{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T09:05:25Z","timestamp":1780563925710,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of a digital self\u2010help intervention based on dialectical behavior therapy (DBT) principles, delivered via a WeChat mini\u2010program, in reducing binge\u2010eating symptoms among Chinese adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a randomized controlled trial, 101 adult females with binge\u2010eating\u2013related disorders (BN, BED, or AN\u2010BP) were randomly assigned to a 4\u2010week DBT\u2010based mini\u2010program or a psychoeducation control. The primary outcome was binge\u2010eating severity (binge eating scale, BES); secondary outcomes included eating disorder psychopathology (EDE\u2010Q), emotion regulation (DERS\u201016), impulsivity (BIS\u201011), depression (PHQ\u20109), and anxiety (GAD\u20107). Between\u2010group effects were examined from baseline to post\u2010treatment using linear mixed\u2010effects models under the intention\u2010to\u2010treat principle. The intervention group was further followed for 1 and 3\u2009months to assess maintenance of effects. Post\u2010treatment qualitative interviews explored user experience using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the control group, participants in the DBT condition showed a significantly greater reduction in binge\u2010eating severity from baseline to post\u2010treatment (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.07,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Both groups demonstrated large within\u2010group improvements in eating disorder cognitions (EDE\u2010Q), while changes in emotion regulation, impulsivity, and mood symptoms were nonsignificant. Within the intervention group, gains in binge\u2010eating and EDE\u2010Q scores were largely maintained at follow\u2010up. Qualitative findings indicated high perceived helpfulness and usability, with feedback emphasizing the program's structured design and practical skills, alongside suggestions for improving efficiency and self\u2010monitoring features.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings provide preliminary evidence that Wise Eating is a feasible, scalable, and culturally relevant low\u2010intensity DBT\u2010based intervention for binge eating in China. Future trials should include more diverse samples, longer durations, and enhanced engagement strategies.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      ClinicalTrials.gov identifier: NCT07143214\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70068","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:03:43Z","timestamp":1773011023000},"page":"1344-1356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Wise Eating: A Guided Dialectical Behavior Therapy\u2010Based\n                    <scp>APP<\/scp>\n                    for Binge Eating\u2014A Randomized Controlled Trial"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9033-0431","authenticated-orcid":false,"given":"Wanqing","family":"Huang","sequence":"first","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Nanjing Brain Hospital Affiliated Medical University Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4163-3765","authenticated-orcid":false,"given":"Zheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4014-1070","authenticated-orcid":false,"given":"Hui","family":"Han","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7709-201X","authenticated-orcid":false,"given":"Rui","family":"Gao","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3699-8250","authenticated-orcid":false,"given":"Lian","family":"Gu","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2680-9687","authenticated-orcid":false,"given":"Sufang","family":"Peng","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9924-2573","authenticated-orcid":false,"given":"Jue","family":"Chen","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23470"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24258"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41347\u2010025\u201000511\u20104"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-015-9514-x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23377"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716002543"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23437"},{"key":"e_1_2_10_10_1","unstructured":"Gao Y.2020.\u201cThe Study on Psychological and Social Risk Factors of College Students' Eating Behavior Problems.\u201dShanghai Jiao Tong University School of Medicine."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(82)90024-7"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22670"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291724002800"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000459"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/01454455211021764"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291722001477"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720003426"},{"key":"e_1_2_10_19_1","volume-title":"Skills Training Manual for Treating Borderline Personality Disorder","author":"Linehan M. 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