I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis

This study assessed the illness centrality of adolescents with CF and the specific ways that CF may affect adolescents’ identities, through the qualitative analysis of video narratives. Adolescents with CF were loaned video cameras and asked to “show us your life outside the hospital” and to “teach...

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Autores principales: Susan Horky, Laura Sherman, Julie Polvinen, Medhavi Saxena, Michael Rich
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2017
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Acceso en línea:https://doaj.org/article/99e068fd8f6940d5895673fc1d47119c
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spelling oai:doaj.org-article:99e068fd8f6940d5895673fc1d47119c2021-11-15T04:22:14ZI’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis2372-0247https://doaj.org/article/99e068fd8f6940d5895673fc1d47119c2017-11-01T00:00:00Zhttps://pxjournal.org/journal/vol4/iss3/15https://doaj.org/toc/2372-0247This study assessed the illness centrality of adolescents with CF and the specific ways that CF may affect adolescents’ identities, through the qualitative analysis of video narratives. Adolescents with CF were loaned video cameras and asked to “show us your life outside the hospital” and to “teach your healthcare team about your CF.” Four major themes were identified related to illness centrality: CF is Central, CF is Compartmentalized, CF is Integrated into Self Image, CF is Denied. Integration and compartmentalization often co-existed. Four themes emerged related to the role of CF in self-image and identity: (1) Valence (positive or negative); (2) Control (no control or some control); (3) Difference/Normalcy (different, normal, normal except for CF); (4) Acceptance/adaptation (acknowledgement of CF, reworking life to accommodate CF). Adolescents did not have just one feeling about CF but felt differently at different times. Younger and/or healthier adolescents were less likely to focus on CF as central to their self-image. When not dealing directly with treatments or clinic visits, these adolescents had identities comprised largely of “typical” adolescent interests such as school, friends, hobbies, and family. CF played a more prominent role in the identities of older and sicker adolescents. Adolescents also found ways to adapt or alter their lives and their CF-related activities to make them feel more like “normal” adolescents. Implications for treatment are provided.Susan HorkyLaura ShermanJulie PolvinenMedhavi SaxenaMichael RichThe Beryl Institutearticleself imageidentitycentralityadolescentscystic fibrosisexperiencevideoMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2017)
institution DOAJ
collection DOAJ
language EN
topic self image
identity
centrality
adolescents
cystic fibrosis
experience
video
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle self image
identity
centrality
adolescents
cystic fibrosis
experience
video
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Susan Horky
Laura Sherman
Julie Polvinen
Medhavi Saxena
Michael Rich
I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis
description This study assessed the illness centrality of adolescents with CF and the specific ways that CF may affect adolescents’ identities, through the qualitative analysis of video narratives. Adolescents with CF were loaned video cameras and asked to “show us your life outside the hospital” and to “teach your healthcare team about your CF.” Four major themes were identified related to illness centrality: CF is Central, CF is Compartmentalized, CF is Integrated into Self Image, CF is Denied. Integration and compartmentalization often co-existed. Four themes emerged related to the role of CF in self-image and identity: (1) Valence (positive or negative); (2) Control (no control or some control); (3) Difference/Normalcy (different, normal, normal except for CF); (4) Acceptance/adaptation (acknowledgement of CF, reworking life to accommodate CF). Adolescents did not have just one feeling about CF but felt differently at different times. Younger and/or healthier adolescents were less likely to focus on CF as central to their self-image. When not dealing directly with treatments or clinic visits, these adolescents had identities comprised largely of “typical” adolescent interests such as school, friends, hobbies, and family. CF played a more prominent role in the identities of older and sicker adolescents. Adolescents also found ways to adapt or alter their lives and their CF-related activities to make them feel more like “normal” adolescents. Implications for treatment are provided.
format article
author Susan Horky
Laura Sherman
Julie Polvinen
Medhavi Saxena
Michael Rich
author_facet Susan Horky
Laura Sherman
Julie Polvinen
Medhavi Saxena
Michael Rich
author_sort Susan Horky
title I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis
title_short I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis
title_full I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis
title_fullStr I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis
title_full_unstemmed I’m going to tell you a little about myself: Illness centrality, self-image and identity in cystic fibrosis
title_sort i’m going to tell you a little about myself: illness centrality, self-image and identity in cystic fibrosis
publisher The Beryl Institute
publishDate 2017
url https://doaj.org/article/99e068fd8f6940d5895673fc1d47119c
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