{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:31:32Z","timestamp":1790728292287,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T00:00:00Z","timestamp":1546214400000},"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":["3R01MH103402\u201003S1"],"award-info":[{"award-number":["3R01MH103402\u201003S1"]}],"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":["5R01MH108595\u201003, F32HM11117"],"award-info":[{"award-number":["5R01MH108595\u201003, F32HM11117"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The majority of individuals with anorexia nervosa (AN) have a fat\u2010phobic (FP\u2010AN) presentation in which they explicitly endorse fear of weight gain, but a minority present as non\u2010fat\u2010phobic (NFP\u2010AN). Diagnostic criteria for avoidant\/restrictive food intake disorder (ARFID) specifically exclude fear of weight gain. Differential diagnosis between NFP\u2010AN and ARFID can be challenging and explicit endorsements do not necessarily match internal beliefs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Ninety\u2010four adolescent females (39 FP\u2010AN, 13 NFP\u2010AN, 10 low\u2010weight ARFID, 32 healthy controls [HC]) completed implicit association tests (IATs) categorizing <jats:italic>statements<\/jats:italic> as pro\u2010dieting or non\u2010dieting and true or false (questionnaire\u2010based IAT), and <jats:italic>images<\/jats:italic> of female models as underweight or normal\u2010weight and words as positive or negative (picture\u2010based IAT). We used the Eating Disorder Examination to categorize FP\u2010 versus NFP\u2010AN presentations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Individuals with FP\u2010AN and NFP\u2010AN demonstrated a stronger association between pro\u2010dieting and true statements, whereas those with ARFID and HCs demonstrated a stronger association between pro\u2010dieting and false statements. Furthermore, while all groups demonstrated a negative implicit association with underweight models, HC participants had a significantly stronger negative association than individuals with FP\u2010AN and NFP\u2010AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Individuals with NFP\u2010AN exhibited a mixed pattern in which some of their implicit associations were consistent with their explicit endorsements, whereas others were not, possibly reflecting a minimizing response style on explicit measures. In contrast, individuals with ARFID demonstrated implicit associations consistent with explicit endorsements. Replication studies are needed to confirm whether the questionnaire\u2010based IAT is a promising method of differentiating between restrictive eating disorders that share similar clinical characteristics.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22981","type":"journal-article","created":{"date-parts":[[2018,12,31]],"date-time":"2018-12-31T22:46:49Z","timestamp":1546296409000},"page":"419-427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Implicit attitudes toward dieting and thinness distinguish fat\u2010phobic and non\u2010fat\u2010phobic anorexia nervosa from avoidant\/restrictive food intake disorder in adolescents"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1176-7456","authenticated-orcid":false,"given":"Alyssa","family":"Izquierdo","sequence":"first","affiliation":[{"name":"Neuroendocrine Unit Massachusetts General Hospital  Boston Massachusetts"},{"name":"Eating 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