Doctorate in Clinical Psychology : Main Research Portfolio
: 1) The evidence for hospital based psychological interventions in the emergency department: a systematic review; 2) Service improvement project of a pilot Tier 2 weight management course, Balance’; 3) What 'are' the 'cognitive C behavioural 'predictors 'of 'recovery 'and persistence'of'dizziness'following'assessment'at'an'NHS'vestibular'clinic?

  • Sally Mcguire

Student thesis: Doctoral ThesisDoctor of Clinical Psychology (DClinPsy)

Abstract

Purpose: This'study'aimed'to'identify'which'cognitive'and'behavioural'factors'were'associated' with' self C rated' dizziness' handicap at' assessment and' persistence' six Cmonths'after'assessment'at'an'NHS'vestibular'clinic.''This'study'used'questionnaire'data'to'explore'these'associations'in'a'clinical'population'with'mixed'diagnoses'of'dizziness'and'imbalance,'regardless'of'treatment'intervention'or'diagnostic'category.Method: Participants' (N=39)'completed' questionnaires' shortly 'after' assessment 'at 'an' NHS' vestibular 'clinic'(Time'1)'and'at'a'6Cmonth'followCup'(Time'2). Data 'were'explored'using'bivariate'and'partial'correlations'to'assess'the'relationship'between'dizziness' handicap,' severity' and' the' cognitive C behavioural' factors' of' dizziness'beliefs,'safetyCseeking'behaviours,'body'vigilance'and'health'anxiety.Results: At'Time'1,'safetyCseeking'behaviours'and'dizziness'beliefs were 'associated 'with' dizziness' handicap' (DHI),' even' when' dizziness' severity,' anxiety,' depression'were'controlled'for.'There'was'no'relationship'between'health'anxiety and 'dizziness'handicap,'or'body'vigilance'and'dizziness'handicap.'A'multiple'regression'using'T2'data 'was planned'but'not'completed'due'to'a'small'sample'size.Conclusions:' Results' suggest' the' importance' of' assessing' and' treating safety C seeking' behaviours,' beliefs' about' dizziness' and' body' vigilance' at' clinical' assessment,' regardless' of' diagnosis' or 'treatment' offered. 'Clinical' implications' are'discussed'whilst'remaining'cautious'of'interpretations'limited'by'a'small'sample'size.
Date of Award1 Oct 2018
Original languageEnglish
Awarding Institution
  • University of Bath
SupervisorElizabeth Marks (Supervisor), Jo Daniels (Supervisor) & Emma Griffith (Supervisor)

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