The effectiveness of internet-delivered cognitive behavioural therapy for those with bulimic symptoms: a systematic review : A review of iCBT treatment for bulimic symptoms.

About this resource

OBJECTIVE: This review looked at internet-delivered cognitive behavioural therapy (iCBT) as a possible treatment for patients with bulimic symptoms. CBT has been established as an effective treatment; however, waiting lists lead to delayed initiation of treatment. iCBT is a possible delivery method to combat this. Medline, EMBASE and PsycInfo were searched for controlled trials using iCBT as a treatment for patients with bulimia nervosa (BN), subthreshold BN or 'eating disorders not otherwise specified' with bulimic characteristics (EDNOS-BN). The literature search returned 482 papers. 5 met the review criteria and were compared in characteristics, methodological quality and outcomes. Outcomes were analysed by calculation of effect sizes; iCBT was evaluated on reduction in binge eating and purging post treatment and at follow-up. RESULTS: Participants were mostly female with an average age range of 23.7-31 years. 4 studies demonstrated good methodological quality. 1 did not report all of the outcome data, increasing the likelihood of bias. Only 1 study showed widespread benefit over waiting list controls. iCBT was shown to reduce behaviours but was not found to be superior to bibliotherapy or waiting list. Further large-scale studies are required to make conclusive recommendations.

AuthorPittock, Alexandra; Hodges, Laura; Lawrie, Stephen M.
JournalBMC research notes

See also

Interrater-reliability of the OPD-CA, the Axes conflict and structure

The reliability of the meanwhile widely used Operationalized Psychodynamic Diagnostics in childhood and adolescence (OPD-CA) is only rarely examined.

Read more

National Eating Disorders Collaboration Consultation Papers: Evidence in Practice Implementing the National Framework

The National Eating Disorders Framework standards schema includes seven core principles and fourimplementation principles which, if implemented together, provide the foundation for an effectiveand consistent system to address eating disorders.

Read more

Group therapy for people with bulimia nervosa: systematic review and meta-analysis

BACKGROUND: Approximately 25% of people with bulimia nervosa (BN) who undertake therapy are treated in groups.

Read more

An investigation of Goodman's addictive disorder criteria in eating disorders

The aim of this study was to examine how far Goodman's addictive disorder criteria were met by individuals with eating disorders according to subtypes.

Read more

Help us improve!

Give us feedback!

We will continue throughout 2019 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback