{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T19:32:27Z","timestamp":1772047947925,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T00:00:00Z","timestamp":1547424000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK114480"],"award-info":[{"award-number":["K23DK114480"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK075861"],"award-info":[{"award-number":["R01DK075861"]}],"id":[{"id":"10.13039\/100000062","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":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study is to evaluate whether children with overweight or obesity participating in an evidence\u2010based treatment, family\u2010based behavioral treatment (FBT) for obesity, or a parent\u2010only variant of FBT (PBT), experience an increase of eating disorder (ED) symptoms during and following treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Children (<jats:italic>N<\/jats:italic>\u2009=\u2009150) participating in a randomized controlled trial of FBT or PBT completed measures of EDs attitudes and behaviors at baseline, following 6\u2010months of treatment, 6\u2009months, and 18\u2009months after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Linear\u2010mixed effects models suggest that ED attitudes did not significantly increase. Rather, significant decreases of shape, weight, and eating concerns were shown following treatment. Loss of control over eating significantly decreased over treatment and follow\u2010up. No participant endorsed purging at any time point.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results confirm the hypothesis that ED symptoms do not increase after participating in FBT or a FBT\u2010based treatment. These findings should help assuage fears of parents that enrolling their child will exacerbate ED symptoms and aid children to access evidence\u2010based treatments that may help reduce significant physical and psychosocial complications of childhood obesity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23015","type":"journal-article","created":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T11:10:51Z","timestamp":1547464251000},"page":"299-303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Change in eating disorder symptoms following pediatric obesity treatment"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5619-2177","authenticated-orcid":false,"given":"Dawn M.","family":"Eichen","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of California, San Diego  La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Strong","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Public Health University of California, San Diego  La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung E.","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California, San Diego  La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl L.","family":"Rock","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Public Health University of California, San Diego  La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1827-5075","authenticated-orcid":false,"given":"Scott J.","family":"Crow","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota  Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard H.","family":"Epstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University at Buffalo  Buffalo New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise E.","family":"Wilfley","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University St Louis  St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerri N.","family":"Boutelle","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California, San Diego  La Jolla California"},{"name":"Department of Family Medicine and Public Health University of California, San Diego  La Jolla California"},{"name":"Department of Psychiatry University of California, San Diego  La Jolla California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300182"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22028"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0651"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199605)19:4<391::AID-EAT6>3.0.CO;2-G"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2012.09.001"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20098"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e318164f911"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.S2.518"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-010-9612-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2001.115022"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20387"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.48"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-018-0316-9"},{"key":"e_1_2_8_15_1","unstructured":"Kuczmarski R. 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