{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T19:43:29Z","timestamp":1785872609443,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT1159953"],"award-info":[{"award-number":["GNT1159953"]}],"id":[{"id":"10.13039\/501100000925","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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This research aimed to explore what women with lived experience of anorexia nervosa (AN) perceive as causal or contributing factors involved in the development of their AN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Sixteen participants were interviewed about their perceptions of the development of their AN. Interviews were analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants described a strong role of relational factors in the perceived development of AN, including perception of unmet emotional needs, feelings of non\u2010belonging, or significant emotional\u2010relational injury, social difficulties, and exposure to conditional worth messaging about the body or eating. Relational factors were described in connection with internal factors of poor self\u2010worth, disrupted emotion regulation ability, and emotional distress, which further linked to AN's development as an emotional coping strategy. Moreover, participants identified that experiences of prolonged or severe emotional distress had preceded AN symptoms, but opportunities for early prevention\/intervention were missed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings highlight relational factors, internal factors and emotional distress as potential targets for prevention and early intervention in AN, via improved screening for at\u2010risk individuals, early intervention for emotional distress, and better support for families in building healthy emotion regulation skills. Additionally, the data indicates that working with emotional and relational wounds may be important treatment targets.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70058","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T14:25:37Z","timestamp":1763130337000},"page":"612-626","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lived Experience Perspectives on the Development of Anorexia Nervosa"],"prefix":"10.1002","volume":"34","author":[{"given":"Amy C.","family":"Malcolm","sequence":"first","affiliation":[{"name":"Orygen  Melbourne Australia"},{"name":"Centre for Youth Mental Health The University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-6619","authenticated-orcid":false,"given":"Andrea","family":"Phillipou","sequence":"additional","affiliation":[{"name":"Orygen  Melbourne Australia"},{"name":"Centre for Youth Mental Health The University of Melbourne  Melbourne Australia"},{"name":"Orygen Specialist Program Royal Melbourne Hospital  Melbourne Australia"},{"name":"Department of Psychological Sciences Swinburne University of Technology  Melbourne Australia"},{"name":"Department of Mental Health St Vincent's Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2016.00849"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010024\u201001177\u20108"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/psychiatryint5020013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010015\u20100069\u20108"},{"key":"e_1_2_11_6_1","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2018.00012"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24247"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359104507088349"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24059"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0005\u20107967(02)00088\u20108"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24304"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466509X454598"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1135"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/14616730252982491"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0005\u20107967(03)00161\u2010x"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291718002088"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.04.005"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00219"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115468"},{"issue":"20","key":"e_1_2_11_21_1","first-page":"22","article-title":"The Mini\u2010International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM\u2010IV and ICD\u201010","volume":"59","author":"Sheehan D. 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