{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T21:18:24Z","timestamp":1776633504663,"version":"3.51.2"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>There is an urgent need for psychological therapies in Eating Disorders (ED) that target both eating disorder symptoms and broader aspects of psychological functioning, such as personality disorder (PD) features. We integrated Metacognitive Interpersonal Therapy, developed for treating PDs, with existing CBT techniques for eating disorders (MIT\u2010ED). This psychotherapy targets aspects of ED that are not included in the transdiagnostic CBT\u2010E model, specifically poor metacognition and interpersonal schemas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A proof\u2010of\u2010concept randomized clinical trial (RCT) recruited 21 individuals with non\u2010underweight ED (Bulimia Nervosa, Binge Eating Disorder and ED Not Otherwise Specified) to 20 individual psychotherapy sessions of MIT\u2010ED or CBT\u2010E. Outcomes addressed ED\u2010related characteristics and PD diagnosis. Measures were taken at baseline, 10 sessions, 20 sessions, and 3\u2009months after treatment completion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>MIT\u2010ED had excellent retention to treatment with 1 drop\u2010out compared to 6 for CBT\u2010E. Descriptive analyses using completer analyses (<jats:italic>n<\/jats:italic>\u2009=\u200914) indicated that both MIT\u2010ED and CBT\u2010E resulted in reduced ED symptoms, impairment, and binge eating, and improved ED\u2010related attitudes, although there was no difference between treatment arms. MIT\u2010ED achieved more remissions from PD diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>MIT\u2010ED appeared to be a promising effective treatment for non\u2010underweight ED. If replicated in larger samples, it would offer an alternative approach to enhancing recovery in ED.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24408","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T01:28:31Z","timestamp":1741742911000},"page":"993-998","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Metacognitive Interpersonal Therapy\u2010Eating Disorders (<scp>MIT<\/scp>\u2010<scp>ED<\/scp>) Versus <scp>CBT<\/scp>\u2010E for Adults: A Proof\u2010of\u2010Concept Randomized Controlled Trial"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1315-0388","authenticated-orcid":false,"given":"Gloria","family":"Fioravanti","sequence":"first","affiliation":[{"name":"Centro di Trattamento Integrato Disturbi Alimentari e Obesit\u00e0  Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0618-044X","authenticated-orcid":false,"given":"Angus","family":"MacBeth","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology School of Health in Social Science, the University of Edinburgh, Medical School (Doorway 6)  Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1268-4262","authenticated-orcid":false,"given":"Raffaele","family":"Popolo","sequence":"additional","affiliation":[{"name":"Centro di Terapia Metacognitiva Interpersonale  Rome Italy"},{"name":"DSM ASL Roma 1  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7272-9103","authenticated-orcid":false,"given":"Francesca","family":"Travagnin","sequence":"additional","affiliation":[{"name":"Centro di Trattamento Integrato Disturbi Alimentari e Obesit\u00e0  Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9406-6849","authenticated-orcid":false,"given":"Martina","family":"Nicolis","sequence":"additional","affiliation":[{"name":"Centro di Trattamento Integrato Disturbi Alimentari e Obesit\u00e0  Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9289-8756","authenticated-orcid":false,"given":"Giancarlo","family":"Dimaggio","sequence":"additional","affiliation":[{"name":"Centro di Terapia Metacognitiva Interpersonale  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010021\u201000376\u2010x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.10.009"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23206"},{"key":"e_1_2_9_5_1","first-page":"315","volume-title":"The Clinical Impairment Assessment Questionnaire (CIA)","author":"Bohn K.","year":"2008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2385"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010018\u20100477\u20102"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000350058"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315744124"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780429350894"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23823"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.04.010"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"e_1_2_9_14_1","first-page":"309","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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