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Title: Coping in young people diagnosed with Inflammatory Bowel Disease
Author: Yeates, Rebecca
ISNI:       0000 0004 6421 3371
Awarding Body: University of Sheffield
Current Institution: University of Sheffield
Date of Award: 2017
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This thesis aimed to explore how young people (YP) cope with inflammatory bowel disease (IBD). First a meta-study was conducted to synthesise existing qualitative studies relating to stress and coping in YP diagnosed with IBD to develop an integrated theoretical understanding. IBD was found to generate stressors which all related to a loss of perceived control and coping mechanisms were conceptualised as efforts to regain control. Escape, isolation, opposition and support-seeking coping mechanisms were described at times of greater stress as ways of quickly regaining control and facilitating a sense of safety. The synthesis was interpreted in the context of the included studies' methodologies and use of theory. It was suggested that future studies could investigate how loss of perceived control relates to psychological distress in this age-group and whether there were factors which could support young people's coping efforts. To this end, the empirical study investigated whether self-compassion facilitated adaptive coping and in turn reduced psychological distress in YP diagnosed with IBD. A six-week prospective online survey design was utilised to examine the hypothesised relationships over time. Samples of 198 and 105 participants participated at Times 1 and 2 (47% attrition). Self-compassion predicted reduced psychological distress and the direct effect between self-compassion and psychological distress remained significant through avoidant coping. These findings suggested selfcompassionate YP may be more able to turn towards difficult feelings linked to their IBD, consider them in context and respond to themselves with self-kindness, which the data suggested would improve their psychological health. However, the relationships were only observed cross-sectionally, not over time, and should be interpreted in the context of the study's limitations.
Supervisor: Rowse, Georgina ; Sirois, Fuschia Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available