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Predictors of anxiety during the perinatal period in women with gestational diabetes

Jansen, Tracey (2013)
Clin.Psy.D. thesis, University of Birmingham.

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Background: The treatment of type 1 diabetes includes daily injections of insulin and requires attention to diet, exercise, and monitoring of blood glucose levels. Coping Skills Training is an intervention based on social learning theory and aims to develop an individual’s skills and ability to cope with the stressful situations related to managing diabetes on a daily basis. Aim: This paper has reviewed the literature examining the impact of Coping Skills Training on metabolic control and psychosocial outcomes in children and adolescents and aims to: (1) Describe and compare the characteristics of CST across the available literature, (2) Provide a quality assessment of studies evaluating CST, (3) Describe the impact of CST on metabolic control and psychosocial variables in children and adolescents, in light of the quality assessment. Method: A keyword search in Embase, Medline, PsycINFO and Pubmed Central databases yielded a total of 15 quantitative articles using a variety of designs. Results: The small number of well-designed studies indicated that metabolic control is not improved in a limited population of children who participate in CST. However the results in adolescents are more promising. Conclusions: The evidence on whether CST can improve psychosocial outcomes in children and adolescents is mixed and appeared dependent on the mode of delivery and whether CST is compared to routine care or diabetes related education. A summary of recommendations for future research is provided along with the clinical implications of the results described in this review.

Type of Work:Clin.Psy.D. thesis.
Supervisor(s):Nouwen, Arie
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology
Subjects:BF Psychology
Institution:University of Birmingham
ID Code:4065
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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