Initial Insomnia and Paradoxical Intention: An Experimental Investigation of Putative Mechanisms Using Subjective and Actigraphic Measurement of Sleep

Broomfield, Niall (2001) Initial Insomnia and Paradoxical Intention: An Experimental Investigation of Putative Mechanisms Using Subjective and Actigraphic Measurement of Sleep. D Clin Psy thesis, University of Glasgow.

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Abstract

Objectives: 1. To observe the level of correspondence between problems identified by GPs in the referral letter, and primary treatment targets identified by Clinical Psychologists following assessment within an NHS Clinical Psychology Department. 2. To examine whether the pattern of correspondence between GP and Psychologist varies for different psychological problem areas. 3. To highlight problems with the current department referral auditing system. Design: A retrospective review, and classification, of GP referral letters and Psychologist treatment targets. Setting: A Department of Clinical Psychology based in Scotland. Sixty five GPs based across fifteen GP practices refer to the department. Cases Four hundred and one patients consecutively referred to the Department of Clinical Psychology between April 1 1996 and March 31 1998, and subsequently assessed by one of the qualified Clinical Psychologists. Two hundred and seventy three cases were female (68.08%), one hundred and twenty eight male (31.92%). Results: Overall agreement between GP referred problem and Psychologist treatment target, coded in terms of EPPIC 'reasons for care' categories was 'fair', and observed for 3 59.60% of cases. High agreement for eating disorders, moderate agreement for anxiety and depression and low agreement for relationship/social problems was observed. Analysis suggested GP over-referral of anxiety and depression. A number of problems with existing departmental auditing of referrals were also highlighted. Conclusions: Findings appear to replicate those in the literature regarding over-referral of anxiety and depression. Low levels of agreement for relationship/social problems were not anticipated. The implications of results for future research and service provision are outlined.

Item Type: Thesis (D Clin Psy)
Qualification Level: Doctoral
Additional Information: Adviser: Colin Espie
Keywords: Clinical psychology
Date of Award: 2001
Depositing User: Enlighten Team
Unique ID: glathesis:2001-76020
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 19 Dec 2019 09:15
Last Modified: 19 Dec 2019 09:15
URI: http://theses.gla.ac.uk/id/eprint/76020

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