Mobile therapy: Use of text‐messaging in the treatment of bulimia nervosa

International Journal of Eating Disorders - Tập 43 Số 6 - Trang 513-519 - 2010
Jennifer R. Shapiro1, Stéphanie Bauer2, Ellen Andrews1, Emily M. Pisetsky1, Brendan Bulik‐Sullivan1, Robert M. Hamer3,1, Cynthia M. Bulik4,1
1Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
2Center for Psychotherapy Research, University of Heidelberg, Heidelberg, Germany
3Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
4Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Tóm tắt

AbstractObjectiveTo examine a text‐messaging program for self‐monitoring symptoms of bulimia nervosa (BN) within the context of cognitive‐behavioral therapy (CBT).MethodThirty‐one women participated in 12 weekly group CBT sessions and a 12 week follow‐up. Participants submitted a text message nightly indicating the number of binge eating and purging episodes and rating their urges to binge and purge. Automatic feedback messages were tailored to their self‐reported symptoms.ResultsFully 87% of participants adhered to self‐monitoring and reported good acceptability. The number of binge eating and purging episodes as well as symptoms of depression (BDI), eating disorder (EDI), and night eating (NES) decreased significantly from baseline to both post‐treatment and follow‐up.DiscussionGiven the frequent use of mobile phones and text‐messaging globally, this proof‐of‐principle study suggests their use may enhance self‐monitoring and treatment for BN leading to improved attendance, adherence, engagement in treatment, and remission from the disorder. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010; 43:513–519

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International Journal of Eating Disorders

Tập 43 Số 6

513-519

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