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Sleep problems in adults with intellectual disabilities: an exploratory analysis of support workers’ causal attributions, sleep quality and treatment acceptability Major research project and clinical research portfolio

Gervais, Mhairi (2010) Sleep problems in adults with intellectual disabilities: an exploratory analysis of support workers’ causal attributions, sleep quality and treatment acceptability Major research project and clinical research portfolio. D Clin Psy thesis, University of Glasgow.

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Abstract

Background: Sleep has been found to have an important restorative function. Any disturbance to sleep can be detrimental to both physical and mental health. Between 9-50% of adults with intellectual disabilities (ID) are reported to experience sleep disturbance. Support workers have a key role in identifying and responding to difficulties in the people they work with. Support workers‘ attributions towards the cause of these difficulties are crucial in mediating their decision to seek treatment. Their attributions may also mediate their adherence to a recommended treatment. Hence, their awareness and beliefs regarding sleep difficulties may influence their ability to recognise and seek help for sleep problems in adults they support. Method: This study utilised an exploratory vignette and questionnaire design. Questionnaires were given to 120 support workers, based in community settings, to measure their attributions to negative behaviour change and sleep problems. Support workers‘ attributional style was compared to their views on the acceptability of a variety of treatments for sleep disturbance. Support workers‘ own sleep quality was measured and compared to their attributions. Results: Support workers attributed negative behaviour change to sleep and mental health problems most strongly. Sleep problems were believed to be internal, uncontrollable and unintentional. Support workers were optimistic about treatment, particularly non-pharmacological treatments. Support workers‘ own sleep quality did not correlate with their attributions towards sleep problems or views on the different types of treatment. Conclusions: Support workers are optimistic that sleep problems in adults with ID can be treated, however further work is necessary to understand barriers to seeking out assessment and treatment for clients with ID.

Item Type: Thesis (D Clin Psy)
Qualification Level: Doctoral
Keywords: intellectual disabilities, sleep, carer, support workers, attribution, acceptability
Subjects: R Medicine > R Medicine (General)
Colleges/Schools: College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Supervisor's Name: MacMahon, Dr. Ken and Wright, Dr. Rachel
Date of Award: 2010
Depositing User: Ms Mhairi Gervais
Unique ID: glathesis:2010-2129
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 07 Dec 2010
Last Modified: 15 Oct 2014 10:05
URI: http://theses.gla.ac.uk/id/eprint/2129

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