{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:20:25Z","timestamp":1791303625492,"version":"4.1.0"},"reference-count":70,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Early change in eating disorder psychopathology is the most robust predictor of treatment outcomes in eating disorders. However, little is known about what predicts early change. Using mixed\u2010methodology, this study explored predictors of early change in the first four sessions of 10\u2010session cognitive behavioral therapy (CBT\u2010T) for nonunderweight eating disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Phase 1: interviews were conducted to explore CBT\u2010T clinicians' perspectives on predictors of early change. Phase 2: robust multiple regressions were undertaken to examine whether any of five variables identified during interviews\u2014diagnosis, wait time, therapeutic alliance, depression, and anxiety\u2014were associated with early change in eating disorder psychopathology. Data were derived from outcome measures for service users (<jats:italic>n<\/jats:italic>\u2009=\u2009107) receiving CBT\u2010T in a community eating disorder service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Phase 1: eight themes were identified: attitudes to making change, diagnosis, external mitigating circumstances, therapeutic alliance, therapist confidence, pretreatment variables, CBT\u2010T format, and therapeutic suitability. Phase 2: no significant associations were found between the five predictor variables (diagnosis type, wait time, baseline depression, baseline anxiety, and therapeutic alliance) and early change in EDE\u2010Q scores. These results have been certified as computationally reproducible by an independent statistician.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Qualitative findings identified several potential predictors of early change in eating disorder psychopathology in CBT\u2010T, however, quantitative data contradicted qualitative findings, finding no significant association for any of the tested variables. Further research is required to clarify theses conflicting findings and to quantitatively explore the additional predictors highlighted during qualitative analysis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24350","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T09:34:32Z","timestamp":1734082472000},"page":"518-530","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Understanding Early Treatment Response in Brief <scp>CBT<\/scp> for Nonunderweight Eating Disorders: A Mixed Methods Study"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0202-6932","authenticated-orcid":false,"given":"Dana","family":"Gatley","sequence":"first","affiliation":[{"name":"School of Psychology University of Sussex  Brighton UK"},{"name":"Sussex Partnership Innovation and Research in Eating Disorders (SPIRED) Clinic Sussex Partnership Foundation Trust  Sussex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9626-2912","authenticated-orcid":false,"given":"Verity","family":"Millar\u2010Sarahs","sequence":"additional","affiliation":[{"name":"Sussex Partnership Innovation and Research in Eating Disorders (SPIRED) Clinic Sussex Partnership Foundation Trust  Sussex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6994-1472","authenticated-orcid":false,"given":"Amy","family":"Brown","sequence":"additional","affiliation":[{"name":"Sussex Partnership Innovation and Research in Eating Disorders (SPIRED) Clinic Sussex Partnership Foundation Trust  Sussex UK"},{"name":"Sussex Eating Disorder Service Sussex Partnership Foundation Trust  Sussex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3055-5301","authenticated-orcid":false,"given":"Cat Papastavrou","family":"Brooks","sequence":"additional","affiliation":[{"name":"Sussex Partnership Innovation and Research in Eating Disorders (SPIRED) Clinic Sussex Partnership Foundation Trust  Sussex UK"},{"name":"Population Health Sciences University of Bristol  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4055-904X","authenticated-orcid":false,"given":"Faith","family":"Matcham","sequence":"additional","affiliation":[{"name":"School of Psychology University of Sussex  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000005285875"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23246"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2745"},{"key":"e_1_2_13_6_1","volume-title":"Bergin and Garfield's Handbook of Psychotherapy and Behavior Change","author":"Barkham M.","year":"2004"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.554"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2018.1532940"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2013.01.008"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X14000105"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2012.03.003"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0017330"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102032"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23933"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.162628"},{"key":"e_1_2_13_17_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. 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