{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:07:31Z","timestamp":1791036451537,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T00:00:00Z","timestamp":1686268800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001075","name":"Channel 7 Children's Research Foundation","doi-asserted-by":"publisher","award":["19\u201010694417"],"award-info":[{"award-number":["19\u201010694417"]}],"id":[{"id":"10.13039\/501100001075","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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This pilot study investigated the feasibility and preliminary efficacy of the metacognitive training for eating disorders (MCT\u2010ED) program in adolescents with anorexia nervosa (AN). We report attrition and subjective evaluation as well as changes to cognitive flexibility, perfectionism and eating disorder pathology relative to waitlist controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Female (<jats:italic>n<\/jats:italic>\u2009=\u200935, aged 13\u201317\u2009years) outpatients with a diagnosis of AN (<jats:italic>n<\/jats:italic>\u2009=\u200920) or atypical AN (<jats:italic>n<\/jats:italic>\u2009=\u200915) completed baseline measures of cognitive flexibility, perfectionism, and eating disorder pathology (May 2020\u2013May 2022). Participants were randomly allocated to either treatment\u2010as\u2010usual (TAU) plus MCT\u2010ED or TAU waitlist condition. All participants completed post\u2010intervention and 3\u2010month follow\u2010up questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The MCT\u2010ED condition had a treatment attrition rate &lt;15%. Participants provided positive evaluation of the program. There were large between groups differences favoring MCT\u2010ED at post\u2010intervention and 3\u2010month follow\u2010up for concern over mistakes perfectionism (respective <jats:italic>d<\/jats:italic>s\u2009=\u2009\u22121.25, 95% CI [\u22122.06, \u2212.45]; \u2212.83, 95% CI [\u22121.60, .06]) with a significant group difference post\u2010intervention but not 3\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings provide tentative support for the feasibility of MCT\u2010ED as an adjunct intervention for young people with AN, however replication is needed with a larger sample size to further explore its efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public significance<\/jats:title><jats:p>Metacognitive training for eating disorders (MCT\u2010ED) is a feasible adjunct intervention for adolescents with anorexia nervosa. The intervention, which targets thinking styles and is delivered online by a therapist, received positive feedback, had high treatment retention, and led to reductions in perfectionism by the end of treatment compared to wait\u2010list controls. Although these gains were not sustained long\u2010term, the program is suitable adjunct intervention for young people with eating disorders.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24009","type":"journal-article","created":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T10:15:51Z","timestamp":1686305751000},"page":"1820-1825","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["A randomized controlled feasibility trial of metacognitive training with adolescents receiving treatment for anorexia nervosa"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2007-4317","authenticated-orcid":false,"given":"Ryan P.","family":"Balzan","sequence":"first","affiliation":[{"name":"Flinders Institute for Mental Health and Wellbeing, Blackbird Initiative Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline","family":"Gilder","sequence":"additional","affiliation":[{"name":"Flinders Institute for Mental Health and Wellbeing, Blackbird Initiative Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Thompson","sequence":"additional","affiliation":[{"name":"Flinders Institute for Mental Health and Wellbeing, Blackbird Initiative Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4402-770X","authenticated-orcid":false,"given":"Tracey D.","family":"Wade","sequence":"additional","affiliation":[{"name":"Flinders Institute for Mental Health and Wellbeing, Blackbird Initiative Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sby152"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_5_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20956"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.7275\/p7x7-jb36"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23118"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23430"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2013.00863"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-022-01394-9"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721004621"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/cp.12091"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23720"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23396"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T17:44:57Z","timestamp":1694713497000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1002\/eat.24009"],"URL":"https:\/\/doi.org\/10.1002\/eat.24009","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,9]]},"assertion":[{"value":"2023-02-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}