{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:12:47Z","timestamp":1792231967356,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,13]],"date-time":"2018-01-13T00:00:00Z","timestamp":1515801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["PB\u2013PG\u20100609\u201019025"],"award-info":[{"award-number":["PB\u2013PG\u20100609\u201019025"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["PB \u2010PG\u20100609\u201019025"],"award-info":[{"award-number":["PB \u2010PG\u20100609\u201019025"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the clinical outcomes of adolescents and young adults with anorexia nervosa (AN) comorbid with broad autism spectrum disorder (ASD) or ASD traits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The developmental and well\u2010being assessment and social aptitude scale were used to categorize adolescents and young adults with AN (<jats:italic>N<\/jats:italic>\u2009=\u2009149) into those with ASD traits (<jats:italic>N<\/jats:italic>\u2009=\u200923), and those who also fulfilled diagnostic criteria for a possible\/probable ASD (<jats:italic>N<\/jats:italic>\u2009=\u20096). We compared both eating disorders specific measures and broader outcome measures at intake and 12 months follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Those with ASD traits had significantly more inpatient\/day\u2010patient service use (<jats:italic>p<\/jats:italic>\u2009=\u2009.015), as well as medication use (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) at baseline. Both groups had high social difficulties and poorer global functioning (strengths and difficulties questionnaire) at baseline, which improved over time but remained higher at 12 months in the ASD traits group (<jats:italic>p<\/jats:italic>\u2009=\u2009.002). However, the improvement in eating disorder symptoms at 12 months was similar between groups with or without ASD traits. Treatment completion rates between AN only and ASD traits were similar (80.1 vs. 86.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Adolescents with AN and ASD traits show similar reductions in their eating disorder symptoms. Nevertheless, their social difficulties remain high suggesting that these are life\u2010long difficulties rather than starvation effects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22823","type":"journal-article","created":{"date-parts":[[2018,1,13]],"date-time":"2018-01-13T15:22:36Z","timestamp":1515856956000},"page":"174-179","source":"Crossref","is-referenced-by-count":69,"title":["An examination of the clinical outcomes of adolescents and young adults with broad autism spectrum traits and autism spectrum disorder and anorexia nervosa: A multi centre study"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8325-1088","authenticated-orcid":false,"given":"Bruno Palazzo","family":"Nazar","sequence":"first","affiliation":[{"name":"Institute of Psychiatry\u2014Federal University of Rio de Janeiro (IPUB\u2010UFRJ) Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Peynenburg","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Rhind","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; Neuroscience London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Hibbs","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; Neuroscience London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; Neuroscience London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Gowers","sequence":"additional","affiliation":[{"name":"University of Liverpool, Adolescent Psychiatry Chester United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; Neuroscience London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Goddard","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; Neuroscience London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gillian","family":"Todd","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Micali","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York"},{"name":"University College London, Institute of Child Health, Behavioural and Brain Sciences Unit London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Section of Eating Disorders King's College London, Institute of Psychiatry, Psychology &amp; 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