Abstract:Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) is a condition of unknown aetiology that consists of symptoms such as fatigue, muscle and joint pain, gastric problems and a range of neurological disturbances. Due to the fact that these symptoms are complaints that most individuals will experience to a varying degree, it seems pertinent to investigate the processes by which those with CFS/ME conceptualise their symptoms and the experience of reaching a diagnosis. Participants were recruited from loc… Show more
“…IPA has successfully been used to explore a variety of illnesses such as chronic fatigue (Arroll & Senior, 2008), multiple sclerosis and mental health (Pitt, Kilbride, Nothard, Welford, & Morrison, 2007). i.…”
Section: Chosen Qualitative Methodologymentioning
confidence: 99%
“…In addition, the size reflects other studies that have used similar methodology (cf. Arroll & Senior, 2008).…”
The first part of this thesis contains a narrative review of the literature relating to how people with mental illness cope with stigma. The majority of the research has focussed on models of stigma, the impact of stigma on individuals and campaigns to combat stigma. There is limited research exploring how people cope with stigma and the effectiveness of these strategies. The review highlights the need for further research in this area to inform interventions.The second part of the thesis contains a qualitative research study, which aimed to provide an understanding of how individuals with a mental illness described their experiences of being discharged from psychiatric inpatient stays. Suicide rates post-discharge remain high despite discharge planning and discharge interventions, yet little is known about why discharge can be so difficult for individuals. Interpretative Phenomenological Analysis (IPA) was used to analyse interviews from eight individuals who had been discharged within the last three years. The analysis highlighted five superordinate themes: the hospital experience, the experience of discharge, the outside world, the journey to health and self-beliefs/identity.The results are discussed in relation to previous findings and implications for future research and clinical practice.
“…IPA has successfully been used to explore a variety of illnesses such as chronic fatigue (Arroll & Senior, 2008), multiple sclerosis and mental health (Pitt, Kilbride, Nothard, Welford, & Morrison, 2007). i.…”
Section: Chosen Qualitative Methodologymentioning
confidence: 99%
“…In addition, the size reflects other studies that have used similar methodology (cf. Arroll & Senior, 2008).…”
The first part of this thesis contains a narrative review of the literature relating to how people with mental illness cope with stigma. The majority of the research has focussed on models of stigma, the impact of stigma on individuals and campaigns to combat stigma. There is limited research exploring how people cope with stigma and the effectiveness of these strategies. The review highlights the need for further research in this area to inform interventions.The second part of the thesis contains a qualitative research study, which aimed to provide an understanding of how individuals with a mental illness described their experiences of being discharged from psychiatric inpatient stays. Suicide rates post-discharge remain high despite discharge planning and discharge interventions, yet little is known about why discharge can be so difficult for individuals. Interpretative Phenomenological Analysis (IPA) was used to analyse interviews from eight individuals who had been discharged within the last three years. The analysis highlighted five superordinate themes: the hospital experience, the experience of discharge, the outside world, the journey to health and self-beliefs/identity.The results are discussed in relation to previous findings and implications for future research and clinical practice.
“…This is exacerbated by the debate over the name (CMO report, 2002). Experiences of stigma and a de-legitimisation of the person's subjective experience seem common (Arroll & Senior, 2008;Dickson, Knussen, & Flowers, 2007;Ware, 1993). Other studies show the importance participants put on other people understanding CFS/ME as a physical problem.…”
Young people with chronic fatigue syndrome or myalagic encephalopathy (CFS/ME) (CFS/ME) experience higher levels of psychological distress than healthy controls and young people with other chronic illnesses, and it was recently demonstrated that 38% of this population scored above the clinical cut-off on the Spence Child Anxiety Scale. Subscales of social and separation anxiety were consistently high across gender and age groups. In this study, we used qualitative methods to help us understand more about these two types of anxiety in young people with CFS/ME. Eleven young people (age 12-18) were interviewed. Interviews were self-directed by the participants and were wide ranging. The transcripts were analysed using interpretative phenomenological analysis. Five superordinate themes were identified: social loss and adjustment; introduction of uncertainty and unpredictability; the vulnerable self; individual differences; and contributions towards recovery. Many themes were identical to those described in young people coping with other chronic illnesses in adolescence. In addition, young people with CFS/ME describe experiences associated with the perceived illegitimacy of this condition, namely: feeling unable to explain their illness; bullying from peers; disbelief; and distrust from adults around them. This becomes an additional challenge for these young people. Clinicians need to be aware of these problems, and offer appropriate support.
“…The employment of IPA to examine the effect of the XMRV research on individuals with CFS/ME, to the authors' knowledge a question not previously researched, largely yielded rich material on the topic of XMRV and particularly on the subjective experience of living with CFS/ME in general, as was the case with its use in previous studies of CFS/ME (Arroll & Senior 2008;Dickson et al 2007). However, at the analysis stage, the identification of master themes Downloaded by [The Aga Khan University] at 06:14 21 November 2014 which focussed solely on the influence of the findings on the participants' thoughts and feelings, rather than other areas of their illness experience, proved somewhat problematic.…”
Section: Discussionmentioning
confidence: 99%
“…Interpretative Phenomenological Analysis (IPA; Smith 1996) was chosen as it has been shown to be a highly effective method of examining the experience of people living with CFS/ME, particularly how those with CFS/ME conceptualise their condition (Arroll & Senior 2008) as well as their experience of stigma and delegitimation (Dickson et al 2007). The present study thus adopts this methodology by using IPA to address a question which the extant literature has yet to explore: the influence of the XMRV research findings on the thoughts and feelings of people living with CFS/ME.…”
Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a condition of unknown aetiology characterised by severe physical and mental fatigue, musculoskeletal pain, and cognitive disturbances. Due to the lack of a clear biological marker, those with CFS/ME frequently encounter stigma and delegitimation of illness, causing them psychological distress. Individuals with CFS/ME tend to reject the psychogenic model associated with CFS/ME in favour of a viral or immunological explanation: a perception which appears to aid their understanding of their illness. A recent, widely publicised study by Lombardi et al. (2009)
claimed to have identified a link between xenotropic murine leukaemia virus-related virus (XMRV) and CFS/ME. In this context, an investigation of the influence of these research findings on the thoughts and feelings of people living with CFS/ME was conducted. Nine semi-structured telephone interviewswere conducted with support group members in the United Kingdom. Interpretative Phenomenological Analysis (IPA; Smith 1996) was used to uncover three superordinate themes: XMRV and the legitimation of CFS/ME, a cautious response to the research findings, and criticism of the reaction to the XMRV research of fellow individuals with CFS/ME. The findings are discussed in relation to the existing literature surrounding illness representations, with a critique of the present study.
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