{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T13:09:08Z","timestamp":1786799348942,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002977","name":"Dalhousie University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002977","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":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Cognitive Behavioral Therapy\u2010Ten (CBT\u2010T) is a 10\u2010session manualized eating disorder (ED) treatment protocol for nonunderweight EDs. CBT\u2010T was developed to increase access to treatment and reduce wait times, as it can be delivered in half the time as existing CBT approaches for EDs. To improve access to treatment, the Nova Scotia Eating Disorder Provincial Service trained 36 clinicians through a 10\u2010month CBT\u2010T training program and offered CBT\u2010T provincially. This study examines changes in ED psychopathology, binge eating, compensatory behaviors, anxiety, and depression in a transdiagnostic cohort of adult patients treated with CBT\u2010T. Further, an exploratory analysis of predictors of treatment outcome was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was conducted on adults who began CBT\u2010T between July 2022 and March 2024. Participants completed routine outcome measures per the CBT\u2010T manual. Mixed\u2010effects models examined symptom changes over time, along with predictors of treatment outcome, dropout, and extension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 267 patients started CBT\u2010T. Significant reductions in ED psychopathology, binge eating, and compensatory behaviors, anxiety, and depression were observed throughout treatment. Effect sizes were large to very large at the end of treatment for primary and secondary outcomes. Early change in ED psychopathology predicted better outcomes, whereas diagnoses of anorexia nervosa and atypical anorexia nervosa were associated with higher dropout rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Findings support that CBT\u2010T may be an effective, scalable treatment associated with significant symptom reductions corresponding to large effect sizes. Future research should explore adaptations to improve retention, especially for those with anorexia nervosa and atypical anorexia nervosa.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24498","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T10:29:23Z","timestamp":1751452163000},"page":"1946-1956","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Delivering Brief Cognitive Behavioral Therapy (CBT\u2010T) for Eating Disorders: Examining Real\u2010World Outcomes of a Large\u2010Scale Training Program"],"prefix":"10.1002","volume":"58","author":[{"given":"Laura","family":"Dixon","sequence":"first","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colby","family":"Price","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Bartel","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Harris","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marika","family":"Schenkels","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni","family":"Spinella","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Nunes","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1459-7472","authenticated-orcid":false,"given":"Sarrah I.","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-9546","authenticated-orcid":false,"given":"Glenn","family":"Waller","sequence":"additional","affiliation":[{"name":"School of Psychology University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Wournell","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Gamberg","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0462-9749","authenticated-orcid":false,"given":"Aaron","family":"Keshen","sequence":"additional","affiliation":[{"name":"Nova Scotia Provincial Eating Disorder Service Nova Scotia Health  Halifax Canada"},{"name":"Department of Psychiatry Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24343"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22660"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22425"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102032"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.10.009"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.23180001"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20956"},{"key":"e_1_2_11_11_1","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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