{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:59:06Z","timestamp":1790413146684,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/00050\/2020"],"award-info":[{"award-number":["UIDB\/00050\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["COMPETE2030\u2010FEDER\u201000905700"],"award-info":[{"award-number":["COMPETE2030\u2010FEDER\u201000905700"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"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>To examine the applicability of current diagnostic criteria for atypical anorexia nervosa (AAN) to patients 1\u2009year post Metabolic Bariatric Surgery (MBS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This prospective ongoing cohort study included patients from the multicenter Psychosocial Registry of Obesity Surgery assessed before surgery and 1\u2009year\u2010post\u2010MBS. From a consecutive sample of 1117 volunteers with planned MBS, 985 received surgery, 721 had the 1\u2009year\u2010post\u2010MBS assessment and were eligible for the study. DSM\u20105 criteria for AAN 1\u2009year\u2010post\u2010MBS were assessed using diagnostic items of the Eating Disorder Examination (EDE) interview. Main outcomes were percentage of total weight loss (%TWL), body mass index (BMI) 1\u2009year\u2010post\u2010MBS, and eating disorder (ED) psychopathology (EDE questionnaire; pre\u2010 and 1\u2009year\u2010post\u2010MBS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 721 patients [490 (66.7%) female; mean(SD) age 46.72 (11.52)], 65.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009469) reported EDE item \u201cMaintained low weight\u201d (DSM\u20105 Criterion A), and 61.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009440) reported \u201cImportance of shape and\/or weight\u201d (Criterion C). EDE item \u201cDietary restriction\u201d (Criterion A) and \u201cFear of weight gain\u201d (Criterion B) were reported by 4.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929) and 4.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200933) of patients, respectively. Only 1.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913) engaged in \u201cExtreme weight control behaviors\u201d (Criterion B). Following a DSM\u20105\u2010based coding scheme, 3.9% (95% CI. 2.7\u20135.6;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) of patients had AAN 1\u2009year\u2010post\u2010MBS. AAN and non\u2010EDs patients did not differ on %TWL\/BMI. All EDE diagnostic items, except \u201cDietary restriction,\u201d significantly explained ED psychopathology (\n                      <jats:italic>F<\/jats:italic>\n                      (7,586)\u2009=\u200928.97,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.26) with \u201cFear of weight gain\u201d and \u201cExtreme weight control behaviors\u201d being associated with the highest variance explained.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While BMI and %TWL did not distinguish AAN from non\u2010ED, \u201cFear of weight gain\u201d and \u201cExtreme weight control behaviors\u201d may be a better indicator of these problems among patients 1\u2009year\u2010post\u2010MBS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70214","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:31:30Z","timestamp":1790411490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining Diagnostic Criteria for Atypical Anorexia Nervosa Post Metabolic Bariatric Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1982-5796","authenticated-orcid":false,"given":"Eva","family":"Concei\u00e7\u00e3o","sequence":"first","affiliation":[{"name":"Faculty of Psychology and Education Sciences Center for Psychology, University of Porto  Porto Portugal"},{"name":"Faculty of Nutrition and Food Sciences University of Porto  Porto Portugal"},{"name":"School of Psychology University of Minho  Braga 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E.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8738-9066","authenticated-orcid":false,"given":"Thomas","family":"Mansfeld","sequence":"additional","affiliation":[{"name":"Department of General Surgery Asklepios Clinic  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Sander","sequence":"additional","affiliation":[{"name":"Sch\u00f6n Klinik Hamburg Eilbek, Obesity Clinic  Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5915-8692","authenticated-orcid":false,"given":"Florian","family":"Seyfried","sequence":"additional","affiliation":[{"name":"University Hospital W\u00fcrzburg, Department of General Visceral, Transplant, Vascular and Pediatric Surgery, University of 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