{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:24:25Z","timestamp":1780964665268,"version":"3.54.1"},"reference-count":26,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":3319,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive\u2013behavioural self-care is advocated as a first step in the treatment of bulimia nervosa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the effectiveness of a CD\u2013ROM-based cognitive\u2013behavioural intervention in bulimia nervosa and eating disorder not otherwise specified (NOS) (bulimic type) in a routine setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Ninety-seven people with bulimia nervosa or eating disorder NOS were randomised to either CD\u2013ROM without support for 3 months followed by a flexible number of therapist sessions or to a 3-month waiting list followed by 15 sessions of therapist cognitive\u2013behavioural therapy (CBT) (ISRCTN51564819). Clinical symptoms were assessed at pre-treatment 3 months and 7 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Only two-thirds of participants started treatment. Although there were significant group \u00d7 time interactions for bingeing and vomiting, favouring the CD\u2013ROM group at 3 months and the waiting-list group at 7 months,\n                      <jats:italic>post hoc<\/jats:italic>\n                      group comparisons at 3 and 7 months found no significant differences for bingeing or vomiting. CD\u2013ROM-based delivery of this intervention, without support from a clinician, may not be the best way of exploiting its benefits.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.bp.107.046607","type":"journal-article","created":{"date-parts":[[2008,11,30]],"date-time":"2008-11-30T19:12:39Z","timestamp":1228072359000},"page":"493-500","source":"Crossref","is-referenced-by-count":51,"title":["Randomised controlled trial of CD\u2013ROM-based cognitive\u2013behavioural self-care for bulimia nervosa"],"prefix":"10.1192","volume":"193","author":[{"given":"U.","family":"Schmidt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Andiappan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Grover","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Perkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Dugmore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Landau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Treasure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Eisler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000006437_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20344"},{"key":"S0007125000006437_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-005-0585-0"},{"key":"S0007125000006437_ref26","volume-title":"Self-Help Interventions for Mental Health Problems. 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