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Illness perceptions, coping and psychological distress. The lived experience of non muscle invasive bladder cancer: a mixed methods approach

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dc.contributor.advisor Fortune, Dónal G.
dc.contributor.advisor Houghton, Sharon
dc.contributor.author Stewart, Ruth
dc.date.accessioned 2021-02-05T14:55:18Z
dc.date.available 2021-02-05T14:55:18Z
dc.date.issued 2020
dc.identifier.uri http://hdl.handle.net/10344/9748
dc.description peer-reviewed en_US
dc.description.abstract A diagnosis of cancer and its subsequent treatment can have a significant impact on an person’s mental wellbeing. The way patients perceive and cope with their illness can help to understand emotional distress. Using the Self -Regulation Model of Common Sense Illness Representations (SRM) as a theoretical framework, this thesis aimed to 1) examine the ability of illness perceptions and coping to predict psychological distress in non-muscle invasive bladder cancer (NMIBC) patients’ on surveillance and 2) achieve insight into the lived experiences of NMIBC. A mixed-methods research design was utilised which assessed illness perceptions, coping and psychological distress in (N = 84) participants. Semi-structured interviews were carried out with a subset (N = 10) of the sample. All interviews were recorded and transcribed verbatim. Hierarchical regression analyses revealed that illness perceptions and avoidant coping predicted 20.5% of the variance in depression and 54.7% in anxiety. Stronger perceptions of Timeline, Emotional Representations and avoidant coping were found to be the key predictors of emotional distress. Interview data were analysed using Interpretative Phenomenological Analysis (IPA) which generated three super-ordinate themes. These comprised of: Making Sense of NMIBC, The Dynamic Nature of Illness Perceptions and Coping. This is the first study to date that utilised the SRM to examine illness perceptions, coping and psychological distress in NMIBC patients on surveillance, and the first to include a qualitative component to examine the full SRM in the context of NMIBC. The quantitative and qualitative findings are integrated and presented in the context of the extant literature. en_US
dc.language.iso eng en_US
dc.publisher University of Limerick en_US
dc.subject psychological distress en_US
dc.subject coping en_US
dc.title Illness perceptions, coping and psychological distress. The lived experience of non muscle invasive bladder cancer: a mixed methods approach en_US
dc.type info:eu-repo/semantics/doctoralThesis en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.type.supercollection ul_theses_dissertations en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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