{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T04:03:14Z","timestamp":1787889794026,"version":"build-2784847793"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021856","name":"Ministero dell'Universit\u00e0 e della Ricerca","doi-asserted-by":"publisher","award":["MNESYS (PE0000006)"],"award-info":[{"award-number":["MNESYS (PE0000006)"]}],"id":[{"id":"10.13039\/501100021856","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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Caregivers of individuals with eating disorders (ED) frequently experience psychological distress, expressed emotion, and accommodation behaviours, contributing to caregiver burden. The New Maudsley Model (NMM) is a structured intervention designed to improve caregivers' emotional regulation, communication, and coping strategies. This study examined changes in caregiver burden associated with participation in NMM workshops and explored the temporal relationship between psychological distress and ED symptom impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 447 caregivers participated, with 189 completing baseline and post\u2010intervention assessments, including psychological distress (DASS\u201021), accommodation (AESED), expressed emotion (FQ), and ED symptom impact (EDSIS). Linear mixed models and structured equation modelling (SEM) were computed for longitudinal analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant reductions were observed in anxiety, expressed emotion, accommodation, and ED symptom impact, following NMM workshops. Higher baseline psychological distress was associated with larger subsequent reductions in distress over time, while ED symptom impact was less modifiable over time, appearing influenced by family dynamics. Baseline ED symptom impact was associated with subsequent changes in caregiver distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These findings highlight the potential clinical utility of NMM workshops within standard ED care, emphasising the need to target caregiver beliefs, emotional responses, and coping behaviours to improve caregiver's well\u2010being and possibly support better ED outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70111","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T12:09:36Z","timestamp":1775822976000},"page":"1221-1230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Participation in the New Maudsley Model Workshops is Associated With Reductions in Caregiver Burden in Eating Disorders"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2705-5453","authenticated-orcid":false,"given":"Cristiano","family":"Dani","sequence":"first","affiliation":[{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Rossi","sequence":"additional","affiliation":[{"name":"Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3623-7096","authenticated-orcid":false,"given":"Emanuele","family":"Cassioli","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Selvi","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9931-5621","authenticated-orcid":false,"given":"Livio","family":"Tarchi","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health University of Florence  Florence Italy"},{"name":"Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6537-5880","authenticated-orcid":false,"given":"Francesco","family":"Rotella","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Moretti","sequence":"additional","affiliation":[{"name":"Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Rita","family":"Troiani","sequence":"additional","affiliation":[{"name":"UFC Eating Disorders Azienda USL Toscana Centro  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"D'Anna","sequence":"additional","affiliation":[{"name":"UFC Eating Disorders Azienda USL Toscana Centro  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilenia","family":"Giunti","sequence":"additional","affiliation":[{"name":"UFC Eating Disorders Azienda USL Toscana Centro  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Lucarelli","sequence":"additional","affiliation":[{"name":"UFC Eating Disorders Azienda USL Toscana Centro  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders Institute of Psychiatry, Psychology and Neuroscience King's College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valdo","family":"Ricca","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1265-491X","authenticated-orcid":false,"given":"Giovanni","family":"Castellini","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association2013.Diagnostic and Statistical Manual of Mental Disorders.5th ed.https:\/\/doi.org\/10.1176\/appi.books.9780890425787.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3193"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2015.04.005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24577"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2981"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001365\u20100"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001474\u2010w"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2014.937847"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.70033"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.088401"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X29657"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2825"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.115.000273"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328007SEM1003_1"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000278"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.20220304"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3028"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24081"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2018.01.003"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2933"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12983"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2021.1922653"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010024\u201001641\u2010z"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3059"},{"key":"e_1_2_12_26_1","unstructured":"Pinheiro J. D.Bates S.DebRoy D.Sarkar andR Core Team.2021.NLME: Linear and Nonlinear Mixed Effects Models.https:\/\/CRAN.R\u2010project.org\/package=nlme."},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2018.08.072"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.70078"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2442"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i02"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21263"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.3200\/JOER.99.6.323\u2010338"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1118"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20109\u2010171"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u20106\u201028"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21182"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010018\u20100480\u20107"},{"key":"e_1_2_12_38_1","volume-title":"Applicare il nuovo metodo Maudsley. Guida italiana alla conduzione di gruppi di familiari di persone con disturbo dell\u2019alimentazione","author":"Stefanini M. C.","year":"2024"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2022.2099604"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)30059\u20103"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24101"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2816"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2015.1044351"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23260"},{"key":"e_1_2_12_45_1","unstructured":"Wickham H. R.Fran\u00e7ois K.M\u00fcller andD.Vaughan.2023. \u201cDPLYR: A Grammar of Data Manipulation.\u201d [Software].https:\/\/dplyr.tidyverse.org."},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165\u20101781(02)00023\u20109"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23938"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.925"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24389"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010023\u201001597\u20106"}],"container-title":["European Eating Disorders Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.70111","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/erv.70111","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/erv.70111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:05:26Z","timestamp":1785773126000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/erv.70111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,10]]},"references-count":49,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/erv.70111"],"URL":"https:\/\/doi.org\/10.1002\/erv.70111","archive":["Portico"],"relation":{},"ISSN":["1072-4133","1099-0968"],"issn-type":[{"value":"1072-4133","type":"print"},{"value":"1099-0968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,10]]},"assertion":[{"value":"2025-12-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}