{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T14:39:10Z","timestamp":1774276750725,"version":"3.50.1"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100011594","name":"Penn State College of Medicine","doi-asserted-by":"publisher","award":["KL2 TR002015"],"award-info":[{"award-number":["KL2 TR002015"]}],"id":[{"id":"10.13039\/100011594","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011594","name":"Penn State College of Medicine","doi-asserted-by":"publisher","award":["UL1 TR002014"],"award-info":[{"award-number":["UL1 TR002014"]}],"id":[{"id":"10.13039\/100011594","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":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Anxiety about weight gain is a central feature of eating disorders (EDs) and plays a key role in maintaining ED symptomatology. Cognitive\u2010behavioral therapy (CBT) experts have observed that patients with EDs often believe regular eating will lead to immediate, dramatic, and\/or uncontrollable weight gain, prompting interventions like \u201ccollaborative weighing\u201d and \u201copen weighing\u201d that help patients develop a realistic understanding of eating\u2010weight relationships. However, patients also report anxiety about the\n                      <jats:italic>consequences<\/jats:italic>\n                      of weight gain (e.g., social rejection, self\u2010hatred, permanent body dissatisfaction). While various CBT interventions address concerns about the consequences of weight gain, we propose that open weighing sessions\u2014when patients confront weight increases and process accompanying emotional responses\u2014provide underutilized therapeutic opportunities to work with these beliefs in real\u2010time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This paper outlines three clinical enhancements that systematically leverage open weighing sessions to address consequence\u2010related beliefs: (1) identifying catastrophic beliefs about weight gain consequences through guided inquiry, (2) integrating cognitive restructuring by framing weight restoration as a behavioral experiment, and (3) combining in\u00a0vivo weighing with imaginal exposure to feared weight gain consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>These enhancements may provide complementary techniques for capitalizing on patients' real\u2010time emotional activation during weighing, potentially enhancing existing CBT protocols' effectiveness in addressing a key mechanism underlying restrictive EDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Future research might include randomized controlled trials comparing various weighing approaches, mixed\u2010methods evaluations exploring weight\u2010related fears across ED diagnoses and weight status, and mechanistic studies examining how addressing consequence\u2010related beliefs improves treatment outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24571","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T09:30:32Z","timestamp":1760607032000},"page":"47-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Expanding the Scope of Open Weighing to Target Anxiety About the Consequences of Weight Gain in Cognitive\u2010Behavioral Therapy for Eating Disorders"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7743-3707","authenticated-orcid":false,"given":"Jamal H.","family":"Essayli","sequence":"first","affiliation":[{"name":"Penn State College of Medicine Department of Pediatrics, Department of Psychiatry &amp; Behavioral Health  Hershey Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlin A.","family":"Hill","sequence":"additional","affiliation":[{"name":"Clinical Psychologist, OCD Institute of Texas  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9228-0139","authenticated-orcid":false,"given":"Hana F.","family":"Zickgraf","sequence":"additional","affiliation":[{"name":"Research Psychologist, Rogers Behavioral Health  Oconomowoc Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1481-5078","authenticated-orcid":false,"given":"Lauren N.","family":"Forrest","sequence":"additional","affiliation":[{"name":"University of Oregon Department of Psychology  Eugene Oregon USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8098-6943","authenticated-orcid":false,"given":"Cheri A.","family":"Levinson","sequence":"additional","affiliation":[{"name":"University of Louisville Department of Psychological and Brain Sciences, Department of Pediatrics, Division of Child and Adolescent Psychiatry and Psychology  Louisville Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107894(96)80045\u20101"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2013.06.004"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000235794.37803.f0"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/med-psych\/9780190069742.001.0001"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2016.03.003"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101383"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23718"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2023.07.008"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101851"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/01454455221107114"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.01.086"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.04.006"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-0716-0700-8_9"},{"key":"e_1_2_10_16_1","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C.","year":"2008"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107894(85)80023\u20104"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22400"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010020\u201000290\u20107"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01183887"},{"key":"e_1_2_10_21_1","first-page":"94","volume-title":"Handbook of Treatment for Eating Disorders","author":"Garner D. 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