{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:54:36Z","timestamp":1792259676064,"version":"4.4.0"},"reference-count":57,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:00:00Z","timestamp":1792195200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Anorexia nervosa (AN) involves restrictive eating and marked difficulties in emotion regulation and cognitive flexibility. Cognitive Remediation and Emotion Skills Training (CREST) targets these domains, but outcomes may vary by psychological profile and adverse childhood experiences (ACEs). This study examined the associations of emotional\u2013cognitive profiles and ACEs with treatment response following CREST in inpatients with AN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We studied 198 female inpatients with AN who completed baseline and post\u2010treatment assessments after an 8\u2010week group CREST programme. Cluster analysis of the Difficulties in Emotion Regulation Scale (DERS), Toronto Alexithymia Scale\u201020 (TAS\u201020), Detail and Flexibility Questionnaire (DFLEX), and Obsessive\u2013Compulsive Inventory\u2013Revised (OCI\u2010R) identified subgroups. Outcomes (\u0394EDE\u2010Q, \u0394DFLEX, \u0394TAS, \u0394BMI) were compared across clusters. Childhood Trauma Questionnaire (CTQ) subscales were tested in multinomial regression and moderation models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three clusters emerged: Cluster 1 (low impairment), Cluster 0 (moderate impairment), and Cluster 2 (globally impaired). Groups differed in age, illness duration, BMI, and adversities exposure (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Psychological outcomes differed: \u0394DFLEX (H\u00a0=\u00a063.7,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and \u0394TAS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with Cluster 2 showing the greatest gains. Emotional abuse was positively associated with both the moderate and globally impaired profiles, whereas physical abuse specifically predicted the globally impaired profile. Sexual abuse was inversely associated with both impaired profiles. Moderation analyses indicated that associations between ACE severity and psychological change varied across emotional\u2013cognitive profiles, with direction and magnitude differing by outcome and ACE subtype.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Greater short\u2010term psychological changes were observed in the globally impaired profile, although baseline severity warrants cautious interpretation. Adverse childhood experiences were associated with profile membership and heterogeneous patterns of psychological change across profiles.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70184","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:36:11Z","timestamp":1792258571000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adverse Childhood Experiences, Emotional\u2013Cognitive Profiles, and Response to Cognitive Remediation and Emotion Skills Training in Anorexia Nervosa"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3323-6071","authenticated-orcid":false,"given":"Paolo","family":"Meneguzzo","sequence":"first","affiliation":[{"name":"Department of Neuroscience University of Padova  Padova Italy"},{"name":"Padova Neuroscience Center University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Bonello","sequence":"additional","affiliation":[{"name":"Eating Disorder Unit, Casa di Cura \u2018Villa Margherita\u2019\u2014Neomesia  Vicenza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Castelli","sequence":"additional","affiliation":[{"name":"Department of General Psychology University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Marzotto","sequence":"additional","affiliation":[{"name":"Eating Disorder Unit, Casa di Cura \u2018Villa Margherita\u2019\u2014Neomesia  Vicenza Italy"},{"name":"Psycho\u2010nutritional Center  Verona\u2010Vicenza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1629-9871","authenticated-orcid":false,"given":"Elena","family":"Tenconi","sequence":"additional","affiliation":[{"name":"Department of Neuroscience University of Padova  Padova Italy"},{"name":"Padova Neuroscience Center University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2212-9855","authenticated-orcid":false,"given":"Patrizia","family":"Todisco","sequence":"additional","affiliation":[{"name":"Eating Disorder Unit, Casa di Cura \u2018Villa Margherita\u2019\u2014Neomesia  Vicenza Italy"},{"name":"Psycho\u2010nutritional Center  Verona\u2010Vicenza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010024\u201001090\u20100"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(94)90005\u20101"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.8.1132"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22572"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103999(96)00228\u20100"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2013.12.002"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010016\u20100276\u20106"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653\u2010023\u201000520\u20106"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0015616"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000482"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.10.010"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098\u2010108x(199412)16:4<363::aid\u2010eat2260160405>3.0.co;2\u2010#"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040\u20103590.14.4.485"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22891"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.21876"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOBA.0000007455.08539.94"},{"key":"e_1_2_12_18_1","first-page":"1385185","volume-title":"Frontiers in Psychiatry","author":"Gray I. 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