Stephanie Manasse

Research Scientist

Nemours Children's Hospital, Delaware 1600 Rockland Road Wilmington, DE 19803

Biography

Stephanie M. Manasse, PhD is a Research Scientist in the Center for Healthcare Delivery Science at Nemours Children's Health where she is the director of the Advancing Scalable Psychological Interventions for Regulating Eating (ASPIRE) Lab. Her work is focused on better understanding and intervening on disordered and dysregulated eating behavior (e.g., binge eating) using novel technological methods (e.g., ecological momentary assessment and intervention). She is also interested in using technology to increase access to care. She has several active NIH projects focused on testing new behavioral (e.g., acceptance-based) and technology-based (e.g., smartphone apps) treatments for binge eating and dysregulated eating especially in the context of obesity.

Education

  • PhD, Clinical Psychology - Drexel University, Psychology

  • Characterizing Emotional Inertia and Its Relation to Eating Disorder Behaviors in Patients Seeking Treatment for Binge‐Spectrum Eating Disorders; International Journal of Eating Disorders; (2026).

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  • Detecting Eating Disorders From Social Media Content: What Has Been Done and Where Do We Go Next?; International Journal of Eating Disorders; (2026).

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  • Development and Initial Validation of the Gastric Discomfort Intolerance Scale; Unknown Source; (2026).

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  • Good for men, but not for me: A qualitative study of factors preventing men from seeking psychological treatment for their binge-spectrum eating disorders.; Psychology of Men & Masculinities; (2026).

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  • How to promote therapy-seeking for men with binge-spectrum eating disorders: a qualitative study; Journal of Eating Disorders; (2026).

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  • Negative affect mediates the association between nightly sleep disturbance and next-day binge eating; Appetite; (2026).

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  • Pre‐Treatment Fear of Weight Gain Is Associated With Engagement in a Greater Degree of Pre‐Treatment Maladaptive Exercise Among Individuals With Binge‐Spectrum Eating Disorders; European Eating Disorders Review; (2026).

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  • Temporal Associations Between Body Checking and Eating Pathology in Adolescent Girls with Binge-Spectrum Eating Disorders: Protocol for an Ecological Momentary Assessment Study; JMIR Research Protocols; (2026).

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  • Unique and Shared Symptoms Across Food Addiction and Binge‐Eating Measures: A Content Analysis; International Journal of Eating Disorders; (2026).

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  • An individual participant data meta-analysis investigating the mediating role of eating behavior traits in Acceptance and Commitment Therapy-based weight management interventions; Annals of Behavioral Medicine; (2025).

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  • Development and Initial Validation of the Gastric Discomfort Intolerance Scale; Unknown Source; (2025).

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  • Dietary Restraint Moderates the Relationship between Postprandial Distress Syndrome and Binge Eating in Adolescents; Unknown Source; (2025).

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  • Ecological momentary interventions for eating disorders: a systematic review of the nascent science and recommendations for future research; Journal of Eating Disorders; (2025).

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  • Exploring Parent-Adolescent Family Meal Environment Perceptions and Their Associations with Disordered Eating Behaviors and Thoughts; Ssrn; (2025).

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  • Identifying mechanistic links between sleep disturbance and binge eating: the role of depressed mood; Eating Disorders; (2025).

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  • Individual participant data meta-analysis of eating behaviour traits as effect modifiers in acceptance and commitment therapy-based weight management interventions; International Journal of Obesity; (2025).

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  • Is physical activity a risk or protective factor for subsequent dietary lapses among behavioral weight loss participants?; Health Psychology; (2025).

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  • Mindfulness-based interventions for binge eating: an updated systematic review and meta-analysis; Journal of Behavioral Medicine; (2025).

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  • Treatment engagement, facilitators, and barriers for college students with co-occurring disordered eating and problematic alcohol use: Healthy Minds Study 2022–2024; Journal of American College Health; (2025).

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  • A naturalistic examination of feeling fat: Characteristics, predictors, and the relationship with eating disorder behaviors; International Journal of Eating Disorders; (2024).

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  • Affect trajectories surrounding binge eating episodes and heavy drinking episodes in adults with binge-spectrum eating disorders; European Eating Disorders Review; (2024).

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  • Attachment-Based Family Therapy to Improve Family Functioning in Adolescent Binge-Spectrum Eating Disorders: An Initial Evaluation Via Case Series Design; Clinical Child Psychology and Psychiatry; (2024).

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  • Behavioral weight loss treatment for adults with binge-eating disorder: A qualitative analysis of patients' perspectives and experiences; International Journal of Eating Disorders; (2024).

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  • Continuous glucose monitoring as an objective measure of meal consumption in individuals with binge-spectrum eating disorders: A proof-of-concept study; European Eating Disorders Review; (2024).

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  • Does hopelessness predict treatment outcomes in adults with binge-spectrum eating disorders?; Eating Disorders; (2024).

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  • Early reduction in anxiety sensitivity predicts greater reduction in disordered eating and trait anxiety during treatment for bulimia nervosa; International Journal of Eating Disorders; (2024).

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  • Evaluating an acceptance-based lifestyle modification program to address cardiovascular disease risk among adolescent girls with overweight and obesity: Protocol for a randomized controlled trial; Contemporary Clinical Trials; (2024).

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  • Latent Change Trajectories in Mood During Focused CBT Enhanced for Eating Disorders Are Associated With Global Eating Pathology at Posttreatment and Follow-Up Among Individuals With Bulimia Nervosa Spectrum Disorders: A Preliminary Examination; Behavior Therapy; (2024).

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  • Subtypes of exercise are differentially associated with baseline eating disorder pathology and treatment outcome among individuals with bulimia nervosa; International Journal of Eating Disorders; (2024).

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  • The Integration of Sleep Research Into Eating Disorders Research: Recommendations and Best Practices; International Journal of Eating Disorders; (2024).

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  • The relationship between non-purging compensatory behaviors, clinical severity, and treatment outcomes in adults with binge-spectrum eating disorders; Eating Disorders; (2024).

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  • Trajectories of therapeutic skills use and their dynamic relations to symptom change during cognitive-behavioral therapy for bulimia nervosa; International Journal of Eating Disorders; (2024).

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  • A Randomized Controlled Trial of CBT+: A Clinician-Controlled, Just-In-Time, Adjunctive Intervention for Bulimia-Spectrum Disorders; Behavior Modification; (2023).

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  • Affective profiles of exercise episodes are associated with maladaptive and adaptive motivations for exercise; European Eating Disorders Review; (2023).

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  • Anhedonia in cognitive behavioral therapy for binge eating spectrum disorders; Eating Disorders; (2023).

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  • Differentiating types of dietary restraint and their momentary relations with loss-of-control eating; International Journal of Eating Disorders; (2023).

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  • Divergent trajectories of positive affect following maladaptive and non-maladaptive exercise among individuals with binge-spectrum eating disorders; International Journal of Eating Disorders; (2023).

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  • Does virtual reality enhance the effects of inhibitory control training for loss-of-control eating? A pilot factorial experiment; Eating Behaviors; (2023).

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  • Fear of weight gain during cognitive behavioral therapy for binge-spectrum eating disorders; Eating and Weight Disorders; (2023).

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  • Gamification and neurotraining to engage men in behavioral weight loss: Protocol for a factorial randomized controlled trial; Contemporary Clinical Trials; (2023).

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  • Latent profiles of emotion dysregulation among individuals with binge-spectrum eating disorders: Associations with eating disorder pathology; European Eating Disorders Review; (2023).

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  • Optimizing digital health technologies to improve therapeutic skill use and acquisition alongside enhanced cognitive-behavior therapy for binge-spectrum eating disorders: Protocol for a randomized controlled trial; International Journal of Eating Disorders; (2023).

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  • Predicting cognitive-behavioral therapy outcomes for bulimia nervosa patients based on skill use during treatment; Journal of Behavioral and Cognitive Therapy; (2023).

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  • Prefrontal cortex activation by binge-eating status in individuals with obesity while attempting to reappraise responses to food using functional near infrared spectroscopy; Eating and Weight Disorders; (2023).

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  • Relations between forms of dietary restraint, restriction, and loss-of-control eating among adolescents seeking weight control: An ecological momentary assessment study; Eating Behaviors; (2023).

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  • Reward mediates the association between engagement in noneating activities and state body dissatisfaction: An ecological momentary assessment study; International Journal of Eating Disorders; (2023).

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  • Reward retraining: A pilot randomized controlled trial of a novel treatment approach for transdiagnostic binge eating; International Journal of Eating Disorders; (2023).

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  • Weight status is associated with clinical characteristics among individuals with bulimia nervosa; Eating Disorders; (2023).

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  • Wellness Achieved Through Changing Habits: A Randomized Controlled Trial of an Acceptance-Based Intervention for Adolescent Girls With Overweight or Obesity; Childhood Obesity; (2023).

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  • An examination of daily sleep characteristics and subsequent eating disorder behavior among individuals with binge-spectrum eating disorders; Eating and Weight Disorders; (2022).

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  • Associations between emotion regulation and remission following cognitive behavioural therapy for adults with bulimia nervosa; European Eating Disorders Review; (2022).

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  • Associations between fear of weight gain and exercise in binge-spectrum eating disorders; Eating and Weight Disorders; (2022).

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  • Changes in affect from non-eating activity engagement as predictors of loss of control eating: an ecological momentary assessment study; Eating and Weight Disorders; (2022).

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  • Correcting the reward imbalance in binge eating: A pilot randomized trial of reward re-training treatment; Appetite; (2022).

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  • Does virtual reality enhance the effects of inhibitory control training for loss-of-control eating? A factorial experiment; Research Square; (2022).

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  • Eating expectancies and hedonic hunger among individuals with bulimia-spectrum eating disorders who plan binge-eating episodes; International Journal of Eating Disorders; (2022).

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  • Feasibility, Acceptability, and Preliminary Target Engagement of a Healthy Physical Activity Promotion Intervention for Bulimia Nervosa: Development and Evaluation via Case Series Design; Cognitive and Behavioral Practice; (2022).

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  • Glucose variability: A physiological correlate of eating disorder behaviors among individuals with binge-spectrum eating disorders; International Journal of Eating Disorders; (2022).

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  • Intact general and food-specific task-switching abilities in bulimia-spectrum eating disorders; Eating Behaviors; (2022).

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  • Momentary associations between fear of weight gain and dietary restriction among individuals with binge-spectrum eating disorders; International Journal of Eating Disorders; (2022).

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  • Momentary predictors of binge eating episodes and heavy drinking episodes in individuals with comorbid binge eating and heavy drinking; Eating and Weight Disorders; (2022).

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  • Momentary predictors of binge eating episodes and heavy drinking episodes in individuals with comorbid binge eating and heavy drinking; Research Square; (2022).

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  • The moderating role of sleep duration on momentary relations between negative affect and loss-of-control eating in children and adolescents; European Eating Disorders Review; (2022).

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  • Understanding momentary associations between body dissatisfaction and exercise in binge-spectrum eating disorders; Eating and Weight Disorders; (2022).

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  • Using Continuous Glucose Monitoring to Detect and Intervene on Dietary Restriction in Individuals with Binge Eating: The SenseSupport Study (Preprint); Unknown Source; (2022).

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  • Using Continuous Glucose Monitoring to Detect and Intervene on Dietary Restriction in Individuals with Binge Eating: The SenseSupport Withdrawal Design Study; Jmir Formative Research; (2022).

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  • Validation of the food craving Acceptance and action questionnaire (FAAQ) in a weight loss-seeking sample; Appetite; (2022).

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  • A clinician-controlled just-in-time adaptive intervention system (CBT+) designed to promote acquisition and utilization of cognitive behavioral therapy skills in Bulimia Nervosa: Development and preliminary evaluation study; Jmir Formative Research; (2021).

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  • An examination of emotion regulation as a mechanism underlying eating disorder pathology in lesbian, gay, and bisexual individuals; Eating Behaviors; (2021).

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  • Authorship Correction: A Clinician-Controlled Just-in-time Adaptive Intervention System (CBT+) Designed to Promote Acquisition and Utilization of Cognitive Behavioral Therapy Skills in Bulimia Nervosa: Development and Preliminary Evaluation Study (Preprint); Unknown Source; (2021).

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  • Authorship Correction: A Clinician-Controlled Just-in-time Adaptive Intervention System (CBT+) Designed to Promote Acquisition and Utilization of Cognitive Behavioral Therapy Skills in Bulimia Nervosa: Development and Preliminary Evaluation Study; Jmir Formative Research; (2021).

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  • Can a Short Screening Tool Discriminate Between Overeating and Binge Eating in Treatment-Seeking Individuals with Obesity?; Obesity; (2021).

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  • Characterizing reasons for exercise in binge-spectrum eating disorders; Eating Behaviors; (2021).

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  • Do momentary changes in body dissatisfaction predict binge eating episodes? An ecological momentary assessment study; Eating and Weight Disorders; (2021).

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  • Evaluating the efficacy of mindfulness and acceptance-based treatment components for weight loss: Protocol for a multiphase optimization strategy trial; Contemporary Clinical Trials; (2021).

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  • Exposure-enhanced cognitive behavioral therapy for adolescents with binge eating: An initial case series; Clinical Child Psychology and Psychiatry; (2021).

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  • Gender differences in the effect of gamification on weight loss during a daily, neurocognitive training program; Translational Behavioral Medicine; (2021).

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  • Mindfulness and acceptance-based behavioral treatment for bulimia-spectrum disorders: A pilot feasibility randomized trial; International Journal of Eating Disorders; (2021).

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  • Real-time fluctuations in mindful awareness, willingness, and values clarity, and their associations with craving and dietary lapse among those seeking weight loss; Journal of Contextual Behavioral Science; (2021).

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  • Rethinking emotional eating: Retrospective and momentary indices of emotional eating represent distinct constructs; Appetite; (2021).

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  • Self-report versus clinical interview: Discordance among measures of binge eating in a weight-loss seeking sample; Eating and Weight Disorders; (2021).

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  • State emotion modulation and loss-of-control eating in individuals with obesity: A preliminary ecological momentary assessment study; Eating Behaviors; (2021).

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  • Stress appraisal prospectively predicts binge eating through increases in negative affect; Eating and Weight Disorders; (2021).

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  • The project COMPASS protocol: Optimizing mindfulness and acceptance-based behavioral treatment for binge-eating spectrum disorders; International Journal of Eating Disorders; (2021).

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  • The Reward Re-Training protocol: A novel intervention approach designed to alter the reward imbalance contributing to binge eating during COVID-19; International Journal of Eating Disorders; (2021).

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  • Using virtual reality to train inhibitory control and reduce binge eating: A proof-of-concept study; Appetite; (2021).

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  • A characterization of binge planning behavior in individuals with binge-spectrum eating disorders; Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity; (2020).

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  • A Clinician-Controlled Just-in-time Adaptive Intervention System (CBT+) Designed to Promote Acquisition and Utilization of Cognitive Behavioral Therapy Skills in Bulimia Nervosa: Development and Preliminary Evaluation Study (Preprint); Unknown Source; (2020).

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  • An exploratory component analysis of emotion regulation strategies for improving emotion regulation and emotional eating; Appetite; (2020).

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  • COVID-19 Impacts Mental Health Outcomes and Ability/Desire to Participate in Research Among Current Research Participants; Obesity; (2020).

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  • Guidelines for caregivers and healthcare professionals on speaking to children about overweight and obesity: A systematic review of the gray literature; Translational Behavioral Medicine; (2020).

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  • The association between negative affect and physical activity among adults in a behavioral weight loss treatment; Psychology of Sport and Exercise; (2020).

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  • The project REBOOT protocol: Evaluating a personalized inhibitory control training as an adjunct to cognitive behavioral therapy for bulimia nervosa and binge-eating disorder; International Journal of Eating Disorders; (2020).

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  • Understanding the overlap and differences in terms describing patterns of maladaptive avoidance and intolerance of negative emotional states; Personality and Individual Differences; (2020).

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  • Can the artificial intelligence technique of reinforcement learning use continuously-monitored digital data to optimize treatment for weight loss?; Journal of Behavioral Medicine; (2019).

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  • Computerized neurocognitive training for improving dietary health and facilitating weight loss; Journal of Behavioral Medicine; (2019).

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  • Developing more efficient, effective, and disseminable treatments for eating disorders: an overview of the multiphase optimization strategy; Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity; (2019).

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  • Does executive function moderate the relation between momentary affective and physical states and subsequent dietary lapse? An EMA investigation; Journal of Behavioral Medicine; (2019).

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  • Executive Functioning as a Predictor of Weight Loss and Physical Activity Outcomes; Annals of behavioral medicine : a publication of the Society of Behavioral Medicine; (2019).

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  • Heart rate variability and emotion regulation among individuals with obesity and loss of control eating; Physiology and Behavior; (2019).

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  • Impulsivity and affect reactivity prospectively predict disordered eating attitudes in adolescents: a 6-year longitudinal study; European Child and Adolescent Psychiatry; (2019).

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  • Long‐Term Follow‐up of the Mind Your Health Project: Acceptance‐Based versus Standard Behavioral Treatment for Obesity; Obesity; (2019).

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  • Mechanisms and moderators in mindfulness‐ and acceptance‐based treatments for binge eating spectrum disorders: A systematic review; European Eating Disorders Review; (2019).

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  • Ontrack: Development and feasibility of a smartphone app designed to predict and prevent dietary lapses; Translational Behavioral Medicine; (2019).

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  • A multimodal investigation of impulsivity as a moderator of the relation between momentary elevations in negative internal states and subsequent dietary lapses; Appetite; (2018).

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  • Are individuals with loss-of-control eating more prone to dietary lapse in behavioural weight loss treatment? An ecological momentary assessment study; European Eating Disorders Review; (2018).

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  • Ecological momentary assessment of self-attitudes in response to dietary lapses; Health Psychology; (2018).

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  • Promising technological innovations in cognitive training to treat eating-related behavior; Appetite; (2018).

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  • Using ecological momentary assessment to better understand dietary lapse types; Appetite; (2018).

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  • A pilot study of an acceptance-based behavioral treatment for binge eating disorder; Journal of Contextual Behavioral Science; (2017).

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  • Developing an Acceptance-Based Behavioral Treatment for Binge Eating Disorder: Rationale and Challenges; Cognitive and Behavioral Practice; (2017).

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  • Ecological Momentary Assessment of Dietary Lapses Across Behavioral Weight Loss Treatment: Characteristics, Predictors, and Relationships with Weight Change; Annals of Behavioral Medicine; (2017).

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  • Executive functioning and dietary intake: Neurocognitive correlates of fruit, vegetable, and saturated fat intake in adults with obesity; Appetite; (2017).

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  • Not so fast: The impact of impulsivity on weight loss varies by treatment type; Appetite; (2017).

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  • Novel assessment of affective distress intolerance; Unknown Source; (2017).

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  • Return of the JITAI: Applying a Just-in-Time Adaptive Intervention Framework to the Development of m-Health Solutions for Addictive Behaviors; International Journal of Behavioral Medicine; (2017).

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  • Acceptance-based versus standard behavioral treatment for obesity: Results from the mind your health randomized controlled trial; Obesity; (2016).

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  • An investigation of negative affect, reactivity, and distress tolerance as predictors of disordered eating attitudes across adolescence; Journal of Adolescence; (2016).

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  • Does impulsivity predict outcome in treatment for binge eating disorder? A multimodal investigation; Appetite; (2016).

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  • Experiential acceptance, motivation for recovery, and treatment outcome in eating disorders; Eating and Weight Disorders; (2016).

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  • Mindful decision making and inhibitory control training as complementary means to decrease snack consumption; Appetite; (2016).

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  • Slowing down and taking a second look: Inhibitory deficits associated with binge eating are not food-specific; Appetite; (2016).

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  • Acceptance-based behavioral treatment for weight control: A review and future directions; Current Opinion in Psychology; (2015).

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  • Central coherence in adolescents with bulimia nervosa spectrum eating disorders; International Journal of Eating Disorders; (2015).

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  • Could training executive function improve treatment outcomes for eating disorders?; Appetite; (2015).

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  • Do executive functioning deficits underpin binge eating disorder? A comparison of overweight women with and without binge eating pathology; International Journal of Eating Disorders; (2015).

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  • Perceptions of the feasibility and acceptability of a smartphone application for the treatment of binge eating disorders: Qualitative feedback from a user population and clinicians; International Journal of Medical Informatics; (2015).

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  • Review of smartphone applications for the treatment of eating disorders; European Eating Disorders Review; (2015).

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  • The independent and interacting effects of hedonic hunger and executive function on binge eating; Appetite; (2015).

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  • An investigation of the neurocognitive profile of binge eating disorder; Unknown Source; (2014).

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  • Executive functioning in overweight individuals with and without loss-of-control eating; European Eating Disorders Review; (2014).

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  • Adolescents' self-presentation on a teen dating web site: A risk-content analysis; Journal of Adolescent Health; (2012).

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  • Set-shifting among adolescents with bulimic spectrum eating disorders; Psychosomatic Medicine; (2012).

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  • Children's and parents' report of asthma education received from physicians; Journal of Asthma; (2011).

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