62] and 66.7% [61] for therapist-delivered treatments (waiting list: 0% [60];…”
InfluentialGollings, E. K., & Paxton, S. J. (2006) · Eating Disorders · doi:10.1080/10640260500403790 · Cited by 68 · cited 6× · see citing works
“At posttreatment, no (IBSS-R) [68,70] to small effects (BSQ) [66,67] of prevention programs were seen in comparison to face-to-face conditions, small (EDE-Q global, IBSS-R) [70,71] to medium effects (BSQ) [67] in comparison to controls without intervention, and medium to large effects (IBSS-R) [68]…”
InfluentialMyers, T. C., Swan-Kremeier, L. A., Wonderlich, S. A., Lancaster, K., & Mitchell, J. E. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.20032 · Cited by 66 · cited 1× · see citing works
“To date, Myers et al [34] and Marks et al [35] have presented comprehensive reviews on the use of new technologies in the treatment of a broad range of eating disorders, but only 5 and 8 studies covered CBIs for AN and BN, respectively.”
The use of e‐mail in the identification of bulimia nervosa and its treatment
Robinson, P. H., & Serfaty, M. A. (2001) · European Eating Disorders Review · doi:10.1002/erv.411 · Cited by 63 · cited 2× · see citing works
“Internet-based therapist-delivered treatments resulted in medium (BITE severity and symptoms, binging) [59, 62] to large effects (vomiting) [62] from pre-to posttreatment.”
Internet interventions for traumatic stress: A review and theoretically based example
Benight, C. C., Ruzek, J. I., & Waldrep, E. (2008) · Journal of Traumatic Stress · doi:10.1002/jts.20371 · Cited by 62 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
The potential of telemental health applications for obsessive-compulsive disorder.
Herbst, N., Voderholzer, U., Stelzer, N., Knaevelsrud, C., Hertenstein, E., Schlegl, S., Nissen, C., & Külz, A. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.04.005 · Cited by 61 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Computerised Cognitive Behaviour Therapy for Obsessive-Compulsive Disorder: A Systematic Review
Tumur, I., Kaltenthaler, E., Ferriter, M., Beverley, C., & Parry, G. D. (2007) · Psychotherapy and Psychosomatics · doi:10.1159/000101497 · Cited by 59 · cited 1× · see citing works
“Several reviews and meta-analyses have shown that new CBI treatments hold great promise in the treatment of adults with depression [15-17], depression and anxiety [18,19], anxiety [20,21], obsessive-compulsive disorder [22,23], and traumatic stress [24,25].”
Hopf, R. B. B., Grange, D. L., Moessner, M., & Bauer, S. (2012) · European Eating Disorders Review · doi:10.1002/erv.2196 · Cited by 59 · cited 3× · see citing works
“The majority of participants were satisfied with the programs and rated modules as pleasant, easy, and useful [46,71,72,75,78,96].”
Hoyle, D., Slater, J., Williams, C., Schmidt, U. H., & Wade, T. D. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22144 · Cited by 57 · cited 4× · see citing works
“…no effect was found for the Level of Expressed Emotion Scale (LEE [93]) (unguided overcoming anorexia online [OAO]), a small effect was found for LEE (guided OAO) [81], and a medium effect was found for the total score of the Hospital Anxiety and Depression Scale (HADS [94]) (guided OAO) [79].”
InfluentialHötzel, K., von Brachel, R., Schmidt, U., Rieger, E., Kosfelder, J., Hechler, T., Schulte, D., & Vocks, S. (2014) · Psychological Medicine · doi:10.1017/s0033291713002481 · Cited by 55 · cited 1× · see citing works
“There were small time effects for binging [77] and motivation to gain weight in problematic areas [76], but no time effects for vomiting [76,77] or for motivation to give up binging and vomiting [77] from baseline to postintervention.”
Telemental health and Web-based applications in children and adolescents
Siemer, C. P., Fogel, J., & Van Voorhees, B. W. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2010.08.012 · Cited by 54 · cited 1× · see citing works
“Preliminary evidence also suggests that CBIs may be acceptable and effective interventions for adolescents with mental disorders [28,29].”
Bara‐Carril, N., Williams, C. J., Pombo‐Carril, M. G., Reid, Y., Murray, K. A., Aubin, S., Harkin, P. J. R., Treasure, J. L., & Schmidt, U. H. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.10267 · Cited by 53 · cited 3× · see citing works
“Furthermore, from preintervention to follow-up, small (EDE global, BITE total) [43,44] to medium effects (binging, vomiting) [42] were found.”
InfluentialScreening for postpartum depression: A methodological note
Whiffen, V. E. (1988) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198805)44:3 · Cited by 47 · see citing works
Murray, K., Pombo‐Carril, M. G., Bara‐Carril, N., Grover, M., Reid, Y., Langham, C., Birchall, H., Williams, C., Treasure, J., & Schmidt, U. (2003) · European Eating Disorders Review · doi:10.1002/erv.519 · Cited by 46 · cited 1× · see citing works
“In contrast, Murray et al [115] did not find any significant differences between brief therapist guidance and minimal researcher guidance.”
Comparing Online and Face-to-Face Dissonance-Based Eating Disorder Prevention
Serdar, K., Kelly, N. R., Palmberg, A. A., Lydecker, J. A., Thornton, L. M., Tully, C. E., & Mazzeo, S. E. (2014) · Eating Disorders · doi:10.1080/10640266.2013.874824 · Cited by 46 · cited 6× · see citing works
“Serdar et al [70] reported that noncompleters had higher baseline scores in thin-ideal internalization.”
InfluentialStice, E. M., Durant, S., Rohde, P., & Shaw, H. E. (2014) · Health Psychology · doi:10.1037/hea0000090 · Cited by 46 · cited 4× · see citing works
“From baseline to follow-up, there was a small effect for IBSS-R [69], medium effects for EDE-Q global [71,72], and a large effect for BSQ [66].”
InfluentialSimpson, S., Knox, J., Mitchell, D., Ferguson, J., Brebner, J., & Brebner, E. (2003) · Journal of Telemedicine and Telecare · doi:10.1258/135763303322196286 · Cited by 45 · cited 1× · see citing works
“…12% [43] and 46.2% [42] for unguided CBIs (waiting list: 10% to 20% [43]), between 16.6% [45] and 46.6% [45] for guided CBIs (waiting list: 0% [45] to 20.7% [48]), and between 21% [62] and 66.7% [61] for therapist-delivered treatments (waiting list: 0% [60]; face-to-face: 25.8% to 53.3% [62]).”
InfluentialGrover, M., Williams, C., Eisler, I., Fairbairn, P., McCloskey, C., Smith, G., Treasure, J. L., & Schmidt, U. H. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20871 · Cited by 44 · cited 2× · see citing works
“…no effect was found for the Level of Expressed Emotion Scale (LEE [93]) (unguided overcoming anorexia online [OAO]), a small effect was found for LEE (guided OAO) [81], and a medium effect was found for the total score of the Hospital Anxiety and Depression Scale (HADS [94]) (guided OAO) [79].”
Lock, J., Brandt, H., Woodside, D. B., Agras, W. S., Halmi, W., Johnson, C., Kaye, W. H., & Wilfley, D. E. (2011) · International Journal of Eating Disorders · doi:10.1002/eat.20923 · Cited by 41 · cited 1× · see citing works
“These include difficulties in recruiting participants because this disorder is relatively rare, lack of treatment acceptance, and high dropout rates [6,7].”
Internet-based relapse prevention for anorexia nervosa: nine- month follow-up
Fichter, M. M., Quadflieg, N., & Lindner, S. (2013) · Journal of Eating Disorders · doi:10.1186/2050-2974-1-23 · Cited by 41 · cited 1× · see citing works
“…therapist-delivered treatment Mitchell et al [62] Internet-based relapse prevention 9 modules, 9 months “VIA” (RCT) AN (N=258) Fichter et al [63,64] Online platform for peer support and professional consultation, 4 months “EDINA” (uncontrolled study) BN/EDNOS/BED/ AN binge-purging subtype…”
Sánchez-Ortiz, V. C., Munro, C., Startup, H. M., Treasure, J. L., & Schmidt, U. H. (2011) · European Eating Disorders Review · doi:10.1002/erv.1074 · Cited by 39 · cited 2× · see citing works
“%) with only 14.7% of the emails containing at least 1 CBT comment and 13.6% at least 1 technical comment [102].”
Influentiale-Therapy: Case Studies, Guiding Principles, and the Clinical Potential of the Internet
Taintor, Z. C. (2003) · Psychiatric Services · doi:10.1176/appi.ps.54.10.1422-a · Cited by 38 · see citing works
Marrone, S., Mitchell, J. E., Crosby, R. D., Wonderlich, S. A., & Jollie‐Trottier, T. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20603 · Cited by 35 · cited 1× · see citing works
“In relation to primary symptomatology, Marrone et al [99] identified reduction of binge eating as the best indicator of a positive treatment outcome (abstinence) at the 1-year follow-up, whereas for short-term follow-up (3 months), it was the reduction of purging behavior.”
Technology-Based Caregiver Intervention Research: Current Status and Future Directions
Schulz, R., Lustig, A. P., Handler, S. M., & Martire, L. M. (2002) · Gerontechnology · doi:10.4017/gt.2002.02.01.003.00 · Cited by 32 · cited 1× · see citing works
“Some patients may not be able to access technological interventions [132] or may feel uncomfortable using them [129] due to security issues [125] and privacy concerns [133].”
Murray, K. A., Schmidt, U. H., Pombo‐Carril, M. G., Grover, M., Alenya, J., Treasure, J. L., & Williams, C. M. (2004) · Computers in Human Behavior · doi:10.1016/j.chb.2004.11.014 · Cited by 29 · cited 3× · see citing works
“Murray et al [47] found no differences between those who started the program and those who did not, except for the expected personal usefulness of this kind of intervention.”
Evaluation of a new Internet-based self-help guide for patients with bulimic symptoms in Sweden
Nevonen, L., Mark, M., Levin, B., Lindström, M., & Paulson-Karlsson, G. (2006) · Nordic Journal of Psychiatry · doi:10.1080/08039480601021993 · Cited by 29 · cited 4× · see citing works
“…“SALUT” (uncontrolled study) BN (N=22) Liwowsky et al [51] 7 modules, 6 months “SALUT” (uncontrolled study) BN (N=27); EDNOS (N=11) Nevonen et al [52] 7 modules, 4 months “SALUT” (controlled study) BN (N=62) Fernández-Aranda et al [53] 7 modules, 4 months “SALUT” (uncontrolled study) BN (N=100);…”
InfluentialSelf-help approaches for obesity and eating disorders: research and practice.
Latner, J. D., & Wilson, G. (2007) · Cited by 28 · see citing works
E‐mail therapy for anorexia nervosa: prospects and limitations
Yager, J. (2003) · European Eating Disorders Review · doi:10.1002/erv.526 · Cited by 28 · cited 1× · see citing works
“Several case reports by Yager [106-108] suggest that CBIs (eg, email) may be effective when used as a therapeutic adjunct in the outpatient treatment of AN.”
Pretorius, N., Rowlands, L., Ringwood, S., & Schmidt, U. H. (2010) · European Eating Disorders Review · doi:10.1002/erv.985 · Cited by 26 · cited 1× · see citing works
“The majority of participants were satisfied with the programs and rated modules as pleasant, easy, and useful [46,71,72,75,78,96].”
Cardi, V., Clarke, A., & Treasure, J. (2013) · European Eating Disorders Review · doi:10.1002/erv.2235 · Cited by 24 · cited 3× · see citing works
“For the vodcast intervention, no effect was found for binging and small effects for vomiting and EDE-Q total [86].”
Preventing Symptom Progression in Women at Risk for AN: Results of a Pilot Study
Ohlmer, R., Jacobi, C., & Taylor, C. B. (2013) · European Eating Disorders Review · doi:10.1002/erv.2225 · Cited by 22 · cited 5× · see citing works
“…Zabinski et al [71] Weekly sessions for 45-90 min, 10 weeks “Student Bodies” for AN (uncontrolled study) Women at risk for AN (N=36) Ohlmer et al [72] Weekly 90-min online sessions, 6 weeks “My Body, My Life” (RCT) Body image or eating problems (N=73) Heinicke et al [73] Eating disorder…”
InfluentialJohnston, O., Startup, H. M., Lavender, A., Godfrey, E. L., & Schmidt, U. H. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20714 · Cited by 20 · cited 5× · see citing works
“Johnston et al [44] reported that patients who benefited the most from their intervention were those with high body shame at baseline.”
InfluentialAn open trial of self‐help behaviours of clients with eating disorders in an online programme
Leung, S. F., Joyce, L. C. M., & Russell, J. D. (2012) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2012.05988.x · Cited by 19 · cited 5× · see citing works
“…4-7 months “SALUT” (RCT) BN/EDNOS (N=155) Wagner et al [55] 6 components, open-end “SMART EATING” (uncontrolled study) ED (N=280) Leung et al [56] 8 modules, 3 months “Overcoming Bulimia” (adapted for adolescents) (uncontrolled study) BN (N=61); EDNOS (N=40) Pretorius et al [57] 7 modules,…”
InfluentialBeintner, I., Jacobi, C., & Taylor, C. B. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.03.001 · Cited by 19 · see citing works
Enhancing motivation to change in eating disorders with an online self‐help program
Leung, S. F., Ma, J., & Russell, J. D. (2012) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2012.00870.x · Cited by 19 · cited 4× · see citing works
“At follow-up, there was a small effect for the motivation to give up binging, but no effects for binging, vomiting, or motivation for giving up vomiting [77].”
InfluentialWagner, G., Wagner, G., Penelo, E., Nobis, G., Mayerhofer, A., Schau, J., Spitzer, M., Imgart, H., & Karwautz, A. F. K. (2013) · Neuropsychiatrie · doi:10.1007/s40211-013-0062-x · Cited by 13 · cited 4× · see citing works
“Small to large effects for binging and medium to large effects for vomiting at both postintervention and follow-up were found [57,58].”
InfluentialGraham, L., & Walton, M. (2011) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465810000688 · Cited by 13 · cited 4× · see citing works
“The majority of participants were satisfied with the programs and rated modules as pleasant, easy, and useful [46,71,72,75,78,96].”
InfluentialLiwowsky, I., Cebulla, M., & Fichter, M. M. (2006) · PubMed · Cited by 11 · see citing works
Internetbasierte Ansätze in der Therapie von Essstörungen
Fichter, M. M., Quadflieg, N., Nisslmüller, K., Lindner, S., Voderholzer, U., Wünsch‐Leiteritz, W., Osen, B., Huber, T., Zahn, S., Meermann, R., et al. (2011) · Der Nervenarzt · doi:10.1007/s00115-010-3228-9 · Cited by 9 · cited 2× · see citing works
“Patients also said that they would recommend the programs to others [54,72,74,78,97].”
Proudfoot, J. G., Klein, B., Andersson, G., Carlbring, P., Kyrios, M., Munro, C., Lauder, S., Palermo, T. M., Riper, H. M., & Blankers, M. (2010) · Oxford University Press eBooks · doi:10.1093/med:psych/9780199590117.003.0025 · Cited by 5 · see citing works
Mezei, Á., Güleç, H., Czeglédi, E., Fritz, A., & Túry, F. (2014) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-014-0136-1 · Cited by 3 · cited 4× · see citing works
“…treatment Mitchell et al [62] Internet-based relapse prevention 9 modules, 9 months “VIA” (RCT) AN (N=258) Fichter et al [63,64] Online platform for peer support and professional consultation, 4 months “EDINA” (uncontrolled study) BN/EDNOS/BED/ AN binge-purging subtype (N=39) Mezei et al [65]”
InfluentialPsychotherapie und Internet – eine Herausforderung für uns alle
Stein, B., Schauenburg, H., & Eichenberg, C. (2011) · PiD - Psychotherapie im Dialog · doi:10.1055/s-0031-1276822 · Cited by 1 · cited 2× · see citing works
“Last but not least, research needs to determine the limits of TBIs [126].”
Assessment of eating disorders: interview or self-report questionnaire
Fairburn, C. G., & Beglin, S. J. (1994) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199412)16:4
Stewart (2001) · doi:10.1002/1098-108x(200103)29:2
Flagged first, then by citations
Research works printed but not linked: 3
- [3]American Psychiatric Association Practice Guideline for the Treatment of Patients with Eating Disorders. 3rd edition 2006 Washington, DC American Psychiatric Association
- [4]National Collaborating Centre for Mental Health Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders 2004 London The British Psychological Society and the Royal College of Psychiatrists 23346610
- [31]Paxton SJ Franko DL Cucciare MA Weingardt KR Body image and eating disorders Using Technology to Support Evidence-Based Behavioral Health Practices: A Clinician's Guide 2010 New York Taylor & Francis Group 151 168
Cited by
Sorted by citations
Hollis, C., Falconer, C. J., Martin, J. L., Whittington, C., Stockton, S., Glazebrook, C., & Davies, E. B. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12663 · Cited by 846 · see citing works
“In a systematic review of technological interventions for EDs, Schlegl et al. (2015) reported findings from three studies with adolescents: two cCBT programmes with weekly therapist email support (SALUD BN and Overcoming Bulimia Online) were effective in reducing binging, vomiting and ED…”
BackgroundAddressing critical gaps in the treatment of eating disorders
Kazdin, A. E., Fitzsimmons‐Craft, E. E., & Wilfley, D. E. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22670 · Cited by 389 · see citing works
Berry, N., Lobban, F., Emsley, R., & Bucci, S. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5250 · Cited by 230 · see citing works
“…interventions have been shown to be feasible, acceptable, and effective for depression and anxiety disorders [24,25], eating disorders [26], and substance use [27]; these interventions have since been extended to people who experience psychosis [28,29], bipolar disorder [30], and…”
Sander, L., Rausch, L., & Baumeister, H. (2016) · JMIR Mental Health · doi:10.2196/mental.6061 · Cited by 218 · see citing works
“Regarding ED, the review by Schlegl et al [24] integrated a wide range of intervention and prevention trials.”
Ignatowicz, A., Atherton, H., Bernstein, C. J., Bryce, C., Court, R. A., Sturt, J. A., & Griffiths, F. E. (2019) · Digital Health · doi:10.1177/2055207619845831 · Cited by 169 · see citing works
“Schlegl et al.(41) 2015 5 Protocol not provided, it is unclear whether the authors independently screened titles/abstracts, independently extracted data, and resolved disputes with a third reviewer, grey literature not included, excluded studies not referenced, publication bias not assessed, conflict of interest state…”
InfluentialThe Use of Social Media as a Mechanism of Social Support in Parents
Haslam, D. M., Tee, A., & Baker, S. (2017) · Journal of Child and Family Studies · doi:10.1007/s10826-017-0716-6 · Cited by 144 · see citing works
Matheson, B. E., Bohon, C., & Lock, J. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23326 · Cited by 119 · see citing works
Taylor, C. B., Graham, A. K., Flatt, R. E., Waldherr, K., & Fitzsimmons-Craft, E. E. (2021) · European Journal of Public Health · doi:10.1093/eurpub/ckz208 · Cited by 114 · see citing works
Technology in Parenting Programs: A Systematic Review of Existing Interventions
Corralejo, S. M., & Rodríguez, M. M. D. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1117-1 · Cited by 108 · see citing works
“…a variety of presenting problems, such as substance abuse (Fowler et al. 2016), smoking cessation (Bravin et al. 2015), weight loss (Khaylis et al. 2010), eating disorders (Schlegl et al. 2015), bipolar disorder (Hidalgo-Mazzei et al. 2015) and autism spectrum disorder (Meadan and Daczewitz 2015).”
BackgroundZerwas, S. C., Watson, H. J., Hofmeier, S. M., Levine, M. D., Hamer, R. M., Crosby, R. D., Runfola, C. D., Peat, C. M., Shapiro, J. R., Zimmer, B., et al. (2016) · Psychotherapy and Psychosomatics · doi:10.1159/000449025 · Cited by 97 · see citing works
eHealth in Treatment of Offenders in Forensic Mental Health: A Review of the Current State
Kip, H., Bouman, Y. H. A., Kelders, S. M., & van Gemert-Pijnen, L. J. E. W. C. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00042 · Cited by 89 · see citing works
A systematic review of mHealth interventions for the support of eating disorders
Anastasiadou, D. T., Folkvord, F., & Lupiáñez‐Villanueva, F. (2018) · European Eating Disorders Review · doi:10.1002/erv.2609 · Cited by 87 · see citing works
“In turn, reviews of mobile interventions including mobile or SMS text‐messaging interventions concluded that evaluation of this kind of interventions should be further pursued (Aardoom, Dingemans, & Van Furth, 2016a; Schlegl et al., 2015).”
BackgroundNitsch, M., Dimopoulos, C. N., Flaschberger, E., Saffran, K., Kruger, J. F., Garlock, L., Wilfley, D. E., Taylor, C. B., & Jones, M. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4972 · Cited by 87 · see citing works
“Available evidence for these programs suggest significant improvements in preventing and treating eating disorders [2,4,5], yet poor adherence and high dropout rates remain common and challenging problems in most studies [4,6,7].”
Hildebrandt, T., Michaeledes, A., Mayhew, M., Greif, R., Sysko, R., Toro‐Ramos, T., & DeBar, L. (2020) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2019.19020184 · Cited by 81 · see citing works
Strandskov, S. W., Ghaderi, A., Andersson, H., Parmskog, N., Hjort, E., Wärn, A. S., Jannert, M., & Andersson, G. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.02.002 · Cited by 68 · see citing works
Neumayr, C., Voderholzer, U., Tregarthen, J., & Schlegl, S. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23152 · Cited by 79 · see citing works
E-Health Interventions for Eating Disorders: Emerging Findings, Issues, and Opportunities
Aardoom, J. J., Dingemans, A. E., & van Furth, E. F. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0673-6 · Cited by 78 · see citing works
Hildebrandt, T., Michaelides, A. P., Mackinnon, D., Greif, R., DeBar, L., & Sysko, R. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22781 · Cited by 77 · see citing works
Mento, C., Silvestri, M. C., Muscatello, M. R. A., Rizzo, A., Celebre, L., Praticò, M., Zoccali, R. A., & Bruno, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042186 · Cited by 72 · see citing works
“In line with different studies, looking at images of underweight celebrities is associated to an ideal body image and aspiration to lose weight and these conditions can promote eating disorders [7,8].”
BackgroundAhmadiankalati, M., Steins-Loeber, S., & Paslakis, G. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00568 · Cited by 56 · see citing works
Cardi, V., Albano, G., Ambwani, S., Cao, L., Crosby, R. D., Macdonald, P., Schmidt, U., & Treasure, J. (2020) · Psychological Medicine · doi:10.1017/s0033291719002824 · Cited by 57 · see citing works
“, 2012) and technology-based interventions (57.6%; Schlegl et al., 2015) for eating disorders, we set an a priori definition of ‘completion’ as attendance at a minimum of four of the six offered sessions.”
BackgroundInfluentialPsychotherapies for eating disorders: findings from a rapid review
Russell, H., Aouad, P., Lê, Â. H., Marks, P., Maloney, D., Barakat, S., Boakes, R., Brennan, L., Bryant, E., Byrne, S. M., et al. (2023) · Journal of Eating Disorders · doi:10.1186/s40337-023-00886-w · Cited by 48 · see citing works
Evolution of cognitive-behavioral therapy for eating disorders
Agras, W. S., Fitzsimmons‐Craft, E. E., & Wilfley, D. E. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.09.004 · Cited by 58 · see citing works
Werz, J., Voderholzer, U., & Tuschen‐Caffier, B. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01281-7 · Cited by 52 · see citing works
Yim, S. H., & Schmidt, U. H. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23142 · Cited by 46 · see citing works
Peprah, P., Abalo, E. M., Agyemang‐Duah, W., Gyasi, R. M., Okwei, R., Nyonyo, J., Amankwaa, G., Amoako, J., & Kaaratoore, P. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-0947-0 · Cited by 46 · see citing works
Truttmann, S., Philipp, J., Zeiler, M. D., Franta, C., Wittek, T., Merl, E., Schöfbeck, G., Koubek, D., Laczkovics, C., Imgart, H., et al. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9061912 · Cited by 45 · see citing works
“There already is evidence that online interventions can support recovery from ED and prevent chronicity in patients [39,42,43] and can reduce burden and increase skills in carers of adult patients with ED [17–19].”
BackgroundKeeler, J. L., Chami, R., Cardi, V., Hodsoll, J., Bonin, E., MacDonald, P., Treasure, J., & Lawrence, N. (2022) · Appetite · doi:10.1016/j.appet.2021.105788 · Cited by 43 · see citing works
Wyssen, A., Meyer, A. H., Messerli‐Bürgy, N., Forrer, F., Vanhulst, P., Lalanne, D., & Munsch, S. (2021) · European Eating Disorders Review · doi:10.1002/erv.2856 · Cited by 40 · see citing works
“The potential of new technologies to provide GSH programs in eating disorders has been underlined by several systematic reviews (Aardoom et al., 2013; Dölemeyer et al., 2013; Schlegl et al., 2015).”
BackgroundMcClure, Z., Fuller‐Tyszkiewicz, M., Messer, M., & Linardon, J. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24078 · Cited by 40 · see citing works
Self-Help Treatment of Eating Disorders
Yim, S. H., & Schmidt, U. H. (2019) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2019.01.006 · Cited by 40 · see citing works
Effectiveness of a Web-Based Cognitive Behavioral Self-Help Intervention for Binge Eating Disorder
Pruessner, L., Timm, C., Barnow, S., Rubel, J. A., Lalk, C., & Hartmann, S. F. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.11127 · Cited by 39 · see citing works
Rohrbach, P. J., Dingemans, A. E., Spinhoven, P., van Ginkel, J. R., Fokkema, M., Wilderjans, T. F., Bauer, S., & van Furth, E. F. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23785 · Cited by 36 · see citing works
“As captured in multiple systematic reviews and meta-analyses over the past decade (Aardoom et al., 2013; Beintner et al., 2012; Dölemeyer et al., 2013; Linardon et al., 2020, August 27; Loucas et al., 2014; Melioli et al., 2016; Pittock et al., 2018; Schlegl et al., 2015; Wade & Wilksch, 2018; Zeiler et al., 2021), in…”
BackgroundVollert, B., Beintner, I., Musiat, P., Gordon, G., Görlich, D., Nacke, B., Schmidt-Hantke, J., Potterton, R., Spencer, L., Grant, N., et al. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.02.010 · Cited by 35 · see citing works
“, 2015) and considered in recent systematic reviews with mainly promising results (Aardoom et al., 2013, 2016b; Bauer and Moessner, 2013; Dolemeyer et al., 2013; Le et al., 2017; Loucas et al., 2014; Melioli et al., 2016; Schlegl et al., 2015).”
BackgroundViews on online self-help programmes from people with eating disorders and their carers in UK
Yim, S. H., Spencer, L., Gordon, G., Allen, K. L., Musiat, P., & Schmidt, U. H. (2021) · European Journal of Public Health · doi:10.1093/eurpub/ckab046 · Cited by 35 · see citing works
Clinician-Delivered Teletherapy for Eating Disorders
Sproch, L. E., & Anderson, K. P. (2019) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2019.01.008 · Cited by 34 · see citing works
Gorrell, S., Reilly, E. E., Brosof, L. C., & Grange, D. L. (2022) · Adolescent Health Medicine and Therapeutics · doi:10.2147/ahmt.s334977 · Cited by 33 · see citing works
“It may be that the medical management required with AN, as well as low population base rates and high treatment drop-out rates have discouraged researchers from exploring telemedicine options for the treatment of this disorder.(13) Prior to 2020, the literature on telemedicine in evidence-based treatment for EDs was l…”
BackgroundThe use of technology in the treatment of youth with eating disorders: A scoping review
Dufour, R., Novack, K., Picard, L., Chadi, N., & Booij, L. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00697-5 · Cited by 31 · see citing works
“This specific time frame was chosen with the rationale that technology used before 2011 might not be representative of what is available and commonly used in more recent years and other studies [10, 11] have already reviewed the literature published before this date.”
MethodPhilipp, J., Franta, C., Zeiler, M. D., Truttmann, S., Wittek, T., Imgart, H., Zanko, A., Auer‐Welsbach, E., Mairhofer, D., Mitterer, M., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094656 · Cited by 31 · see citing works
Babbage, C. M., Jackson, G. M., Davies, E. B., & Nixon, E. (2022) · JMIR Mental Health · doi:10.2196/25716 · Cited by 31 · see citing works
“Reference lists of relevant systematic reviews (Multimedia Appendix 3 [16,21,31,32,34,35,37,39,43-45]) were hand searched by CMB and imported into EndNote (Clarivate) with other references.”
BackgroundDay, J. J., Freiberg, K., Hayes, A. J., & Homel, R. J. (2019) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-019-00282-4 · Cited by 31 · see citing works
Undergraduate Student Experiences with Text-Based Online Counselling
Fang, L., Tarshis, S., McInroy, L. B., & Mishna, F. (2017) · The British Journal of Social Work · doi:10.1093/bjsw/bcx111 · Cited by 30 · see citing works
Puls, H., Schmidt, R., Herpertz, S., Zipfel, S., Tuschen‐Caffier, B., Friederich, H., Gerlach, F., Mayr, A., Lam, T., Schade‐Brittinger, C., et al. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23220 · Cited by 29 · see citing works
Barakat, S., Burton, A. L., Cunich, M. M., Hay, P., Hazelton, J. L., Kim, M., Lymer, S. J., Madden, S., Maloney, D., Miskovic‐Wheatley, J., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115534 · Cited by 29 · see citing works
“Despite such promising findings, concerns have been raised regarding high dropout rates and low adherence in these trials when compared to face-to-face treatments (Linardon and Fuller-Tyszkiewicz, 2020; Pittock et al., 2018; Schlegl et al., 2015).”
Treating eating disorders using the internet
Fairburn, C. G., & Murphy, R. (2015) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000195 · Cited by 27 · see citing works
Treatment dropout in web-based cognitive behavioral therapy for patients with eating disorders
ter Huurne, E. D., Postel, M. G., de Haan, H. A., van der Palen, J., & DeJong, C. A. J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2016.11.034 · Cited by 25 · see citing works
“In Internet-based treatments for patients with eating disorders treatment dropout rates are also high (Schlegl et al., 2015), although often different definitions for dropout are used (Aardoom et al., 2013).”
BackgroundKolar, D. R., Hammerle, F., Jenetzky, E., & Huß, M. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018049 · Cited by 26 · see citing works
Hamatani, S., Numata, N., Matsumoto, K., Sutoh, C., Ibuki, H., Oshiro, K., Tanaka, M., Setsu, R., Kawasaki, Y., Hirano, Y., et al. (2019) · JMIR Formative Research · doi:10.2196/15738 · Cited by 23 · see citing works
“Further, a systematic review including 22 RCTs, 2 controlled studies, and 16 uncontrolled studies found evidence for the efficacy of guided ICBT for bulimia nervosa patients; however, only one RCT included ICBT via videoconference [15].”
BackgroundGriffiths, F. E., Armoiry, X., Atherton, H., Bryce, C., Buckle, A., Cave, J. A. K., Court, R. A., Hamilton, K., Dliwayo, T. R., Dritsaki, M., et al. (2018) · Health Services and Delivery Research · doi:10.3310/hsdr06090 · Cited by 22 · see citing works
“Schlegl et al.(356) 2015 Systematic review Patients with anorexia and bulimia nervosa and their carers Technology-based interventions (computer, videoconferencing, vodcasts, e-mail, mobile phone/SMSs, internet) Waiting list controls, without intervention, face-to-face consultation, video or brochure controls, Beating…”
BackgroundEfficacy of technology-based eating disorder treatment: A meta-analysis
Haderlein, T. P. (2019) · Current Psychology · doi:10.1007/s12144-019-00448-x · Cited by 21 · see citing works
Naccache, B., Mesquida, L., Raynaud, J., & Revet, A. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03478-7 · Cited by 23 · see citing works
“In the second step, evaluating user experience during a short period of time, simulating the app’s first use, allows to modify the program before developing it further based on users’ expectations, to facilitate its adoption in reallife conditions [15, 36, 37].”
BackgroundMunsch, S., Wyssen, A., Vanhulst, P., Lalanne, D., Steinemann, S. T., & Tuch, A. N. (2019) · Trials · doi:10.1186/s13063-019-3192-z · Cited by 21 · see citing works
Kasson, E. M., Vázquez, M. M., Doroshenko, C., Fitzsimmons‐Craft, E. E., Wilfley, D. E., Taylor, C. B., & Cavazos‐Rehg, P. A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18157979 · Cited by 21 · see citing works
Wiberg, A.-C., Ghaderi, A., Danielsson, H. B., Safarzadeh, K., Parling, T., Carlbring, P., Jansson, M., & Welch, E. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100570 · Cited by 22 · see citing works
Cheung, L., Thomas, P. C., Brvar, E., & Rowe, S. L. (2024) · JMIR Mental Health · doi:10.2196/57795 · Cited by 19 · see citing works
“When comparing dropout rates between digital and face-to-face interventions, digital interventions generally see higher dropout rates [24,27,28].”
Albano, G., Cardi, V., Kivlighan, D. M., Ambwani, S., Treasure, J. L., & Coco, G. L. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23559 · Cited by 20 · see citing works
Schlegl, S., Neumayr, C., & Voderholzer, U. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23357 · Cited by 18 · see citing works
Basterfield, A., Dimitropoulos, G., Bills, D., Cullen, O., & Freeman, V. (2018) · Health & Social Care in the Community · doi:10.1111/hsc.12557 · Cited by 18 · see citing works
Sander, L., Rausch, L., & Baumeister, H. (2016) · Systematic Reviews · doi:10.1186/s13643-016-0209-5 · Cited by 14 · see citing works
“Prior reviews and metaanalyses have been published focusing on IMIs for the prevention of eating disorders [19–21] and substancerelated/addictive disorders [22, 23].”
BackgroundHamid, N. (2023) · PsyCh Journal · doi:10.1002/pchj.715 · Cited by 15 · see citing works
“Both Bauer and Moessner (2013) and Schlegl et al. (2015) examined the efficacy of prevention, treatment and relapse prevention programmes, with the former purporting ‘ promising ’ results and the latter detailing small to large and large effect sizes for behavioural and cognitive symptoms,…”
BackgroundTelemedicine for Acute Conditions During COVID-19: A Nationwide Survey Using Crowdsourcing
Kato-Lin, Y.-C., & Thelen, S. T. (2020) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2020.0351 · Cited by 14 · see citing works
Feasibility of guided internet-based cognitive behavioral therapy for patients with anorexia nervosa
Hamatani, S., Matsumoto, K., Takahashi, J., Shiko, Y., Ozawa, Y., Niitsu, T., Hirano, Y., & Shimizu, E. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100504 · Cited by 12 · see citing works
Högdahl, L., Birgegård, A., Norring, C. E. A., Lapidoth, J. D. M., Andersson, M., & Björck, C. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100598 · Cited by 14 · see citing works
“Also, both sufferers and their relatives tend to experience marked impairment in quality of life, and economic costs of EDs are substantial (Stuhldreher et al., 2012).”
Candela, C. G. (2017) · Nutrición Hospitalaria · doi:10.20960/nh.1562 · Cited by 14 · see citing works
Barakat, S., & Maguire, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010119 · Cited by 13 · see citing works
“Unlike the broader literature regarding written self-help interventions, it is unclear whether the addition of clinician support alongside online ED interventions produces larger treatment effects as compared to pure self-help treatments [167].”
BackgroundGómez‐Candela, C. (2017) · Nutrición Hospitalaria · doi:10.20960/nh.1561 · Cited by 13 · see citing works
Deutschsprachige Präventionsprogramme für Essstörungen – Ein systematisches Review
Pickhardt, M., Adametz, L., Richter, F., Strauss, B. M., & Berger, U. (2018) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0043-124766 · Cited by 12 · see citing works
“[73] Schlegl S, Burger C, Schmidt L et al.”
Long-term effectiveness of web-based cognitive behavioral therapy for patients with eating disorders
ter Huurne, E. D., de Haan, H. A., Postel, M. G., DeJong, C. A. J., VanDerNagel, J., & van der Palen, J. A. M. (2020) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-020-00929-0 · Cited by 12 · see citing works
Yu, Z.-P., Roberts, B. T., Snyder, J., Stuart, K., Wilburn, J., Pudwill, H., & Cortazzo, K. (2020) · Telemedicine journal and e-health · doi:10.1089/tmj.2020.0070 · Cited by 8 · see citing works
“38,39 Accounting for the unique drop-out definitions among studies, the rate is higher than some other VC-based treatment programs for addiction or mental health problems, for example, alcohol use disorders (6% after 3 months), 40 depression (5.7% after 6 months), 41 and opioid treatment program…”
InfluentialMcQueen, M., Blinkhorn, A., Broad, A., Jones, J., Naeem, F., & Ayub, M. (2018) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12447 · Cited by 9 · see citing works
Im, E., Kim, S., Jang, M., & Chee, W. (2020) · Western Journal of Nursing Research · doi:10.1177/0193945920974028 · Cited by 9 · see citing works
“Technology-based programs are reportedly effective in delivering health-related interventions mainly due to easy access through computers and mobile devices (Chee et al., 2020; Doss et al., 2017; Flujas-Contreras et al., 2019; Im et al., 2020; Schlegl et al., 2015).”
BackgroundZeeck, A., Cuntz, U., Herpertz‐Dahlmann, B., Ehrlich, S., Friederich, H., Resmark, G., Hagenah, U., Haas, V. K., Hartmann, A., Greetfeld, M., et al. (2019) · Springer eBooks · doi:10.1007/978-3-662-59606-7_4 · Cited by 9 · see citing works
Stoeten, C., de Haan, H. A., Postel, M. G., Brusse-Keizer, M. G. J., & ter Huurne, E. D. (2022) · JMIR Formative Research · doi:10.2196/33813 · Cited by 9 · see citing works
“However, compared with face-to-face treatment, much less is known about important predictors in the development of TA in the context of web-based treatment [31,38].”
Holgersen, G., Abdi-Dezfuli, S. E., Darrud, S. F., Espeset, E. M. S., Elgen, I. B., & Nordgreen, T. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05866-1 · Cited by 7 · see citing works
“Technology-enhanced interventions (i.e., intervention delivered via computers, smartphones, or other digital means) for eating disorders might reduce barriers to help seeking, reduce symptoms and prevent relapse [27, 28].”
BackgroundMultiple Composite Scenarios: A Game-Based Methodology for the Prevention of Mental Disorders
Lepe-Salazar, F., & Salgado-Torres, S. (2022) · Entertainment Computing · doi:10.1016/j.entcom.2022.100519 · Cited by 11 · see citing works
Ecological Momentary Assessment
Crosby, R. D., Lavender, J. M., Engel, S. G., & Wonderlich, S. A. (2015) · Springer eBooks · doi:10.1007/978-981-287-087-2_159-1 · Cited by 7 · see citing works
Technologie in de forensische zorg - Crossing borders
Kip, H., Oberschmidt, K., Bierbooms, J. J. P. A., Dijkslag, D., Kelders, S. M., & Roelofsen, B. (2019) · University of Twente Research Information · doi:10.13140/rg.2.2.32303.69280 · Cited by 6 · see citing works
Rezaee, R., Parsa, Z., Ahmadzadeh, L., Ahmadian, L., Avazzadeh, S., & Marzaleh, M. A. (2023) · Health Science Reports · doi:10.1002/hsr2.1577 · Cited by 4 · see citing works
“26 A growing body of literature supports using technology to implement evidence ‐ based treatments (CBT and ERP) for OCD through self ‐ help intervention with minimal therapist contact.”
BackgroundMental health mobile app use to manage psychological difficulties: an umbrella review
Badesha, K., Wilde, S., & Dawson, D. L. (2022) · Mental Health Review Journal · doi:10.1108/mhrj-02-2021-0014 · Cited by 6 · see citing works
Booij, L., Israël, M., Ferrari, M., St‐Hilaire, A., Hodge, C. P., Allard, M. L., Blaquière, A., Dornik, J., Freiwald, S., Long, S. A., et al. (2023) · Journal of Eating Disorders · doi:10.1186/s40337-023-00871-3 · Cited by 4 · see citing works
Novack, K., & Chadi, N. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01211-3 · Cited by 4 · see citing works
Zhou, X., Bambling, M., & Edirippulige, S. (2021) · Journal of Health Research · doi:10.1108/jhr-03-2021-0179 · Cited by 4 · see citing works
Cardi, V., Albano, G., Salerno, L., Coco, G. L., Ambwani, S., Schmidt, U. H., Macdonald, P., & Treasure, J. L. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00707 · Cited by 4 · see citing works
eHealth treatments for compulsive overeating: A narrative review
Moghimi, E., Davis, C. A., & Rotondi, M. (2020) · Current Addiction Reports · doi:10.1007/s40429-020-00312-0 · Cited by 3 · see citing works
Technological Interventions for Eating and Weight Disorders
Gutiérrez‐Maldonado, J., & Riva, G. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00057-1 · Cited by 3 · see citing works
Intervención multidisciplinar en línea para mujeres con trastorno por atracón
Valdez-Aguilar, M., Arévalo, R. V., Saldaña, R. M. E. G., Hernández, J. A. F., & Nabor, A. R. (2022) · Terapia psicológica · doi:10.4067/s0718-48082022000200171 · Cited by 3 · see citing works
Coco, G. L., Albano, G., Gullo, S., Cardi, V., & Segura‐Garcìa, C. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01320-z · Cited by 3 · see citing works
“Previous studies have demonstrated that psycho-education and self-monitoring are effective in reducing symptoms of disordered eating [71].”
Professionals’ Reflections About the Impact of Digital Technologies on Eating Disorders
Čevelíček, M., Šmahelová, M., & Šmahel, D. (2018) · Basic and Applied Social Psychology · doi:10.1080/01973533.2018.1446833 · Cited by 4 · see citing works
Ecological Momentary Assessment
Crosby, R. D., Lavender, J. M., Engel, S. G., & Wonderlich, S. A. (2017) · Springer eBooks · doi:10.1007/978-981-287-104-6_159 · Cited by 3 · see citing works
Bartłomiejczyk, N., Urben, S., Osterlof, H. T., Plessen, K. J., & Holzer, A. (2025) · Designing Interactive Systems Conference · doi:10.1145/3715668.3736352 · Cited by 2 · see citing works
Drtilová, H., Macháčková, H., & Šmahelová, M. (2022) · Journal of Medical Internet Research · doi:10.2196/31148 · Cited by 2 · see citing works
“Health providers often use the internet as a tool for prevention and as an environment for ED treatment programs [4].”
BackgroundSchlegl, S., Maier, J., Dieffenbacher, A., & Voderholzer, U. (2023) · European Eating Disorders Review · doi:10.1002/erv.3047 · Cited by 2 · see citing works
Palacios, J. E., Ridout, K. K., Kim, J. P., Buttlaire, S., Ridout, S. J., Argue, S., & Tregarthen, J. (2024) · JMIR Mental Health · doi:10.2196/59145 · Cited by 2 · see citing works
“Transitioning away from burdensome, paper-based, cognitive-behavioral meal monitoring and journaling toward a responsive digital format may increase completion rates and thus better support practitioners in the delivery of personalized care, guided by data on relevant areas of clinical concern [15].”
Telemedicine for Eating Disorders: A Brief Report of a Italian Project
Savarese, G., Carpinelli, L., Padovano, M. R., Pecoraro, N., Fasano, O., Mollo, M., Giovanni, C. D., & Politi, M. (2020) · Advances in Social Sciences Research Journal · doi:10.14738/assrj.74.8132 · Cited by 2 · see citing works
Cuidados enfermeros que modifican conductas alimentarias en adolescentes, etapa inicial de anorexia
Montañez, R. A. C., Parra-Rodriguez, J. C., Sánchez-Cubillos, Y. K., Rey-Ochoa, L. D., Rodríguez-Díaz, L. V., & Solano-Saavedra, P. A. (2020) · Revista Ciencia y Cuidado · doi:10.22463/17949831.1880 · Cited by 2 · see citing works
Werz, J., Tuschen‐Caffier, B., & Voderholzer, U. (2025) · International Journal of Eating Disorders · doi:10.1002/eat.24524 · Cited by 1 · see citing works
“Approximately one third of patients with anorexia nervosa (AN) and bulimia nervosa (BN) experience a chronic course of illness, with only 30%–50% achieving remission even after treatment in a specialized ED setting (Brockmeyer et al. 2018; Schlegl et al. 2015; Solmi et al. 2024; Svaldi et al. 2019).”
Davey, E., Micali, N., Bryant‐Waugh, R., Bennett, S. D., Lau, C., & Shafran, R. (2024) · Journal of Eating Disorders · doi:10.1186/s40337-024-01113-w · Cited by 1 · see citing works
“However, emerging literature is starting to recognise that self-help can be administered at various points along the care pathway, including prevention/early intervention, augmentation of specialist intervention, relapse prevention/aftercare support, and as a stand-alone treatment [49, 50].”
BackgroundAdölesanlarda Sosyal Medya Kullanımının Anoreksiya Nervoza Görülme Sıklığına Etkisi
Akyasan, E., & Çokluk, G. F. (2025) · İstanbul Gelişim Üniversitesi Sosyal Bilimler Dergisi · doi:10.17336/igusbd.1356103 · Cited by 1 · see citing works
Technology-Based Prevention and Treatment Programs of Eating Disorders
Šmahel, D., Macháčková, H., Šmahelová, M., Čevelíček, M., Almenara, C. A., & Holubčíková, J. (2018) · Springer eBooks · doi:10.1007/978-3-319-93221-7_9 · Cited by 1 · see citing works
Eating disorders in children during the COVID-19 pandemic
Marchili, M. R., Spina, G., Mascolo, C., & Villani, A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-95648-2.00027-7 · Cited by 1 · see citing works
- Authors
- Schlegl, S., Bürger, C., Schmidt, L., Herbst, N., & Voderholzer, U.
- Affiliations
- Ludwig-Maximilians-Universität München (DE)
- University of Freiburg (DE)
- Corresponding author
- Schlegl, Sandra
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2015-03-31
- Volume
- 17
- Issue
- 3
- Pages
- e85
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC4397416
- OpenAlex
- W2048339823
- Cited by
- 123
- References
- 134
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 15 · 2023: 8 · 2022: 16 · 2021: 14 · 2020: 14 · 2019: 15 · 2018: 11 · 2017: 10 · 2016: 9 · 2015: 2
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Open access LMU (Ludwid Maxmilian's Universitat Munchen) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, bulimia nervosa, eating disorders, mobile-based interventions, eating disorder prevention, caregiver support, videoconferencing, therapeutic relationship, intervention dissemination
- MeSH terms
- Adolescent, Adult, Anorexia, Humans, Psychotherapy, Internet, Biomedical Technology, Bulimia Nervosa, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
