Inflammatory Bowel Disease and young people: the lived experience and review of psychosocial outcomes for cognitive behavioural interventions.

Crook, Hannah (2019) Inflammatory Bowel Disease and young people: the lived experience and review of psychosocial outcomes for cognitive behavioural interventions. Doctoral thesis, University of East Anglia.

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Abstract

Purpose: The overall aim of this thesis portfolio is to add to a small, but increasing, body of research regarding young people with Inflammatory Bowel Disease (IBD). This focusses on establishing the psychosocial outcomes of cognitive behavioural based intervention for children and adolescents with IBD and investigating the lived experience of adolescents with IBD.

Design: This project is presented as a portfolio which includes a brief introduction, followed by a systematic review of psychosocial outcomes of cognitive behavioural based psychological intervention for children and adolescents with IBD. A bridging chapter outlines the connection of this review to the qualitative paper on the lived experience of adolescents with IBD, which is presented in chapter three. Extended methodology of this empirical paper is offered and the portfolio is concluded with an overall discussion and critical evaluation.

Results: A systematic review identified ten studies that reported on the psychosocial outcomes of cognitive behavioural based interventions for children and adolescents with IBD. This demonstrated a trend for improvements in depression, anxiety and general functioning for these young people. The empirical study used an Interpretative Phenomenological Analysis (IPA) to understand the lived experience of eight adolescents with IBD. This produced three superordinate themes: The Turning Point for Health, Resilience and Acceptance and Fragility of Health Position.

Conclusion: The findings from the systematic review demonstrate the importance, and helpfulness, of psychological interventions for children and young people with IBD and support the need to integrate physical and mental health care. Further research is necessary to establish whether cognitive behavioural elements are necessary for effective intervention in addition to the therapeutic relationship. The findings from the empirical paper provide an insight into the lived experience for adolescents with IBD and identifies clinical implications, such as the importance of those in the young person’s wider system having some understanding of IBD. Potential areas of future research are suggested.

Item Type: Thesis (Doctoral)
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Users 11011 not found.
Date Deposited: 18 Oct 2019 12:46
Last Modified: 18 Oct 2019 12:46
URI: https://ueaeprints.uea.ac.uk/id/eprint/72702
DOI:

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