{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:35:54Z","timestamp":1791902154763,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,4]],"date-time":"2018-01-04T00:00:00Z","timestamp":1515024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["1U01 MH076290"],"award-info":[{"award-number":["1U01 MH076290"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH 076254"],"award-info":[{"award-number":["MH 076254"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH 076251"],"award-info":[{"award-number":["MH 076251"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH 076255"],"award-info":[{"award-number":["MH 076255"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["MH 076252"],"award-info":[{"award-number":["MH 076252"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Family\u2010based treatment (FBT) for adolescent anorexia nervosa (AN) promotes faster weight restoration when compared to other treatments. However, the mechanisms through which this occurs are not clarified. This study explored the trajectories of parental self\u2010efficacy and perceived family flexibility during FBT and systemic family therapy (SyFT). We also explored whether parental self\u2010efficacy mediates the effects of treatment on weight gain early in treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>158 adolescents (12\u201318 years old; 89% girls) and their parents were randomized to FBT or SyFT. Parental self\u2010efficacy as well as adolescents' and parental perceptions of the family's flexibility were collected at baseline and at sessions 2, 4, 6, and 8.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over time, only parents in FBT reported significantly greater self\u2010efficacy. The change in maternal self\u2010efficacy over the first 8 weeks of treatment was a significant mediator of session 10 weight gain. There were no significant group differences in perceived flexibility by session 8.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Both parents in FBT and mothers in SyFT understand early the need to change their family's rules and roles. However, the specific strategies of FBT appear to mediate early weight gain in AN.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22826","type":"journal-article","created":{"date-parts":[[2018,1,9]],"date-time":"2018-01-09T21:13:22Z","timestamp":1515532402000},"page":"275-280","source":"Crossref","is-referenced-by-count":51,"title":["Are parental self\u2010efficacy and family flexibility mediators of treatment for anorexia nervosa?"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6499-9034","authenticated-orcid":false,"given":"Shiri","family":"Sadeh\u2010Sharvit","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine D.","family":"Arnow","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilya","family":"Osipov","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5169-1484","authenticated-orcid":false,"given":"James D.","family":"Lock","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Booil","family":"Jo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Pajarito","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry","family":"Brandt","sequence":"additional","affiliation":[{"name":"Sheppard Pratt Health System Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Dodge","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine University of Otago Otago New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0225-5125","authenticated-orcid":false,"given":"Katherine A.","family":"Halmi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Weill Medical College, Cornell University New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Johnson","sequence":"additional","affiliation":[{"name":"Eating Recovery Center Denver Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Kaye","sequence":"additional","affiliation":[{"name":"Center for Eating Disorders, Department of Psychiatry University of California San Diego"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Wilfley","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University St Louis Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. 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