{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:02:34Z","timestamp":1792008154860,"version":"4.4.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Eating disorders (EDs) often co\u2010occur with social anxiety disorder (SAD). However, little research has examined the influence of SAD symptoms on ED treatment outcomes in the context of individual outpatient cognitive\u2010behavior therapy for eating disorders (CBT\u2010ED). It is plausible that SAD symptom severity could improve as a result of ED treatment, given the high overlap between EDs and SAD. We sought to test whether baseline SAD symptoms moderate early response to CBT\u2010ED or post\u2010treatment outcomes in CBT\u2010ED, and the degree to which SAD symptoms improve during therapy despite SAD not being an explicit treatment target.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>ED clients (<jats:italic>N<\/jats:italic>\u2009=\u2009226) aged \u226516\u2009years were treated with CBT\u2010ED. Outcomes were ED symptoms, clinical impairment, and SAD symptoms measured at baseline, session 5 and post\u2010treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baseline SAD was a weak moderator of early and post\u2010treatment ED symptoms and impairment. SAD symptoms improved moderately over treatment among clients who started with elevated levels of SAD symptomology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Clients with EDs can experience good therapeutic outcomes regardless of their social anxiety severity at pre\u2010treatment. SAD symptoms reduced over CBT\u2010ED, but protocol enhancements such as exposure\u2010based strategies that directly target co\u2010occurring social\u2010evaluative concerns may help achieve larger reductions in SAD symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public significance<\/jats:title><jats:p>Eating disorders often co\u2010occur with anxiety disorders such as social anxiety. We found people who had both social anxiety and an eating disorder benefited as much from eating disorder treatment as people who did not have social anxiety. People who were socially anxious became less anxious as a by\u2010product of receiving eating disorder treatment. It may be possible to reduce social anxiety further by enhancing eating disorder treatment protocols.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24191","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T06:18:26Z","timestamp":1710569906000},"page":"1776-1782","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Examining co\u2010occurring social anxiety in cognitive behavioral therapy for eating disorders: Does it change and does it moderate eating disorder outcomes?"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5259-8823","authenticated-orcid":false,"given":"Pheobe L.","family":"Ho","sequence":"first","affiliation":[{"name":"Centre for Clinical Interventions  Perth Australia"},{"name":"School of Psychology, Murdoch University  Murdoch WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1885-6160","authenticated-orcid":false,"given":"David M.","family":"Erceg\u2010Hurn","sequence":"additional","affiliation":[{"name":"Centre for Clinical Interventions  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2924-6760","authenticated-orcid":false,"given":"Peter M.","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Centre for Clinical Interventions  Perth Australia"},{"name":"School of Population Health, Curtin University  Perth WA Australia"},{"name":"enAble Institute, Curtin University  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9868-652X","authenticated-orcid":false,"given":"Bruce N. 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