The role of self-efficacy and attachment style: support of dietary self-care in adults with type 2 diabetes

[摘要] This thesis is submitted in order to meet the academic requirements for the award of Doctorate in Clinical Psychology, from the School of Psychology, University of Birmingham. This thesis is presented in two volumes, which comprises of a research component (Volume I) and clinical practice reports from five clinical placements (Volume II). Volume I This volume comprises of two parts. The first part is a theoretical review which evaluates empirical papers examining major depressive disorder (MDD) within a cognitive framework. A tentative model based upon a diathesis-stress framework is postulated which may account for the high prevalence of depression in type 2 diabetes. This paper was prepared for submission to the journal Diabetes/ Metabolism Research and Reviews. The second part is an empirical study which investigates self-efficacy and attachment style upon support of dietary self-care activities in people with type 2 diabetes and their spouse. This paper was prepared for submission to the journal Psychology and Health. Volume II Volume II comprises of four Clinical Practice Reports (CPR) and an abstract which summarises an oral presentation, assessed as the fifth and final CPR. The psychological models CPR presents the case of an 18-year-old male with a mild learning disability who was referred for treatment in relation to his social phobia. The report draws upon a cognitive-behavioural and psychodynamic model to formulate the case. The single-case experimental design CPR presents a functional analysis of a five-year old girl with cerebral palsy referred for challenging behaviour, to the community psychology learning disability service. A behavioural formulation is described and subsequent intervention implemented. The efficacy of the intervention is examined by utilising a split middle analysis. The small scale service-related project CPR investigates ward atmosphere, activity levels, and quality of life within a forensic in-patient setting. National service standards as stipulated by the Department of Health were drawn upon to evaluate the service. The case study CPR reports on the assessment, formulation, and cognitive-behavioural intervention of an 11-year old girl presenting with post-traumatic stress disorder symptoms. The fifth CPR describes an assessment, formulation, and cognitive-behavioural intervention of a 71-year old man presenting with a major depressive episode.

[发布机构] University:University of Birmingham;Department:School of Psychology

[关键词] B Philosophy. Psychology. Religion;BF Psychology