{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T14:59:18Z","timestamp":1791039558727,"version":"4.1.0"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T00:00:00Z","timestamp":1638835200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0033291721004967_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Eating disorders (EDs) and posttraumatic stress disorder (PTSD) frequently co-occur and can share a functional relationship. The primary aim of this initial randomized controlled trial was to determine whether integrated cognitive-behavioral therapy (CBT) for co-occurring ED-PTSD was superior to standard CBT for ED in improving PTSD symptoms. Intervention safety and desirability, as well as the relative efficacy of the treatments in improving anxiety, depression, and ED symptomatology, were also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291721004967_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following a course of intensive ED treatment, individuals with ED-PTSD were recruited to participate and randomized to integrated CBT for ED-PTSD or standard CBT for ED. The sample consisted of 42 individuals with a range of ED diagnoses. Outcomes were assessed at end-of-treatment, 3-, and 6-month follow-up using interview and self-report measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291721004967_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mixed models revealed significant interactions of time and therapy condition on clinician-rated and self-reported PTSD symptom severity favoring Integrated CBT for ED-PTSD. Both treatments were associated with statistically significant improvements in PTSD, anxiety, and depression. Improvements were maintained at 3- and 6-month follow-up. There was good safety with both interventions, and satisfaction with both treatments was high. However, there was a stronger preference for integrated treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291721004967_sec_a4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integrating CBTs for PTSD and ED following intensive ED treatment is safe, desirable, and efficacious for improving PTSD symptoms. Future studies with larger sample sizes are needed to determine whether Integrated CBT for ED-PTSD provides benefits over standard CBT for ED with respect to ED outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291721004967","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T04:55:40Z","timestamp":1638852940000},"page":"587-596","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":54,"title":["Results of the first randomized controlled trial of integrated cognitive-behavioral therapy for eating disorders and posttraumatic stress disorder"],"prefix":"10.1017","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7192-6140","authenticated-orcid":false,"given":"Kathryn","family":"Trottier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candice M.","family":"Monson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,12,7]]},"reference":[{"key":"S0033291721004967_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"S0033291721004967_ref28","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23106"},{"key":"S0033291721004967_ref12","first-page":"47","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn","year":"2008"},{"key":"S0033291721004967_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"S0033291721004967_ref11","unstructured":"Fairburn, C. G. , Cooper, Z. , & O'Connor, M. (2014). The Eating Disorder Examination (EDE 17). Retrieved from http:\/\/www.credo-oxford.com\/pdfs\/EDE_17.0D.pdf."},{"key":"S0033291721004967_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(94)00075-U"},{"key":"S0033291721004967_ref42","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2013.827536"},{"key":"S0033291721004967_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)30147-X"},{"key":"S0033291721004967_ref25","volume-title":"Cognitive processing therapy for PTSD: A comprehensive manual","author":"Resick","year":"2016"},{"key":"S0033291721004967_ref41","volume-title":"Integrative cognitive-affective therapy for bulimia nervosa: A treatment manual","author":"Wonderlich","year":"2015"},{"key":"S0033291721004967_ref37","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.12.005"},{"key":"S0033291721004967_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/10640260701454311"},{"key":"S0033291721004967_ref2","unstructured":"American Psychological Association. (2017). PTSD Treatments. https:\/\/www.apa.org\/ptsd-guideline\/treatments."},{"key":"S0033291721004967_ref32","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2723"},{"key":"S0033291721004967_ref1","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"key":"S0033291721004967_ref20","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22644"},{"key":"S0033291721004967_ref36","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2634"},{"key":"S0033291721004967_ref22","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2021.1969787"},{"key":"S0033291721004967_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000453"},{"key":"S0033291721004967_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23401"},{"key":"S0033291721004967_ref10","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08040608"},{"key":"S0033291721004967_ref40","unstructured":"Wiltsey Stirman, S. , Monson, C. M. , & Resick, P. A. (2017). Cognitive Processing Therapy: Therapist Adherence and Competence Protocol. Unpublished rating form available from the authors."},{"key":"S0033291721004967_ref5","doi-asserted-by":"publisher","DOI":"10.3109\/9780203021767"},{"key":"S0033291721004967_ref34","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2016.1207456"},{"key":"S0033291721004967_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20591"},{"key":"S0033291721004967_ref17","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"S0033291721004967_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/med-psych\/9780190926939.001.0001"},{"key":"S0033291721004967_ref38","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.12r08225"},{"key":"S0033291721004967_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23515"},{"key":"S0033291721004967_ref30","volume-title":"MINI International neuropsychiatric interview 7.0","author":"Sheehan","year":"2015"},{"key":"S0033291721004967_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23234"},{"key":"S0033291721004967_ref19","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1995.03950240066012"},{"key":"S0033291721004967_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000545"},{"key":"S0033291721004967_ref39","unstructured":"Weathers, F. W. , Blake, D. D. , Schnurr, P. P. , Kaloupek, D. G. , Marx, B. P. , & Keane, T. M. (2013). The Clinician Administered PTSD Scale for DSM-5 (CAPS-5)."},{"key":"S0033291721004967_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2012.05.011"},{"key":"S0033291721004967_ref31","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23095"},{"key":"S0033291721004967_ref29","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2722"},{"key":"S0033291721004967_ref33","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2021.1891372"},{"key":"S0033291721004967_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199704)21:3<213::AID-EAT2>3.0.CO;2-N"},{"key":"S0033291721004967_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2823"},{"key":"S0033291721004967_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2007.07.011"},{"key":"S0033291721004967_ref27","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2019.1642035"}],"updated-by":[{"DOI":"10.1017\/s0033291721005365","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T00:00:00Z","timestamp":1638835200000}}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291721004967","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T23:21:17Z","timestamp":1649028077000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291721004967\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,7]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["S0033291721004967"],"URL":"https:\/\/doi.org\/10.1017\/s0033291721004967","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,7]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2021. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}