Evidence map›Paper›PMID 39911702›Full record

ArticleInternet interventions2025

Patient experiences of internet-based enhanced cognitive behavior therapy for eating disorders.

Anne-Charlotte Wiberg, Ata Ghaderi, Thomas Parling, Magdalena Jansson, Elisabeth Welch

Abstract read
In one paragraph

Article in Internet interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anne-Charlotte WibergCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm Health Care Services, Stockholm County Council, Stockholm, Norra stationsgatan 69, 113 64 Stockholm, Sweden.
Ata GhaderiDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 17177 Stockholm, Sweden.
Thomas ParlingCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm Health Care Services, Stockholm County Council, Stockholm, Norra stationsgatan 69, 113 64 Stockholm, Sweden.
Magdalena JanssonStockholm Center for Eating Disorders, Stockholm County Council, Wollmar Yxkullsgatan 27B, 118 50 Stockholm, Sweden.
Elisabeth WelchDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Nobels väg 9, 17177 Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Internet-based Cognitive Behavioral Therapy (ICBT) has shown promise in addressing the treatment gap for eating disorders (EDs), with evidence indicating moderate to large effect sizes. However, some individuals experience no improvement or deterioration in their condition, highlighting the need to understand both successful and unsuccessful outcomes. Aim: This study aimed to explore patients' experiences undergoing Internet-based guided self-help treatment based on Enhanced Cognitive Behavior Therapy (ICBT-E) for bulimia nervosa (BN) and binge eating disorder (BED), focusing on both those who benefited from the treatment and those who did not. Method: Sixteen participants with a diagnosis of full or subthreshold BN or BED, including eight non-responders and eight responders, participated in a semi-structured telephone interview. Data were analyzed using qualitative content analysis. Results: Responders strongly identified with the content, facilitating treatment implementation, while non-responders found the content less relevant to their symptoms. The treatment was overall perceived as time-consuming, but non-responders found it overwhelming and struggled with motivation and self-discipline. Non-responders preferred synchronous communication, while responders valued the flexibility of asynchronous contact. Overall, participants acknowledged the importance of ICBT-E, though non-responders felt it was not tailored to their specific needs. Conclusions: The study highlighted considerations for designing and implementing ICBT-E, including tailoring content to diverse patient symptoms, managing time demands, and considering motivation and self-discipline when assigning this treatment. While ICBT-E shows promise for the widespread dissemination of treatment for EDs, ongoing evaluation of progress during treatment and timely referral to alternative interventions for non-responders are crucial for optimizing outcomes.

Indexed as

Binge-eatingEating disordersEnhanced cognitive behavioral therapyInternet-delivered therapyPatient experiencesQualitative research

Identifiers

PMID39911702
PMCPMC11795102

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.