Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych)
<p><strong>SRL</strong> </p><p>Chronic abdominal-pelvic pain (CAPP) is debilitating and associated with distress, functional disability and reduced quality of life. CAPP is additionally associated with delays in diagnosis and treatment. Current NICE guidelines recommend...
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
2024
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| _version_ | 1824458959081177088 |
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| author | Patrick, F |
| author2 | Cooper, M |
| author_facet | Cooper, M Patrick, F |
| author_sort | Patrick, F |
| collection | OXFORD |
| description | <p><strong>SRL</strong>
</p><p>Chronic abdominal-pelvic pain (CAPP) is debilitating and associated with distress, functional disability and reduced quality of life. CAPP is additionally associated with delays in diagnosis and treatment. Current NICE guidelines recommend cognitive behavioural therapy (CBT), pharmacology and more recently acceptance and commitment therapy (ACT) as interventions for chronic pain conditions broadly. Mindfulness-based approaches (MBA) have also been posited as useful, though have not yet been recommended. Despite the impact of CAPP on individuals and current interest in ACT and MBA in treating chronic pain generally, there has been no synthesis of the research supporting these interventions for CAPP. This systematic review of the literature aims to provide an overview of the current research into ACT and MBA for CAPP in both males and females.</p>
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<p><strong>SIP</strong>
</p><p>Dementia is a neurodegenerative disease characterised by cognitive decline. Alzheimer’s disease (a dementia subtype) affects around 88% of people with Down’s Syndrome (DS) by the age of 65. In the general population, dementia is identified by comparing an individual’s scores on neuropsychological assessments against age- and education- matched controls. This is not possible for people with DS due to the large variability in cognitive abilities between age- matched individuals. The United Kingdom (UK) Government has recommended baseline cognitive testing of individuals with DS at the age of 30, to provide a comparison score for later identification of dementia. Buckinghamshire Community Learning Disability Health Team (Buckinghamshire CLDHT) wished to understand potential impact of introducing a baseline assessment as part of their dementia pathway through identifying: what approach other local services are using, potential impact on staffing requirements, the number of individuals in Buckinghamshire who would be eligible for baseline assessments, an audit of the current dementia pathway used by the service, and staff thoughts on introducing baseline assessments in this population. Recommendations from this project concern allocation of responsibility for assessments across team members, and staff training.</p>
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<p><strong>TDRP</strong>
</p><p>Overweight/obesity is associated with both physical and psychological correlates. Though psychological intervention is mentioned in guidelines, the nature of psychological support for this group is undefined. As such, a better understanding of the psychological underpinning and maintaining factors of overweight/obesity is timely. This study explores applicability of Cooper, Todd & Wells (2008) cognitive model, originally designed for use in disordered eating, in overweight/obesity. The role of adverse childhood experiences (ACEs), negative self-beliefs (NSB), and self-compassion in body mass index (BMI) is explored in an online sample of 222 adult females, grouped by normal weight (BMI 18.5-24.9) and overweight/obese (BMI >25). Results indicate significantly lower mood and greater self-loathing in the overweight/obese group. There was no difference in self-compassion between the groups. No predictive relationship between ACEs or NSB and BMI was identified, nor any mediating effect of NSB or moderating effect of self-compassion on these relationships. Findings partially support the application of this cognitive model in a general population sample of overweight/obese and indicate the importance of mood. Self-loathing may be a relevant NSB in overweight/obese populations. Considering the likely heterogeneity of overweight/obese populations is important in future work.</p> |
| first_indexed | 2025-02-19T04:34:10Z |
| format | Thesis |
| id | oxford-uuid:0bb934ed-7e70-4b40-83c6-1729f75889c3 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2025-02-19T04:34:10Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | oxford-uuid:0bb934ed-7e70-4b40-83c6-1729f75889c32025-01-22T15:44:16ZFiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych)Thesishttp://purl.org/coar/resource_type/c_db06uuid:0bb934ed-7e70-4b40-83c6-1729f75889c3DementiaObesityChronic painPsychologyEnglishHyrax Deposit2024Patrick, FCooper, MVohora, RFletcher, HBanting, EEvans, E<p><strong>SRL</strong> </p><p>Chronic abdominal-pelvic pain (CAPP) is debilitating and associated with distress, functional disability and reduced quality of life. CAPP is additionally associated with delays in diagnosis and treatment. Current NICE guidelines recommend cognitive behavioural therapy (CBT), pharmacology and more recently acceptance and commitment therapy (ACT) as interventions for chronic pain conditions broadly. Mindfulness-based approaches (MBA) have also been posited as useful, though have not yet been recommended. Despite the impact of CAPP on individuals and current interest in ACT and MBA in treating chronic pain generally, there has been no synthesis of the research supporting these interventions for CAPP. This systematic review of the literature aims to provide an overview of the current research into ACT and MBA for CAPP in both males and females.</p> <br> <p><strong>SIP</strong> </p><p>Dementia is a neurodegenerative disease characterised by cognitive decline. Alzheimer’s disease (a dementia subtype) affects around 88% of people with Down’s Syndrome (DS) by the age of 65. In the general population, dementia is identified by comparing an individual’s scores on neuropsychological assessments against age- and education- matched controls. This is not possible for people with DS due to the large variability in cognitive abilities between age- matched individuals. The United Kingdom (UK) Government has recommended baseline cognitive testing of individuals with DS at the age of 30, to provide a comparison score for later identification of dementia. Buckinghamshire Community Learning Disability Health Team (Buckinghamshire CLDHT) wished to understand potential impact of introducing a baseline assessment as part of their dementia pathway through identifying: what approach other local services are using, potential impact on staffing requirements, the number of individuals in Buckinghamshire who would be eligible for baseline assessments, an audit of the current dementia pathway used by the service, and staff thoughts on introducing baseline assessments in this population. Recommendations from this project concern allocation of responsibility for assessments across team members, and staff training.</p> <br> <p><strong>TDRP</strong> </p><p>Overweight/obesity is associated with both physical and psychological correlates. Though psychological intervention is mentioned in guidelines, the nature of psychological support for this group is undefined. As such, a better understanding of the psychological underpinning and maintaining factors of overweight/obesity is timely. This study explores applicability of Cooper, Todd & Wells (2008) cognitive model, originally designed for use in disordered eating, in overweight/obesity. The role of adverse childhood experiences (ACEs), negative self-beliefs (NSB), and self-compassion in body mass index (BMI) is explored in an online sample of 222 adult females, grouped by normal weight (BMI 18.5-24.9) and overweight/obese (BMI >25). Results indicate significantly lower mood and greater self-loathing in the overweight/obese group. There was no difference in self-compassion between the groups. No predictive relationship between ACEs or NSB and BMI was identified, nor any mediating effect of NSB or moderating effect of self-compassion on these relationships. Findings partially support the application of this cognitive model in a general population sample of overweight/obese and indicate the importance of mood. Self-loathing may be a relevant NSB in overweight/obese populations. Considering the likely heterogeneity of overweight/obese populations is important in future work.</p> |
| spellingShingle | Dementia Obesity Chronic pain Psychology Patrick, F Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title | Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology
(DClinPsych) |
| title_full | Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology
(DClinPsych) |
| title_fullStr | Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology
(DClinPsych) |
| title_full_unstemmed | Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology
(DClinPsych) |
| title_short | Fiona Patrick - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology
(DClinPsych) |
| title_sort | fiona patrick thesis submitted in partial fulfilment of the degree of doctor of clinical psychology dclinpsych |
| topic | Dementia Obesity Chronic pain Psychology |
| work_keys_str_mv | AT patrickf fionapatrickthesissubmittedinpartialfulfilmentofthedegreeofdoctorofclinicalpsychologydclinpsych |