{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T13:49:13Z","timestamp":1793627353823,"version":"4.5.1"},"reference-count":45,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/P000746\/1"],"award-info":[{"award-number":["ES\/P000746\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K24MH135189"],"award-info":[{"award-number":["K24MH135189"]}],"id":[{"id":"10.13039\/100000025","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":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We need to understand therapists' experiences of delivering manual\u2010based psychotherapies to identify possible dissemination barriers and opportunities. This study explored therapists' experiences of delivering CBT\u2010AN\u201020, a new 20\u2010session cognitive\u2010behavioral intervention for outpatients with anorexia nervosa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Ten therapists who had delivered CBT\u2010AN\u201020 to at least one patient participated in an online survey. We used descriptive statistics (Likert\u2010scale questions; demographics) and thematic analysis (open\u2010ended text) to analyze responses. Pre\u2010registration:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/doi.org\/10.17605\/OSF.IO\/R2U8P\">https:\/\/doi.org\/10.17605\/OSF.IO\/R2U8P<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Therapists' mixed experiences of CBT\u2010AN\u201020 were evident across quantitative and qualitative responses. Thematic analysis generated three main themes: Feelings about therapy over time; beliefs about for whom therapy might work; and perceptions of the characteristics of therapy. Despite some initial uncertainty, therapists reported both positive and negative experiences of delivering CBT\u2010AN\u201020. They felt it worked well for some patients (highly motivated\/less complex eating disorder presentations) but not for others (less motivated\/more complex presentations). They experienced CBT\u2010AN\u201020 as fast\u2010paced and action\u2010packed, yet with a clear, supportive structure. Therapists found encouraging rapid, early changes to patients' eating and weight difficult but worthwhile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>CBT\u2010AN\u201020 is feasible and broadly acceptable for therapists to deliver. Therapists' mixed feelings were like those reported in qualitative studies of other psychotherapies for anorexia nervosa. While the manual addresses many identified challenges, training and supervision should focus on bolstering therapists' confidence in delivering CBT\u2010AN\u201020 with fidelity. Future research should explore whether therapists' perceptions of CBT\u2010AN\u201020 change with experience and if their expectations about whom CBT\u2010AN\u201020 might work for are accurate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70174","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T02:26:45Z","timestamp":1785292005000},"page":"2508-2520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Do Therapists Experience 20\u2010Session Cognitive\u2010Behavioral Therapy for Anorexia Nervosa (\n                    <scp>CBT<\/scp>\n                    \u2010\n                    <scp>AN<\/scp>\n                    \u201020)? A Qualitative Study"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9732-1956","authenticated-orcid":false,"given":"Heather C.","family":"Duggan","sequence":"first","affiliation":[{"name":"University of Sheffield, School of Psychology  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4338-5476","authenticated-orcid":false,"given":"Hannah M.","family":"Turner","sequence":"additional","affiliation":[{"name":"Hampshire and Isle of Wight Health NHS Foundation Trust  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4143-0109","authenticated-orcid":false,"given":"Charlotte L.","family":"Rose","sequence":"additional","affiliation":[{"name":"Avon and Wiltshire Mental Health Partnership NHS Trust  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-581X","authenticated-orcid":false,"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1586-0930","authenticated-orcid":false,"given":"Kamryn T.","family":"Eddy","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9776-8559","authenticated-orcid":false,"given":"Kathryn G.","family":"Pasquariello","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8946-9977","authenticated-orcid":false,"given":"Kendra R.","family":"Becker","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4721-5063","authenticated-orcid":false,"given":"Debra L.","family":"Franko","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Northeastern University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-9546","authenticated-orcid":false,"given":"Glenn","family":"Waller","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Warwick  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010081219\u2010110907"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13384"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890424865"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2745"},{"key":"e_1_2_13_6_1","unstructured":"Beat.2021.\u201cLives at Risk: The State of NHS Adult Services.\u201dhttps:\/\/www.beateatingdisorders.org.uk\/about\u2010beat\/policy\u2010work\/policy\u2010and\u2010best\u2010practice\u2010reports\/lives\u2010at\u2010risk\u2010the\u2010state\u2010of\u2010nhs\u2010adult\u2010services\/."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102032"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.04.006"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24059"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2025.2465745"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24528"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2026.2702384"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104511401185"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.4088\/jcp.15m10393"},{"key":"e_1_2_13_17_1","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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