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Participants were randomized to an intervention condition (<jats:italic>n<\/jats:italic>\u00a0=\u00a037) which included treatment as usual (TAU) supplemented by nine sessions of online cognitive bias modification training for social stimuli (CBMT + TAU), or a control condition (<jats:italic>n<\/jats:italic>\u00a0=\u00a030), which included TAU only. Participants were invited to complete assessments at baseline and post\u2010intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the intervention condition, 22\/37 participants completed six or more training sessions and post\u2010intervention measures, the pre\u2010defined criteria to be considered \u201ccompleters.\u201d In the control condition, 28\/30 participants completed the post\u2010intervention measures. Participants who completed the intervention displayed a significantly greater reduction in negative interpretations of ambiguous social scenarios, with a medium effect size (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.048, \u03b7p2\u00a0=\u00a0.090), and eating disorder psychopathology, with a medium effect size (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.027, \u03b7p2\u00a0=\u00a0.105), compared to participants in the control condition. No significant between\u2010group differences were found on emotional response to criticism, and anxiety and depression symptoms post\u2010intervention (<jats:italic>p<\/jats:italic>s\u2009&gt;\u2009.05; small effect sizes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Enhancing treatment as usual with CBMT targeting expectations of social rejection might be feasible and effective to reduce expectations of social rejection and eating disorder psychopathology in adolescents with eating disorders. Training adaptations might be necessary to impact on emotional processing and comorbid psychological distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Adolescents with eating disorders who completed a brief (4\u2010week) online cognitive training intervention, alongside their usual treatment, reported greater reductions in expectations of social rejection and eating disorder psychopathology after the intervention, compared to a separate group of patients who received their usual treatment only. This brief and accessible intervention may be a helpful treatment adjunct for adolescents with eating disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23809","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T06:14:48Z","timestamp":1663913688000},"page":"1506-1520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Cognitive bias modification training of attention and interpretation to reduce expectations of social rejection in adolescents with eating disorders: A small efficacy randomized controlled trial"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9671-4344","authenticated-orcid":false,"given":"Katie","family":"Rowlands","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine Institute of Psychiatry, Psychology and Neuroscience, King's College London  London 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