{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T06:43:03Z","timestamp":1770964983742,"version":"3.50.1"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2011,1,5]],"date-time":"2011-01-05T00:00:00Z","timestamp":1294185600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> 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. <jats:bold>Aims:<\/jats:bold> 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. <jats:bold>Method:<\/jats:bold> 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. <jats:bold>Results:<\/jats:bold> 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 \u201cBulimic Subscale\u201d 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. <jats:bold>Conclusions:<\/jats:bold> 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.<\/jats:p>","DOI":"10.1017\/s1352465810000688","type":"journal-article","created":{"date-parts":[[2011,1,5]],"date-time":"2011-01-05T14:51:33Z","timestamp":1294239093000},"page":"443-456","source":"Crossref","is-referenced-by-count":11,"title":["Investigating the Use of CD-Rom CBT for Bulimia Nervosa and Binge Eating Disorder in an NHS Adult Outpatient Eating Disorders Service"],"prefix":"10.1017","volume":"39","author":[{"given":"Lisa","family":"Graham","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Walton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,1,5]]},"reference":[{"key":"S1352465810000688_ref24","article-title":"A randomised controlled trial of internet-based Cognitive Behavioural Therapy for Bulimia Nervosa or related disorders in a student populations","author":"Sanchez-Ortis","year":"2010","journal-title":"Psychological Medicine"},{"key":"S1352465810000688_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(200005)27:4<428::AID-EAT7>3.0.CO;2-Y"},{"key":"S1352465810000688_ref17","volume-title":"A Randomised Controlled Trial of Internet-based CBT for Bulimia Nervosa in a Student Population: identifying and treating the \u201ciceberg\u201d of unmet need","author":"Munro","year":"2008"},{"key":"S1352465810000688_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2005.07.031"},{"key":"S1352465810000688_ref11","volume-title":"The Eating Disorder Inventory \u2013 3","author":"Garner","year":"2004"},{"key":"S1352465810000688_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-0968(199908)7:4<239::AID-ERV302>3.0.CO;2-N"},{"key":"S1352465810000688_ref26","unstructured":"Schmidt U. , Treasure J. and Williams C. (2001). CD-Rom Based Treatment for Bulimia Nervosa Reduced Binge Eating and Use of Laxatives. 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