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    Fairburn, Christopher G. and Murphy, Rebecca 2015. Treating eating disorders using the internet. Current Opinion in Psychiatry, Vol. 28, Issue. 6, p. 461.

    Schlegl, Sandra Bürger, Carolina Schmidt, Luise Herbst, Nirmal and Voderholzer, Ulrich 2015. The Potential of Technology-Based Psychological Interventions for Anorexia and Bulimia Nervosa: A Systematic Review and Recommendations for Future Research. Journal of Medical Internet Research, Vol. 17, Issue. 3, p. e85.

    Beintner, Ina Jacobi, Corinna and Schmidt, Ulrike H. 2014. Participation and outcome in manualized self-help for bulimia nervosa and binge eating disorder — A systematic review and metaregression analysis. Clinical Psychology Review, Vol. 34, Issue. 2, p. 158.

    Clinton, David Almlöf, Linn Lindström, Sofia Manneberg, Moa and Vestin, Lena 2014. Drop-In Access to Specialist Services for Eating Disorders: A Qualitative Study of Patient Experiences. Eating Disorders, Vol. 22, Issue. 4, p. 279.

    Agüera, Zaida Riesco, Nadine Jiménez-Murcia, Susana Islam, Mohammed Anisul Granero, Roser Vicente, Enrique Peñas-Lledó, Eva Arcelus, Jon Sánchez, Isabel Menchon, Jose Manuel and Fernández-Aranda, Fernando 2013. Cognitive behaviour therapy response and dropout rate across purging and nonpurging bulimia nervosa and binge eating disorder: DSM-5 implications. BMC Psychiatry, Vol. 13, Issue. 1,

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Investigating the Use of CD-Rom CBT for Bulimia Nervosa and Binge Eating Disorder in an NHS Adult Outpatient Eating Disorders Service

  • Lisa Graham (a1) and Mark Walton (a1)
  • DOI:
  • Published online: 05 January 2011

Background: Many patients who experience bulimia nervosa (BN) and binge eating disorder (BED) find it hard to access evidence-based treatments. Rates of failure to enter outpatient services following initial assessment are high, as are dropout rates from specialist outpatient eating disorders services. Aims: To offer CD-Rom CBT, a cognitive-behavioural multi-media supported self-help treatment, in a locality-based outpatient NHS Eating Disorders Service to patients who have binge eating disorder and bulimia nervosa. Method: Patients referred to a catchment-based NHS outpatient eating disorders service who were assessed and had an eating disorder with a binge-eating component were offered CD-Rom based CBT (Overcoming Bulimia) whilst on the waiting list for individual CBT. Results: Forty patients completed the 8 sessions and attended the evaluation appointment (13 had BN, 27 had BED). For both groups, there were significant improvements in well-being and functioning, as well as significant reductions in problems and risk. There was also a significant reduction on the “Bulimic Subscale” of the EDI. These results were comparable with the original study findings (Schmidt, Treasure and Williams, 2001). Dropouts from the CD-Rom reflected rates common to other EDS treatments suggesting that CD-Rom did not directly impact upon service dropout rates. Conclusions: Computer assisted CBT for Eating Disorders offers a promising, feasible and acceptable first step for patients who have bulimia nervosa or binge eating disorder and access treatment from specialist eating disorders services.

Corresponding author
Reprint requests to Lisa Graham, East Lancashire Eating Disorders Service, Eating Disorders Managed Clinical Network, Lancashire Care NHS Foundation Trust, NHS Eating Disorders Service, 18 Euxton Lane, Chorley PR71PS, UK. E-mail:
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