{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:38:13Z","timestamp":1792640293979,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F31 MH137979"],"award-info":[{"award-number":["F31 MH137979"]}],"id":[{"id":"10.13039\/100000025","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>Restrictive eating disorders (EDs) are highly comorbid with obsessive\u2010compulsive disorder (OCD), and comorbidity is associated with worsened outcomes. However, it is unclear if (1) Maudsley family therapy (FT\u2010AN) for restrictive EDs reduces comorbid OCD symptoms, and (2) if higher baseline OCD symptoms merely reflect higher severity or are associated with inhibited ED treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants with restrictive EDs (Anorexia Nervosa, Atypical Anorexia Nervosa, or other specified feeding and eating disorders) received FT\u2010AN as part of an intensive day program or outpatient services in London from mid\u20102024 through January 2026. Nonparametric Wilcoxon signed\u2010rank tests examined pre\/post differences in ED, OCD, and general impairment symptomology. Linear regressions investigated the effect of baseline OCD scores on changes in ED symptoms across treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across FT\u2010AN, ED pathology and weight improved while OCD pathology and general impairment did not. After excluding likely under\u2010reporters, OCD symptoms and overall functioning did significantly improve. More severe OCD impairment at baseline did not impair, and in fact was related with more ED improvement. However, more severe ED and OCD symptoms at baseline were both associated with less change in weight. Together, these results suggest that worsened outcomes among patients with OCD represent higher initial severity rather than treatment inhibition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>FT\u2010AN's effects on ED symptoms are likely not directly inhibited by, but also do not appear to fully target, OCD symptoms. Future research should examine efficacy and optimal timing of incorporating OCD\u2010specific treatments into care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70243","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:49:55Z","timestamp":1792637395000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Comorbid Obsessive\u2010Compulsive and Restrictive Eating Disorder Symptoms in Eating Disorder Focused Family Therapy"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8402-0492","authenticated-orcid":false,"given":"Molly Fennig","family":"Steinhoff","sequence":"first","affiliation":[{"name":"Department of Psychological &amp; Brain Sciences Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-4158","authenticated-orcid":false,"given":"Julian","family":"Baudinet","sequence":"additional","affiliation":[{"name":"Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) The Michael Rutter Centre, Maudsley Hospital  London UK"},{"name":"Institute of Psychiatry, Psychology &amp; Neuroscience, Kings College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1354-7569","authenticated-orcid":false,"given":"Anna","family":"Konstantellou","sequence":"additional","affiliation":[{"name":"Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) The Michael Rutter Centre, Maudsley Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3288-8628","authenticated-orcid":false,"given":"Lucinda","family":"Gledhill","sequence":"additional","affiliation":[{"name":"Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) The Michael Rutter Centre, Maudsley Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2092-4940","authenticated-orcid":false,"given":"Serena J.","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Psychological &amp; Brain Sciences Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9367-6621","authenticated-orcid":false,"given":"Kirsten E.","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.1025"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.08.001"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/ARCHGENPSYCHIATRY.2011.74"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2023.101750"},{"issue":"3","key":"e_1_2_11_8_1","first-page":"429","article-title":"The Influence of Obsessive Compulsive Symptoms on the Course of Anorexia Nervosa","volume":"48","author":"Blachno M.","year":"2014","journal-title":"Psychiatria Polska"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(00)00033-4"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/WPS.20128"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.02.004"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00130-8"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2021.114351"},{"key":"e_1_2_11_14_1","unstructured":"Eisler I. 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