{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:58:20Z","timestamp":1787237900450,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Multifamily therapy (MFT) is a unique treatment approach that is growing in popularity for adolescents with anorexia nervosa (AN) and their families. MFT aims to create change through experiential and activity\u2010based content and purposeful use of group processes. Despite growing evidence supporting MFT's efficacy, there is limited understanding of possible mechanisms of change. This study explored interactive group processes associated with MFT for adolescent AN and how these processes may influence change in MFT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A short\u2010term ethnographic field approach was taken with observational data collected across two MFT groups. Qualitative interviews and focus groups were also conducted with young people, parents, and facilitators following each group. The data were analyzed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five themes and seven subthemes were generated, and a hypothesized model based on these themes was developed. Relational processes (Theme 1) and learning processes (Theme 2) occurred within individual families and between families in the group. These processes were understood to contribute to whole group dynamics (Theme 3) where emotional safety and momentum built across the week. Facilitator responsiveness (Theme 4) was crucial in navigating uncertainty and supporting these processes. These themes were understood to be interconnected and contributed to a way forward toward recovery (Theme 5) for individual families and for the group as a whole.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings suggest that several unique group processes play an important role in promoting change within MFT. Consequently, MFT may offer a valuable alternative for families for whom traditional single\u2010family therapy has not been effective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24505","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T13:34:39Z","timestamp":1753968879000},"page":"2105-2115","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring Interactive Change Processes in Multifamily Therapy for Adolescents With Anorexia Nervosa"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4248-5185","authenticated-orcid":false,"given":"Clare","family":"Levenspiel","sequence":"first","affiliation":[{"name":"University of Technology Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0994-7025","authenticated-orcid":false,"given":"Lisa","family":"Dawson","sequence":"additional","affiliation":[{"name":"University of Technology Sydney  Sydney Australia"},{"name":"Sydney Children's Hospitals Network  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-4158","authenticated-orcid":false,"given":"Julian","family":"Baudinet","sequence":"additional","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders (CREW) Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London  London UK"},{"name":"Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED), South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6736-7937","authenticated-orcid":false,"given":"Deborah","family":"Mitchison","sequence":"additional","affiliation":[{"name":"University of Technology Sydney  Sydney Australia"},{"name":"Body Image and Eating Academic Network, Clinical Psychology University of Technology Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0486-7686","authenticated-orcid":false,"given":"Andrew","family":"Wallis","sequence":"additional","affiliation":[{"name":"University of Technology Sydney  Sydney Australia"},{"name":"Sydney Children's Hospitals Network  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-6427.00197"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203841143"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-024-01504-5"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23616"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3006"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-024-00971-8"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-024-01064-2"},{"key":"e_1_2_13_9_1","first-page":"1","article-title":"Moderators of Treatment Effect in a Randomised Controlled Trial of Single\u2010 and Multi\u2010Family Therapy for Anorexia Nervosa in Adolescents and Emerging Adults","author":"Baudinet J.","year":"2023","journal-title":"European Eating Disorders Review"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-73640-8_19"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.584565"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315542942"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987107081254"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42466-020-00059-z"},{"issue":"1","key":"e_1_2_13_16_1","first-page":"11","article-title":"The Research Audit Trial\u2014Enhancing Trustworthiness in Qualitative Inquiry","volume":"7","author":"Carcary M.","year":"2009","journal-title":"Electronic Journal of Business Research Methods"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-0968(200002)8:1<4::AID-ERV330>3.0.CO;2-P"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/anzf.1324"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2019.1678980"},{"key":"e_1_2_13_20_1","unstructured":"Eisler I. 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