Internet-Based Interventions for Consuming Disorders in Grownups

Authors Ljotsson et al. [ 16] Robinson & Serfaty [17] Johnston et al. [ 15] Carrard et al. [ 12] Sanchez-Ortiz et al. [19] Fernandez-Aranda et al. [ 14] Carrard et al. [ 13] Ruwaard et al. [18] Kind of study/Randomisation RCT: based upon created random numbers; Stratification treatment was executed with regard to medical diagnosis and severity RCT: randomization was based upon created random numbers RCT: No specific description was given RCT: Randomization was based upon generated random numbers RCT: based upon created random numbers; Stratification procedure was implemented with regard to medical diagnosis and recruitment website CT: participants were consecutively appointed to either the treatment group or the control group CT: participants were either provided to participate in the treatment program or asked to take part in the control group during details session for WLT RCT: randomization was based on generated random numbers Intervention Self- help based upon CBT utilizing the Swedish translation of the book “Conquering Binge Eating” Email treatment based upon CBT dealing with a model of the eating disorder 20 minutes writings on the basis of the Pennebaker task Guided self-help treatment program consisting of 11 modules based upon CBT targeting behavioural and mental elements of BED guided self-help treatment program “Overcoming Binge-purge syndrome Online” consisting of eight sessions based upon CBT Directed self-help program presenting CBT and psychoeducational principles in 7 consecutive stepsc Directed self-help program and including 11 modules based upon CBT targeting behavioural and psychological elements of BED Guided self-help program referring to CBT main concepts for treatment of BN Anonymity No: EDE interview was performed as primary evaluation Yes: no interview or in person meeting was conducted Yes: no interview or face-to-face conference was performed 3 additional in person assessments during a year introduction in an in person conference or as telephone evaluation No: 2 face-to-face examinations with their coaches during therapy no: 3 extra in person evaluations Yes: only an interview with a diagnostician Lengths 12 weeks 3 months 3 days Six months 8 to 12 weeks Four months 6 months 20 weeks Frequency of contact One to 2 e-mail contacts weekly Typically two e-mails per week were expected No contact at all throughout therapy Weekly e-mail contact during the intervention phase; monthly e-mail contact during the follow-up duration Therapists sent out e-mails when every one to two weeks and responded to any e-mail received Weekly e-mail contact with their coach throughout intervention phase Therapists sent weekly emails and participants needed to compose a minimum of one e-mail weekly to their coaches Treatment includes 25 scheduled therapist feedback minutes Number and medical diagnosis of individuals 73 individuals with complete or sub-threshold Binge-purge syndrome Nervosa (BN) or Binge Consuming Condition (BED) medical diagnosis according to DSM-IV; sub-threshold BN was defined as episodes of binge consuming and offsetting behaviour at least twice-monthly for the last 3 months. BED individuals needed to have at least 2 OBEs each month for the last 6 months 97 individuals suffering from BN (n = 36 purging; n =15 non-purging), BED (n = 26) or EDNOS (n = 20) diagnosis according to DSM-IV 94 individuals experiencing BN; Individuals were required to score at or above the medium-range cut off for bulimic symptomatology 74 participants suffering from BED (n = 43) or sub-threshold BED (n = 31) medical diagnosis according to DSM-IV; for sub-threshold BED individuals needed to have at least one OBE weekly for the last 3 months 76 trainees experiencing BN (n = 39) or EDNOS (n = 37) medical diagnosis according to DSM-IV; individuals experiencing BED were omitted 62 participants experiencing BN purging subtype; diagnosis according to DSM-IV 42 obese individuals struggling with BED (n = 21) or sub-threshold BED (n = 21); medical diagnosis according to DSM-IV; Frequency of binges had to be at least for as soon as a month during the last 3 months 105 individuals suffering from BN symptoms (80% taken part in purging behaviour) An official diagnosis of BN was not an inclusion requirements. Individuals needed to report recurrent binge consuming, inappropriate weight-control behaviour and elevated concern with body shape and weight Women N (%) 69 (97.3%) 93 (95.9%) 71 (75.5%) 74 (100%) 75 (98.7%) 62 (100%) 42 (100%) 104 (99%) Age of individuals M (SD) Intervention Group: 35.5 (11.4 ) Whole sample: 24.5 (23– 25.9) Whole sample: 28.9 (9.8 ) Entire sample: 36 (11.4 ) Entire sample: 23.9 (5.69 ) Entire sample: 23.7 (3.6 ) Intervention Group: 44.6 (11.4 ) Online-CBT: 30 (10 ) Control group: 33.7 (9.3 ) Control group: 41.0(8.2 ) Bibliotherapy: 31 (9 ) Waiting list group: 32 (11)Are internet-based treatment programs an efficient method for treatment of different eating conditions?

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