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Title: The psychological underpinnings of diabetes-management for young people : an examination of relevant literature and lived experiences
Author: Griffith, Llinos
ISNI:       0000 0004 5363 877X
Awarding Body: Prifysgol Bangor University
Current Institution: Bangor University
Date of Award: 2014
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This thesis explores factors which may impact upon the diabetes-management and health-related outcomes of children and adolescents with diabetes. A literature review examined the evidence regarding the association between parenting styles and the glycaemic control, adherence, quality of life and mental health of children and adolescents with diabetes. Overall, the evidence regarding parenting and glycaemic control and adherence was inconsistent. However, when parenting and outcome measures were completed by the same informant (either parent or child) parenting characterised by responsiveness, acceptance and involvement was associated with better quality of life and mental health, whilst parenting characterised by psychological control, demandingness and low warmth was associated with worse quality of life and mental health. It is important to highlight that when parenting and outcome measures were completed by different informants, no significant associations between parenting and quality of life or mental health was found. The review therefore indicated that parents and children may experience their relationship differently, and future studies need to explore the unique experiences of children and adolescents with diabetes. A qualitative exploration of the lived experiences of adolescents with diabetes and poor glycaemic control is also presented. The findings indicate that participants grappled with intrapersonal and interpersonal conflicts as they struggled to accept and manage their diabetes. A cyclical pattern of glycaemic control was depicted as participants described feelings of guilt and shame when their poor glycaemic control and concealment of this was exposed. However, subsequent improvementĀ§ in their glycaemic control were short-lived as participants struggled with the burdensomeness of adhering to their regimes. The final paper examines the contributions made to theory and clinical practice, whilst outlining areas requiring further research.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available