{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:44:55Z","timestamp":1786117495168,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["202140092"],"award-info":[{"award-number":["202140092"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82471573"],"award-info":[{"award-number":["82471573"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008750","name":"Shanghai Municipal Hospital Development Center","doi-asserted-by":"publisher","award":["SHDC12023122"],"award-info":[{"award-number":["SHDC12023122"]}],"id":[{"id":"10.13039\/501100008750","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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Food addiction (FA) is clinically relevant in binge\u2010type eating disorders (EDs), yet its treatment relevance remains unclear in mainland China. This study examined (1) FA's associations with ED psychopathology and psychosocial functioning; (2) FA symptom changes following cognitive behavioral therapy\u2010guided self\u2010help (CBT\u2010gsh); and (3) whether FA improvement was independently associated with changes in psychosocial functioning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In this assessor\u2010blind randomized controlled trial, 87 adults with binge\u2010type EDs were allocated to a 10\u2010week asynchronous web\u2010based CBT\u2010gsh program or a waitlist control group. Assessments occurred at baseline, post\u2010treatment, and 1\u2010month follow\u2010up. FA severity was the primary outcome; secondary outcomes included ED psychopathology, binge\u2010eating frequency, psychosocial impairment, depression\/anxiety, and body mass index (BMI). Linear mixed models and hierarchical regression were used to analyze the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At baseline, FA severity was positively associated with ED psychopathology and psychosocial impairment. All outcomes except BMI improved significantly in the intervention group (all\n                      <jats:italic>p<\/jats:italic>\n                      s\u2009&lt;\u20090.001), with no changes in controls. At post\u2010treatment, 20% of intervention participants achieved binge\u2010eating abstinence versus 2.5% of controls, and fewer met moderate\u2010to\u2010severe FA criteria (\u0394\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009\u221216) in the intervention group. FA reduction was independently associated with lower post\u2010treatment psychosocial impairment (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.49,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), beyond baseline impairment and ED psychopathology changes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study provides the first evidence from mainland China that CBT\u2010gsh was associated with FA reductions in binge\u2010type EDs. These reductions were independently associated with better psychosocial functioning, underscoring FA as a complementary and clinically meaningful treatment target.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70097","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T07:29:06Z","timestamp":1775546946000},"page":"1650-1662","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Food Addiction Symptoms and Clinical Outcomes in Binge\u2010Type Eating Disorders: A Randomized Clinical Trial of Cognitive Behavioral Therapy\u2010Guided Self\u2010Help in China"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2339-9031","authenticated-orcid":false,"given":"Shiwei","family":"Chen","sequence":"first","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai 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Rechts der Isar Technical University of Munich  Munich Germany"}],"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\/0000-0003-4014-1070","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\/0009-0001-0002-9888","authenticated-orcid":false,"given":"Yiling","family":"Chen","sequence":"additional","affiliation":[{"name":"Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine  Shanghai 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