{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T16:26:24Z","timestamp":1758039984359,"version":"3.44.0"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["RG85445","RG94028"],"award-info":[{"award-number":["RG85445","RG94028"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/W002418\/1","MR\/X030539\/1"],"award-info":[{"award-number":["MR\/W002418\/1","MR\/X030539\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019418","name":"NIHR Maudsley Biomedical Research Centre","doi-asserted-by":"publisher","award":["IS\u2010BRC\u20101215\u201020018"],"award-info":[{"award-number":["IS\u2010BRC\u20101215\u201020018"]}],"id":[{"id":"10.13039\/100019418","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,9]]},"abstract":"ABSTRACT<\/jats:title>Objective<\/jats:title>This study aimed to explore the diverse range of weight loss behaviors that extend beyond traditional diagnostic criteria, highlighting the variability in symptom presentation.<\/jats:p><\/jats:sec>Method<\/jats:title>We text mined free\u2010text responses from 1675 participants with anorexia nervosa, bulimia nervosa, or binge\u2010eating disorder in the Genetic Links to Anxiety and Depression (GLAD) Study and the Eating Disorders Genetics Initiative UK (EDGI UK). In secondary analyses, we investigated differences by eating disorder and gender.<\/jats:p><\/jats:sec>Results<\/jats:title>Frequently endorsed behaviors included structured diets (619 endorsements) and calorie counting (422 endorsements), but also less commonly considered behaviors like compression garments (147 endorsements) and self\u2010harm (88 endorsements). We identified four overarching themes: restriction\u2010based approaches, medical intervention, body manipulation, and food avoidance. The most frequently reported weight loss behaviors and resultant themes did not differ among eating disorders or genders, closely resembling those in the broader sample. Notably, 81 participants with binge\u2010eating disorder, which typically lacks the endorsement of recurrent compensatory behaviors, reported weight loss and compensatory behaviors.<\/jats:p><\/jats:sec>Discussion<\/jats:title>Our findings identify a crucial gap in current diagnostic assessments, which may hamper recognition and lead to underdiagnosis of eating disorders. By incorporating our insights into an inclusive assessment process that expects and accommodates novel behaviors, clinicians could capture a broader spectrum of behaviors, thus improving diagnostic accuracy. However, our sample homogeneity implies the need for more diverse samples. Our study contributes essential insights for enhancing diagnostic criteria.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24477","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T19:01:54Z","timestamp":1750186914000},"page":"1806-1816","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Diagnostic Checklist: A Large\u2010Scale Analysis of Under\u2010Recognized Weight Loss Behaviors in Individuals With Eating Disorders"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1677-1857","authenticated-orcid":false,"given":"Saakshi","family":"Kakar","sequence":"first","affiliation":[{"name":"Social, Genetic & Developmental Psychiatry Centre Institute of Psychiatry, Psychology & Neuroscience, King's College London London UK"},{"name":"UK National Institute for Health and Care Research (NIHR) Biomedical Research Centre for Mental Health, South London and Maudsley Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3414-2854","authenticated-orcid":false,"given":"Una","family":"Foye","sequence":"additional","affiliation":[{"name":"Social, Genetic & Developmental Psychiatry Centre Institute of Psychiatry, Psychology & Neuroscience, King's College London London UK"},{"name":"Mental Health Nursing, Health Service and Population Research Department Institute of Psychiatry, Psychology & Neuroscience, King's College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9419-1009","authenticated-orcid":false,"given":"Helena L.","family":"Davies","sequence":"additional","affiliation":[{"name":"Social, Genetic & Developmental Psychiatry Centre Institute of Psychiatry, Psychology & Neuroscience, King's College London London UK"},{"name":"UK National Institute for Health and Care Research (NIHR) Biomedical Research Centre for Mental Health, South London and Maudsley Hospital London UK"},{"name":"Center for Eating and Feeding Disorders Research, Mental Health Center Ballerup Copenhagen University Hospital\u2014Mental Health Services CPH Copenhagen Denmark"},{"name":"Institute of Biological Psychiatry, Mental Health Center Sct. 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