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11. Clinic Specific Data In order to explore the potential impact of the aetiology of the disfiguring condition on adjustment, the data derived from out-patient clinics were examined. A summary of the outcome variables by clinic is given in Table 11.1. Box and whisker plots show the extent of individual variation within each out-patient clinic. Table 11.1 Mean and standard deviations for each outcome variable by clinic N DAS24 M(SD) Anxiety M(SD) Depression M(SD) Aggression M(SD) Positive Affect M(SD) Negative Affect M(SD) Plastics 225 46.03(17.23) 8.88(4.65) 5.28(3.77) 26.59(8.88) 31.77(8.50) 21.26(8.84) Dermatology 89 43.80(14.31) 8.55(4.29) 5.64(4.16) 26.59(10.61) 30.52(8.91) 20.08(9.10) Laser 38 43.03(16.39) 8.39(4.82) 3.74(3.03) 24.63(9.48) 34.26(7.98) 20.76(8.36) Cleft Lip and Palate 11 42.64(14.03) 10.36(6.05) 3.64(2.34) 32.09(11.32) 31.73(6.77) 25.09(8.69) Burns 18 42.22(17.66) 7.39(4.39) 5.39(4.73) 27.83(10.38) 31.06(8.79) 20.24(7.21) Ophthalmology 39 39.23(13.33) 7.89(4.89) 4.98(3.24) 22.52(8.55) 32.40(9.67) 19.26(9.11) Head and Neck cancer 34 38.09(14.96) 7.24(4.95) 5.76(3.91) 23.97(9.55) 30.18(10.11) 18.64(9.45) Prosthetics 54 36.28(17.00) 6.19(5.08) 4.74(4.01) 25.70(10.00) 34.56(9.94) 17.37(7.70) Ocular Prosthetics 30 35.00(12.53) 5.97(4.13) 3.37(3.51) 21.80(7.25) 34.69(8.81) 18.10(6.75) Rheumatoid Arthritis 36 34.31(12.65) 6.94(3.77) 4.81(3.63) 22.94(8.31) 30.00(8.88) 17.88(6.94) ENT 17 33.06(17.08) 5.35(3.76) 5.88(3.52) 20.47(6.60) 31.56(8.88) 14.63(6.17) Melanoma 36 32.33(16.15) 7.25(5.22) 4.08(3.41) 21.64(7.99) 30.00(9.55) 16.81(7.80) Figure 9.1(a) Comparative box-and-whiskers plot for DAS 24 scores by condition 56
Figure 9.1(b) Comparative box-and-whiskers plot for HADS Anxiety scores by condition Figure 9.1(c) Comparative box-and-whiskers plot for HADS depression scores by condition Table 11.3 shows the percentages of participants scoring low, mild, or moderate to high on HADS for anxiety and depression in the overall sample (n=1259). 57
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Identifying the psychosocial factor
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Follow-on Studies: Emma Halliwell,
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Warwick Site (Lead: Dr. Rodger Char
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SECTION 3 Page OVERALL SYNTHESIS OF
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Study 3 3.1 Response rates for resp
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Introduction EXECUTIVE SUMMARY This
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The Impact of Appearance-Related Di
Page 17: Research Further investigation shou
Page 20 and 21: Participants were recruited from ho
Page 23 and 24: BACKGROUND & RATIONALE FOR THE RESE
Page 25 and 26: The challenge of developing compreh
Page 27 and 28: STAGE ONE (Inputs/Predisposing Fact
Page 29 and 30: In order to address the first aim o
Page 31 and 32: Role of the advisory panel in the r
Page 33: credit is due to Anjte Lindenmeyer,
Page 36 and 37: INTRODUCTION The largest part of th
Page 38 and 39: South West (via the Bristol site) a
Page 40 and 41: INPUTS/ PREDISPOSING FACTORS Age Ge
Page 42 and 43: Appearance-related processing Valen
Page 44 and 45: Anger/hostility The Refined Aggress
Page 46 and 47: RESULTS Due to the size of the data
Page 48 and 49: Figure 4.1(b) Comparative box-and-w
Page 50 and 51: Table 4.2 Correlation of quantitati
Page 52 and 53: Table 5.1(c) Frequency of number of
Page 54 and 55: Table 6.1(a) Frequency and percenta
Page 56 and 57: Table 7.1 summarises the degree of
Page 58 and 59: Figure 7.1(a): Scores on the DAS 24
Page 60 and 61: 10.1 Appearance-related Social Anxi
Page 62 and 63: HADS Anxiety, and the relative magn
Page 64 and 65: 10.4 Aggression When entering the v
Page 66 and 67: elatively small but statistically s
Page 70 and 71: Table 11.3: Percentage of participa
Page 72 and 73: anxiety was in the low to mild rang
Page 74 and 75: Visibility and areas of concern The
Page 76 and 77: affect and 46% for both anxiety and
Page 78 and 79: likely they are to have difficultie
Page 80 and 81: Information Attention Encoding/Stor
Page 82 and 83: such as shame, were omitted. Where
Page 84 and 85: RATIONALE In an attempt to offer pa
Page 86 and 87: FINDINGS Theme I. Descriptive Accou
Page 88 and 89: easts made her ‘flat chested’ a
Page 90 and 91: confidence to other people’s reac
Page 92 and 93: them noticing: ‘I try to hide my
Page 94 and 95: 5.) Time Structures What was striki
Page 97 and 98: STUDY 3 LONGITUDINAL QUANTITATIVE S
Page 99 and 100: Table 3.1 Response rates for respon
Page 101 and 102: Table 3.4 Regression Model for DAS2
Page 103 and 104: Table 3.6 Regression Model for Depr
Page 105 and 106: Table 3.8 Regression Model for Posi
Page 107 and 108: 0.016), and optimism (r = -0.183, n
Page 109: and follow up). However, focusing o
Page 112 and 113: SUMMARY • Twenty-six participants
Page 114 and 115: There were ten well adjusted stable
Page 116 and 117: Stage 1 - predisposing factors - ch
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Appearance schema - beliefs about o
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“I’m in charge ...I think that
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“Only when people don’t underst
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appearance anxiety and coping with
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114
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116
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SUMMARY • This study aimed to exp
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A focus group methodology was chose
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any situation. Strategies involved
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CONCLUSIONS Whereas previous resear
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SUMMARY • Nine focus group interv
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RESULTS Eight key themes were ident
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2e. Medical Interpretation There wa
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“I think I am nicer to a person w
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6d. Generational differences Elders
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• The myths about the foetal diso
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SUMMARY • Vitiligo is a condition
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identified themselves as South Asia
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“…my parents would have been de
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2a. Appearance shame and disgust Ma
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much…sometimes I just want to bec
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For respondents like AA (described
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study 6, that in addition to indivi
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AIMS The aims of this study were to
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154
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SUMMARY • Participants (n=38) too
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leaving 82 invitations not responde
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The vignettes alternated between de
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162
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SUMMARY • The study involved the
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METHOD Participants Student sample
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Clinic attendees On the anxiety sub
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170
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SUMMARY • Semi-structured intervi
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Seven key themes were identified an
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“I've heard tell that a lot of pe
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4. Physical adaptation From so smal
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6. Emotional impact & Emotional sup
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182
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SUMMARY • This study investigates
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Table 12.1 Demographic data by grou
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variance in anxious mood was accoun
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appearance of younger people (Harri
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SUMMARY • This study is recruitin
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METHOD Participants GPs from across
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196
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The results of each study have been
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Others expressed dissatisfaction wi
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Age Gender Ethnicity Relationship s
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Whilst the main thrust of this rese
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a strong evidence base in other are
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Nurses in a counseling role, clinic
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210
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This series of studies represents t
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214
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Ben-Tovim, D.I. and Walker, M.K. (1
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Crocker, J., Voelkl, K., Testa, M.
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Greenberg, L. S. and Safran, J. D.
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Macgregor, F., Abel, T.M., Brut, A.
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Pollard, L., Choy, E.H. and Scott,
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Scheier, M.F., Carver, C.S. and Bri
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Wright, G.E., Parker, J.C., Smarr,
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