{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:55:12Z","timestamp":1792410912806,"version":"4.4.0"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T00:00:00Z","timestamp":1696204800000},"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":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0033291723002933_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Restriction of food intake is a central pathological feature of anorexia nervosa (AN). Maladaptive eating behavior and, specifically, limited intake of calorie-dense foods are resistant to change and contribute to poor long-term outcomes. This study is a preliminary examination of whether change in food choices during inpatient treatment is related to longer-term clinical course.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291723002933_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Individuals with AN completed a computerized Food Choice Task at the beginning and end of inpatient treatment to determine changes in high-fat and self-controlled food choices. Linear regression and longitudinal analyses tested whether change in task behavior predicted short-term outcome (body mass index [BMI] at discharge) and longer-term outcome (BMI and eating disorder psychopathology).<\/jats:p><\/jats:sec><jats:sec id=\"S0033291723002933_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Among 88 patients with AN, BMI improved significantly with hospital treatment (<jats:italic>p<\/jats:italic> &lt; 0.001), but Food Choice Task outcomes did not change significantly. Change in high-fat and self-controlled choices was not associated with BMI at discharge (<jats:italic>r<\/jats:italic> = 0.13, <jats:italic>p<\/jats:italic> = 0.22 and <jats:italic>r<\/jats:italic> = 0.10, <jats:italic>p<\/jats:italic> = 0.39, respectively). An increase in the proportion of high-fat foods selected (<jats:italic>\u03b2<\/jats:italic> = 0.91, <jats:italic>p<\/jats:italic> = 0.02) and a decrease in the use of self-control (<jats:italic>\u03b2<\/jats:italic> = \u22121.50, <jats:italic>p<\/jats:italic> = 0.001) predicted less decline in BMI over 3 years after discharge.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291723002933_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Short-term treatment is associated with improvement in BMI but with no significant change, on average, in choices made in a task known to predict actual eating. However, the degree to which individuals increased high-fat choices during treatment and decreased the use of self-control over food choice were associated with reduced weight loss over the following 3 years, underscoring the need to focus on changing eating behavior in treatment of AN.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291723002933","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T10:44:49Z","timestamp":1696243489000},"page":"1133-1141","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":13,"title":["Change in food choice during acute treatment and the effect on longer-term outcome in patients with anorexia nervosa"],"prefix":"10.1017","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8434-8212","authenticated-orcid":false,"given":"Joanna E.","family":"Steinglass","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbo","family":"Fei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Foerde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Touzeau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Ruggiero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Lloyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Attia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanjia","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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