{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T18:01:02Z","timestamp":1780768862484,"version":"3.54.1"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23 DK131334"],"award-info":[{"award-number":["K23 DK131334"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Gastrointestinal (GI) disturbances and eating disorder symptoms commonly co\u2010occur. Hypervigilance and anxiety about GI symptoms may motivate eating disorder behaviors to manage and\/or avoid GI symptoms. We hypothesized that GI\u2010specific anxiety would be more strongly associated with dietary restriction and purging than GI\u2010specific hypervigilance. Further, we hypothesized that distinguishing between GI\u2010specific anxiety and hypervigilance would have incremental validity over using an existing measure of GI\u2010anxiety and related constructs initially developed for patients with irritable bowel syndrome, the Visceral Sensitivity Index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Three hundred and eighty\u2010two undergraduate students with elevated eating pathology (83.5% female, 87.4% White) completed questionnaires assessing GI\u2010specific hypervigilance and anxiety, the Visceral Sensitivity Index, and eating disorder symptoms. Participants were recruited with elevated shape\/weight\u2010oriented eating pathology (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009309) and elevated avoidant\/restrictive food intake disorder\u2010related eating pathology (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200973). Analyses were pre\u2010registered.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Regarding dietary restriction, the relative weight of GI\u2010specific anxiety did not differ from that of GI\u2010specific hypervigilance. Further, neither variable provided incremental validity over the Visceral Sensitivity Index in understanding restriction. Regarding purging, GI\u2010specific anxiety was not more strongly associated with purging than GI\u2010specific hypervigilance. However, GI\u2010specific anxiety, but not GI\u2010specific hypervigilance, demonstrated incremental validity over the Visceral Sensitivity Index in explaining purging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Distinguishing between GI\u2010specific hypervigilance and anxiety adds incremental validity in understanding purging but not restriction. Future research should examine whether addressing anxious cognitions about GI symptoms improves purging outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70134","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T18:43:53Z","timestamp":1774637033000},"page":"1078-1085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relative Contributions of Gastrointestinal\u2010Specific Hypervigilance and Anxiety in Explaining Eating Disorder Symptoms"],"prefix":"10.1002","volume":"82","author":[{"given":"Gabriella","family":"Pucci","sequence":"first","affiliation":[{"name":"Department of Psychology Ohio University Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6955-1746","authenticated-orcid":false,"given":"Naomi G.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio University Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio University Athens Ohio USA"},{"name":"Carnegie Mellon University Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7349-7228","authenticated-orcid":false,"given":"Tiffany A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Auburn University Auburn Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2059-3256","authenticated-orcid":false,"given":"Helen","family":"Burton\u2010Murray","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Center for Neurointestinal Health, Massachusetts General Hospital Boston Massachusetts USA"},{"name":"Harvard Medical School Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2925-3955","authenticated-orcid":false,"given":"Livia","family":"Guadagnoli","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Northwestern Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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