title: "I Feel Lucky" - Gratitude Among Young Adults with Phenylketonuria (PKU).
abstract: If persons with phenylketonuria (PKU) do not start a protein restricted diet in early infancy, they will suffer severe brain damage. Previous qualitative research on adults and adolescents with PKU has identified stigmatization, uncertain risk perceptions, considerable time spent on preparing food, and incongruence between the PKU diet and certain lifestyle demands. The aim of this study was to explore young and early treated Norwegian adults' experiences, by conducting in-depth interviews in 2011 with 11 adults with PKU, aged 20-30. Being the first qualitative study on people with PKU in Norway, the process was inspired by grounded theory. All participants reflected on their own health and existence by expressing positive counterfactual thoughts. They considered themselves lucky to have had parents who had managed the diet, they were grateful for the time and place they were born, and for information and treatment availability, although the results also show some ambiguous attitudes towards the hospital which provided the treatment. The expression of gratitude in association with having PKU suggests a major positive coping strategy. It contributes to a more holistic understanding of the experiences and attitudes of young, Norwegian adults with PKU, as it provides a counterweight to the negative experiences.
authors.affiliation: Center for Rare Disorders, Oslo University Hospital, Oslo, Norway. sofdie@hf-ous.no.|Center for Rare Disorders, Oslo Universitetssykehus HF, Rikshospitalet, Box 4950, Nydalen, 0424, Oslo, Norway. sofdie@hf-ous.no.
authors.forename: Plata Sofie
authors.identifier: 0000-0001-6789-5871
authors.initials: PS
authors.lastname: Diesen
mesh_terms: D000328:Adult; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D009664:Norway; D010290:Parents; D010361:Patients / Q000523:psychology*; D010661:Phenylketonurias / Q000178:diet therapy / Q000523:psychology*; D036301:Qualitative Research; D055815:Young Adult
keywords: Coping mechanism; Gratitude; Lived experience; PKU; Phenylketonuria; Qualitative research; Rare disorders