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Psychological adjustment to mild cognitive impairment and dementia

Cox, Caroline Teresa (2015)
Clin.Psy.D. thesis, University of Birmingham.

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Cox15ClinPsyD_Vol1.pdf
Cox15ClinPsyD_Vol1.pdf
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Restricted to Repository staff only until 29 September 2035.
Cox15ClinPsyD_Vol2.pdf
Cox15ClinPsyD_Vol2.pdf
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Abstract

This research volume examines the psychological adjustment of those diagnosed with either Mild Cognitive Impairment (MCI) or dementia. The first paper is a systematic review of the evidence of the use of Cognitive Behavioural Therapy (CBT) with people with dementia or MCI. Studies identified through database searches were reviewed. It was concluded that, although there is very modest evidence for the use of CBT to address depression, anxiety and acceptance among those with mild dementia or MCI, it is not possible to draw confident conclusions due to the lack of methodologically robust randomised controlled trials and the heterogeneity of existing studies.

The second paper is an empirical paper of an exploration of patients’ experiences of receiving a diagnosis of MCI. Seven recently diagnosed MCI patients were interviewed about their diagnostic disclosure experiences. The interviews were analysed using Interpretative Phenomenological Analysis (IPA). Four super-ordinate themes emerged. These were ‘The test’: working it out for myself, Journey and Brakes, What’s wrong with me? and Decline and Loss. The use of multiple disclosure sessions and of pre and post assessment counselling is recommended. The third paper is a public dissemination summary of both the systematic review and the empirical paper.

Type of Work:Clin.Psy.D. thesis.
Supervisor(s):Newton, Elizabeth
School/Faculty:Colleges (2008 onwards) > College of Life & Environmental Sciences
Department:School of Psychology
Subjects:BF Psychology
HV Social pathology. Social and public welfare
Institution:University of Birmingham
ID Code:6220
This unpublished thesis/dissertation is copyright of the author and/or third parties.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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