{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T20:18:36Z","timestamp":1780431516073,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T00:00:00Z","timestamp":1660521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100003979","name":"National Eating Disorders Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100003979","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Integrative Cognitive Affective Therapy (ICAT) is an empirically supported treatment for bulimia nervosa (BN) in adults. However, it is unclear whether a modified version, Integrative Cognitive Affective Therapy\u2013Adolescent (ICAT\u2010A) is feasible and beneficial for adolescents. This study evaluated the feasibility of ICAT\u2010A for adolescents with BN or subthreshold BN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eight adolescents with BN or subthreshold BN (mean age\u00a0=\u00a016.1) were enroled in the study. At baseline and end of treatment, adolescents who participated in ICAT\u2010A completed the Eating Disorder Examination (EDE) and self\u2010report measures of eating disorder symptoms, depression, anxiety, self\u2010esteem and functional impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Retention for the intervention (75%) suggests that the majority of participants found the intervention acceptable. Although all treatment completers participated in the clinician\u2010administered assessment (EDE), compliance with end of treatment self\u2010report questionnaires was compromised by the COVID\u201019 pandemic, which occurred during the treatment course of the majority of the sample. At the end of treatment, all 6 adolescents who completed the ICAT\u2010A intervention were in full eating disorder remission based on EDE scores, with large effect sizes identified for reductions in EDE global scores (<jats:italic>d<\/jats:italic>\u00a0=\u00a02.71), objective binge episodes (<jats:italic>d<\/jats:italic>\u00a0=\u00a00.91), subjective binge episodes (<jats:italic>d<\/jats:italic>\u00a0=\u00a01.06) and compensatory behaviours (<jats:italic>d<\/jats:italic>\u00a0<jats:italic>=<\/jats:italic>\u00a01.72).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Results suggest that ICAT\u2010A is a feasible treatment that has promise for the treatment of adolescents with BN. Future studies are necessary to establish the efficacy of ICAT\u2010A for adolescent BN.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2946","type":"journal-article","created":{"date-parts":[[2022,8,15]],"date-time":"2022-08-15T17:13:39Z","timestamp":1660583619000},"page":"178-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Adapting integrative cognitive\u2010affective therapy for adolescents with full and subthreshold bulimia nervosa: A feasibility study"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1681-1994","authenticated-orcid":false,"given":"Jocelyn","family":"Lebow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Sim","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychology Mayo Clinic School of Medicine  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of North Dakota  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol B.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22638"},{"key":"e_1_2_8_3_1","volume-title":"Manual for the Beck depression inventory\u2010II","author":"Beck A. 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