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Behav Res Ther. 2009 Sep;47(9):729-36. doi: 10.1016/j.brat.2009.05.006. Epub 2009 May 27.

Cognitive-behavioural therapy for adolescents with bulimic symptomatology: the acceptability and effectiveness of internet-based delivery.

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  • 1Section of Eating Disorders, Institute of Psychiatry, King's College, London, United Kingdom.



The evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited.


To assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology.


101 participants were recruited from eating disorders clinics or from beat, a UK-wide eating disorders charity. The programme consisted of online CBT sessions ('Overcoming Bulimia Online'), peer support via message boards, and email support from a clinician. Participants' bulimic symptomatology and service utilisation were assessed by interview at baseline and at three and six months. Participants' views of the treatment package were also determined.


There were significant improvements in eating disorder symptoms and service contacts from baseline to three months, which were maintained at six months. Participants' views of the intervention were positive.


The intervention has the potential for use as a first step in the treatment of adolescents with bulimic symptomatology.

[PubMed - indexed for MEDLINE]
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