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Enhancement of Resilience and Quality of Life Using Strength Based Counselling and the Mediating Role of Parental Bonding in Adolescents with Type 1 Diabetes

SAI KIRTHI , KAMATH (2017) Enhancement of Resilience and Quality of Life Using Strength Based Counselling and the Mediating Role of Parental Bonding in Adolescents with Type 1 Diabetes. PhD thesis, Christ University.

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Abstract

The current study was an attempt to understand the socio-demographic profile of adolescents with type 1diabetes, the relationship between variables such as resilience, quality of life, parental bonding and the mediating role of parental bonding. It was also aimed to understand parent’s perception of the adolescent’s resilience and quality of life and their experiences. In phase 1, 100 adolescents/children (M=40, F=60, Age 10-18years) with an existing diagnosis of type 1 diabetes and their parents were enrolled from two hospitals and one clinic in Bangalore. The adolescents were administered Paediatric Quality Of Life for Diabetics (PedsQL) (Child and Adolescent Form), The Resilience Scale for Youth (CYRM), The Parental Bonding Instrument PBI (Father and Mother Form ). Parents were administered the consent form, demographic data sheet and parent version of resilience and quality of life. All scales were translated and back translated. In Phase 2 of the study, an intervention model based on the principles of strength based counselling to enhance resilience and quality of life (SBCTD1) was developed and used. Qualitative interviews were conducted to understand the experiences of parents of children/adolescents having type 1 diabetes. These interviews were tape recorded. 50 adolescents from Phase1, were randomly assigned to the intervention group (n=25) and the control group (n=25). For the intervention group after going through the sessions the Resilience Scales and The Paediatric Quality of Life scales were administered after one and three months respectively. HbA1c values were also collected again after three months of intervention. Control group received regular care and treatment at the center and were not exposed to the model developed for the study. They were also given the esilience, and Pediatric Quality of Life Measure at 3 months and HbA1c values were recorded. Descriptive statistics, parametric tests and mediation analysis were used to analyse data for the quantitative results and thematic analysis was used for the qualitative data. The results of the study showed that in the type 1 diabetic group, resilience was enhanced by education , females used more spiritual skills to improve resilience than males. Individual resilience skills increased with age and duration of diabetes. Very high correlation was found between the adolescent's resilience and quality of life and parents version of the same. With regard to quality of life males reported better quality of life than females. Adolescents in the high school group had lesser worries related to diabetes. Most adolescents with high HbA1c reported their fathers to have high protection and low care. There was a relationship between parental bonding and quality of life (in the subareas of child total score, treatment1, worry and communication). There was a relationship between parental bonding and resilience (subarea of social skills and total resilience) and between resilience and quality of life (cultural context and total context). Deeper analysis showed that parental bonding (care and protection) did not mediate between resilience and quality of life. In Phase 2 of the study, the intervention group did better than the control group with regard to resilience and quality of life even their HbA1c improved. Interviews regarding parents’ experience of living with type 1diabetes revealed various themes and sub-themes such as stigma & diabetes, emotional upheaval, impact on family, coping by parents, adherence, coping by adolescents.

Item Type:Thesis (PhD)
Subjects:Thesis
Thesis > Ph.D > Psychology
Thesis > Ph.D
ID Code:7786
Deposited By:Shaiju M C
Deposited On:11 May 2019 12:02
Last Modified:11 May 2019 12:02

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