{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:20:11Z","timestamp":1790288411981,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R34MH115897\u201003"],"award-info":[{"award-number":["R34MH115897\u201003"]}],"id":[{"id":"10.13039\/100000025","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":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the feasibility and acceptability of augmenting family\u2010based treatment (FBT) for adolescents with anorexia nervosa (AN) or atypical anorexia nervosa (AAN) with a parent emotion coaching intervention (EC) focused on reducing parent expressed emotion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In this pilot effectiveness trial, families of adolescents with AN\/AAN exhibiting high expressed emotion received standard FBT with either (1) EC group or (2) support group (an attention control condition focused on psychoeducation).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one adolescents with AN or AAN were recruited (88% female, <jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200914.9\u2009\u00b1\u20091.6\u2009years, 95% White: Non\u2010Hispanic, 1% White: Hispanic, 1% Bi\u2010racial: Asian). Most study adolescents were diagnosed with AN (59%) while 41% were diagnosed with AAN. Participating parents were predominantly mothers (95%). Recruitment and retention rates were moderately high (76% and 71%, respectively). High acceptability and feasibility ratings were obtained from parents and interventionists with 100% reporting the EC intervention was \u201cbeneficial\u201d\u2013\u201cvery beneficial.\u201d The FBT\u2009+\u2009EC group demonstrated higher parental warmth scores at post\u2010treatment compared to the control group (standardized effect size difference, <jats:italic>d<\/jats:italic>\u2009=\u20091.58), which was maintained at 3\u2010month follow\u2010up. Finally, at post\u2010treatment, the FBT\u2009+\u2009EC group demonstrated higher rates of full remission from AN\/AAN (40%) compared to FBT\u2009+\u2009support (27%), and were nine times more likely to be weight restored by 3\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Augmenting FBT with emotion coaching for parents with high expressed emotion is acceptable, feasible, and demonstrates preliminary effectiveness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Family based treatment for AN\/AAN is the recommended treatment for youth but families with high criticism\/low warmth are less likely to respond to this treatment. Adding a parent emotion coaching group (EC) where parents learn to talk to their adolescents about tough emotions is feasible and well\u2010liked by families.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24149","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T08:48:54Z","timestamp":1707295734000},"page":"682-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Emotion coaching skills as an augmentation to family\u2010based therapy for adolescents with anorexia nervosa: A pilot effectiveness study with families with high expressed emotion"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8035-2230","authenticated-orcid":false,"given":"Claire M.","family":"Aarnio\u2010Peterson","sequence":"first","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7293-9496","authenticated-orcid":false,"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California  San Francisco California USA"},{"name":"Department of Psychiatry and Neurosciences (Emeritus) The University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6776-8060","authenticated-orcid":false,"given":"Constance A.","family":"Mara","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7580-3751","authenticated-orcid":false,"given":"Avani C.","family":"Modi","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3140-5258","authenticated-orcid":false,"given":"Emily","family":"Offenbacker North","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6660-0469","authenticated-orcid":false,"given":"Miriam","family":"Zegarac","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Georgia  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7096-4142","authenticated-orcid":false,"given":"Kimberly","family":"Stevens","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1548-2589","authenticated-orcid":false,"given":"Abigail","family":"Matthews","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"},{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3801-0402","authenticated-orcid":false,"given":"Laurie","family":"Mitan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Cincinnati College of Medicine  Cincinnati Ohio USA"},{"name":"Division of Adolescent Medicine Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8431-1222","authenticated-orcid":false,"given":"Anne","family":"Shaffer","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Georgia  Athens Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2023.101118"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2564"},{"key":"e_1_2_8_4_1","volume-title":"The American Psychiatric Association practice guideline for the treatment of patients with eating disorders","author":"American Psychiatric Association","year":"2023"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22759"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2023.2277054"},{"key":"e_1_2_8_7_1","volume-title":"Family affective attitude rating scale (FAARS)","author":"Bullock B.","year":"2004"},{"key":"e_1_2_8_8_1","unstructured":"Centers for Disease Control and Prevention. (2000).Clinical growth charts. Retrieved fromhttps:\/\/www.cdc.gov\/growthcharts\/"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2014.11.001"},{"key":"e_1_2_8_10_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.09.003"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327965pli0904_1"},{"key":"e_1_2_8_13_1","first-page":"340","volume-title":"Binge eating: Nature, assessment, and treatment","author":"Fairburn C. G.","year":"1993"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23519"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000647"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.11.099"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028086"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20469"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.1933"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20877"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2016.05.007"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.20770"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2010.10.008"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2023.2201988"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.chi.0000161647.82775.0a"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20328"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23611"},{"key":"e_1_2_8_28_1","volume-title":"Treatment manual for anorexia nervosa: A family\u2010based approach","author":"Lock J.","year":"2015"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22980"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.128"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714001573"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(86)90049-1"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23326"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2018.01.003"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/fam0000787"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxy133"},{"key":"e_1_2_8_37_1","volume-title":"A language and environment for statistical computing","author":"R Development Core Team","year":"2010"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S115775"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2389"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2015.1030755"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4080"},{"key":"e_1_2_8_42_1","volume-title":"Families Ending Eating Disorders (FEED)","author":"Shaffer A.","year":"2020"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-33739-0_9"},{"key":"e_1_2_8_44_1","volume-title":"Package \u201cblockrand\u201d","author":"Snow G.","year":"2013"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.147.3.265"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-015-0652-3"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199607)20:1<19::AID-EAT3>3.0.CO;2-7"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.129.2.125"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0635-3"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24149","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T06:40:40Z","timestamp":1710571240000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24149"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,6]]},"references-count":48,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/eat.24149"],"URL":"https:\/\/doi.org\/10.1002\/eat.24149","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,6]]},"assertion":[{"value":"2023-09-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}