{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:58:28Z","timestamp":1790319508988,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004257","name":"Helse Vest","doi-asserted-by":"publisher","award":["911964"],"award-info":[{"award-number":["911964"]}],"id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010586","name":"Haukeland\u00a0Universitetssjukehus","doi-asserted-by":"publisher","award":["F\u201013085"],"award-info":[{"award-number":["F\u201013085"]}],"id":[{"id":"10.13039\/501100010586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Large variability exists in outcome following Family\u2010based treatment (FBT) for severe obesity in youth. In the present study, we aimed to expand our understanding of how mental health impacts FBT outcomes. In total, 90 participants (58.9% girls) 5.9\u201318.6\u2009years (mean\u2009\u00b1\u2009SD: 13.2\u2009\u00b1\u20093.1) were enrolled in a 17\u2010session FBT\u2010programme. Baseline mean percentage above the IOTF threshold for overweight (%IOTF25) was 146\u2009\u00b1\u200913, and Body Mass Index standard deviation score (BMIz) was 3.02\u2009\u00b1\u20090.52. Mental health predictors were assessed using the Self\u2010Perception Profile for Children and the Child Behaviour Checklist. A multivariate multilevel Bayesian linear mixed\u2010effects model with repeated measures was utilized to estimate the effects of mental health predictors on BMI outcomes. Average change in BMI during FBT was \u22123.80 (%IOTF25) and \u22120.08 (BMIz) units. Higher scores of Attention Deficit\/Hyperactivity (ADH) Problems were associated with a smaller reduction in BMI (0.31\u2009units for %IOTF25 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.02), 0.01\u2009units for BMIz (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.03) for each one\u2010unit T\u2010score increase on the ADH problem scale). Self\u2010Worth, Emotional Dysregulation, Internalizing\u2010 and Externalizing problems were not associated with differences in BMI outcomes. Identifying children with higher ADH problems and incorporating additional family support strategies within FBT should be a focus for further treatment development.\n                  <\/jats:p>","DOI":"10.1111\/ijpo.70147","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T02:27:55Z","timestamp":1788229675000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Among Multiple Mental Health Symptoms, Only Attention Deficit\/Hyperactivity Problems Predict Poorer\n                    <scp>BMI<\/scp>\n                    Outcomes in Family\u2010Based Behavioural Treatment for Youth With Severe Obesity"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7029-3587","authenticated-orcid":false,"given":"Vilde A.","family":"Skodvin","sequence":"first","affiliation":[{"name":"Department of Pediatrics Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical and Biological Psychology University of Bergen  Bergen Norway"}],"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":[{"name":"Department of Pediatrics Haukeland University Hospital  Bergen Norway"},{"name":"Norwegian Resource Center for Eating Disorder (ROS)  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helge","family":"Molde","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Psychology University of Bergen  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3599-8689","authenticated-orcid":false,"given":"Denise","family":"Wilfley","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Washington University  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-1146","authenticated-orcid":false,"given":"Rachel P. K.","family":"Conlon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7064-1407","authenticated-orcid":false,"given":"P\u00e9tur B.","family":"J\u00fal\u00edusson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical Science University of Bergen  Bergen Norway"},{"name":"Department of Health Registry Research and Development Norwegian Institute of Public Health  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4117-8900","authenticated-orcid":false,"given":"Yngvild S.","family":"Danielsen","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Psychology University of Bergen  Bergen Norway"},{"name":"Regional Department of Eating Disorders Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-100219-060201"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329C"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3182a5cfb3"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1502821"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12334"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.17323"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-6310.2012.00064.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000293"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2014.963854"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12513"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.03.015"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12621"},{"issue":"9","key":"e_1_2_12_14_1","article-title":"Lifestyle Intervention for Children and Adolescents With Severe Obesity \u2010 Results After One Year","volume":"140","author":"Skodvin V. 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