{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T02:52:08Z","timestamp":1791514328077,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000835","name":"University of Bath","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000835","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>Many people relapse following treatment for Anorexia nervosa (AN). Internalization of appearance\u2010related societal biases, including weight stigma, idealization of thinness, and body self\u2010objectification, is related to eating disorder (ED) onset and maintenance, but their association with AN recovery is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We recruited 425 women using Prolific: 136 with self\u2010reported active AN, 143 who self\u2010reported being recovered, and 146 controls with no ED history. They completed online measures of ED symptoms, internalized weight stigma, thin\u2010ideal internalization, and self\u2010objectification. Group differences were examined using two MANCOVAs: one based on self\u2010reported recovery status and one using ED symptom scores instead. We also compared those whose symptom scores did and did not match their self\u2010reported recovery status. Finally, unsupervised machine learning explored whether internalized bias profiles mapped onto recovery status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Using self\u2010reported status, the active group scored highest on all biases, followed by the recovered group, then controls (ps\u2009\u2264\u2009\n                      <jats:italic>0.002<\/jats:italic>\n                      ). When symptoms defined recovery, recovered participants no longer differed from controls (ps\u2009\u2265\u2009\n                      <jats:italic>0.92<\/jats:italic>\n                      ), whereas the active AN group scored higher than the other groups (ps\u2009\u2264\u2009\n                      <jats:italic>0.001<\/jats:italic>\n                      ). Participants who identified as recovered but scored above the symptom cut\u2010off resembled the active group, whereas those below the cut\u2010off resembled controls. Machine learning identified two severity\u2010based clusters: active AN participants were concentrated in a high\u2010bias cluster, controls in a low\u2010bias cluster, and recovered participants were split across these clusters.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Internalized societal biases are strongly associated with AN recovery status, especially when it is defined based on symptom levels rather than self\u2010report. These biases may represent important targets for aftercare interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70238","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T02:41:35Z","timestamp":1791513695000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endorsement of Appearance\u2010Based Societal Biases Differentiates Women With Current Anorexia Nervosa From Those in Recovery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9180-2661","authenticated-orcid":false,"given":"Ana Julia","family":"Ferreira","sequence":"first","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"Fairchild","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3817-129X","authenticated-orcid":false,"given":"Leda","family":"Blackwood","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2033-7028","authenticated-orcid":false,"given":"Manuela Barona","family":"Soyer","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7699-2398","authenticated-orcid":false,"given":"Melissa J.","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"AmericanPsychiatricAssociation","year":"2013"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000717\u20104"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.11.001"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000736\u20109"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2013.10.011"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20948"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199\u2010005\u20101192\u20109"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000703"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24059"},{"key":"e_1_2_12_11_1","first-page":"2349","article-title":"Orange: Data Mining Toolbox in Python","volume":"14","author":"Demsar J.","year":"2013","journal-title":"Journal of Machine Learning Research"},{"issue":"4","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#","article-title":"Assessment of Eating Disorders \u2010 Interview or Self\u2010Report Questionnaire","volume":"16","author":"Fairburn C. 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