{"doi":"10.1002/eat.24429","title":"Patterns of Symptom Change in Behaviors and Cognitions During 10‐Session Cognitive Behavioral Therapy (<scp>CBT</scp>‐T) for Non‐Underweight Eating Disorders","abstract":"OBJECTIVE: Little is known about the timing of behavioral versus cognitive change in 10-session cognitive-behavioral therapy for non-underweight eating disorders (CBT-T). We aimed to: (a) evaluate the magnitude of behavioral and cognitive symptom reduction across treatment; and (b) investigate the relation between early behavioral change and subsequent cognitive change. We hypothesized: (a) large and significant reductions in behavioral and cognitive symptoms from pre- to mid-treatment and from pre- to post-treatment; and (b) that early behavioral change would predict subsequent cognitive change over the course of treatment. METHOD: Patients (N = 63) were offered CBT-T and completed the Eating Disorder-15 on a weekly basis. We used intent-to-treat analyses. For Aim 1, we conducted a series of fixed-effect multilevel models for each outcome variable, accounting for repeated measures (pre-, mid-, and post-treatment) within individuals. For Aim 2, we conducted a linear regression using early behavioral change as the predictor and subsequent cognitive change as the outcome. RESULTS: We observed large and significant reductions in most behavioral and all cognitive symptoms pre- to mid-treatment and pre- to post-treatment. Early changes in behavioral symptoms did not significantly predict subsequent cognitive changes. DISCUSSION: Behavioral improvements occurred rapidly and were sustained throughout treatment, whereas cognitive changes followed a more gradual trajectory. The absence of a significant predictive relationship between early behavioral change and subsequent cognitive change suggests that these domains may improve independently. Future research should investigate the mechanisms linking behavioral and cognitive changes.","journal":"International Journal of Eating Disorders","year":2025,"id":528074,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9474,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1253497,"name":"Haley Graver","orcid":"0000-0003-4293-6926","position":1,"is_corresponding":false},{"id":1248780,"name":"Lilian P. Palmer","orcid":"0000-0003-3608-5395","position":2,"is_corresponding":false},{"id":859209,"name":"Casey M. Stern","orcid":"0000-0002-0127-8667","position":3,"is_corresponding":false},{"id":86928,"name":"Nassim Tabri","orcid":"0000-0002-7085-9350","position":4,"is_corresponding":false},{"id":1124615,"name":"Ashley Dunford","orcid":"0000-0003-4460-6437","position":5,"is_corresponding":false},{"id":779199,"name":"Helen Burton Murray","orcid":"0000-0003-2059-3256","position":6,"is_corresponding":false},{"id":786917,"name":"Lauren Breithaupt","orcid":"0000-0002-2439-6519","position":7,"is_corresponding":false},{"id":777211,"name":"Shirley B. Wang","orcid":"0000-0002-8583-3014","position":8,"is_corresponding":false},{"id":1405481,"name":"Setareh M. Rossman","orcid":"0000-0002-8755-2128","position":9,"is_corresponding":false},{"id":1405482,"name":"Christopher J. Mancuso","orcid":"0000-0003-3277-0846","position":10,"is_corresponding":false},{"id":1152194,"name":"Alexandra M. Andrea","orcid":"0000-0002-7384-2669","position":11,"is_corresponding":false},{"id":1405483,"name":"Glenn Waller","orcid":"0000-0001-7794-9546","position":12,"is_corresponding":false},{"id":1406113,"name":"Cathryn M. Freid","orcid":null,"position":13,"is_corresponding":false},{"id":706227,"name":"Kamryn T. Eddy","orcid":"0000-0002-1586-0930","position":14,"is_corresponding":false},{"id":767777,"name":"Jennifer J. Thomas","orcid":"0000-0003-2601-581X","position":15,"is_corresponding":false},{"id":767776,"name":"Kendra R. Becker","orcid":"0000-0002-8946-9977","position":16,"is_corresponding":false},{"id":1214430,"name":"P. Evelyna Kambanis","orcid":"0000-0002-1950-3332","position":0,"is_corresponding":true}],"reference_count":22,"raw_metadata":null,"created_at":"2026-07-19T02:50:44.062153Z","pmid":"40167303","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}