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Examining the role of attachment in the relationship between childhood adversity, psychological distress and subjective well-being
- Authors:
- CORCORAN Mark, McNULTY Muireann
- Journal article citation:
- Child Abuse and Neglect, 76, 2018, pp.297-309.
- Publisher:
- Elsevier
Childhood adversity is associated with a wide range of detrimental psychological consequences. This study examined the mediating role of relationship-specific attachment (avoidance and anxiety) in the associations between childhood adversity and both psychological distress and subjective well-being. University students (N = 190) across the Republic of Ireland completed self-report measures including the Adverse Childhood Experiences scale, Experiences in Close Relationships − Relationship Structures scale, Depression Anxiety and Stress scales and measures of subjective well-being. One hundred and twenty-eight participants (67.4%) reported experiencing at least one adverse childhood experience. Childhood adversity was associated with symptoms of psychological distress and subjective well-being. All such associations were mediated by certain relationship-specific attachment dimensions. Of these, attachment anxiety in general relationships was the most prominent mediator for both psychological distress and subjective well-being. Attachment to one’s father and to one’s romantic partner did not mediate any association. These findings indicate that attachment, in particular relationships, is an important factor in the associations between childhood adversity and both psychological distress and subjective well-being as an adult. One’s attachment anxiety in general relationships is particularly important in these associations. Therapeutic interventions addressing these attachment domains may offset the detrimental effects of childhood adversity. Future research is required using a longitudinal design. (Publisher abstract)
Flexible, person-centred home care for older people
- Authors:
- PATMORE Charles, McNULTY Alison
- Publisher:
- Social Policy Research Unit. University of York
- Publication year:
- 2005
- Pagination:
- 4p.
- Place of publication:
- York
This research project interviewed older service users, home care staff, managers and social services purchasers to explore the factors which make possible a flexible, person-centred approach. The findings highlight factors which: influenced flexible, person centred help at independent agencies; led to purchasers promoting flexible, person-centred care; let purchasers to discourage the provision of flexible, person- centred care.
Making home care for older people more flexible and person-centred: factors which promote this
- Authors:
- PATMORE Charles, McNULTY Alison
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2005
- Pagination:
- 37p.
- Place of publication:
- York
This report examines the factors which make possible a flexible, person-centred approach to providing home care for older people in light of the Department of Health's Green Paper on Adult Social Care.
Caring for the whole person: home care for older people which promotes well-being and choice
- Authors:
- PATMORE Charles, McNULTY Alison
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2005
- Pagination:
- 93p.
- Place of publication:
- York
This report presents the final account from the three-part research project on flexible person-centred home care for older people, which was funded through the Department of Health Research Programme at the Social Policy Research Unit at York University, from 2001 till early 2005.
That little bit extra
- Authors:
- PATMORE Charles, McNULTY Alison
- Journal article citation:
- Community Care, 13.10.05, 2005, pp.36-37.
- Publisher:
- Reed Business Information
This article presents new research findings on what helps a home care provider to provide flexible, holistic, person-centred service for older people. Topics include: the philosophy of the provider manager, size of management team, policies on staff rotas, and advantages for in-house social services providers.
Power of the purchaser
- Authors:
- PATMORE Charles, McNULTY
- Journal article citation:
- Community Care, 6.10.05, 2005, pp.34-35.
- Publisher:
- Reed Business Information
This article presents research findings about factors which promote person-centred, customer-led home care for older people. It describes the far-reaching influence of social services purchasers over whether independent home care providers supply such a service.
Building bridges? The role of research support in self-advocacy
- Authors:
- CHAPMAN Rohhss, McNULTY Niall
- Journal article citation:
- British Journal of Learning Disabilities, 32(2), June 2004, pp.77-85.
- Publisher:
- Wiley
The Carlisle Research Group 'Co-op' is a group which aim to carry out 'person-led' research in a way that changes ideas and makes life better for people with learning disabilities. Six of the eight members in the group are labelled as having a learning difficulty, the two other people act in a role of involved support. In this article the members of the group with a support role explain what they do, highlight the changes occurring within the group, and to open up a debate as to the research support role in the self-advocacy movement. The article also includes a case study on the process of writing an article for a journal article.
Adult disclosure of sexual abuse: a primary cause of psychological distress?
- Authors:
- McNULTY Craig, WARDLE Jane
- Journal article citation:
- Child Abuse and Neglect, 18(7), July 1994, pp.549-555.
- Publisher:
- Elsevier
Surveys research evidence relating to the disclosure of abuse and argues that for some adults the disclosure of abuse may be the primary source of psychological distress, resulting in the dissolution of social support system's and increasing the individual's vulnerability to psychiatric disorder.
Care needs of elderly people with schizophrenia: assessment of an epidemiologically defined cohort in Scotland
- Authors:
- McNULTY Seamus V., et al
- Journal article citation:
- British Journal of Psychiatry, 182(3), March 2003, pp.241-247.
- Publisher:
- Cambridge University Press
Little is known of the needs of elderly patients with psychotic illnesses. The aim of this artilce was to measure the care needs of an epidemiologically based group of patients over the age of 65 years suffering from psychotic illness, using a standardised assessment. All patients aged 65 years and over with a diagnosis of schizophrenia and related disorders from a defined catchment area were identified. Their health and social care needs were investigated using the Cardinal Needs Schedule. The 1-year prevalence of schizophrenia and related disorders was 4.44 per 1000 of the population at risk. There were high levels of unmet need for many patients, including those in National Health Service (NHS) continuing-care beds. Many needs were identified, all of which could be addressed using the existing skills of local health and social care professionals. The investigation raises serious concerns about standards of hospital and community care for elderly patients with schizophrenia. The findings may be unique, reflecting long-standing problems within a particularly hard-pressed part of the NHS. However, it is not known whether a similar situation exists in other parts of the UK.
Family factors associated with self‐harm in adults: a systematic review
- Authors:
- BUCKMASTER Ruth, McNULTY Muireann, GUERIN Suzanne
- Journal article citation:
- Journal of Family Therapy, 41(4), 2019, pp.537-558.
- Publisher:
- Wiley
The aim of this study was to systematically review the literature pertaining to family dynamics in the adult self‐harming population. PsycINFO, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Applied Social Sciences Index and Abstracts (ASSIA) were searched for studies containing two keywords, one relating to self‐harm and the second relating to a family relationship. The final search was run on 4 August 2017. The electronic search yielded a total of 2,623 studies; 119 texts were selected for full review and twenty‐seven articles were included in the analysis. Thematic analysis was used to synthesize the results. Results indicated that insecure parental attachments, neglectful, overprotective, disempowering and abusive parenting were associated with self‐harm. Similarly, insecure attachments and abusive relationships with romantic partners were linked to self‐harm. Finally, self‐harm was found to be related to poor family functioning. (Publisher abstract)