{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T23:15:08Z","timestamp":1772838908305,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T00:00:00Z","timestamp":1560902400000},"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":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We previously demonstrated that early improvements in access to emotion regulation strategies during the first 4\u2009weeks of intensive cognitive behavior therapy (CBT)\u2010based eating disorder (ED) treatment predicted a range of post\u2010treatment outcomes. This follow\u2010up article examines whether early improvements in access to emotion regulation strategies continue to predict good treatment outcomes at 6\u2009months post\u2010treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were 76 patients with bulimia nervosa or purging disorder who participated in the original study and the 6\u2010month follow\u2010up assessment. Hierarchical regression models were used to examine whether early improvements in emotion regulation strategies predicted 6\u2010month follow\u2010up outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After controlling relevant covariates and rapid and substantial behavior change, greater early improvements in access to emotion regulation strategies during the first 4\u2009weeks of intensive treatment predicted lower overall ED psychopathology and ED\u2010related functional impairment 6\u2009months after treatment. They did not predict abstinence from binge, vomit, and laxative use behaviors during the follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Individuals who learn early in treatment that they can use skills to more effectively regulate emotions have better treatment outcomes on some variables 6\u2009months after treatment. Teaching emotion regulation skills in the first phase of CBT for ED may be beneficial, particularly for individuals with baseline difficulties.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23117","type":"journal-article","created":{"date-parts":[[2019,6,19]],"date-time":"2019-06-19T10:09:44Z","timestamp":1560938984000},"page":"962-967","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Rapid improvements in emotion regulation predict eating disorder psychopathology and functional impairment at 6\u2010month follow\u2010up in individuals with bulimia nervosa and purging disorder"],"prefix":"10.1002","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4543-3489","authenticated-orcid":false,"given":"Danielle E.","family":"MacDonald","sequence":"first","affiliation":[{"name":"Centre for Mental Health University Health Network  Toronto Ontario Canada"},{"name":"Department of Psychiatry University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7192-6140","authenticated-orcid":false,"given":"Kathryn","family":"Trottier","sequence":"additional","affiliation":[{"name":"Centre for Mental Health University Health Network  Toronto Ontario Canada"},{"name":"Department of Psychiatry University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_3_1","first-page":"315","volume-title":"Cognitive behavior therapy and eating disorders","author":"Bohn K.","year":"2008"},{"key":"e_1_2_7_4_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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