{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:46:19Z","timestamp":1786999579297,"version":"build-2736575974"},"reference-count":58,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T00:00:00Z","timestamp":1620259200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0033291721001604_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Family-based treatment (FBT) is the first-line treatment for adolescent anorexia nervosa (AN). Yet, remission is not achieved for about half of adolescents with AN receiving FBT. Understanding patient- and parent-level factors that predict FBT response may inform treatment development and improve outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291721001604_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Network analysis was used to identify the most central symptoms of AN in adolescents who completed the Eating Disorder Examination (EDE) prior to FBT (\n                      <jats:italic>N<\/jats:italic>\n                      = 409). Bridge pathways between adolescent AN and parental self-efficacy in facilitating their child's recovery from AN were identified in a subset of participants (\n                      <jats:italic>n<\/jats:italic>\n                      = 184). Central and bridge symptoms were tested as predictors of early response (\u2a7e2.4 kg weight gain by the fourth session of FBT) and end-of-treatment weight restoration [\u2a7e95% expected body weight (EBW)] and full remission (\u2a7e95% EBW and EDE score within 1 standard deviation of norms).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291721001604_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most central symptoms of adolescent AN included desiring weight loss, dietary restraint, and feeling fat. These symptoms predicted early response, but not end-of-treatment outcomes. Bridge symptoms were parental beliefs about their responsibility to renourish their child, adolescent discomfort eating in front of others, and adolescent dietary restraint. Bridge symptoms predicted end-of-treatment weight restoration, but not early response nor full remission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291721001604_sec_a4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings highlight the prognostic utility of core symptoms of adolescent AN. Parent beliefs about their responsibility to renourish their child may maintain associations between parental self-efficacy and AN psychopathology. These findings could inform strategies to adapt FBT and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291721001604","type":"journal-article","created":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T02:49:44Z","timestamp":1620269384000},"page":"1-12","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":23,"title":["Understanding outcomes in family-based treatment for adolescent anorexia nervosa: a network approach"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5723-3591","authenticated-orcid":false,"given":"Kelsey E.","family":"Hagan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany E.","family":"Matheson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandini","family":"Datta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa M.","family":"L'Insalata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z. 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