Therapeutic factors affecting the cognitive behavioral treatment of bulimia nervosa via telemedicine versus face-to-face delivery

Objective: Recently, Mitchell et al. (Behav Res Ther, 46, 581‐592, 2008) conducted a randomized controlled trial of an empirically supported treatment for bulimia nervosa (BN) delivered face‐to‐face (FTF‐CBT) or via telemedicine (TV‐CBT). Results suggested that the TV‐CBT and FTF‐CBT were generally...

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Bibliographic Details
Published in:The International journal of eating disorders 2011-12, Vol.44 (8), p.687-691
Main Authors: Ertelt, Troy W., Crosby, Ross D., Marino, Joanna M., Mitchell, James E., Lancaster, Kathy, Crow, Scott J.
Format: Article
Language:English
Subjects:
Adult
Adults
Behavior therapy. Cognitive therapy
Biological and medical sciences
Bulimia
bulimia nervosa
Bulimia Nervosa - therapy
Clinical trials
cognitive behavioral therapy
Cognitive therapy
Cognitive Therapy - methods
eating disorder not otherwise specified
Eating disorders
Humans
Male
Medical sciences
Patient Compliance
Professional-Patient Relations
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Telemedicine
Telemedicine - methods
therapeutic alliance
Therapeutical relation and framework
Treatment Outcome
Treatments
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Summary:Objective: Recently, Mitchell et al. (Behav Res Ther, 46, 581‐592, 2008) conducted a randomized controlled trial of an empirically supported treatment for bulimia nervosa (BN) delivered face‐to‐face (FTF‐CBT) or via telemedicine (TV‐CBT). Results suggested that the TV‐CBT and FTF‐CBT were generally equivalent in effectiveness. The objective of the current study was to examine ratings of therapeutic alliance factors in TV‐CBT and FTF‐CBT. Method: Data obtained from 116 adults who met criteria for BN or eating disorder‐not otherwise specified with binge eating or purging weekly and six doctoral‐level psychologists who delivered the therapy were used in the analyses. Results: Therapists generally endorsed greater differences between the treatment delivery methods than patients. Patients tended to make significantly higher ratings of therapeutic factors than therapists. Discussion: TV‐CBT is an acceptable method for the delivery of BN treatment compared to FTF‐CBT, and TV‐CBT is more easily accepted as a treatment delivery method by patients than therapists. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2010)
ISSN:0276-3478
1098-108X
DOI:10.1002/eat.20874