“…The effect sizes (Table ) indicate mood intolerance, a putative maintenance factor (Fairburn et al, ) but external to ED pathological features typically addressed in CBT (Dakanalis, Carrà, Calogero, Zanetti, et al, 2015), as the primary pretreatment non‐eating‐specific variable distinguishing the severity groups that, as noted, showed a differential treatment outcome (BE abstinence). These findings appear to concur with laboratory‐based, ecological momentary assessment (EMA), and longitudinal research suggesting that BE serves as a self‐regulation strategy for negative emotional states with maladaptive coping in response to these states playing a key role in the persistence of BE (Dakanalis, Clerici, et al, ; Dakanalis, Pla‐Sanjuanelo, et al, ; Dakanalis, Timko, et al, ; Dakanalis, Timko, Carrà, et al, ; Haedt‐Matt, & Keel, ; Leehr et al, ). An updated “enhanced” version of the standard CBT (CBT‐E) addressing mood intolerance (the inability to cope appropriately with adverse affective states) but also another three putative maintenance factors (interpersonal problems, perfectionism and low self‐esteem) thought to account for poor response to standard CBT, has recently been developed (Cooper & Fairburn, ).…”