Doctorate in Clinical Psychology: Main Research Portfolio
: 1) Literature Review: How do Family Members and Informal Carers Understand Psychological Distress in Dementia? A Scoping Review; 2) Service-Related Project: An Audit of Gloucester Complex Psychological Intervention Team Service Delivery: What is Provided and to Whom?; 3) Main Research Project: Tracing the Landscape of Trauma in Dementia: A Reflexive Thematic Analysis of Psychological Distress from Family Member Perspectives.

  • Georgia Chambers

Student thesis: Doctoral ThesisDoctor of Clinical Psychology (DClinPsy)

Abstract

Objective: People with dementia are at increased risk of delayed-onset post-traumatic stress disorder. However, the clinical manifestation of trauma-related symptomatology in dementia is poorly understood. This study drew upon retrospective accounts of relatives to explore the psychological experiences over time of people with dementia who have experienced trauma.

Methods: Sixteen semi-structured interviews were conducted with relatives of people with dementia who had experienced a traumatic event earlier in life. Transcripts were analysed using Reflexive Thematic Analysis.

Results: Two overarching themes were developed which characterised how participants made sense of their relatives’ experience of trauma and dementia: “I Might Feel Differently if I Didn’t Know the Stories”, Mental Health and Dementia are Inextricably Linked. Within these ways of making sense was the theme Varied Trajectories of Trauma, with four subthemes: The Fundamentality of Trauma, Dementia as a Magnifier of Trauma, Dementia Lightens the Load of Trauma and Unchanging Relationship With Trauma.

Conclusion: Relatives describe multiple overlapping patterns by which earlier life trauma is implicated in the psychological experience of people preceding and through their dementia. These findings point  to a multi-faceted relationship between lifetime traumatic events and subsequent psychological distress in dementia, highlighting the importance of trauma-informed dementia care.
Date of Award20 Sept 2024
Original languageEnglish
Awarding Institution
  • University of Bath

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