Final answer:
d. All of the listed options, a refusal to maintain minimal body weight, a pathological fear of gaining weight, and a distorted body image are diagnostic criteria for anorexia nervosa according to the DSM-IV-TR.
Step-by-step explanation:
The diagnostic criterion for anorexia nervosa in DSM-IV-TR includes all of the following: a) A refusal to maintain a minimal body weight, b) A pathological fear of gaining weight, and c) A distorted body image in which, even when clearly emaciated, sufferers continue to insist they are overweight. Anorexia nervosa is an eating disorder characterized by the maintenance of body weight that is well below average through methods such as starvation and/or excessive exercise.
Individuals with anorexia nervosa often cannot accurately perceive their physique, riddled with body dysmorphia, and have an obsessive fear of weight gain. This disorder leads to numerous negative health outcomes, including bone loss, heart and kidney failure, and increased risk of psychological problems.