Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych)
<p><strong>Critical Review of the Literature</p></strong> <p><strong>The Impact of Intimate Partner Violence during the Perinatal Period on Mother and Infant Relationships: A Systematic Review</p></strong> <p><em>Aim:</em> The curre...
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
2024
|
| Subjects: |
| _version_ | 1826313783123902464 |
|---|---|
| author | Graham, T |
| author2 | McFarlane, F |
| author_facet | McFarlane, F Graham, T |
| author_sort | Graham, T |
| collection | OXFORD |
| description | <p><strong>Critical Review of the Literature</p></strong>
<p><strong>The Impact of Intimate Partner Violence during the Perinatal Period on Mother and Infant Relationships: A Systematic Review</p></strong>
<p><em>Aim:</em> The current systematic review aimed to examine the literature exploring the impact of intimate partner violence (IPV) during the perinatal period on both mother-to-infant and infant-to-mother relationships. To encompass both sides of this relationship, and reflecting the current language used in this field, this review examined studies investigating both attachment and bonding.</p>
<p><em>Method:</em> Eighteen studies published between 1999 and 2022, with a total of 87,126 participants, were included in this review. Quality of evidence was systematically appraised, with a narrative approach utilised to summarise findings based on type of relationship examined.</p>
<p><em>Results:</em> Overall, evidence suggests that IPV negatively impacts both infant-to-mother and mother-to-infant relationships. Of the five studies that examined infant-to-mother attachment, four demonstrated a significant relationship between IPV and anxious or disorganized attachment styles. The majority of investigations into mother-to-infant relationships found a negative relationship between IPV and maternal attachment/bonding; however, other studies only found an association in the context of other internal or external factors.</p>
<p><em>Discussion:</em> Results are discussed within the context of the current understanding of the impact of IPV and cultural considerations, with limitations of the review outlined.</p></br>
<p><strong>Service Improvement Project</p></strong>
<p><strong>Increasing Engagement within the Pakistani Community: An Evaluation of Buckinghamshire Talking Therapies’ Access Project</p></strong>
<p><em>Aim:</em> There is increasing recognition of the disparity in access and treatment outcomes for individuals from ethnic minority communities in mental health services. To address this, and in accordance with the IAPT BAME Positive Practice Guidelines, Buckinghamshire’s Talking Therapy (BTT) service developed the Access Project, an outreach project working towards increasing access and engagement of their local Pakistani community. The current study aimed to evaluate BTT’s Access Project in improving Pakistani individuals access and engagement to the service, and to better understanding the local community’s experiences of BTT.</p>
<p><em>Method:</em> Referral information from 57281 White British and Pakistani service-users were extracted. In line with the location of the outreach work, data was analysed by area, either High Wycombe or Non-High Wycombe. Pakistani service-user’s referral information was compared by area, before the relationship between area, year and ethnicity of referrals was investigated. Interviews from Pakistani service-users, community leaders and BTT staff were examined using thematic analysis to better understand individual experiences and feedback.</p>
<p><em>Results:</em> While findings did not conclusively indicate that the Access Project increased Pakistani referrals to the service, evidence suggests that the total referrals from the community significantly increased as compared to White British referrals. Qualitative themes provided positive feedback for the outreach program, and highlighted areas for continual development.</p>
<p><em>Discussion:</em> Based on these findings, recommendations to BTT are outlined and limitations of the study discussed.</p></br>
<p><strong>Theoretically Driven Research Project</p></strong>
<p><strong>“A Crisis Point”: The relationship between Perceived Stress, Alexithymia and Coping Strategies in Young People with Functional Tic-Like Behaviours</p></strong>
<p><em>Aim:</em> A sudden increase in functional tic-like behaviours (FTLBs) was reported in females aged between 13-25 during the COVID-19 pandemic. Due to the limited research in this area, and in line with current functional disorder literature, the current study aimed to explore how coping strategies, alexithymia and perceived stress of the pandemic differ between individuals with FTLBs and controls, and how these factors influence tic presentation.</p>
<p><em>Method:</em> Through an online survey, 96 individuals with FTLBs were compared to 91 controls on measures exploring coping strategies, alexithymia and perceived stress. Individuals with FLTBs also completed a questionnaire exploring tic severity, and optional free-text response questions regarding their views on factors that influenced their tic onset and expression, including social media and the pandemic.</p>
<p><em>Results:</em> Compared to controls, individuals with FTLBs utilised significantly more maladaptive coping strategies and fewer adaptive coping strategies. They also reported significantly more alexithymia characteristics and greater levels of perceived stress of the pandemic. Within the FTLBs cohort, perceived stress of the pandemic and maladaptive coping strategies were significant predictors of tic severity. Thematic analysis was conducted by question, revealing several themes including culmination of stress and you can’t catch tics.</p>
<p><em>Discussion:</em> Implications of these findings on the understanding of FTLBs and the impact of stress during a sensitive developmental period, as well as limitations of the study, were discussed.</p> |
| first_indexed | 2024-09-25T04:22:02Z |
| format | Thesis |
| id | oxford-uuid:636872e7-f794-4f23-bda4-9980b7293d0b |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-09-25T04:22:02Z |
| publishDate | 2024 |
| record_format | dspace |
| spelling | oxford-uuid:636872e7-f794-4f23-bda4-9980b7293d0b2024-08-13T09:26:24ZTanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych)Thesishttp://purl.org/coar/resource_type/c_db06uuid:636872e7-f794-4f23-bda4-9980b7293d0bPsychologyEnglishHyrax Deposit2024Graham, TMcFarlane, FChurchard, ARoberts, VCarrigan, NGosh, P<p><strong>Critical Review of the Literature</p></strong> <p><strong>The Impact of Intimate Partner Violence during the Perinatal Period on Mother and Infant Relationships: A Systematic Review</p></strong> <p><em>Aim:</em> The current systematic review aimed to examine the literature exploring the impact of intimate partner violence (IPV) during the perinatal period on both mother-to-infant and infant-to-mother relationships. To encompass both sides of this relationship, and reflecting the current language used in this field, this review examined studies investigating both attachment and bonding.</p> <p><em>Method:</em> Eighteen studies published between 1999 and 2022, with a total of 87,126 participants, were included in this review. Quality of evidence was systematically appraised, with a narrative approach utilised to summarise findings based on type of relationship examined.</p> <p><em>Results:</em> Overall, evidence suggests that IPV negatively impacts both infant-to-mother and mother-to-infant relationships. Of the five studies that examined infant-to-mother attachment, four demonstrated a significant relationship between IPV and anxious or disorganized attachment styles. The majority of investigations into mother-to-infant relationships found a negative relationship between IPV and maternal attachment/bonding; however, other studies only found an association in the context of other internal or external factors.</p> <p><em>Discussion:</em> Results are discussed within the context of the current understanding of the impact of IPV and cultural considerations, with limitations of the review outlined.</p></br> <p><strong>Service Improvement Project</p></strong> <p><strong>Increasing Engagement within the Pakistani Community: An Evaluation of Buckinghamshire Talking Therapies’ Access Project</p></strong> <p><em>Aim:</em> There is increasing recognition of the disparity in access and treatment outcomes for individuals from ethnic minority communities in mental health services. To address this, and in accordance with the IAPT BAME Positive Practice Guidelines, Buckinghamshire’s Talking Therapy (BTT) service developed the Access Project, an outreach project working towards increasing access and engagement of their local Pakistani community. The current study aimed to evaluate BTT’s Access Project in improving Pakistani individuals access and engagement to the service, and to better understanding the local community’s experiences of BTT.</p> <p><em>Method:</em> Referral information from 57281 White British and Pakistani service-users were extracted. In line with the location of the outreach work, data was analysed by area, either High Wycombe or Non-High Wycombe. Pakistani service-user’s referral information was compared by area, before the relationship between area, year and ethnicity of referrals was investigated. Interviews from Pakistani service-users, community leaders and BTT staff were examined using thematic analysis to better understand individual experiences and feedback.</p> <p><em>Results:</em> While findings did not conclusively indicate that the Access Project increased Pakistani referrals to the service, evidence suggests that the total referrals from the community significantly increased as compared to White British referrals. Qualitative themes provided positive feedback for the outreach program, and highlighted areas for continual development.</p> <p><em>Discussion:</em> Based on these findings, recommendations to BTT are outlined and limitations of the study discussed.</p></br> <p><strong>Theoretically Driven Research Project</p></strong> <p><strong>“A Crisis Point”: The relationship between Perceived Stress, Alexithymia and Coping Strategies in Young People with Functional Tic-Like Behaviours</p></strong> <p><em>Aim:</em> A sudden increase in functional tic-like behaviours (FTLBs) was reported in females aged between 13-25 during the COVID-19 pandemic. Due to the limited research in this area, and in line with current functional disorder literature, the current study aimed to explore how coping strategies, alexithymia and perceived stress of the pandemic differ between individuals with FTLBs and controls, and how these factors influence tic presentation.</p> <p><em>Method:</em> Through an online survey, 96 individuals with FTLBs were compared to 91 controls on measures exploring coping strategies, alexithymia and perceived stress. Individuals with FLTBs also completed a questionnaire exploring tic severity, and optional free-text response questions regarding their views on factors that influenced their tic onset and expression, including social media and the pandemic.</p> <p><em>Results:</em> Compared to controls, individuals with FTLBs utilised significantly more maladaptive coping strategies and fewer adaptive coping strategies. They also reported significantly more alexithymia characteristics and greater levels of perceived stress of the pandemic. Within the FTLBs cohort, perceived stress of the pandemic and maladaptive coping strategies were significant predictors of tic severity. Thematic analysis was conducted by question, revealing several themes including culmination of stress and you can’t catch tics.</p> <p><em>Discussion:</em> Implications of these findings on the understanding of FTLBs and the impact of stress during a sensitive developmental period, as well as limitations of the study, were discussed.</p> |
| spellingShingle | Psychology Graham, T Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title | Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full | Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_fullStr | Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_full_unstemmed | Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_short | Tanya Graham - Thesis submitted in partial fulfilment of the degree of Doctor of Clinical Psychology (DClinPsych) |
| title_sort | tanya graham thesis submitted in partial fulfilment of the degree of doctor of clinical psychology dclinpsych |
| topic | Psychology |
| work_keys_str_mv | AT grahamt tanyagrahamthesissubmittedinpartialfulfilmentofthedegreeofdoctorofclinicalpsychologydclinpsych |