{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:45:17Z","timestamp":1787013917994,"version":"build-2736575974"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T00:00:00Z","timestamp":1702166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Cognitive flexibility and psychological distress, such as depression and anxiety, have been implicated in the aetiology of Anorexia Nervosa (AN). Despite the known associations between eating disorder (ED) symptoms, depression, anxiety, and cognitive flexibility, the specific pathways that connect these constructs are unclear. We therefore used network analysis to examine the relationship between these symptoms in an AN sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      One hundred and ninety\u2010three treatment\u2010seeking individuals diagnosed with AN (95.6% female,\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200926.89\u2009[SD = 9.45] years old) completed self\u2010report measures assessing depression, anxiety, cognitive flexibility, and ED symptoms. To determine each symptom's influence in the network, we calculated the expected influence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The two relationships with the greatest edges were those between (1) weight\/shape concerns and eating\/dietary restraint and (2) weight\/shape concerns and psychological distress (a measure that combined depression and anxiety). Cognitive flexibility was not connected to weight\/shape concerns but had negative partial associations with eating concerns\/dietary restraint and psychological distress. There was also a slight, non\u2010zero connection between eating concerns\/dietary restraint and psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings underscore the importance of weight\/shape, eating\/dietary concerns, and psychological distress in the AN network and suggest that addressing cognitive flexibility may be a useful target for eating concerns\/dietary restraint and psychological distress. Future studies assessing the longitudinal course of psychopathology within the AN network structure may help in identifying whether specific symptoms function as risk factors or maintaining factors for this co\u2010occurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12451","type":"journal-article","created":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T03:31:48Z","timestamp":1702179108000},"page":"118-134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A new network analysis model in anorexia nervosa patients based on self\u2010reported eating disorder symptoms, psychological distress, and cognitive flexibility"],"prefix":"10.1111","volume":"63","author":[{"given":"Sarah","family":"Giles","sequence":"first","affiliation":[{"name":"Melbourne School of Psychological Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth K.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Castle","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Service Innovation University of Tasmania  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Mental Health St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Iverson Institute Swinburne University of Technology  Melbourne Victoria Australia"},{"name":"Department of Psychiatry The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Phillipou","sequence":"additional","affiliation":[{"name":"Department of Mental Health St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Orygen  Melbourne Victoria Australia"},{"name":"Centre for Youth Mental Health The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Psychological Sciences Swinburne University of Technology  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Rossell","sequence":"additional","affiliation":[{"name":"Department of Mental Health St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Centre for Mental Health Swinburne University of Technology  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Urbini","sequence":"additional","affiliation":[{"name":"Body Image &amp; Eating Disorders Treatment &amp; Recovery Service St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Fuller\u2010Tyszkiewicz","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"},{"name":"Centre for Social and Early Emotional Development Deakin University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5275-3595","authenticated-orcid":false,"given":"Isabel","family":"Krug","sequence":"additional","affiliation":[{"name":"Melbourne School of Psychological Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13546805.2012.698592"},{"key":"e_1_2_11_3_1","unstructured":"American Psychiatric Association (APA)(2004).Diagnostic and statistical manual of mental disorders: DSM\u2010IV\u2010TR. 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