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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

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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.
Literatur
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Metadaten
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