Explaining the Subjective Experience of Individuals with Eating Disorders Regarding Motivation for Behavior Change: A Qualitative Study

Abstract

This study aimed to explain the subjective experience of individuals with eating disorders regarding motivation for behavior change. This qualitative study was conducted using thematic analysis. Twenty individuals diagnosed with eating disorders were selected through purposive sampling from psychotherapy centers in Tehran. Data were collected via semi-structured interviews and continued until theoretical saturation was reached. Interviews were recorded, transcribed, and analyzed using NVivo software. The six-phase approach of Braun and Clarke was applied for data analysis. Thematic analysis revealed three main themes: "Internal and Personal Pressures for Change," "Interpersonal Supports and Barriers," and "Inner Process of Motivation for Change." Each theme consisted of several subthemes and open codes. Participants described shame, awareness of physical consequences, emotional support, therapeutic alliance, and meaning-making as integral components of their motivational experience. Motivation for change in individuals with eating disorders is a complex, multilayered phenomenon influenced by psychological, interpersonal, and intrapersonal factors. Understanding their lived experience can inform the development of tailored therapeutic interventions and improve treatment effectiveness.