{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:40:13Z","timestamp":1786977613711,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T00:00:00Z","timestamp":1548892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To ascertain the role of baseline measures of body\u2010image concern (BIC) in changes in body mass index (BMI) centile and psychopathological outcomes associated with intensive enhanced cognitive behavioral therapy (CBT\u2010E) in adolescents with anorexia nervosa (AN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The BMI centile of 62 adolescent patients with AN was recorded at four time\u2010points over 12 months, and Eating Disorder Examination interview (EDE) and Brief Symptom Inventory (BSI) scores, were recorded at admission and discharge from CBT\u2010E. Changes in three BIC components, namely \u201cPreoccupation with shape\/weight\u201d, \u201cFear of weight gain\u201d and \u201cFeeling fat\u201d, were assessed at admission and discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>CBT\u2010E was associated with a significant improvement in outcome variables and BIC components. Among completers, 96.4% reached an end\u2010of treatment BMI centile corresponding to a BMI \u2265\u200918.5 at 18\u2009years, which fell slightly to 78.7% and 80.4% at 6\u2010 and 12\u2010month follow\u2010ups, respectively. Baseline \u201cPreoccupation with shape\/weight\u201d and \u201cFeeling fat\u201d predicted improvement in BMI centile over time, and all three baseline BIC components independently predicted end\u2010of\u2010treatment EDE Eating Concern subscale score. Baseline \u201cFeeling fat\u201d also predicted end\u2010of\u2010treatment EDE Dietary Restraint subscale and BSI scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings highlight the importance of assessing and addressing body image when managing adolescent patients with AN.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.23031","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T06:44:39Z","timestamp":1548917079000},"page":"582-585","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Body image concern and treatment outcomes in adolescents with anorexia nervosa"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4028-1877","authenticated-orcid":false,"given":"Simona","family":"Calugi","sequence":"first","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda (VR) Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Dalle Grave","sequence":"additional","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda (VR) Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,31]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Diagnostic and statistical manual of mental disorders, (DSM\u20105)","author":"APA","year":"2013"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2018.04.001"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-015-0191-2"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39238.399444.55"},{"key":"e_1_2_5_6_1","volume-title":"Multistep cognitive behavioral therapy for eating disorders: Theory, practice, and clinical cases","author":"Dalle Grave R.","year":"2013"},{"key":"e_1_2_5_7_1","first-page":"231","volume-title":"Cognitive behavior therapy and eating disorders","author":"Dalle Grave R.","year":"2008"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.09.008"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-287-087-2_176-1"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1993.tb01045.x"},{"key":"e_1_2_5_11_1","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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