nach oben

Erschienen in:

01.06.2013 | original article

Is technology assisted guided self-help successful in treating female adolescents with bulimia nervosa?

verfasst von: Mag. Gudrun Wagner, Mag. Gudrun Wagner, MSc, Eva Penelo, PhD, Gerald Nobis, Anna Mayerhofer, Mag. Johanna Schau, Marion Spitzer, MSc, Dr. med. Hartmut Imgart, Univ. Prof. Dr. med. Andreas Karwautz

Erschienen in: neuropsychiatrie | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Summary

Objective

This study aims to evaluate the long-term outcome of new technology assisted guided self-help in adolescents with bulimia nervosa (BN).

Method

One hundred and twenty-six patients with BN (29 adolescents and 97 adults) were randomly allocated to a cognitive behavioural therapy-based self-help program delivered by the Internet or bibliotherapy, both accompanied by e-mail guidance. Outcomes were assessed at baseline, month 4, 7 and 18 including remission rates and eating disorder associated psychopathology.

Results

In all, 44 % of adolescents vs. 38.7 % of adults were in remission at month 7, and 55 % of adolescents vs. 62.5 % of adults were in remission at follow-up. Objective binge eating and compensatory behaviour improved significantly over time in both groups, with the highest decrease during the first 4 months. A significant decrease over time and no group differences have been found in almost all EDI-2 subscales.

Conclusions

E-mail guided self-help (delivered via the Internet or bibliotherapy) is equally effective for adolescents as for adults with BN, and can be recommended as an initial step of treatment for this younger age group.

Vorheriger Artikel Die unterschiedlichen Facetten der Psychotherapie

Nächster Artikel Lehrer und das Aufmerksamkeitsdefizit und/oder Hyperaktivitätssyndrom: Eine Pilotstudie zur Situation der Lehrer in Tirol

Schmidt U, Lee S, Beecham J, Perkins S, Treasure J, Yi I, et al. A randomised controlled trial of family therapy and cognitive behaviour therapy guided self-care for adolescents with bulimia nervosa and related disorders. Am J Psychiatry. 2007;164:591–8.PubMedCrossRef

Shapiro JR, Berkman ND, Brownley KA, Sedway JA, Lohr KN, Bulik CM. Bulimia nervosa treatment: a systematic review of randomised controlled trials. Int J Eat Disord. 2007;40:321–36.PubMedCrossRef

le Grange D, Crosby RD, Rathouz PJ, Leventhal BL. A randomised controlled comparison of family-based treatment and supportive psychotherapy for adolescent bulimia nervosa. Arch Gen Psychiatry. 2007;64:1049–56.PubMedCrossRef

Pretorius N, Arcelus J, Beecham J, Dawson H, Doherty F, Eisler I, et al. Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of internet-based delivery. Behav Res Ther. 2009;47:729–36.PubMedCrossRef

Pretorius N, Rowlands L, Ringwood S, Schmidt U. Young people’s perceptions of and reasons for accessing a web-based cognitive behavioural intervention for bulimia nervosa. Eur Eat Disord Rev. 2010;18:197–206.PubMedCrossRef

Health NCCfM. Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa, and related eating disorders. London: National Institute for Clinical Excellence; 2004.

Bailer U, de Zwaan M, Leisch F, Strnad A, Lennkh-Wolfsberg C, El-Giamal N, et al. Guided self-help versus cognitive-behavioural group therapy in the treatment of bulimia nervosa. Int J Eat Disord. 2004;35:522–37.PubMedCrossRef

Thiels C, Schmidt U, Treasure J, Garthe R, Troop N. Guided self-change for bulimia nervosa incorporating use of a self-care manual. Am J Psychiatry. 1998;155:947–53.PubMed

Carrard I, Fernandez-Aranda F, Lam T, Nevonen L, Liwowsky I, Volkart AC, et al. Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries. Eur Eat Disord Rev. 2010. (Epub ahead of print).

10.

Fernandez-Aranda F, Nunez A, Martinez C, Krug I, Cappozzo M, Carrard I, et al. Internet-based cognitive-behavioral therapy for bulimia nervosa: a controlled study. Cyberpsychol Behav. 2009;12:37–41.PubMedCrossRef

11.

Sanchez-Ortiz VC, Munro C, Stahl D, House J, Startup H, Treasure J, et al. A randomised controlled trial of internet-based cognitive-behavioural therapy for bulimia nervosa or related disorders in a student population. Psychol Med. 2011;41:407–17.PubMedCrossRef

12.

Schmidt U, Andiappan M, Grover M, Robinson S, Perkins S, Dugmore O, et al. Randomised controlled trial of CD-ROM-based cognitive-behavioural self-care for bulimia nervosa. Br J Psychiatry. 2008;193:493–500.PubMedCrossRef

13.

Ruwaard J, Lange A, Broeksteeg J, Renteria-Agirre A, Schrieken B, Dolan CV, et al. Online cognitive-behavioural treatment of bulimic symptoms: a randomised controlled trial. Clin Psychol Psychother. 2012. (Epub ahead of print).

14.

Carrard I, Rouget P, Fernandez-Aranda F, Volkart AC, Damoiseau M, Lam T. Evaluation and deployment of evidence based patient self-management support program for Bulimia Nervosa. Int J Med Inform. 2006;75:101–9.PubMedCrossRef

15.

Wagner G, Penelo E, Wanner C, Gwinner P, Trofaier M, Imgart H, et al. Internet delivered cognitive behavioural therapy vs. conventional guided self-help in the treatment of bulimia nervosa: long-term evaluation of a randomised controlled trial. Br J Psychiatry. 2013;202:135–41.PubMedCrossRef

16.

Treasure J, Schmidt U. Getting Better Bit(e) by Bit(e). Hove: Lawrence Erlbaum Associates; 1993.

17.

Garner DM, Olmsted MP. More on the eating disorder inventory. Am J Psychiatry. 1986;143:805–6.PubMed

18.

Rathner G, Rumpold G. Convergent validity of the eating disorder inventory and the anorexia nervosa inventory for self-rating in an Austrian non-clinical population. Int J Eat Disord. 1994;16:381–93.PubMedCrossRef

19.

Andersson G, Waara J, Jonsson U, Malmaeus F, Carlbring P, Ost LG. Internet-based self-help versus one-session exposure in the treatment of spider phobia: a randomised controlled trial. Cogn Behav Ther. 2009;38:114–20.PubMedCrossRef

20.

Sanchez-Ortiz VC, Munro C, Startup H, Treasure J, Schmidt U. The role of email guidance in internet-based cognitive-behavioural self-care treatment for bulimia nervosa. Eur Eat Disord Rev. 2011;19:342–8.PubMedCrossRef

21.

Sanchez-Oriz VC, House J, Munro C, Treaute J, Startup H, Williams C, Schmidt U. A computer isn’t gonna judge you: a qualitative study of users’ views of an internet-based cognitive behavioural guided self-care treatment package for bulimia nervosa and related disorders. Eat Weight Disord. 2011;16:93–101.

22.

Varchol L, Cooper H. Psychotherapy approaches for adolescents with eating disorders. Curr Opin Pediatr. 2009;21:457–64.PubMedCrossRef

Titel: Is technology assisted guided self-help successful in treating female adolescents with bulimia nervosa?
verfasst von: Mag. Gudrun Wagner
Mag. Gudrun Wagner, MSc
Eva Penelo, PhD
Gerald Nobis
Anna Mayerhofer
Mag. Johanna Schau
Marion Spitzer, MSc
Dr. med. Hartmut Imgart
Univ. Prof. Dr. med. Andreas Karwautz
Publikationsdatum: 01.06.2013
Verlag: Springer Vienna
Erschienen in: neuropsychiatrie / Ausgabe 2/2013
Print ISSN: 0948-6259
Elektronische ISSN: 2194-1327
DOI: https://doi.org/10.1007/s40211-013-0062-x

Springer Medizin Österreich

Summary

Objective

Method

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2013

Die unterschiedlichen Facetten der Psychotherapie

Bericht aus dem Vorstand

Mechanische Bewegungseinschränkungen: Die klinische Praxis an einer psychiatrischen Universitätsklinik

Schicksale an der Klagenfurter Psychiatrie im Nationalsozialismus

Die Spuren der Gewalt

Lehrer und das Aufmerksamkeitsdefizit und/oder Hyperaktivitätssyndrom: Eine Pilotstudie zur Situation der Lehrer in Tirol

Bericht aus dem Vorstand 