Salut BN

Salut BN is an innovative online platform offering therapeutic assistance to individuals dealing with Bulimia Nervosa. Utilizing Cognitive Behavioral Therapy (CBT) methods, it empowers users to gradually reclaim control over their eating habits. The program consists of 7 comprehensive modules, packed with educational resources, illustrative examples, and practical exercises, typically completed within 4-6 months.

Clinical evaluations conducted between 2002 and 2004 in Spain, Sweden, Germany, and Switzerland, indicated that patients using the program benefited from a significant reduction in bulimic behaviour, and related comorbidities. These improvements were superior to patients on wait lists and comparable to patients participating in psycho-educational treatment groups. (See publication list below)

Since 2005, the Salut BN program has been a valuable resource for various hospitals and community health care organizations across Europe. However, the Salut BN is nolonger available. After 18 years of continuous service, the program's support officially concluded in September 2023.

Key Features:

The Online Diary

You start this key exercise by first recording your eating behavior in the Dairy. New themes are added, progressively, to help you record thoughts, situations, emotions and binge triggers.

Automatic feedback

Based on these observations, the program will provide feedback to help you identify those situations, thoughts, or emotions that trigger compulsive or binge eating.
Examples: Emotional triggers Explained and unexplained binges

Personal strategies

Over time, you will develop a list of personal strategies for preventing or delaying binges. You will also learn problem solving and self-assertiveness techniques to help you manage emotional or stressful situations that are often linked to compulsive eating or binging. Example of personal strategies

Other exercises

The program also help you develop personal strategies to achieve the following:

Setting up realistic meal schedules,
Making peace with forbidden food. So you can eat a little of everything, but not everything,
Learning relaxation and mindfulness exercises,
Getting motivated and more active.

SALUT BN publication list

[1]Wagner, G., Penelo, E., Nobis, G., et al. Is technology assisted guided self-help successful in treating female adolescents with bulimia nervosa? Neuropsychiatry (2013) 27:66–73, DOI 10.1007/s40211-013-0062-x

[2] Wagner, G., Penelo, E., Wanner, C., Internet-delivered cognitive-behavioural therapy v. conventional guided self-help for bulimia nervosa: long-term evaluation of a randomized controlled trial, British Journal of Psychiatry, published online Dec 6, 2012. Access the most recent version at DOI: 10.1192/bjp.bp.111.098582

[3] I. Carrard, F. Fernandez-Aranda, T. Lam, L. Nevonen, I. Liwowsky, A. C. Volkart, P. Rouget, A. Golay, M. Van der Linden, C. Norring. Evaluation of a Guided Internet Self-Treatment Programme for Bulimia Nervosa in Several European Countries, European Eating Disorders Review, Volume 19, Issue 2, pages 138–149, March/April 2011

[4] I Carrard, P Rouget, F Fernandez-Aranda, A.C. Volkart, M. Damoiseau, T. Lam, "Evaluation and deployment of evidence based patient self-management support program for bulimia nervosa", International Journal of Medical Informatics (2006) 75, 101-109

[5] I. Liwowsky,M. Cebulla, M. Fichter, Virtuelle Esstagebücher und Motivation per E-Mail Neue Wege bei der Behandlung von Bulimia Nervosa MMW Fortschr Med. 2006;31-32: 31-33

[6] P. Rouget, I. Carrard, M. Archinard, Autotraitement de la boulimie sur Internet : les premiers résultats. Suisse Revue Médicale Suisse, 1:359-61, Février 2005

[7]Nevonen L, Mark M, Levin B, Lindström M, Paulson-Karlsson G. Evaluation of a new Internet-based self-help guide for patients with bulimic symptoms in Sweden. Nord J Psychiatry2006;60:463:468. Oslo. ISSN 0803-9488