{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T10:49:48Z","timestamp":1788000588659,"version":"build-2784847793"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F31 MH131262"],"award-info":[{"award-number":["F31 MH131262"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01 MH125880"],"award-info":[{"award-number":["R01 MH125880"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["T32 MH082761"],"award-info":[{"award-number":["T32 MH082761"]}],"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":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Outcomes for low\u2010weight restrictive eating disorders, including anorexia nervosa, restricting type (AN\u2010R) and avoidant\/restrictive food intake disorder (ARFID), are sub\u2010optimal. Reducing dietary restriction is a key treatment target. Understanding heterogeneity in patterns of change in dietary restriction may aid in improving outcomes. We examined latent trajectories of change in dietary restriction during treatment and follow\u2010up in AN\u2010R and ARFID.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adolescents and adults with R\u2010EDs (<jats:italic>N<\/jats:italic>\u2009=\u2009276, 18% ARFID, 90% female, <jats:italic>M<\/jats:italic>\n<jats:sub>age<\/jats:sub>\u2009=\u200918) receiving intensive ED treatment completed assessments at five timepoints. Latent growth mixture modeling examined trajectories of change in dietary restriction, measured using the Eating Pathology Symptoms Inventory Restricting subscale. Classes were compared on clinical features at admission to determine characteristics prospectively associated with trajectory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A 3\u2010class solution emerged: Class 1 comprising individuals with \u201cgood response\u201d (<jats:italic>n<\/jats:italic>\u2009=\u2009138; 33% of those with ARFID in the sample); Class 2 with \u201cgood response, rebounding\u201d (<jats:italic>n<\/jats:italic>\u2009=\u200981; 41% of ARFID); and Class 3 with \u201cgradual response, low symptoms\u201d (<jats:italic>n<\/jats:italic>\u2009=\u200957; 26% of ARFID). Class 3 had lower anxiety and R\u2010ED symptoms than Classes 1 and 2. Class 2 presented with older age than Class 1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>No ARFID\u2010specific classes emerged, underscoring similarities in response to intensive treatment between AN\u2010R and ARFID.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24382","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T10:09:57Z","timestamp":1737367797000},"page":"748-755","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Latent Trajectories of Change in Dietary Restriction During Treatment in Avoidant\/Restrictive Food Intake Disorder and Anorexia Nervosa"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3057-6812","authenticated-orcid":false,"given":"Sophie R.","family":"Abber","sequence":"first","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"},{"name":"Department of Psychiatry University of California San Diego Health  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6854-1207","authenticated-orcid":false,"given":"Emily K.","family":"Presseller","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0812-6500","authenticated-orcid":false,"given":"Brianne N.","family":"Richson","sequence":"additional","affiliation":[{"name":"Sanford Center for Biobehavioral Research Sanford Research  Fargo North Dakota USA"},{"name":"Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6798-9085","authenticated-orcid":false,"given":"Thomas E.","family":"Joiner","sequence":"additional","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4843-1809","authenticated-orcid":false,"given":"Christina E.","family":"Wierenga","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California San Diego Health  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02294361"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2022.2034634"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2589"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22853"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181646765"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1980.01780220068007"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23535"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2023.09.004"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23369"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22736"},{"key":"e_1_2_10_13_1","volume-title":"Structured Clinical Interview for DSM\u20105\u2013Research Version (SCID\u20105 for DSM\u20105, Research Version; SCID\u20105\u2010RV)","author":"First M. B.","year":"2015"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032639"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2010.09.003"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.06.014"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0011000016658097"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199303)13:2<171::AID-EAT2260130205>3.0.CO;2-L"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00348-7"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2007.11.020"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720000227"},{"issue":"40","key":"e_1_2_10_22_1","first-page":"678","article-title":"The Diagnosis and Treatment of Eating Disorders","volume":"108","author":"Herpertz S.","year":"2011","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2021.3861"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199707000-00021"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1990.01810220085011"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198909)8:5<569::AID-EAT2260080508>3.0.CO;2-0"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23038"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22595"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2022.2114586"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.09.042"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-2657-y"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12537"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22737"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2024.2357942"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-021-01348-5"},{"issue":"2","key":"e_1_2_10_37_1","first-page":"1","article-title":"Estimation of Extended Mixed Models Using Latent Classes and Latent Processes: The R Package Lcmm","volume":"78","author":"Proust\u2010Lima C.","year":"2015","journal-title":"Journal of Statistical Software"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2017.12.004"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2716"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-024-00972-7"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24341"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1214\/aos\/1176344136"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02294360"},{"issue":"20","key":"e_1_2_10_44_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (MINI): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan D. V.","year":"1998","journal-title":"Journal of Clinical Psychiatry"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.09m05305whi"},{"issue":"3","key":"e_1_2_10_46_1","first-page":"145","article-title":"The State\u2010Trait Anxiety Inventory","volume":"5","author":"Spielberger C. D.","year":"1971","journal-title":"Revista Interamericana de Psicologia\/Interamerican Journal of Psychology"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.8.1284"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2011.10.009"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22411"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2437"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-023-00912-x"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-015-0227-7"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NMD.0000055082.75337.21"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.120404"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24382","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T07:52:47Z","timestamp":1746258767000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,20]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/eat.24382"],"URL":"https:\/\/doi.org\/10.1002\/eat.24382","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,20]]},"assertion":[{"value":"2024-09-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}