Exploring compassion, shame and the healthcare system in relation to self-care in type 2 diabetes

Childs, Cara Jane

Clinical psychology
May 2018

Thesis or dissertation

© 2018 Cara Jane Childs. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder.

This portfolio thesis is comprised of three parts: 1) a systematic literature review, 2) an empirical report and, 3) supporting appendices.

Part one is a systematic literature review which aimed to explore healthcare system factors that are related to self-care in individuals with Type 2 Diabetes. A systematic search of four key databases identified nineteen empirical papers for review. A narrative analysis of the evidence is provided and key factors relating to self-care are identified and summarised. A review of methodological quality and standard of reporting of reviewed studies is also provided. Implications for the field of research and for clinical practice are discussed.

Part two is an empirical report of an original piece of research exploring compassion and shame in relation to self-care in individuals with Type 2 Diabetes. Quantitative analysis aimed to investigate whether shame has a negative effect on self-care, and whether compassion has a role in buffering the impact of shame. In an additional qualitative element, experiences of shame in individuals with Type 2 Diabetes were explored. The findings of the study are discussed in relation to previous literature and theory, and implications for future research and clinical practice are considered.

Part three contains the appendices relating to the systematic literature review and the empirical report. It additionally includes an epistemological statement, and a reflective statement focussing on the research process.

School of Health and Social Work, The University of Hull
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