{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:46:56Z","timestamp":1791532016108,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T00:00:00Z","timestamp":1656115200000},"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":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to assess the impact of the COVID\u201019 pandemic on the efficacy of an intensive treatment based on enhanced cognitive behavioral therapy (CBT\u2010E) in patients with anorexia nervosa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cohort study analyzed 57 patients with anorexia nervosa who experienced the COVID\u201019 pandemic during intensive CBT\u2010E, comparing their outcomes (body mass index [BMI], eating\u2010disorder and general psychopathology, and clinical impairment) with those of patients with anorexia nervosa matched by gender, age, and BMI given the same treatment before the COVID\u201019 outbreak as controls. Patients were assessed at baseline, at the end of treatment and after 20\u2009weeks of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>More than 75% of patients during the pandemic versus 85% of controls completed the treatment, a difference that was not significant. BMI, eating disorder and general psychopathology and clinical impairment scores improved significantly from baseline to 20\u2010week follow\u2010up in both groups. However, the improvement was more marked in controls than in those treated during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with anorexia nervosa given intensive CBT\u2010E during the COVID\u201019 pandemic had significantly improved psychopathology, albeit to a lesser extent than patients given the same treatment before the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public significance statement<\/jats:title><jats:p>In this study, the outcome of 57 patients with anorexia treated with intensive enhanced cognitive behavior therapy during the COVID\u201019 pandemic was compared with a matched group treated before the pandemic hit. The rate of remission from anorexia nervosa was similar between the two groups. However, patients exposed to the COVID\u201019 pandemic showed lesser improvement than those not exposed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23765","type":"journal-article","created":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T07:14:32Z","timestamp":1656141272000},"page":"216-224","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The impact of the <scp>COVID<\/scp>\u201019 pandemic on intensive cognitive behavioral therapy outcomes in patients with anorexia nervosa\u2014A cohort study"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9796-3721","authenticated-orcid":false,"given":"Riccardo","family":"Dalle Grave","sequence":"first","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Dalle 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