{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:44:23Z","timestamp":1785728663098,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T00:00:00Z","timestamp":1785628800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Expected body weight (EBW) determination is common in eating disorder (ED) treatment, yet no evidence\u2010based guidelines exist for how to discuss EBWs with patients. Clinicians have previously conceptualized these discussions as therapeutic exposures targeting fear of weight gain. This study examined clinician and patient perceptions of EBW discussions, factors associated with these perceptions, and clinician practices regarding disclosure of EBWs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      ED clinicians (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009158) and patients (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200946) rated their perceptions (anxiety, difficulty, benefit, and willingness) on Likert scales. Predictors of clinician and patient perceptions were examined using linear mixed effects models and Spearman correlations, respectively. Predictors of clinician EBW sharing practices were examined using logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most patients reported that EBW discussions would be anxiety\u2010provoking and difficult yet remained willing to engage. Positive body image was associated with lower anxiety and difficulty and greater willingness to discuss EBWs among patients. Additionally, stronger therapeutic alliance and lower fear of weight gain were associated with lower anxiety about EBW discussions, and prior experience discussing EBWs was associated with greater willingness to engage in these discussions. Clinicians reported low personal anxiety and difficulty around communicating EBWs, though they rated these conversations as anxiety\u2010provoking and difficult for patients. Working in a context in which patients are informed of their EBWs predicted greater clinician willingness and perceived benefit of these discussions. Additionally, doctoral\u2010level psychologists shared EBW information more frequently than other providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Overall, findings suggest that EBW discussions hold promise as individualized therapeutic exposures, but evidence\u2010based guidelines are needed to realize this potential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70184","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T02:49:40Z","timestamp":1785725380000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Weight of the Number: Perceptions and Practices Surrounding Expected Body Weight Disclosure in Eating Disorder Treatment"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5089-4087","authenticated-orcid":false,"given":"Agatha A.","family":"Laboe","sequence":"first","affiliation":[{"name":"Department of Psychology The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1977-4557","authenticated-orcid":false,"given":"Mahathi","family":"Gavuji","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4541-0105","authenticated-orcid":false,"given":"Ava","family":"Heyrman","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3608-5395","authenticated-orcid":false,"given":"Lilian P.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5510-0449","authenticated-orcid":false,"given":"Sophia","family":"Kreckler","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5129-6065","authenticated-orcid":false,"given":"Anna","family":"Kreynin","sequence":"additional","affiliation":[{"name":"School of Medicine and Public Health University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3193-2233","authenticated-orcid":false,"given":"Katherine","family":"Schaumberg","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445502026004001"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.11.001"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","DOI":"10.1093\/med-psych\/9780190069742.001.0001","volume-title":"Exposure Therapy for Eating Disorders","author":"Becker C. 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