{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:44:57Z","timestamp":1786117497070,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Recovery from anorexia nervosa involves psychological and social adjustments that extend beyond weight restoration. Online forums increasingly serve as spaces where recovery experiences are openly shared, including accounts of \u201cextreme hunger\u201d during refeeding\u2014a phenomenon that has not been reported in the clinical literature. This study explores how extreme hunger is experienced in original posts shared within an online forum dedicated to anorexia nervosa recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Using the Reddit API, 987 analyzable posts from r\/AnorexiaRecovery published between July 25, 2023, and January 4, 2024, were collected. An initial exploratory review identified extreme hunger as a recurrent topic warranting focused investigation. Posts explicitly referring to it (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200992; 9.3%) were analyzed using reflexive thematic analysis. Coding was conducted iteratively through collaborative review, with codes refined, grouped into subthemes, and synthesized into overarching themes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three interconnected themes characterized experiences of extreme hunger. Participants reported (1) \u201canxiety over its perceived abnormality,\u201d worrying that honoring it indicated binge eating or the development of binge eating disorder. They also described (2) \u201cextreme hunger as a threat to recovery,\u201d as it could lead to significant distress, thoughts of suicide, renewed food restriction, and relapse. Finally, users highlighted (3) \u201ca perceived lack of guidance for its management,\u201d often turning to online content for answers in the absence of professional advice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Extreme hunger emerged as a misunderstood and destabilizing experience during anorexia nervosa recovery. Greater clinical recognition may improve recovery support. Further research is needed to clarify its prevalence, underlying mechanisms, and clinical significance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70109","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T09:04:43Z","timestamp":1776243883000},"page":"1713-1723","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiencing Extreme Hunger in Anorexia Nervosa Recovery: A Qualitative Analysis of Reddit Narratives"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1587-1484","authenticated-orcid":false,"given":"L\u00e9onie","family":"Langanay","sequence":"first","affiliation":[{"name":"F\u00e9d\u00e9ration R\u00e9gionale de Recherche en Psychiatrie et Sant\u00e9 Mentale Des Hauts\u2010de\u2010France  Saint\u2010Andr\u00e9\u2010lez\u2010Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4302-8219","authenticated-orcid":false,"given":"Charlotte","family":"Meric","sequence":"additional","affiliation":[{"name":"F\u00e9d\u00e9ration R\u00e9gionale de Recherche en Psychiatrie et Sant\u00e9 Mentale Des Hauts\u2010de\u2010France  Saint\u2010Andr\u00e9\u2010lez\u2010Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8612-1601","authenticated-orcid":false,"given":"Margot","family":"Trimbur","sequence":"additional","affiliation":[{"name":"F\u00e9d\u00e9ration R\u00e9gionale de Recherche en Psychiatrie et Sant\u00e9 Mentale Des Hauts\u2010de\u2010France  Saint\u2010Andr\u00e9\u2010lez\u2010Lille France"},{"name":"Etablissement Public de Sant\u00e9 Mentale Val de Lys Artois  Saint\u2010Venant France"},{"name":"Univ. Lille, CHU Lille, ULR 2694 \u2013 METRICS: \u00c9valuation Des Technologies de Sant\u00e9 et Des Pratiques M\u00e9dicales  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4580-1436","authenticated-orcid":false,"given":"Jo\u00ebl","family":"Charbit","sequence":"additional","affiliation":[{"name":"F\u00e9d\u00e9ration R\u00e9gionale de Recherche en Psychiatrie et Sant\u00e9 Mentale Des Hauts\u2010de\u2010France  Saint\u2010Andr\u00e9\u2010lez\u2010Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1357-193X","authenticated-orcid":false,"given":"Maxime","family":"Bubrovszky","sequence":"additional","affiliation":[{"name":"F\u00e9d\u00e9ration R\u00e9gionale de Recherche en Psychiatrie et Sant\u00e9 Mentale Des Hauts\u2010de\u2010France  Saint\u2010Andr\u00e9\u2010lez\u2010Lille France"},{"name":"Univ. 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