{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T21:47:39Z","timestamp":1793828859345,"version":"4.6.1"},"reference-count":70,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2013,3,8]],"date-time":"2013-03-08T00:00:00Z","timestamp":1362700800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Behav Modif"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:p>Eating disorders are among the most challenging disorders to treat, with even state-of-the-art cognitive-behavioral treatments achieving only modest success. One possible reason for the high rate of treatment failure for eating disorders is that existing treatments do not attend sufficiently to critical aspects of the disorder such as high experiential avoidance, poor experiential awareness, and lack of motivation. These variables are explicit targets of Acceptance and Commitment Therapy (ACT). The current study examined the efficacy of an ACT-based group treatment for eating disorders by examining whether the addition of ACT groups to treatment-as-usual (TAU) at a residential treatment facility for eating disorders would improve treatment outcomes. TAU patients received an intensive residential treatment, while ACT patients received these services but additionally attended, depending on diagnosis, either ACT for anorexia nervosa groups or ACT for bulimia nervosa groups. Although individuals in both treatment conditions demonstrated large decreases in eating pathology, there were trends toward larger decreases among those receiving ACT. ACT patients also showed lower rates of rehospitalization during the 6 months after discharge. Overall, results suggest that ACT is a viable treatment option for individuals with eating pathology and further outcome research is warranted.<\/jats:p>","DOI":"10.1177\/0145445513478633","type":"journal-article","created":{"date-parts":[[2013,3,8]],"date-time":"2013-03-08T21:11:02Z","timestamp":1362777062000},"page":"459-489","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":132,"title":["Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders"],"prefix":"10.1177","volume":"37","author":[{"given":"Adrienne","family":"Juarascio","sequence":"first","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jena","family":"Shaw","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Forman","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Alix","family":"Timko","sequence":"additional","affiliation":[{"name":"University of the Sciences, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Herbert","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Butryn","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Bunnell","sequence":"additional","affiliation":[{"name":"Renfrew Center, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Matteucci","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lowe","sequence":"additional","affiliation":[{"name":"Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,3,8]]},"reference":[{"key":"bibr1-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10261"},{"key":"bibr2-0145445513478633","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994","edition":"4"},{"key":"bibr3-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2006.06.002"},{"key":"bibr4-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.70.5.1129"},{"key":"bibr5-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/erv.962"},{"key":"bibr6-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.03.007"},{"key":"bibr7-0145445513478633","volume-title":"Principles of inpatient psychiatry: Inpatient treatment of eating disorders","author":"Bowers W. A.","year":"2008"},{"key":"bibr8-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/erv.463"},{"key":"bibr9-0145445513478633","volume-title":"Quasi-experimentation: Design and analysis issues for field settings","author":"Cook T. D.","year":"1979"},{"key":"bibr10-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1177\/0145445507302037"},{"key":"bibr11-0145445513478633","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. G.","year":"2008"},{"key":"bibr12-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"bibr13-0145445513478633","first-page":"171","volume-title":"Eating disorders and obesity: A comprehensive handbook","author":"Fairburn C. G.","year":"2002"},{"key":"bibr14-0145445513478633","volume-title":"Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I\/P)","author":"First M.","year":"2002"},{"key":"bibr15-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.07.004"},{"key":"bibr16-0145445513478633","first-page":"77","volume-title":"General principles and empirically supported techniques of cognitive behavior therapy","author":"Forman E. M.","year":"2009"},{"key":"bibr17-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2012.09.001"},{"key":"bibr18-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(04)80015-7"},{"key":"bibr19-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/da.20163"},{"key":"bibr20-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOBA.0000007455.08539.94"},{"key":"bibr21-0145445513478633","volume-title":"A randomized controlled effectiveness trial comparing patient education with and without acceptance and commitment therapy for type 2 diabetes self-management","author":"Gregg J. A.","year":"2004"},{"key":"bibr22-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.628"},{"key":"bibr23-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.06.006"},{"key":"bibr24-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(04)80003-0"},{"key":"bibr25-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S1077-7229(02)80055-4"},{"key":"bibr26-0145445513478633","volume-title":"Get out of your mind & into your life: The new acceptance and commitment therapy","author":"Hayes S. C.","year":"2005","edition":"1"},{"key":"bibr27-0145445513478633","volume-title":"Acceptance and commitment therapy: An experiential approach to behavior change","author":"Hayes S. C.","year":"1999"},{"key":"bibr28-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S1077-7229(02)80053-0"},{"key":"bibr29-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1177\/0145445510363472"},{"key":"bibr30-0145445513478633","first-page":"235","volume":"47","author":"Kaplan A. S.","year":"2002","journal-title":"La Revue canadienne de psychiatrie"},{"key":"bibr31-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.54.101601.145105"},{"key":"bibr32-0145445513478633","volume-title":"Paper presented at the Association for Behavioral and Cognitive Therapies Meeting","author":"Keyser J."},{"key":"bibr33-0145445513478633","volume-title":"Paper presented at the Association for Behavioral and Cognitive Therapies Meeting","author":"Keyser J."},{"key":"bibr34-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/B978-012088519-0\/50005-8"},{"key":"bibr35-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S1471-0153(03)00032-1"},{"key":"bibr36-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M"},{"key":"bibr37-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.01.004"},{"key":"bibr38-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.4.741"},{"key":"bibr39-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2011.533606"},{"key":"bibr40-0145445513478633","first-page":"87","volume-title":"Acceptance and commitment therapy: Contemporary theory research and practice","author":"Merwin R.","year":"2009"},{"key":"bibr41-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1080\/02699930902985845"},{"key":"bibr42-0145445513478633","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1991.69.2.527"},{"key":"bibr43-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2010.04.004"},{"key":"bibr44-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20276"},{"key":"bibr45-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(99)00058-6"},{"key":"bibr46-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S1077-7229(02)80057-8"},{"key":"bibr47-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199707)22:1<83::AID-EAT11>3.0.CO;2-J"},{"key":"bibr48-0145445513478633","volume-title":"The role of negative affect and emotional avoidance in the maintenance of binge eating disorder","author":"Pells J. J.","year":"2006"},{"key":"bibr49-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1159\/000190790"},{"key":"bibr50-0145445513478633","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.40.3.879"},{"key":"bibr51-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/0470013192.bsa440"},{"key":"bibr52-0145445513478633","volume-title":"Dialectical behavior therapy for binge eating and bulimia","author":"Safer D.","year":"2009"},{"key":"bibr53-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1348\/014466505X53902"},{"key":"bibr54-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199903)25:2<177::AID-EAT7>3.0.CO;2-D"},{"key":"bibr55-0145445513478633","unstructured":"Shaw J., Juarascio A.S., Forman E.F., Herbert J., Butryn M., Lowe M. (2013). Creation and validation of a food challenge task. Unpublished manuscript."},{"key":"bibr56-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp3304_11"},{"key":"bibr57-0145445513478633","volume-title":"Poster session presented at the International Conference on Eating Disorders","author":"Timko C. A.","year":"2012"},{"key":"bibr58-0145445513478633","first-page":"329","volume":"16","author":"Treasure J.","year":"1994","journal-title":"British Medical Journal"},{"key":"bibr59-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2005.02.001"},{"key":"bibr60-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/erv.889"},{"key":"bibr61-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1097\/01.nmd.0000225067.42191.b0"},{"key":"bibr62-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199601)19:1<99::AID-EAT12>3.0.CO;2-L"},{"key":"bibr63-0145445513478633","first-page":"25","volume-title":"Handbook of treatment for eating disorders","author":"Walsh B. T.","year":"1997"},{"key":"bibr64-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.1.102803.144250"},{"key":"bibr65-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.62.3.199"},{"key":"bibr66-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17669-1"},{"key":"bibr67-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/eat.1055"},{"key":"bibr68-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.05.006"},{"key":"bibr69-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2000.14.4.291"},{"key":"bibr70-0145445513478633","doi-asserted-by":"publisher","DOI":"10.1002\/da.10145"}],"container-title":["Behavior Modification"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445513478633","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0145445513478633","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145445513478633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:26:44Z","timestamp":1777382804000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145445513478633"}},"subtitle":["An Initial Test of Efficacy and Mediation"],"short-title":[],"issued":{"date-parts":[[2013,3,8]]},"references-count":70,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1177\/0145445513478633"],"URL":"https:\/\/doi.org\/10.1177\/0145445513478633","relation":{},"ISSN":["0145-4455","1552-4167"],"issn-type":[{"value":"0145-4455","type":"print"},{"value":"1552-4167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,8]]}}}