The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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Ruwaard, J., Lange, A., Broeksteeg, B., Renteria-Agirre, A., Schrieken, B., Dolan, C.V., & Emmelkamp,P. (2012). Online cognitive behavioral treatment of bulimic symptoms: A randomized controlled trial.Clinical Psychology and Psychotherapy, epub ahead of print. doi: 10.1002/cpp.1767
Chapter 5Online Cognitive Behavioural Treatment ofBulimic SymptomsBackground Manualised cognitive behavioral treatment (CBT) is underutilised in the treatment ofbulimic symptoms. Internet-delivered treatment may reduce current barriers. Objective To assess theefficacy of a new online cognitive behavioral treatment of bulimic symptoms. Method Participantswith bulimic symptoms (N = 105) were randomly allocated to online CBT, bibliotherapy or a waitinglist/delayedtreatment condition. Data were gathered pre-treatment, post-treatment and at one-yearfollow-up. Outcome Measures Primary outcome measures were the Eating Disorder Examination-Questionnaire (EDE-Q) and the frequency of binge eating and purging episodes. Secondary outcomemeasure was the Body Attitude Test. Results Dropout from internet treatment was 26%. Intentionto-treatANCOVAs of posttest data revealed that EDE-Q scores and the frequency of binging andpurging reduced more in the online CBT group compared to bibliotherapy and the wait-list (pooledbetween-group effect size d = .9). At 1-year follow-up, improvements in the online CBT group hadsustained. Conclusion This study identifies online CBT as a viable alternative in the treatment ofbulimic symptoms.85
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The Efficacy andEffectiveness ofOnl
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The studies in this thesis were sup
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Promotiecommissie:Promotores: Prof.
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6 Online CBT in Routine Clinical Pr
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Ruwaard, J., Lange, A., Bouwman, M.
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Page 133 and 134: Chapter 7General DiscussionPrevious
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7.3. Implications for clinical prac
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7.4. Suggestions for future researc
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7.5. Conclusion 139Post-treatment b
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142 Summaryof the introduction prov
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144 Summarythat face-to-face contac
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146 Summarycomplex, routine practic
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SamenvattingIn 1997 ontwikkelden on
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Samenvatting 151startten direct met
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Samenvatting 153up-metingen suggere
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Samenvatting 155ongeveer gelijk zou
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ReferencesAben, I., Verhey, F., Lou
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References 159Bickel, R. (2007). Mu
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References 161apy Research, 1(2), 8
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References 163Hay, P. P., Bacaltchu
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References 165for bulimia nervosa:
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References 167Mond, J. M., Hay, P.
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References 169(2003). The developme
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References 171of change in psycholo
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DankwoordAlleen mijn naam staat op
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Dankwoord 175en Janneke Broeksteeg
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178 Curriculum VitaeLange, A., & Ru
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The Efficacy and Effectiveness of Online CBT - Jeroen Ruwaard

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