Tolgyesi, Charlotte Sarah (2011)
Clin.Psy.D. thesis, University of Birmingham.
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Restricted to Repository staff only until 31 December 2021.
Volume I comprises a literature review and an empirical paper. The literature review explores the link between illness representations and self-management in children and young people with chronic illness. Fourteen published empirical studies were identified for the review. A risk of bias assessment was completed for each study. Consistencies and differences between papers were identified. Overall, treatment control beliefs were most consistently associated with self-management across a range of chronic health conditions.
The empirical paper details a cross-sectional study investigating associations between illness representations, self-efficacy, self-management and psychological well-being in young people with Coeliac Disease. Forty young people and 34 parents recruited from hospital outpatient clinics completed questionnaires. Results indicated timeline-cyclical beliefs and treatment concerns were associated with self-management. Timeline-cyclical, identity, treatment control and coherence were correlated with well-being. In terms of self-efficacy, young people with high levels of self-efficacy were more likely to have better self-management and positive well-being. Finally, dissimilarity in timeline-cyclical beliefs between young people and their parents was related to higher parental stress.
Four full length clinical practice reports and a summary of CPR 5 (oral presentation) are included in the Volume II. Firstly, a case of a 55 year old woman presenting with depression is presented. The case is formulated from both cognitive and psychodynamic perspectives. A service evaluation of an Assertive Outreach Service is then described. Both of these clinical practice reports were completed while on an adult mental health placement. The third clinical practice report is a single case experimental design, detailing the assessment and treatment of a 15 year old boy with a mild learning disability and anxiety. This is followed by a case study of the assessment, formulation and intervention of a 15 year old boy with anger and memory difficulties. Finally, a summary of an audit of a new clinical service delivering psychosocial interventions in dementia is provided.
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