{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:14:45Z","timestamp":1788156885685,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"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>This study examined the role of autistic traits in patients with anorexia nervosa receiving an intensive, focused form of enhanced cognitive behavior therapy (CBT\u2010E). The aim was to assess changes in these traits during treatment and their predictive value for outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In this prospective cohort study, 81 patients aged 16\u201365\u2009years were admitted for intensive CBT\u2010E. Body mass index (BMI), eating disorder psychopathology, general psychopathology, and functional impairment were assessed at baseline, end of intensive treatment (EOIT), and 20\u2010week follow\u2010up. Autistic traits were evaluated using the Autism Spectrum Quotient (AQ) at baseline and EOIT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010nine patients (85.2%) completed treatment, and 59 among completers (85.5%) attended follow\u2010up. AQ scores decreased significantly from baseline to EOIT, although the magnitude of the change was small. The AQ global score did not predict dropout. In both intention\u2010to\u2010treat and completers' analyses, the AQ global score measured at baseline and at EOIT did not predict eating disorder psychopathology and BMI at EOIT and at follow\u2010up, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this prospective cohort study, AQ scores decreased significantly over the course of intensive CBT\u2010E, and autistic traits did not predict treatment outcomes. These findings suggest that intensive CBT\u2010E produces significant improvements across the main clinical outcomes of anorexia nervosa without requiring systematic adaptations for autistic traits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70203","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:27:14Z","timestamp":1788154034000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Autistic Traits in Patients With Anorexia Nervosa Treated With Intensive Enhanced Cognitive Behavior Therapy (\n                    <scp>CBT<\/scp>\n                    \u2010E): A Prospective Cohort Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4028-1877","authenticated-orcid":false,"given":"Simona","family":"Calugi","sequence":"first","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6872-234X","authenticated-orcid":false,"given":"Anna","family":"Dalle Grave","sequence":"additional","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8413-1689","authenticated-orcid":false,"given":"Mirko","family":"Chimini","sequence":"additional","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0607-4606","authenticated-orcid":false,"given":"Gianmatteo","family":"Cattaneo","sequence":"additional","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9633-5918","authenticated-orcid":false,"given":"Maddalena","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9796-3721","authenticated-orcid":false,"given":"Riccardo","family":"Dalle Grave","sequence":"additional","affiliation":[{"name":"Department of Eating and Weight Disorders Villa Garda Hospital  Garda Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2905"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM\u20105)","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711002881"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005653411471"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.114271"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291717001349"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010016\u20100276\u20106"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010018\u20100477\u20102"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1092852920002011"},{"key":"e_1_2_10_12_1","volume-title":"Intensive Cognitive Behavior Therapy for Eating Disorders","author":"Dalle Grave R.","year":"2012"},{"key":"e_1_2_10_13_1","volume-title":"Cognitive Behavior Therapy for Adolescents With Eating Disorders","author":"Dalle Grave R.","year":"2020"},{"key":"e_1_2_10_14_1","first-page":"1","volume-title":"Encyclopedia of Feeding and Eating Disorders","author":"Dalle Grave R.","year":"2016"},{"issue":"2","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1111\/j.2044-8260.1993.tb01045.x","article-title":"Italian Community Norms for the Brief Symptom Inventory in the Elderly","volume":"32","author":"De Leo D.","year":"1993","journal-title":"British Journal of Clinical Psychology"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.153"},{"key":"e_1_2_10_17_1","volume-title":"The Brief Symptom Inventory (BSI): Administration, Scoring & Procedures Manual\u2010II","author":"Derogatis L. 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