Postnatal illness: A qualitative analysis of maternal experiences of attachment and research portfolio

Smith, Fiona A (2007) Postnatal illness: A qualitative analysis of maternal experiences of attachment and research portfolio. D Clin Psy thesis, University of Glasgow.

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Background: The model of 'stress-control' by White and his colleagues (1990, 1995, 1997) has been used effectively in the treatment of Generalised Anxiety Disorder and latterly in the treatment of other anxiety disorders. It involves treating patients in large-scale didactic Anxiety Management groups. This model is currently being used by the east end of Glasgow psychology services with patients who have an anxiety disorder. Aims: To investigate the outcome of the stress control anxiety management groups using the CORE-OM (Clinical Outcomes in Routine Evaluation - Outcome Measure) and HADS (Hospital Anxiety Depression Scale). Further, to investigate factors that may affect attendance at these groups. Method: Data from 240 patients were collated from the CORE-OM, HADS measures and case notes. Patients were categorised into groups of those who had completed sessions, defaulted and who had not attended. Of the 57 patients who had completed, full outcome data were available for 37 patients. Results: Statistical significance was found on the total scores of the CORE-OM and 3 subscales (well-being, problems and risk) and the HADS Anxiety and Depression subscales. However, reliable and clinically significant change was only observed in a small percentage of the patients. A recovery rate of 19% was found on patients on the HADS subscale of Anxiety and 27% on the Depression subscale. A recovery rate of only 13.5 % was found for patients on the CORE-OM. Conclusions: The results of the patients who completed the session's show modest support for the overall effectiveness of the stress-control groups. It remains unclear why so few patients take up the opportunity to attend. Other factors that may affect attendance are discussed.

Item Type: Thesis (D Clin Psy)
Qualification Level: Doctoral
Additional Information: Adviser: Andrew Gumley
Keywords: Clinical psychology
Date of Award: 2007
Depositing User: Enlighten Team
Unique ID: glathesis:2007-74011
Copyright: Copyright of this thesis is held by the author.
Date Deposited: 23 Sep 2019 15:33
Last Modified: 23 Sep 2019 15:33

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