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The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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94 Chapter 5. <strong>Online</strong> <strong>CBT</strong> <strong>of</strong> Bulimic Symptoms(n = 65) had received earlier treatment. Primary measures indicated moderate-toseverebulimic symptoms (cf. Table 5.2). <strong>The</strong> vast majority (80%; n = 84) engagedin purging behavior to compensate for regular binge eating. Symptoms appearedto be more severe in the online <strong>CBT</strong> group. However, these differences were notsignificant (EDE-Q/BAT: largest ANOVA F 2,102 =2.1,P = .12, Binge eating/Purging:largest Kruskal-Wallis χ 2 df=2 = 4.3, P = .11). Comorbid symptoms were mild, asmeasured by participants’ scores on the Depression Anxiety Stress Scales, which wereslightly above clinical cut-<strong>of</strong>fs <strong>of</strong> the subscales <strong>of</strong> this measure (cf. Table 5.1).Recruited(n = 273)Not assessed (n = 91)45 did not start46 screening dropoutAssessed foreligibility(n = 182)R<strong>and</strong>omized(n = 105)Excluded (n = 77)15 no consent11 no compensatory behaviour11 bmi

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