A5084390403- Schizophrenia research and treatment
- Psychosomatic Disorders and Their Treatments
- Mental Health and Psychiatry
- Physical Activity and Health
- Eating Disorders and Behaviors
- COVID-19 and Mental Health
- Digital Mental Health Interventions
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Telemedicine and Telehealth Implementation
- Body Image and Dysmorphia Studies
- Mental Health Research Topics
- Family Caregiving in Mental Illness
- Mental Health Treatment and Access
- Art Therapy and Mental Health
- Chronic Disease Management Strategies
- Virtual Reality Applications and Impacts
- Psychological Well-being and Life Satisfaction
- Suicide and Self-Harm Studies
- Personality Disorders and Psychopathology
- Sleep and related disorders
- Health disparities and outcomes
- Psychotherapy Techniques and Applications
- Sleep and Wakefulness Research
University of Oxford
2019-2024
Oxford Health NHS Foundation Trust
2019-2024
Warneford Hospital
2020-2022
BackgroundThere is a large clinical need for improved treatments patients with persecutory delusions. We aimed to test whether new theoretically driven cognitive therapy (the Feeling Safe Programme) would lead reductions in delusions, above non-specific effects of therapy. also treatment effect mechanisms.MethodsWe did parallel, single-blind, randomised controlled trial the Programme against befriending same therapists persistent delusions context non-affective psychosis diagnoses. Usual...
To determine the prevalence of suicidal ideation and behaviour - their correlates in patients with persecutory delusions. 110 delusions context non-affective psychosis were assessed for thoughts behaviours over past month. Symptom psychological assessments also completed. The severity was: no (n = 26, 23.6%); wish to be dead 21, 19.1%); nonspecific active 14, 12.7%); methods but intent 29, 26.4%); specific plan 13, 11.8%); 7, 6.4%). In month, five (4.5%) had made an actual, interrupted, or...
Sleep disturbance is common and problematic for young people at ultra-high risk of psychosis. disruption a contributory causal factor in the occurrence mental health problems, including psychotic experiences, anxiety, depression. The implication that treating sleep problems might have additional benefits on outcomes individuals high risk. present study had two aims: first, to establish feasibility acceptability randomised controlled trial treat with aim reducing experiences psychosis;...
Persecutory delusions are a major psychiatric problem that often do not respond sufficiently to standard pharmacological or psychological treatments. We developed new brief automated virtual reality (VR) cognitive treatment has the potential be used easily in clinical services. aimed compare VR therapy with an alternative (mental relaxation), emphasis on understanding mechanisms of action.THRIVE was parallel-group, single-blind, randomised controlled trial across four UK National Health...
Background Automated virtual reality (VR) therapy could allow a greater number of patients to receive evidence-based psychological therapy. The aim the gameChange VR is help overcome anxious avoidance everyday social situations. has been evaluated with outpatients, but it may also inpatients prepare for discharge from psychiatric hospital. Objective this study explore views and staff on provision wards. Methods Focus groups or individual interviews were conducted (n=19) National Health...
The COVID‐19 pandemic and its management are placing significant new strains on people’s well‐being, particularly those with pre‐existing mental health conditions. Physical activity has been shown to improve as well physical health. Increasing levels should be prioritized a treatment target, especially when the barriers exercise greater than ever. Promoting not traditionally remit of psychologists. Yet psychological theory therapeutic techniques can readily applied address inactivity. We...
Background Patients diagnosed with psychosis often spend less time than others engaged in exercise and more sitting down, which likely contributes to poorer physical mental health. Objective The aim of this study was develop a comprehensive framework from the perspective patients, carers, staff for understanding what promotes movement activity. Methods A critical realist approach taken design study. Interviews (n=23) focus groups (n=12) were conducted (1) outpatients aged 16 years or older...
Summary The coronavirus disease 2019 pandemic has led to unprecedented disruption the normal way of life for people around globe. Social distancing, self-isolation or shielding have been strongly advised mandated in most countries. We suggest evidence-based ways that can maintain even strengthen their mental health during this crisis.
Abstract Background Persecutory fears build on feelings of vulnerability that arise from negative views the self. Body image concerns have potential to be a powerful driver vulnerability. are likely raised in patients with psychosis given frequent weight gain. We examined for first-time body esteem – self-evaluation appearance relation symptom and psychological correlates current persecutory delusions. Methods One-hundred fifteen delusions context non-affective completed assessments image,...
Background The period before the formation of a persecutory delusion may provide causal insights. Patient accounts are invaluable in informing this understanding. Aims To inform understanding formation, we asked patients about occurrence potential factors – identified from cognitive model onset. Method A total 100 with delusions completed checklist their subjective experiences weeks belief included items concerning worry, images, low self-esteem, poor sleep, mood dysregulation, dissociation,...
We aimed to identify the common types of outcome trajectories for patients with psychosis who take up specialist psychological therapy persecutory delusions. Knowing different potential responses can inform expectations. Further, determining predictors outcomes may help in understanding benefit.
Background There are high rates of obesity and low self-esteem in patients with psychosis. The occurrence negative voice content directly about appearance is therefore plausible. Derogatory comments likely to be distressing, increase depression contribute social withdrawal. Aims To systematically assess the regarding identify correlates. Method Sixty experiencing verbal auditory hallucinations at least once a week context non-affective psychosis completed measure assessing positive...
Background: The need to increase exercise and decrease sedentary behaviour in people diagnosed with psychosis is well-recognised. Aims: We set out explore caregivers’ perspectives on what supports prevents physical activity, how use carers’ support most effectively. Method: Fourteen caregivers of were interviewed. Data analysed using reflexive thematic analysis, collaboration caregivers. Results: Four themes developed, the first flagging importance then others calling for action: (a)...
Severe paranoia is likely to limit engagement in physical activities. In this study we set out examine for the first time activity profiles of patients with current persecutory delusions and associations psychiatric symptoms. Seventy-five context non-affective psychosis wore a pedometer seven days. Participants completed measures meaningful activity, mobility, Latent class analysis was used identify profiles. Three distinct emerged: mobile but inactive group (n = 47, 63%) (mean daily step...
Exercise-Based Interventions for Mental Illness: Physical Activity as Part of Clinical Treatment Stubbs Brendon and Rosenbaum Simon, Elsevier, 2018 ISBN 9780128126059 doi: 10.1017/S1352465819000341, https://www.elsevier.com/books/exercise-based-interventions-for-mental-illness/stubbs/978-0-12-812605-9 - Volume 47 Issue 6
<sec> <title>BACKGROUND</title> Automated virtual reality (VR) therapy could allow a greater number of patients to receive evidence-based psychological therapy. The aim the gameChange VR is help overcome anxious avoidance everyday social situations. has been evaluated with outpatients, but it may also inpatients prepare for discharge from psychiatric hospital. </sec> <title>OBJECTIVE</title> this study explore views and staff on provision wards. <title>METHODS</title> Focus groups or...