Lived Experiences of Subclinical Eating Disorder: Female Students' Perceptions

Abstract

The aim of this study was to obtain an “insiders' perspective” on the lived experience of Subclinical Eating Disorder (SED) in female university students. Participants were 30 white, undergraduate females from the Potchefstroom campus of the North-West University in South African, (age range 18 years 6 months to 22 years). Data were collected using focus group interviews, drawings, letter-writing and self-reflective researcher field notes (Brocki & Wearden, 2006; Morse, 2003). For the analysis, the constant comparative text analysis method (Willig, 2001) was used. Emergent themes from the analysis included four main categories namely: Intra-, Interpersonal, Existential and Body-image. Subcategories of these themes spanned the following: Personal Brokenness, Personal Shame, Perceived Personal Inadequacy and Enslavement, Existential Vacuum, Perceived Social Pressure, Perceived Social Isolation and Body-image Dysfunction. Results were indicative of underestimation of SED-severity, its detrimental impact on participants' psychological well-being and high risk for escalation into full-blown eating disorders. An integrated, risk-protective model of secondary prevention, contextualised within psycho-social developmental perspectives is essential to understand SED in young adults.

Keywords:

• Body dissatisfaction
• interpretative phenomenological analysis
• psychological well-being
• self-objectification
• subclinical eating disorder