Lancashire Care NHS Foundation Trust, Chorley, UK.
Behav Cogn Psychother. 2011 Jul;39(4):443-56. doi: 10.1017/S1352465810000688. Epub 2011 Jan 5.
Many patients who experience bulimia nervosa (BN) and binge eating disorder (BED) find it hard to access evidence-based treatments. Rates of failure to enter outpatient services following initial assessment are high, as are dropout rates from specialist outpatient eating disorders services.
To offer CD-Rom CBT, a cognitive-behavioural multi-media supported self-help treatment, in a locality-based outpatient NHS Eating Disorders Service to patients who have binge eating disorder and bulimia nervosa.
Patients referred to a catchment-based NHS outpatient eating disorders service who were assessed and had an eating disorder with a binge-eating component were offered CD-Rom based CBT (Overcoming Bulimia) whilst on the waiting list for individual CBT.
Forty patients completed the 8 sessions and attended the evaluation appointment (13 had BN, 27 had BED). For both groups, there were significant improvements in well-being and functioning, as well as significant reductions in problems and risk. There was also a significant reduction on the "Bulimic Subscale" of the EDI. These results were comparable with the original study findings (Schmidt, Treasure and Williams, 2001). Dropouts from the CD-Rom reflected rates common to other EDS treatments suggesting that CD-Rom did not directly impact upon service dropout rates.
Computer assisted CBT for Eating Disorders offers a promising, feasible and acceptable first step for patients who have bulimia nervosa or binge eating disorder and access treatment from specialist eating disorders services.
许多患有神经性贪食症（BN）和暴食症（BED）的患者发现很难获得基于证据的治疗方法。初始评估后无法进入门诊服务的比例很高，专门的门诊饮食失调服务的辍学率也很高。
为在当地提供基于光盘的认知行为多媒自助治疗，为有暴食症和神经性贪食症的患者提供基于光盘的认知行为多媒自助治疗（克服贪食症）。
向基于收治区域的 NHS 门诊饮食失调服务转诊的患者，在等待个别认知行为治疗的同时，对有暴食成分的饮食失调进行评估，为其提供基于光盘的认知行为治疗（克服贪食症）。
四十名患者完成了八次治疗并参加了评估预约（13 名患有 BN，27 名患有 BED）。对于两组患者，在幸福感和功能方面都有显著改善，问题和风险显著减少。在 EDI 的“贪食分量表”上也有显著降低。这些结果与原始研究结果（Schmidt、Treasure 和 Williams，2001）相当。从光盘治疗中辍学的人反映了其他 EDS 治疗中常见的辍学率，这表明光盘治疗并没有直接影响服务的辍学率。
计算机辅助认知行为治疗对于饮食失调患者来说是一个很有前景、可行和可接受的第一步，这些患者来自于专门的饮食失调服务。
