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To evaluate the effectiveness of ME in an adolescent population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a randomised control design, 40 girls aged 11\u201317\u00a0years with AN were assigned to PBI with TAU (<jats:italic>n\u2009<\/jats:italic>=\u200920) and TAU alone (<jats:italic>n\u2009<\/jats:italic>=\u200920). Both groups completed self-report measures of body image at week 1 and week 10 of the study to measure the potential effectiveness of PBI. The PBI group completed measures at week 7 to evaluate the ME component.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>31 participants completed the study; 16 TAU, 15 PBI. PBI participants had greater improvement in all outcomes than TAU participants. Medium effect sizes were seen for self-reported weight concern, body image avoidance in terms of clothing and body image anxiety. ME produced effect sizes in self-reported body image avoidance in terms of clothing and grooming that were greater than 0.40,<jats:italic>n\u2009<\/jats:italic>=\u200914.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings demonstrate that PBI supports an intensive inpatient treatment package and addresses elements of negative body image. PBI was beneficial for addressing body image dissatisfaction with improvements in weight concerns, body image avoidance and physical appearance trait anxiety following the ME component. The magnitude of the effect sizes is comparable to previous studies. Positive qualitative feedback indicated the intervention was acceptable to users. 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