title: Experiences of recovery in binge-eating disorder: a qualitative approach using online message boards.
abstract: OBJECTIVE
  In this study, qualitative methods were employed to analyze secondary data from the anonymous postings of a pro-recovery website in an effort to investigate the changes in thinking of binge-eating disorder (BED) sufferers who were able to recover from the disorder, understand more fully how guilt and self-blame affect recovery, and explore the perceived motivators and challenges to recovery.
  
  
  METHODS
  681 messages from 65 participants pertaining to BED were analyzed from January 1, 2014-January 1, 2015 through thematic analysis. Coding strategies were employed to reveal patterns within the experiences of the participants.
  
  
  RESULTS
  The researchers identified three themes surrounding "changes in thinking" from analysis of the message board postings: admitting the disorder, recognizing unhealthy coping behaviors, and seeing recovery. Further analysis of postings suggested that guilt and self-blame hinder recovery by promoting a feedback cycle of binging, which leads to further guilt and self-blame. The data ultimately identified experiences that resulted in or hindered recovery. The experience of validation appeared to result in recovery; those who experienced validation were less inclined to engage in disordered eating behaviors. Conversely, weight loss or attempts at weight loss hindered recovery by ultimately promoting more disordered eating behaviors.
  
  
  CONCLUSIONS
  This qualitative analysis of message board postings offers authentic, credible data with a unique perspective. Practitioners working in the field of eating disorders such as registered dietitian nutritionists or therapists might use evidence from the data to guide their practice.
authors: Department of Family and Consumer Sciences, California State University, Long Beach, Long Beach, CA, 90840, USA.
authors: Vanessa M
authors: VM
authors: Lord
authors: Department of Family and Consumer Sciences, California State University, Long Beach, Long Beach, CA, 90840, USA.
authors: Wendy
authors: W
authors: Reiboldt
authors: Department of Family and Consumer Sciences, California State University, Long Beach, Long Beach, CA, 90840, USA.
authors: Dariella
authors: D
authors: Gonitzke
authors: Department of Family and Consumer Sciences, California State University, Long Beach, Long Beach, CA, 90840, USA.
authors: Emily
authors: E
authors: Parker
authors: Department of Family and Consumer Sciences, California State University, Long Beach, Long Beach, CA, 90840, USA. CaitlinMPeterson@gmail.com.
authors: Caitlin
authors: C
authors: Peterson
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D056912:Binge-Eating Disorder / Q000523:psychology*; D005247:Feeding Behavior / Q000523:psychology; D006167:Guilt; D006801:Humans; D020407:Internet; D036301:Qualitative Research; D012649:Self Concept; D060756:Social Networking; D012944:Social Support
keywords: Binge-eating disorder; Content analysis; Recovery; Self-blame; Validation