An exploration of body image and self-esteem in adolescents with implantable cardioverter defibrillators (ICDs): a qualitative study and clinical research portfolio

BF Psychology

Casselden, Louisa ; Jackson, Alison

University:University of Glasgow

Department:Institute of Health and Wellbeing

关键词: Artificial heart pacemaker, cardiac arrhythmia, paediatric, children,Interpretative Phenomenological Analysis.;   

Others  :  http://theses.gla.ac.uk/6700/7/2015casseldendclinpsy.pdf

来源: University of Glasgow

【 摘 要 】

Introduction. Adolescents with Implantable Cardioverter Defibrillators (ICDs) have to negotiate the tasks of growing up while coping with their ICD device.Current research on the psychosocial effect of ICDs in this population is limited.Issues of body image may be particularly salient for adolescents with visible health conditions, as they experience typical physical and emotional development in addition to the burden of their health condition.This study aims to explore the effect of having an ICD device on adolescent’s body image and self-esteem, and other challenges they encounter.Method. This study utilised a qualitative research design comprised of in-depth individual interviews lasting between thirty minutes to one hour. Participants were recruited from the Royal Hospital for Sick Children, Glasgow.The data were analysed using Interpretative Phenomenological Analysis (IPA).Results. The sample comprised four males aged between 12-17 years old.Six superordinate themes emerged from the analysis of the transcripts: Physical effect, Emotional impact, Sense of self, Coping Strategies, Development over time and Evaluation of ICD.Conclusions.The findings suggested that ICDs influenced participant’s sense of self, and for some had a negative effect on body image.Although some negative consequences of having an ICD were identified, participants showed a determination to overcome challenges and a positive progression in adjustment over time.