Article2009

Mobile therapy: Use of text‐messaging in the treatment of bulimia nervosa

Jennifer R. Shapiro · Stéphanie Bauer · Ellen M. Andrews · Emily M. Pisetsky · Brendan K Bulik-Sullivan · Robert M. Hamer +1 more

110 citations0/0 files storedInternational Journal of Eating Disorders

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Mobile Health and mHealth Applications

Abstract

OBJECTIVE: To examine a text-messaging program for self-monitoring symptoms of bulimia nervosa (BN) within the context of cognitive-behavioral therapy (CBT). METHOD: Thirty-one women participated in 12 weekly group CBT sessions and a 12 week follow-up. Participants submitted a text message nightly indicating the number of binge eating and purging episodes and rating their urges to binge and purge. Automatic feedback messages were tailored to their self-reported symptoms. RESULTS: Fully 87% of participants adhered to self-monitoring and reported good acceptability. The number of binge eating and purging episodes as well as symptoms of depression (BDI), eating disorder (EDI), and night eating (NES) decreased significantly from baseline to both post-treatment and follow-up. DISCUSSION: Given the frequent use of mobile phones and text-messaging globally, this proof-of-principle study suggests their use may enhance self-monitoring and treatment for BN leading to improved attendance, adherence, engagement in treatment, and remission from the disorder.

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References

1997Structured Clinical Interview for DSM-IV Axis I Disorders 2008Social Cognitive Theory 2003Patient compliance with paper and electronic diaries 2002Patient non-compliance with paper diaries 2007The Night Eating Questionnaire (NEQ): Psychometric properties of a measure of severity of the Night Eating Syndrome 1997Outcome in bulimia nervosa 2000Social-cognitive theory.2002Cognitive-behavioral therapy for bulimia nervosa: Time course and mechanisms of change.

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