A preliminary investigation into the feasibility and efficacy of a CD‐ROM–based cognitive‐behavioral self‐help intervention for bulimia nervosa

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Abstract
Objective Many patients with bulimia nervosa find it hard to access evidence‐based treatment such as cognitive‐behavioral therapy (CBT). The aim of the current study was to evaluate the feasibility and efficacy of a novel CD‐ROM–based cognitive‐behavioral multimedia self‐help intervention for the treatment of bulimia nervosa. Method Patients with bulimia nervosa referred to a catchment area‐based eating disorder service were offered eight sessions of a novel CD‐ROM cognitive‐behavioral self‐help treatment without any added therapist input. We report here the take‐up and drop‐out rates and efficacy of this intervention. Results Of 60 participants who were offered the intervention, 47 took it up. At follow‐up, there were significant reductions in binging and compensatory behaviors, most clearly in self‐induced vomiting. Discussion This intervention has potential as a first step in the treatment of bulimia nervosa and for dissemination to nonspecialist settings. © 2004 by Wiley Periodicals, Inc. Int J Eat Disord 35: 538–548, 2004.