{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:30:48Z","timestamp":1783431048356,"version":"3.54.6"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T00:00:00Z","timestamp":1598745600000},"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":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Eating disorder (ED) treatment outcomes are highly variable from beginning to end of treatment; however, little is known about differential trajectories during the course of treatment. This study sought to characterize heterogeneous patterns of ED treatment response during residential care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were adolescent girls and adult women (<jats:italic>N<\/jats:italic> = 360) receiving residential ED treatment for anorexia nervosa, bulimia nervosa, binge\u2010eating disorder, other specified feeding or eating disorder, unspecified feeding or eating disorder, or avoidant\/restrictive food intake disorder. Self\u2010report symptom assessments were completed at admission, discharge, and approximately weekly throughout the residential stay to assess curvilinear patterns of change. Latent growth mixture modeling was applied to identify subgroups of patients with similar treatment response trajectories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three latent groups emerged, including gradual response (58.3%; steady improvements from admission to discharge), rapid response (23.9%; steep early improvements that were maintained through discharge), and low\u2010symptom static response (17.8%; nearly nonclinical self\u2010reported symptoms at admission that remained static through discharge). Groups differed on important clinical characteristics, such as body mass index, endorsement of compensatory behaviors, severity of global ED psychopathology at admission, and degree of symptom improvement by end of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Patients follow heterogeneous response patterns in residential ED treatment, and these patterns are associated with differential treatment outcome. Future work should explore whether these trajectories are associated with differential outcomes at follow\u2010up and whether tailoring clinical intervention to a patient's trajectory type can improve treatment response.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23369","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T06:35:03Z","timestamp":1598855703000},"page":"1647-1656","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Latent trajectories of eating disorder treatment response among female patients in residential care"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8456-3465","authenticated-orcid":false,"given":"Hallie M.","family":"Espel\u2010Huynh","sequence":"first","affiliation":[{"name":"Drexel University  Philadelphia Pennsylvania USA"},{"name":"Weight Control and Diabetes Research Center The Miriam Hospital  Providence Rhode Island USA"},{"name":"Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James F.","family":"Boswell","sequence":"additional","affiliation":[{"name":"University at Albany\u2014SUNY  Albany New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Graham","family":"Thomas","sequence":"additional","affiliation":[{"name":"Weight Control and Diabetes Research Center The Miriam Hospital  Providence Rhode Island USA"},{"name":"Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Thompson\u2010Brenner","sequence":"additional","affiliation":[{"name":"Boston University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne S.","family":"Juarascio","sequence":"additional","affiliation":[{"name":"Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6301-9214","authenticated-orcid":false,"given":"Michael R.","family":"Lowe","sequence":"additional","affiliation":[{"name":"Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-13-294"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.61.4.667"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22922"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2589"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12m07842"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0024455"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000315362"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12163"},{"key":"e_1_2_8_11_1","volume-title":"Applied missing data analyses","author":"Enders C. 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