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Behav. Sci. 2017, 7(3), 39; doi:10.3390/bs7030039

The Role of Regular Eating and Self-Monitoring in the Treatment of Bulimia Nervosa: A Pilot Study of an Online Guided Self-Help CBT Program

1
School of Psychology, University of Sydney, Sydney, NSW 2006, Australia
2
Centre for Eating and Dieting Disorders, Boden Institute, University of Sydney, Sydney, NSW 2006, Australia
3
Department of Psychological Medicine, University of Otago at Christchurch, Christchurch 8140, New Zealand
4
Sydney Local Health District, Sydney, NSW 2006, Australia
5
School of Medicine, University of Sydney, Sydney, NSW 2006, Australia
6
Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia
*
Author to whom correspondence should be addressed.
Received: 28 April 2017 / Revised: 19 June 2017 / Accepted: 21 June 2017 / Published: 26 June 2017
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Abstract

Background: Despite cognitive behavioural therapy (CBT) being regarded as the first-line treatment option for bulimia nervosa (BN), barriers such as its time-consuming and expensive nature limit patient access. In order to broaden treatment availability and affordability, the efficacy and convenience of CBT could be improved through the use of online treatments and selective emphasis on its most ‘potent’ components of which behavioural techniques form the focus. Method: Twenty-six individuals with BN were enrolled in an online CBT-based self-help programme and 17 completed four weeks of regular eating and food-monitoring using the online Food Diary tool. Participants were contacted for a weekly check-in phone call and had their bulimic symptom severity assessed at five time points (baseline and weeks 1–4). Results: There was a significant decrease in the frequency of self-reported objective binge episodes, associated loss of control and objective binge days reported between pre- and post-treatment measures. Significant improvements were also observed in most subscales of the Eating Disorder Examination-Questionnaire. Conclusion: This study provides encouraging preliminary evidence of the potential of behavioural techniques of online CBT in the treatment of BN. Online therapy with this focus is potentially a viable and practical form of treatment delivery in this illness group. These preliminary findings support the need for larger studies using control groups. View Full-Text
Keywords: bulimia nervosa; online treatment; self-monitoring; regular eating; cognitive behavioural therapy; objective binge episodes; purging bulimia nervosa; online treatment; self-monitoring; regular eating; cognitive behavioural therapy; objective binge episodes; purging
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Barakat, S.; Maguire, S.; Surgenor, L.; Donnelly, B.; Miceska, B.; Fromholtz, K.; Russell, J.; Hay, P.; Touyz, S. The Role of Regular Eating and Self-Monitoring in the Treatment of Bulimia Nervosa: A Pilot Study of an Online Guided Self-Help CBT Program. Behav. Sci. 2017, 7, 39.

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