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Virtual reality\u2013based mirror exposure therapy (VR\u2010MET) may reduce body\u2010related fear through embodied exposure, while attentional bias modification training (ABMT) may enhance exposure learning by promoting balanced attentional allocation. This controlled clinical study tested the hypothesis that adjunctive VR\u2010MET would improve clinical outcomes beyond treatment as usual (TAU) alone, and that preceding VR\u2010MET with ABMT would produce additional benefits in adolescent females with AN. Seventy\u2010five female adolescents with AN were allocated to TAU, TAU+VR\u2010MET or TAU+ABMT+VR\u2010MET. Assessments were conducted pre\u2010 and post\u2010intervention. Outcomes included eye\u2010tracking indices of attentional bias (number of fixations, complete fixation time), state anxiety and fear of gaining weight, BMI and eating disorder\u2013related measures. Compared with TAU alone, both VR\u2010based conditions showed greater reductions in state anxiety and fear of gaining weight. State body dissatisfaction decreased significantly only in the TAU+VR\u2010MET group. No significant changes were observed for BMI or most trait\u2010level eating disorder measures. ABMT did not enhance clinical outcomes beyond VR\u2010MET. Within the short\u2010term assessment window, adjunctive VR\u2010MET was associated with reductions in state\u2010dependent emotional responses in adolescents with AN. Effects on trait\u2010level symptoms were limited, and ABMT did not confer additional benefit in this unselected sample. Fully randomized studies with larger samples, extended exposure protocols, and follow\u2010up assessments are needed to determine durability and broader clinical impact.<\/jats:p>","DOI":"10.1002\/cpp.70273","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:43:57Z","timestamp":1776213837000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Virtual Reality Body Exposure and Attentional Bias Modification in the Treatment of Adolescents With Anorexia Nervosa"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7913-3487","authenticated-orcid":false,"given":"Mariarca","family":"Ascione","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Psychobiology Universitat de Barcelona  Barcelona Spain"},{"name":"Institute of Neuroscience Universitat de Barcelona  Barcelona 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