{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:25:35Z","timestamp":1790947535723,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"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>Despite significant health and psychosocial impairments, many individuals with eating disorders (ED) view their disorder as an integral part of their identity. Because this \u201cego\u2010syntonicity\u201d is associated with low treatment motivation and treatment dropouts, we investigated the acceptability, feasibility, and effects of a newly developed externalization exercise in virtual reality (VR) for EDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200951 inpatients with EDs (42 women, 8 men, 1 not reported; mean age\u2009=\u200931.9\u2009years) imagined that an object simulated in VR (a sphere) represented their ED. They then modified the object using controller\u2010assisted actions (controlling distance, size, color, and cutting it up). The perceived valence, activation, and difficulty of each action as well as user experiences were recorded. Effect parameters (self\u2010ED overlap as a measure of relative externalization, general self\u2010efficacy) were recorded before and after the exercise.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients rated their experience predominantly positive. Self\u2010ED overlap decreased (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.46, 95% CI [0.22, 0.69]) and self\u2010efficacy increased from before to after participation (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22120.22, 95% CI [\u22120.43, \u22120.01]). The effects were comparable between anorexia nervosa and other diagnostic groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results indicate the feasibility and potential efficacy of the newly developed VR procedure for externalizing EDs and provide a basis for planning controlled studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70075","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:01:58Z","timestamp":1772989318000},"page":"1321-1329","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Virtual Reality Externalization (\n                    <scp>VR<\/scp>\n                    \u2010E) for Patients With Eating Disorders: A Pilot Study"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9135-7562","authenticated-orcid":false,"given":"Samuel P. E.","family":"Mehranfar","sequence":"first","affiliation":[{"name":"University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East\u2010Westphalia, Ruhr\u2010University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9529-2215","authenticated-orcid":false,"given":"Georg","family":"Halbeisen","sequence":"additional","affiliation":[{"name":"University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East\u2010Westphalia, Ruhr\u2010University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6072-3468","authenticated-orcid":false,"given":"Karsten","family":"Braks","sequence":"additional","affiliation":[{"name":"Centre for Eating Disorders  Klinik am Korso Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0470-0076","authenticated-orcid":false,"given":"Thomas J.","family":"Huber","sequence":"additional","affiliation":[{"name":"Centre for Eating Disorders  Klinik am Korso Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2069-0024","authenticated-orcid":false,"given":"Georgios","family":"Paslakis","sequence":"additional","affiliation":[{"name":"University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East\u2010Westphalia, Ruhr\u2010University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,2]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.63.4.596"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ERV.2745"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/S40337\u2010025\u201001291\u20101\/FIGURES\/1"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1011620"},{"key":"e_1_2_14_7_1","volume-title":"Allgemeine Selbstwirksamkeit Kurzskala (ASKU). 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