Living with multiple sclerosis: A qualitative exploration of death, dying and suicide, in UK adults.

IF 2.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Daniel Dowling, Lydia Poole, Kimberley J Smith
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引用次数: 0

Abstract

This qualitative study explored factors contributing to suicidal ideation among people living with Multiple Sclerosis (MS) using the Integrated Motivational-Volitional Model (IMV) of suicide as a theoretical framework. Sixteen participants were interviewed and data analysed using Framework Analysis. The analysis generated four core themes: Theme 1:'Journey to Diagnosis', captured the difficulties faced by people with MS as they sought a diagnosis and how this could be a trigger point for suicidal ideation. Theme 2: 'Loss and Deprivation', captured the struggles and consequences of living with MS which was linked to the transition from the pre-motivational to motivational phase of the IMV. Theme 3: 'Permanence', captured the cyclical and chronic nature of MS and was linked to entrapment in the IMV. Finally, theme 4: 'Death and Suicide', captured perspectives on death, dying, and suicide and the factors linked to suicidal ideation.

生活与多发性硬化症:死亡,死亡和自杀的定性探索,在英国成年人。
本定性研究以综合动机-意志自杀模型(IMV)为理论框架,探讨了影响多发性硬化症(MS)患者自杀意念的因素。对16名参与者进行了访谈,并使用框架分析对数据进行了分析。该分析产生了四个核心主题:主题1:“诊断之旅”,捕捉了多发性硬化症患者在寻求诊断时面临的困难,以及这如何可能成为自杀念头的触发点。主题2:“损失和剥夺”,捕捉了与MS生活的斗争和后果,这与IMV从前动机阶段过渡到动机阶段有关。主题3:“永久性”,抓住了多发性硬化症的周期性和慢性性质,并与IMV的捕获有关。最后,主题4:“死亡与自杀”,阐述了对死亡、临终和自杀以及与自杀意念有关的因素的看法。
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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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