{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T17:17:21Z","timestamp":1784913441358,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23DK131334"],"award-info":[{"award-number":["K23DK131334"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23MH125143"],"award-info":[{"award-number":["K23MH125143"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24MH135189"],"award-info":[{"award-number":["K24MH135189"]}],"id":[{"id":"10.13039\/100000002","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":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Little is known about the timing of behavioral versus cognitive change in 10\u2010session cognitive\u2010behavioral therapy for non\u2010underweight eating disorders (CBT\u2010T). We aimed to: (a) evaluate the magnitude of behavioral and cognitive symptom reduction across treatment; and (b) investigate the relation between early behavioral change\u00a0and subsequent cognitive change. We hypothesized: (a) large and significant reductions in behavioral and cognitive symptoms from pre\u2010 to mid\u2010treatment and from pre\u2010 to post\u2010treatment; and (b) that early behavioral change would predict subsequent cognitive change over the course of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients (<jats:italic>N\u2009=<\/jats:italic>\u200963) were offered CBT\u2010T and completed the Eating Disorder\u201015 on a weekly basis. We used intent\u2010to\u2010treat analyses. For Aim 1, we conducted a series of fixed\u2010effect multilevel models for each outcome variable, accounting for repeated measures (pre\u2010, mid\u2010, and post\u2010treatment) within individuals. For Aim 2, we conducted a linear regression using early behavioral change as the predictor and subsequent cognitive change as the outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We observed large and significant reductions in most behavioral and all cognitive symptoms pre\u2010 to mid\u2010treatment and pre\u2010 to post\u2010treatment. Early changes in behavioral symptoms did not significantly predict subsequent cognitive changes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Behavioral improvements occurred rapidly and were sustained throughout treatment, whereas cognitive changes followed a more gradual trajectory. The absence of a significant predictive relationship between early behavioral change and subsequent cognitive change suggests that these domains may improve independently. Future research should investigate the mechanisms linking behavioral and cognitive changes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24429","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T15:06:24Z","timestamp":1743606384000},"page":"1392-1398","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Patterns of Symptom Change in Behaviors and Cognitions During 10\u2010Session Cognitive Behavioral Therapy (<scp>CBT<\/scp>\u2010T) for Non\u2010Underweight Eating Disorders"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1950-3332","authenticated-orcid":false,"given":"P. Evelyna","family":"Kambanis","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mass General Brigham Eating Disorders Research Collaborative  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4293-6926","authenticated-orcid":false,"given":"Haley","family":"Graver","sequence":"additional","affiliation":[{"name":"Department of Psychology Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3608-5395","authenticated-orcid":false,"given":"Lilian P.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mass General Brigham Eating Disorders Research Collaborative  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0127-8667","authenticated-orcid":false,"given":"Casey M.","family":"Stern","sequence":"additional","affiliation":[{"name":"Department of Psychology Yeshiva University  Bronx New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7085-9350","authenticated-orcid":false,"given":"Nassim","family":"Tabri","sequence":"additional","affiliation":[{"name":"Department of Psychology Carleton University  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4460-6437","authenticated-orcid":false,"given":"Ashley","family":"Dunford","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mass General Brigham Eating Disorders Research 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