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dc.contributor.authorWilliams, Julie M.en
dc.date.accessioned2018-05-22T12:50:09Z
dc.date.available2018-05-22T12:50:09Z
dc.date.issued1998
dc.identifier.urihttp://hdl.handle.net/1842/30927
dc.description.abstracten
dc.description.abstractChildhood onset diabetes (Type I diabetes) is a chronic condition whose symptoms may be controlled using a careful regimen of diet and insulin therapy, which must be tailored to suit the sufferer's lifestyle. The ability of a child to cope with these aspects of diabetes management has a wide range of short-term and longterm implications. In the short-term, diabetes may disrupt everyday functioning, family relationships, social roles and psychological adjustment. Deficits in cognitive functioning, psychological adjustment and physical health may occur in the longterm if coping has been suboptimal over an ongoing period. Medical treatment must clearly aim to maximise diabetic control and to minimise such negative outcomes. In order to do this, factors involved in optimising the coping process in children must be understood.en
dc.description.abstractWhile research has shown that managing children at home on diagnosis rather than routinely admitting them to hospital has no effect on diabetic control, little research has been carried out into the possible psychological benefits of these two approaches (Howie, 1998). This study therefore investigates the coping process and compares aspects of this process between children who were routinely admitted to hospital at diagnosis (in an Aberdeen clinic) and those who were managed at home (in a Dundee clinic).en
dc.description.abstractThe Self-Regulation Model (Leventhal, Nerenz & Steele, 1984) was used to guide the study. This model highlights the role of patients' illness representations, coping, appraisal of coping and emotional reactions - each of which may be viewed within a developmental framework - in the progression of chronic disease. 72 children aged 7-14 attending diabetes outpatient clinics in the Dundee and Aberdeen clinics were assessed using standardised questionnaires of illness representations, coping, state anxiety and behaviour problems. The relationship between these variables and diabetic control and the effects of age, time since diagnosis and management at diagnosis on the process and outcome of coping were also assessed. The results are discussed in terms of their implications for management at diagnosis and for cognitive and behavioural methods of enhancing coping in children of different ages.en
dc.publisherThe University of Edinburghen
dc.relation.ispartofAnnexe Thesis Digitisation Project 2018 Block 19en
dc.relation.isreferencedbyAlready catalogueden
dc.titleInvestigating the coping process in children aged 7-14 with Type I diabetes using the self-regulation model: a comparative study of alternative methods of management at diagnosisen
dc.typeThesis or Dissertationen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnameDClinPsychol Doctor of Clinical Psychologyen


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