Evaluation of a computer‐mediated eating disorder intervention program

Winzelberg, Andrew J.; Taylor, C. Barr; Sharpe, Tamara; Eldredge, Kathleen L.; Dev, Pravati; Constantinou, Philip S.

doi:10.1002/(sici)1098-108x(199812)24:4<339::aid-eat1>3.3.co;2-a

Cited by 8 publications

(9 citation statements)

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“…The existing prevention literature shows greater promise for targeting SBN than SAN, as currently, the proven preventive interventions are selective ones designed for late adolescents and young adults exhibiting risk factors for BN. [104][105][106] The intervention literature has already begun to target SAN and SBN, both from a combined data-driven and theoretical framework regarding the utility of a transdiagnostic approach, 11,27 and by the pragmatic inclusion of subsyndromal cases in treatment studies of adolescents with eating disorders. 30,[107][108][109][110][111] Relevant to the topic of early 'caseness', these treatment studies included new, potentially prodromal SAN and SBN, not just individuals designated as subsyndromal by virtue of partial remission status or migration between disorders.…”

Section: How To Best Intervene For San and Sbnmentioning

confidence: 99%

Early identification and treatment of eating disorders: prodrome to syndrome

Grange

Loeb

2007

Early Intervention Psych

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The onset of eating disorder psychopathology is most common in the adolescent age group. Acute psychopathology or subsyndromal eating disorders are perhaps less intractable in these young patients. Subsyndromal eating disorders in children and adolescents are not only clinically significant in their present state, but may represent legitimate candidates for preventive efforts in light of: (i) a risk of progression from subthreshold anorexia nervosa (SAN) to AN or subthreshold bulimia nervosa (SBN) to BN; (ii) the detrimental effects on outcome of delaying treatment; and (iii) the refractory, severe nature of eating disorders once the diagnostic threshold is crossed. Moreover, children and adolescents with SAN and SBN may in fact be exhibiting early 'caseness' of these disorders. Given that AN is notoriously difficult to treat, and there are limited efficacy data for adolescent BN, attempts to disrupt these disorders in what is arguably their early phases is an important goal in preventing more chronic and treatmentresistant forms of these disorders. Future research should address whether the best interventions for SAN and SBN should be derived from the prevention or intervention fields.

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Section: How To Best Intervene For San and Sbnmentioning

confidence: 99%

Early identification and treatment of eating disorders: prodrome to syndrome

Grange

Loeb

2007

Early Intervention Psych

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“…The current study demonstrates the preliminary efficacy of a computer-guided selfhelp treatment program for BN in routine clinical practice. Although a computerized psychoeducation package for anorexia nervosa (Andrewes et al, 1996) and an internetbased intervention for students at risk from eating disorders (Winzelberg et al, 1998(Winzelberg et al, , 2000Zabinski et al, 2001) have previously been piloted with good results, our study is the first to test the use of a stand-alone computerized self-help treatment in eating disorder patients. The results show that many patients make significant improvements including those who only attend some of the sessions offered.…”

Section: Efficacy Of the Interventionmentioning

confidence: 99%

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

Bara-Carril

Williams

Pombo-Carril

et al. 2004

Intl J Eating Disorders

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“…Computers have recently been used to engage and help individuals with early or subclinical eating disorders in college-based preventive interventions (Winzelberg et al, 1998). Studies have also shown that patients with bulimia nervosa or binge eating disorder may benefit from using "guided self-help" based on professionally written manuals that may be used with or without additional professional support.…”

Section: Guided Self-helpmentioning

confidence: 99%

E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues

Yager

2001

Int. J. Eat. Disord.

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Objective To explore using adjunctive e‐mail in treating anorexia nervosa. Method Four treatment plans were supplemented by obligatory e‐mail emphasizing patients' reports of specific eating‐related behaviors. Office visits occurred weekly to once every few months. E‐mail contact occurred once to several times per week. Patients also saw other providers. Results All patients have shown good clinical improvement. Patients provided their assessments of contributions made by the use of e‐mail and generally found it to be helpful. Discussion E‐mail has had excellent patient acceptability and adherence. Benefits have been attributed to increased therapeutic contact, “talking” on demand, and having to frequently confront one's integrity, honesty, and eating behaviors. Little clinician time is needed for reading and responding to e‐mails. Informed consent and confidentiality issues must be carefully addressed. Controlled trials are warranted to further evaluate the roles that adjunctive e‐mail may play in clinical research and practice. © 2001 by John Wiley & Sons, Inc. Int J Eat Disord 29: 125–138, 2001.

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Evaluation of a computer‐mediated eating disorder intervention program

Cited by 8 publications

References 0 publications

Early identification and treatment of eating disorders: prodrome to syndrome

Early identification and treatment of eating disorders: prodrome to syndrome

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

E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa: Illustrative case material and discussion of the issues

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