{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:29:37Z","timestamp":1788269377594,"version":"build-2803163510"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T00:00:00Z","timestamp":1773446400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005036","name":"Universitetet i Bergen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005036","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Health Authorities of western Norway"},{"name":"University of Bergen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eat Weight Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate eating disorder symptoms before and after family-based behavioral treatment for severe obesity in youth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eating disorder symptoms were measured pre- and posttreatment in 74 youth (age: 10\u201318 years; 58% female; mean body mass index standard deviation score [BMI SDS]: 3.11) enrolled in a 17\u2013session treatment for severe obesity. Symptoms were assessed using the Youth-Eating Disorder Examination Questionnaire (Y-EDE-Q), including a global score and sub-scales for dietary restraint, eating-, weight- and shape concerns. Robust linear mixed models and generalized mixed models were utilized to measure change over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was no significant change in global eating disorder score over time (mean (SD) pre 1.82(1.07) and post 1.67(1.08); beta\u2009=\u2009\u2212\u00a00.16, p\u2009=\u20090.69). Before treatment, 20.3% of the youth scored above the clinical cut-off for eating disorder risk (&gt;\u20092.5) on the Y-EDE-Q, compared to 13.5% after treatment (beta\u2009=\u2009\u2212\u00a00.81, p\u2009=\u20090.25). However, no one received a clinical eating disorder diagnosis at any time point. Before treatment, 4 youth reported\u2009\u2265\u20091 objective binge episode per week, compared to no one post-treatment. A significant reduction in shape concern was observed (beta\u2009=\u2009\u2212\u00a00.29, p\u2009=\u20090.036). No changes were found for dietary restraint, eating- or weight concerns. Global eating disorder- and dietary restraint scores pre-treatment did not predict changes in BMI SDS from pre- to post-treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was no evidence of an increase in eating disorder symptoms in the sample overall during family-based behavioral treatment for severe obesity, and improvements were seen for shape concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level IV: Evidence obtained from multiple time series with intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s40519-026-01839-3","type":"journal-article","created":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T06:15:04Z","timestamp":1773468904000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Youth with severe obesity do not demonstrate increased eating disorder symptoms following family-based behavioral obesity treatment"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4117-8900","authenticated-orcid":false,"given":"Yngvild S.","family":"Danielsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6340-7348","authenticated-orcid":false,"given":"Hanna F.","family":"Skj\u00e5k\u00f8deg\u00e5rd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3599-8689","authenticated-orcid":false,"given":"Denise","family":"Wilfley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-1146","authenticated-orcid":false,"given":"Rachel P. 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