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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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96 Chapter 5. <strong>Online</strong> <strong>CBT</strong> <strong>of</strong> Bulimic SymptomsTable 5.2: Changes in bulimic symptomatology observed in an online <strong>CBT</strong> group,a bibliotherapy group <strong>and</strong> a waiting-list control condition, from pretest to 1-yearfollow-up (intention-to-treat sample).Measure a Pretest Posttest 1-YR Follow-upn = 105 b n = 105 n = 70 dgroup M SD M SD d t c M SD d tEDE-Qonline <strong>CBT</strong> 4.2 1.0 2.7 1.5 1.5 6.9 ∗∗∗ 2.8 1.5 1.4 6.5 ∗∗∗bibliotherapy 3.8 1.0 3.2 1.2 .6 3.9 ∗∗ 2.6 1.3 1.2 5.4 ∗∗∗waiting-list 3.8 1.0 3.4 1.3 .4 2.4BATonline <strong>CBT</strong> 61.6 16.7 49.3 19.6 .7 5.6 ∗∗∗ 49.6 22.4 .7 4.5 ∗∗∗bibliotherapy 53.4 17.7 48.8 18.8 .3 2.4 ∗ 43.0 18.5 .6 3.7 ∗∗∗waiting-list 58.9 16.8 56.3 18.7 .1 1.2Binge eatingMdn e IQR e Mdn IQR ∆ Z c Mdn IQR ∆ Zonline <strong>CBT</strong> 15 16 2 7 13 4.2 ∗∗∗ 2 9 13 4.0 ∗∗∗bibliotherapy 10 15 8 10 2 2.4 ∗ 7 14 4 3.5 ∗∗∗waiting-list 8 12 5 7 3 1.9Purgingonline <strong>CBT</strong> 14 25 0 6 14 3.1 ∗∗ 1 6 13 3.0 ∗∗∗bibliotherapy 10 26 6 16 4 2.0 ∗ 1 12 9 2.9 ∗∗waiting-list 6 12 4 11 2 .2a EDE-Q: Eating Disorder Examination-Questionnaire; BAT: Body Attitude Test. Behavioral items <strong>of</strong> the EDE-Q self-report wereused to assess one month frequencies <strong>of</strong> binge eating <strong>and</strong> purging (defined as the sum <strong>of</strong> the frequencies <strong>of</strong> self-inducedvomiting <strong>and</strong> laxative misuse) .b n = 35 per groupc t: paired t-test statistic; Z: Wilcoxon signed-rank test statistic. *: p < .05; **: p < .01; ***: p < .001d Follow-up data <strong>of</strong> the waiting-list are not shown because follow-up measurements in this group were administered at a latertime.e Because the distributions <strong>of</strong> the frequencies <strong>of</strong> binge eating <strong>and</strong> purging episodes were highly skewed, the median (Mdn) <strong>and</strong>interquartile range (IQR) are used as summarizing statistics. ∆ denotes the median difference (pretest - posttest, <strong>and</strong> pretest -follow-up).

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