geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

CBT4BN: A Randomized Controlled Trial of Online Chat and Face-to-Face Group Therapy for Bulimia Nervosa


, : CBT4BN: A Randomized Controlled Trial of Online Chat and Face-to-Face Group Therapy for Bulimia Nervosa. PsychoTherapy and Psychosomatics 86(1): 47-53

Although cognitive-behavioral therapy (CBT) represents the first-line evidence-based psychotherapy for bulimia nervosa (BN), most individuals seeking treatment do not have access to this specialized intervention. We compared an Internet-based manualized version of CBT group therapy for BN conducted via a therapeutic chat group (CBT4BN) to the same treatment conducted via a traditional face-to-face group therapy (CBTF2F). In a two-site, randomized, controlled noninferiority trial, we tested the hypothesis that CBT4BN would not be inferior to CBTF2F. A total of 179 adult patients with BN (2.6% males) received up to 16 sessions of group CBT over 20 weeks in either CBT4BN or CBTF2F, and outcomes were compared at the end of treatment and at the 12-month follow-up. At the end of treatment, CBT4BN was inferior to CBTF2F in producing abstinence from binge eating and purging. However, by the 12-month follow-up, CBT4BN was mostly not inferior to CBTF2F. Participants in the CBT4BN condition, but not CBTF2F, continued to reduce their binge-eating and purging frequency from the end of treatment to the 12-month follow-up. CBT delivered online in a group chat format appears to be an efficacious treatment for BN, although the trajectory of recovery may be slower than face-to-face group therapy. Online chat groups may increase accessibility of treatment and represent a cost-effective approach to service delivery. However, barriers in service delivery such as state-specific license and ethical guidelines for online therapists need to be addressed.

US$19.90

PMID: 27883997

DOI: 10.1159/000449025


Other references

Rahmani, SA.; Jairajpuri, MS.; Ahmed, W., 1986: Neolobocriconema regularis sp. n. (Criconematina: Tylenchida) from India with additional data on N. aberrans. A new species of the genus, Neolobocriconema Mehta & Raski, 1971, collected from Saharanpur (U.P.) is described and illustrated. Additional data on N. aberrans (Jairajpuri & Siddiqi, 1963) Andrassy, 1969, collected from several localities of U.P.,...

Christ, W., 1956: The effect of sulphydryl-blocking agents on curd shrinkage. Increasing additions of a mercuric compound, "Salygran" to 40 ml amounts of milk, with incubation in test tubes for 12 hours at 37[degree]C showed decreasing shrinkage and over 3.6 mg per tube gave excessively soft curd. Added cystein co...

Roncucci R., 1979: Effect of suloctidil on prostacyclin production and inhibition of platelet aggregation. Thrombosis & Haemostasis: 368

Brower K.J., 1992: Addictive potential of anabolic steroids. Psychiatric Annals 22(1): 30-34

Fahlman, M.; Crispin, A.; Crispin, X.; Henze, S.K.M.; de Jong, M.P.; Osikowicz, W.; Tengstedt, C.; Salaneck, W.R., 2007: Electronic structure of hybrid interfaces for polymer-based electronics. The fundamentals of the energy level alignment at anode and cathode electrodes in organic electronics are described. We focus on two different models that treat weakly interacting organic/metal (and organic/organic) interfaces: the induced density...

Bissonnette, J.P.; Schreiner, L.J., 1992: A comparison of semiempirical models for generating tungsten target x-ray spectra. Models for the computer generation of tungsten target x-ray spectra proposed by Birch and Marshall [Phys. Med. Biol. 24, 505-517 (1979)] and recently by Tucker, Barnes, and Chakraborty [Med. Phys. 18 211-218 (1991)] are compared. Some basic differ...

Cariou E.; Krishna J.; Enay R., 1990: Biogeographic dynamics of Tethyan ammonites during the lower Callovian, and stratigraphic correlations between the Indian and European margins. In spite of the strong endemism of the ammonite faunas in the Indo-East-African province, episodic but relatively frequent exchanges of species took place with the Submediterranean province. It provides, for the first time, good correlations in th...

Laks, M.M.; Arzbaecher, R.; Bailey, J.J.; Geselowitz, D.B.; Berson, A.S., 1996: Recommendations for safe current limits for electrocardiographs. A statement for healthcare professionals from the Committee on Electrocardiography, American Heart Association. Circulation 93(4): 837-839

Cao, C.M.; Xia, Q.; Ye, Z.G.; Zhang, X., 2002: Effect of interleukin-2 on intracellular calcium transients in rat ventricular myocytes. In the present study, we investigated the effect of interleukin-2 (IL-2) on the intracellular calcium in enzymatically isolated ventricular myocytes with the use of the spectrofluorometric techniques. It was shown that IL-2 (2.5 200 U/ml) depresse...

Lloveras Macia J., 1988: Pharmacological immunosuppression in organ transplants. Farmacia Clinica 5(10): 46, 48-49, 52-53