{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T20:50:14Z","timestamp":1794084614481,"version":"4.8.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:00:00Z","timestamp":1639440000000},"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":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Findings show virtual therapy (conducted using internet\u2010based videoconferencing techniques) to be a viable alternative to in\u2010person therapy for a variety of mental\u2010health problems. COVID\u201019 social\u2010distancing imperatives required us to substitute virtual interventions for in\u2010person sessions routinely offered in our outpatient eating disorder (ED) program\u2014and afforded us an opportunity to compare the two treatment formats for clinical efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using self\u2010report assessments, we compared outcomes in a historical sample of 49 adults with heterogeneous EDs (treated in\u2010person over 10\u201314\u2009weeks in individual and group therapies) to those of 76 patients receiving comparable virtual treatments, at distance, during the COVID\u201019 outbreak. Linear mixed models were used to study symptom changes over time and to test for differential effects of treatment modality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants in both groups showed similar improvements on eating symptoms, levels of weight gain (in individuals in whom gain was indicated), and satisfaction with services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our results suggest that short\u2010term clinical outcomes with virtual and in\u2010person ED therapies are comparable, and point to potentials of virtual therapy for situations in which geographical distance or other barriers impede physical access to trained therapists or specialized treatments.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23655","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T13:14:22Z","timestamp":1639487662000},"page":"145-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["In\u2010person versus virtual therapy in outpatient eating\u2010disorder treatment: A <scp>COVID<\/scp>\u201019 inspired study"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4887-7824","authenticated-orcid":false,"given":"Howard","family":"Steiger","sequence":"first","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Psychiatry Department McGill University  Montreal Qu\u00e9bec Canada"},{"name":"Research Centre, Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0863-8098","authenticated-orcid":false,"given":"Linda","family":"Booij","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Psychiatry Department McGill University  Montreal Qu\u00e9bec Canada"},{"name":"Department of Psychology Concordia University  Montreal Qu\u00e9bec Canada"},{"name":"Sainte\u2010Justine Hospital Research Centre University of Montreal  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Crescenzi","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Research Centre, Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Oliverio","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Research Centre, Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Singer","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3984-1240","authenticated-orcid":false,"given":"Lea","family":"Thaler","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Psychiatry Department McGill University  Montreal Qu\u00e9bec Canada"},{"name":"Research Centre, Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6491-2162","authenticated-orcid":false,"given":"Annie","family":"St\u2010Hilaire","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Psychiatry Department McGill University  Montreal Qu\u00e9bec Canada"},{"name":"Research Centre, Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0962-3514","authenticated-orcid":false,"given":"Mimi","family":"Israel","sequence":"additional","affiliation":[{"name":"Eating Disorders Continuum Douglas Institute  Montreal Qu\u00e9bec Canada"},{"name":"Psychiatry Department McGill University  Montreal Qu\u00e9bec Canada"},{"name":"Research Centre, Douglas Institute  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2018.0058"},{"key":"e_1_2_9_4_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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