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: 7140534
• 负责人: CYNTHIA M BULIK
• 金额: $ 9.62万
• 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 2008-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140534
• 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）是治疗神经性贪食症的一种部分有效的治疗方法。 CBT 有助于降低暴饮暴食和通便率，接受 CBT 治疗的个体中有 40-60% 可以康复。基于互联网的医疗保健方法越来越受欢迎，并在治疗各种精神疾病和肥胖症方面显示出疗效。我们建议开发一种丰富、生动和交互式的 CBT 电子形式（可在网络和 CD-ROM 上获取），以实现自我监控，提供有关神经性贪食症事实的有益心理教育；清晰介绍CBT的基本概念和技术；提供丰富、生动的技术实例；并提供个性化和互动练习来实践 CBT 原则。该项目是一项计划性战略的一个方面，旨在增强针对饮食失调患者的信息技术强化治疗方法的可用库。我们已经制作并在此展示了针对暴食症和肥胖症的基于 CD-ROM 的 CBT 计划（POWER：通过运动和推理预防超重）和第二个针对儿童超重的家庭计划的初步结果。一旦完成并经过测试，这个基于互联网的神经性贪食症程序将具有多种用途。它可以作为分级护理计划的第一步，在该计划中，个人可以在自己的计算机上私密地体验 CBT 的基础知识。对于某些人来说，这个计划可能足以治疗他们的神经性贪食症。对于其他人来说，该计划的真正价值将是作为传统 CBT 的辅助手段，或者作为传统治疗结束后加强课程的来源。该计划适用于所有种族和背景的青春期晚期和成年女性（具有针对男性的特殊用户选择模块）。我们将由熟悉神经性贪食症治疗的医疗保健提供者和当前患有神经性贪食症的患者实施严格的贝塔测试程序。在 R21 结束时，我们将拥有高质量的产品，可以进行临床试验。