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Data was collected via an online survey from 126 licensed therapists treating an adult with an ED. Therapists provided an ED DSM-5 diagnosis for a randomly selected patient, as well as endorsed the presence of symptoms from a list of DSM criteria. Criteria endorsement varied across both the entire sample and within diagnoses. Convergence and cohesion also varied within diagnoses. The first factor analysis for DSM-5 ED criteria yielded a five-factor solution for ED criteria accounted for 78.3% of variance: (1) Binge eating, (2) Compensatory and purging behaviors, (3) Shape\/weight overvaluation, (4) Drive for thinness, and (5) Absence of binging and purging. Finally, diagnostic efficiency statistics were consistent with this factor model. Overall, our findings support a new, transdiagnostic model with fear of weight gain and weight being main aspects of self-evaluation as common underlying factors amongst all EDs.<\/jats:p>","DOI":"10.1186\/s40337-025-01512-7","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T11:35:26Z","timestamp":1768563326000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Psychometric characteristics of DSM-5 eating disorder diagnostic criteria: support for a transdiagnostic approach"],"prefix":"10.1186","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3522-8270","authenticated-orcid":false,"given":"Evangeline","family":"Giannopoulos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hilsenroth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"issue":"5","key":"1512_CR1","doi-asserted-by":"publisher","first-page":"1402","DOI":"10.1002\/eat.23704","volume":"109","author":"M Galmiche","year":"2019","unstructured":"Galmiche M, D\u00e9chelotte P, Lambert G, Tavolacci MP. 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