{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T15:00:06Z","timestamp":1791039606829,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"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":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Many women with eating disorders (EDs) have comorbid posttraumatic stress disorder (PTSD). However, there have been few studies on how comorbid PTSD may impact ED treatment outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants were 2,809 patients from residential ED treatment facilities who were treated using the Unified Treatment Model (UTM). We investigated whether PTSD diagnosis at admission was associated with changes in Eating Disorder Examination\u2010Questionnaire (EDE\u2010Q) scores, binge eating, self\u2010induced vomiting, and restriction, across three time points, as well as clinically significant improvement and treatment drop\u2010out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Using latent growth models, with time modeled as a second\u2010order polynomial, we found that EDE\u2010Q scores and behavioral symptoms decreased from admission to discharge, but increased from discharge to 6\u2010month follow\u2010up. PTSD diagnosis was associated with higher baseline EDE\u2010Q scores and restriction, and lower binge\u2010eating frequency. PTSD diagnosis was not associated with symptom change over time, treatment dropout, or clinically significant change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Although PTSD diagnoses were associated with higher ED symptom levels at admission, PTSD was not associated with worse treatment outcomes, suggesting the UTM is a promising treatment for patients with and without PTSD. Future studies should investigate the impact of ED treatment on PTSD symptoms in order to determine the need for integrated treatments for these comorbid conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.23515","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T01:51:10Z","timestamp":1618883470000},"page":"1260-1269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["The impact of comorbid posttraumatic stress disorder on eating disorder treatment outcomes: Investigating the unified treatment model"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1516-7239","authenticated-orcid":false,"given":"Karen S.","family":"Mitchell","sequence":"first","affiliation":[{"name":"Women's Health Sciences Division National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3170-2924","authenticated-orcid":false,"given":"Simar","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Psychology Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Hardin","sequence":"additional","affiliation":[{"name":"Women's Health Sciences Division National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Thompson\u2010Brenner","sequence":"additional","affiliation":[{"name":"The Renfrew Center  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide","author":"Barlow D. H.","year":"2011"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10129"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2017.1282398"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260701454311"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2005.09.004"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198701)6:1<1::AID-EAT2260060102>3.0.CO;2-9"},{"key":"e_1_2_8_9_1","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. G.","year":"2008"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_8_11_1","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. G.","year":"2008"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780195308501.001.0001"},{"key":"e_1_2_8_13_1","unstructured":"Glen S.(2015 September 7).Akaike's information criterion: Definition formulas. Statistics How To. Retrieved fromhttps:\/\/www.statisticshowto.com\/akaikes-information-criterion\/"},{"key":"e_1_2_8_14_1","unstructured":"Glen S.(2018 March 10).Bayesian information criterion (BIC) \/ Schwarz criterion. Statistics How To. Retrieved fromhttps:\/\/www.statisticshowto.com\/bayesian-information-criterion\/"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2017.1402334"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyz032"},{"key":"e_1_2_8_18_1","volume-title":"IBM SPSS statistics for Macintosh, version 26","author":"IBM Corp","year":"2019"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2020.1869369"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21737"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20965"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.12.003"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.ecolsys.28.1.341"},{"key":"e_1_2_8_25_1","volume-title":"Cognitive processing therapy for PTSD: A comprehensive manual","author":"Resick P. A.","year":"2017"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e31822232bb"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20091"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23106"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2722"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20372"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2012.715512"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/21662630.2013.840119"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503307.2018.1446563"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0101748"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.641601"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2723"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2016.1207456"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22176"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23004"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445517724539"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20696"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23515","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23515","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23515","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T12:24:17Z","timestamp":1693311857000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23515"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":40,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1002\/eat.23515"],"URL":"https:\/\/doi.org\/10.1002\/eat.23515","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]},"assertion":[{"value":"2020-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}