{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:53:06Z","timestamp":1791175986025,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"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":["UID\/50\/2025"],"award-info":[{"award-number":["UID\/50\/2025"]}],"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>Positive body image (PBI) is emerging as a relevant dimension of eating disorder (ED) recovery, but longitudinal evidence on how multiple PBI facets change during real\u2010world treatment remains limited. This brief report examines multidimensional PBI change and its associations with clinical outcomes during multidisciplinary hospital\u2010based treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This study used prospective longitudinal observational data from 21 women receiving ED treatment. Assessments occurred at treatment entry (T1), 6\u20139\u2009months after baseline (T2), and 12\u201318\u2009months after baseline (T3). Measures assessed multidimensional PBI (BI flexibility, functionality appreciation, body appreciation, and body responsiveness) and clinical outcomes (ED psychopathology, anxiety, and depression).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>BI flexibility, functionality appreciation, and body appreciation were the PBI\u2010related dimensions most sensitive to change. BI flexibility and functionality appreciation improved significantly at T2, whereas body appreciation increased only at T3. Body responsiveness and clinical outcomes showed smaller, non\u2010significant mean\u2010level changes. Changes in ED symptoms were moderately associated with concurrent changes in several PBI\u2010related constructs. Greater body responsiveness at baseline was linked to larger subsequent decreases in ED psychopathology. Changes in body responsiveness were also moderately associated with changes in anxiety and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Several PBI\u2010related dimensions improved over the course of treatment, and these changes may occur despite limited or inconsistent reductions in ED psychopathology and emotional symptoms. Body responsiveness may have clinical relevance even though group\u2010level change was small, as both baseline scores and within\u2010treatment improvements were linked to ED symptom reduction. These preliminary findings support PBI as a complementary component of ED recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70231","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:34:58Z","timestamp":1791174898000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multidimensional Positive Body Image and Clinical Change During Eating Disorder Treatment: Preliminary Longitudinal Findings"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-4272","authenticated-orcid":false,"given":"Sandra","family":"Torres","sequence":"first","affiliation":[{"name":"Faculty of Psychology and Education Sciences University of Porto  Porto Portugal"},{"name":"Center for Psychology at the University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Isabel","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0986-6092","authenticated-orcid":false,"given":"Ana Catarina","family":"Reis","sequence":"additional","affiliation":[{"name":"S\u00e3o Jo\u00e3o Local Health Unit  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2017.07.008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425787","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"2022"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2005.06.002"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000717\u20104"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2016.10.002"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24184"},{"key":"e_1_2_10_8_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.23180001"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20106402.2005.00183.x"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000903\u2010y"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005\u20107967(02)00088\u20108"},{"key":"e_1_2_10_13_1","first-page":"327","article-title":"The Validation of the Body Image Acceptance and Action Questionnaire: Exploring the Moderator Effect of Acceptance on Disordered Eating","volume":"11","author":"Ferreira C.","year":"2011","journal-title":"International Journal of Psychology and Psychological Therapy"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.33525\/pprj.v1i2.36.s36"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000615\u20109"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.7275\/n560\u2010j767"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23238"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2018.04.004"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2022.08.003"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23275"},{"key":"e_1_2_10_21_1","unstructured":"Marta\u2010Sim\u00f5es J. 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