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Title: Research portfolio submitted in part fulfilment of the requirements for the Degree of Doctorate in Clinical Psychology
Author: Stephens, Emma-Jane Kirsten
ISNI:       0000 0004 5993 860X
Awarding Body: University of Bath
Current Institution: University of Bath
Date of Award: 2016
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OBJECTIVE: This study aimed to replicate previous findings regarding the influence of recovery style and attachment on engagement and help seeking in first episode psychosis (FEP). It also aimed to explore self-compassion and shame as new potential moderators of engagement, and in terms of their relationship with attachment and recovery style. DESIGN: A cross-sectional between groups design was used to compare 'high' and 'low' engagers on key variables. Whole sample correlational analysis was also undertaken to further explore associations with self-compassion and shame in FEP. METHODS: Twenty-two individuals with psychosis under the care of Early Intervention (EI) Services completed four questionnaires. Care Coordinators were subsequently sent a questionnaire on engagement to complete. RESULTS: No significant group differences on the predicted variables were found, with only time in service reaching significance. Although non-significant, avoidant attachment did result in a small to medium effect size whereby 'low' engagers scored higher on avoidant attachment, and a trend towards more non-white individuals in the 'low' engagers group was nearing significance. In the secondary analysis, avoidant attachment was associated with shame and problems help seeking, even when positive symptoms were controlled for. Anxious attachment was associated with lower self-compassion and higher shame. None of the variables were significantly correlated with recovery style. CONCLUSIONS: The small sample size limits the conclusions which can be made, however it is of interest that no significant differences were found between the two groups on the expected variables. Although self-compassion and shame did not appear to effect engagement in this sample, strong and distinct associations were found between these variables and insecure attachment dimensions, indicating a possible area for further exploration.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available