{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T08:14:06Z","timestamp":1781770446717,"version":"3.54.5"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T00:00:00Z","timestamp":1646697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["HRC 97\/144"],"award-info":[{"award-number":["HRC 97\/144"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Psychotherapy for anorexia nervosa (AN) is complex and multifaceted, with little known about likely effective components of treatments. The current study explored the spoken content of specialist supportive clinical management (SSCM) for AN, a treatment with evidence of effectiveness in several randomized clinical trials.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>One hundred seventy\u2010eight therapy sessions constituting all ten therapist\u2013patient dyads of those who completed SSCM treatment in the original clinical trial of SSCM, were transcribed verbatim. Themes were developed and content analyzed using qualitative content analysis of complete therapy sessions by four analysts, with 10% of sessions cocoded for interrater agreement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over three quarters of session content was within the clinical management theme, the largest subtheme relating to normalizing eating, followed by weight, mechanics of SSCM, and encouragement of self\u2010care. Approximately 20% of total content was in the supportive psychotherapy theme, half about relationships. The relative proportion of clinical management content remained high, decreasing during the last five sessions. Those achieving good outcome did not have a lower ratio of clinical management to supportive psychotherapy content.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The current study revealed strong clinical management focus on core symptoms of AN\u2014normalization of eating and weight gain\u2014throughout SSCM for AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Six clinical trials have found SSCM to be effective in treating AN. Content of SSCM sessions in the original trial was classified using qualitative content analysis. Study findings revealed strong clinical management focus on core AN symptoms\u2014normalization of eating and weight gain\u2014throughout SSCM, with the ratio of clinical management to supportive psychotherapy greater for those with a good outcome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23697","type":"journal-article","created":{"date-parts":[[2022,3,8]],"date-time":"2022-03-08T11:01:26Z","timestamp":1646737286000},"page":"717-722","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Specialist supportive clinical management for anorexia nervosa: Analysis of therapy content and relation to outcome"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1957-1631","authenticated-orcid":false,"given":"Virginia Violet Williams","family":"McIntosh","sequence":"first","affiliation":[{"name":"School of Psychology, Speech and Hearing, University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet Deborah","family":"Carter","sequence":"additional","affiliation":[{"name":"School of Psychology, Speech and Hearing, University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4699-6301","authenticated-orcid":false,"given":"Jennifer","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine University of Otago  Christchurch New Zealand"},{"name":"Canterbury District Health Board  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Loughlin","sequence":"additional","affiliation":[{"name":"School of Psychology, Speech and Hearing, University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,8]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Transforming qualitative information: Thematic analysis and code development","author":"Boyatzis R.","year":"1998"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717001349"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0735-7028.34.4.406"},{"key":"e_1_2_8_6_1","volume-title":"The treatment of eating disorders","author":"Grilo C.","year":"2010"},{"issue":"7","key":"e_1_2_8_7_1","first-page":"CD003909","article-title":"Individual psychological therapy in the outpatient treatment of adults with anorexia nervosa","volume":"2015","author":"Hay P. 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