Evidence map›Paper›PMID 41983301›Full record

ArticleThe International journal of eating disorders2026

Experiencing Extreme Hunger in Anorexia Nervosa Recovery: A Qualitative Analysis of Reddit Narratives.

Léonie Langanay, Charlotte Meric, Margot Trimbur, Joël Charbit, Maxime Bubrovszky, Marion Hendrickx, Antoine Lamer

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Léonie LanganayFédération Régionale de Recherche en Psychiatrie et Santé Mentale Des Hauts-de-France, Saint-André-lez-Lille, France.ORCID https://orcid.org/0009-0006-1587-1484
Charlotte MericFédération Régionale de Recherche en Psychiatrie et Santé Mentale Des Hauts-de-France, Saint-André-lez-Lille, France.ORCID https://orcid.org/0009-0005-4302-8219
Margot TrimburFédération Régionale de Recherche en Psychiatrie et Santé Mentale Des Hauts-de-France, Saint-André-lez-Lille, France.ORCID https://orcid.org/0009-0000-8612-1601
Joël CharbitFédération Régionale de Recherche en Psychiatrie et Santé Mentale Des Hauts-de-France, Saint-André-lez-Lille, France.ORCID https://orcid.org/0009-0006-4580-1436
Maxime BubrovszkyFédération Régionale de Recherche en Psychiatrie et Santé Mentale Des Hauts-de-France, Saint-André-lez-Lille, France.ORCID https://orcid.org/0000-0003-1357-193X
Marion HendrickxPsychiatry Service, GHICL, Hôpital Saint-Vincent-de-Paul, Boulevard de Belfort, Lille, France.ORCID https://orcid.org/0009-0002-8252-984X
Antoine LamerFédération Régionale de Recherche en Psychiatrie et Santé Mentale Des Hauts-de-France, Saint-André-lez-Lille, France.ORCID https://orcid.org/0000-0002-9546-1808

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecovery 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 "extreme hunger" during refeeding-a 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.

methodUsing 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 = 92; 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.

resultsThree interconnected themes characterized experiences of extreme hunger. Participants reported (1) "anxiety over its perceived abnormality," worrying that honoring it indicated binge eating or the development of binge eating disorder. They also described (2) "extreme hunger as a threat to recovery," as it could lead to significant distress, thoughts of suicide, renewed food restriction, and relapse. Finally, users highlighted (3) "a perceived lack of guidance for its management," often turning to online content for answers in the absence of professional advice. DISCUSSION: 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.

Indexed as

Anorexia NervosaHungerSocial MediaAnxietyDigital MediaHumansQualitative Researchanorexia nervosaextreme hungeronline forumqualitative researchrecoveryrefeedingsocial mediathematic analysis

Identifiers

PMID41983301
PMCPMC13446243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.