Purewal, Rebecca;
(2023)
Getting ‘under the skin’; an exploration of psychological interventions for skin disorders.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
The aim of this thesis was to collate existing research and theory on psychological interventions in health psychology in order to design an intervention, and to investigate the impact of two psychological interventions in people with psoriasis. It is presented in three parts. Part 1: Conceptual Introduction. This conceptual introduction aims to increase our understanding of health-related behaviours in long term conditions, factors that might impact on these health behaviours, and interventions that can prevent or reduce this impact. Within the context of LTCs, it then moves onto considering skin conditions specifically, summarising the specific issues associated with them (notably high levels of stigma and shame) and what interventions have currently been undertaken to address these. The paper then focuses more specifically on psoriasis and its psychological impact, and highlights what the need is for research looking into psychological interventions. As part of this, it considers e-health interventions in the delivery of psoriasis care, and debates the pros and cons in using this method to increase accessibility of psychological interventions. Finally, it concludes with an overview the rationale and aims for the empirical research study. Part 2: Empirical paper. This study explored the impact of two online psychological interventions for people with psoriasis (PwP); psychoeducation and self-compassion interventions were evaluated using a randomized multiple baseline ABAC single-case experimental design (SCED). Participants completed repeated self-report outcome measures on illness perceptions, shame and compassion. The results provided insight into the usefulness and acceptability of both interventions. The findings offer encouragement to healthcare providers that online formats can be used to increase the accessibility and scalability of psychological interventions in skin conditions. Part 3: Critical appraisal. This section consists of a reflection and appraisal of conducting this research, focusing on reflexivity, methodology, and clinical implications.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | Getting ‘under the skin’; an exploration of psychological interventions for skin disorders |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2023. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10176652 |
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