Web-Based Cognitive Therapy for Bulimia Nervosa

基于网络的神经性贪食症认知疗法

• 批准号: 6985058
• 负责人: CYNTHIA M BULIK
• 金额: $ 26.28万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-27 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6985058
• 关键词: DVD /CD ROM; Internet; adolescence (12-20); adult human (21+); behavioral /social science research tag; bulimia nervosa; cognitive behavior therapy; computer assisted instruction; computer assisted patient care; computer program /software; computer system design /evaluation; education evaluation /planning; educational resource design /development; female; health education; human subject; human therapy evaluation; interactive multimedia; male; patient oriented research; self help

DESCRIPTION (provided by applicant): Cognitive-behavioral therapy (CBT) is a partially effective treatment for bulimia nervosa. CBT helps reduce rates of binging and purging and between 40-60% of individuals treated with CBT recover. Increasingly, internet-based approaches to health care are gaining popularity and showing efficacy in the treatment of a variety of psychiatric disorders as well as obesity. We propose to develop an rich, vivid, and interactive electronic form of CBT (available on web and CD-ROM) that enables self-monitoring, provides helpful psychoeducation on the facts about bulimia nervosa; clearly introduces the basic concepts and techniques of CBT; provides rich and vivid examples of techniques; and provides individualized and interactive exercises for practicing CBT principles. This project is one facet of a programmatic strategy to enhance the available repertoire of information-technology enhanced treatment approaches for individuals with eating disorders. We have already produced and herein present preliminary results of a CD-ROM-based CBT program for binge eating disorder and obesity (POWER: Preventing Overweight With Exercise and Reasoning) and a second family-based program for childhood overweight. Once completed and tested, this internet-based program for bulimia nervosa will have multiple uses. It could be used as a first step in a program of stepped care in which individuals can experience the basics of CBT at the privacy of their own computer. For some, this program may suffice for treating their bulimia nervosa. For others, the true value of this program will be as an adjunct to traditional CBT or as a source for booster sessions after traditional therapy ends. This program will be appropriate for late adolescent and adult women (with special user selected modules for men) of all races and backgrounds. We will implement a rigorous beta-testing procedure by health care providers knowledgeable about the treatment of bulimia nervosa and by patients with current bulimia nervosa. At the end of the R21 we will have a high-quality product that will be ready for testing in clinical trials.

描述（由申请人提供）：认知行为疗法（CBT）是神经性贪食症的部分有效疗法。 CBT有助于降低爆炸和清除的速度，在40-60％的接受CBT恢复治疗的人中。越来越多的基于互联网的医疗保健方法正在越来越受欢迎，并在治疗各种精神疾病和肥胖症的治疗方面表现出疗效。我们建议开发一种CBT的丰富，生动和互动的电子形式（在网络和CD-ROM上可用），以自我监控，对有关神经性贪食症的事实提供了有益的心理教育；清楚地介绍了CBT的基本概念和技术；提供丰富而生动的技术例子；并为实践CBT原则提供个性化和互动练习。该项目是一项计划策略的一个方面，旨在增强对饮食失调患者的信息技术增强治疗方法的可用曲目。我们已经制作并在此提出了基于CD-ROM的CBT计划，用于暴饮暴食和肥胖症（功率：通过运动和推理预防超重）和第二个基于家庭的童年超重计划。完成和测试后，该基于Internet的神经性贪食症计划将具有多种用途。它可以用作阶梯护理程序的第一步，在该计划中，个人可以在自己的计算机的隐私处体验CBT的基础知识。对于某些人来说，该程序可能足以治疗其神经性贪食症。对于其他人来说，该计划的真正价值将是传统CBT的辅助手段，也是传统疗法结束后的助推器会议的来源。该计划适用于所有种族和背景的青少年和成年女性（男性特殊用户选择的模块）。我们将对医疗保健提供者进行严格的β测试程序，以了解神经性贪食症和当前神经性贪食症患者的治疗。在R21结束时，我们将拥有一种高质量的产品，该产品将准备在临床试验中进行测试。