A5042487916- Personality Disorders and Psychopathology
- Mental Health and Psychiatry
- Healthcare Decision-Making and Restraints
- Psychotherapy Techniques and Applications
- Schizophrenia research and treatment
- Psychiatric care and mental health services
- Substance Abuse Treatment and Outcomes
- Mental Health and Patient Involvement
- Mental Health Treatment and Access
- Cannabis and Cannabinoid Research
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Child and Adolescent Psychosocial and Emotional Development
- Homelessness and Social Issues
- Gambling Behavior and Treatments
- Prenatal Substance Exposure Effects
- Child Abuse and Trauma
- Ethics in medical practice
- Emergency and Acute Care Studies
- Suicide and Self-Harm Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Attention Deficit Hyperactivity Disorder
- Resilience and Mental Health
- Child and Adolescent Health
- Alcohol Consumption and Health Effects
- Gastrointestinal motility and disorders
University of Otago
2016-2025
Health Research Council of New Zealand
2021
Capital and Coast District Health Board
2020
Imperial College London
2006-2017
Centre for Mental Health
2017
Westmead Hospital
2017
The University of Sydney
2017
Heidelberg University
2017
Hammersmith Hospital
2015
Imperial Valley College
2009-2013
Background Coercive or restrictive practices such as compulsory admission, involuntary medication, seclusion and restraint impinge on individual autonomy. International consensus mandates reduction elimination of in mental healthcare. To achieve this requires knowledge the extent these practices. Aims We determined rates coercive compared them across countries. Method identified nine country- region-wide data-sets durations Australia, England, Germany, Ireland, Japan, New Zealand, The...
While the DSM-5 alternative model of personality disorder (PD) diagnosis allows field to systematically compare categorical and dimensional classifications, ICD-11 proposal suggests a radical change by restricting classification PDs one category, deleting all specific types, basing clinical service provision exclusively upon severity dimension, trait domains secondary qualifiers without defining cutoff points. This article reflects broad international agreement about state PD diagnosis. It...
Personality disorder (PD) is increasingly categorized according to its severity, but there no simple way screen for severity ICD-11 criteria. We set out develop the Standardized Assessment of Severity Disorder (SASPD). A total 110 patients completed SASPD together with a clinical assessment personality disorder. examined predictive ability using area under ROC curve (AUC). Two four weeks later, 43 repeated examine reliability. The had good determining mild (AUC = 0.86) and moderate 0.84) PD...
No measure has formally been developed to assess the published ICD-11 model of Personality Disorder (PD) severity. We therefore set out develop and evaluate 14-item Severity (PDS-ICD-11) scale.A representative U.S. community sample (N = 428; 50.9% women) a New Zealand mental health 87; 61.5% completed PDS-ICD-11 scale along with series established PD impairment measures.Item response theory supported unidimensionality (median item loading 0.68) indicated that score 17.5 may serve as...
In the last 50 years, personality disorder has achieved a level of understanding and, indeed, respectability that now allows it to be considered as an equal partner with other mental disorders. Before 1960s, disorder, possible exception antisocial group, was unreliable and imprecise diagnosis little or no clinical value. Since then, however, particularly since introduction DSM-III in 1980, there been increasing recognition despite many imperfections its classification, can described rated...
Objective: The purpose of the present paper was to assess attitudes clinicians working with personality disordered patients. Methods: Secondary analysis Comorbidity Substance Misuse and Mental Illness Collaborative (COSMIC) data set undertaken using a priori hypothesis testing. null that there would be no measurable difference between mental health professionals toward patients clinical diagnosis disorder those an instrument-rated disorder. potential confounders global psychopathology, need,...
Background and aims There has been a great deal of evidence showing that high novelty seeking (NS) is risk factor for the development substance use disorders (SUDs). However, possible causal role NS in SUDs unconfirmed. The aim this study was to examine associations between at age 16 from ages 18 35 years, net series covariate factors. Design Longitudinal birth cohort. Setting Christchurch, New Zealand. Participants General community sample with sizes ranging n = 1011 (age 21) 962 35)....
To estimate associations between age of first drinking (AFD) and alcohol use disorder, nicotine dependence, cannabis illicit drug major depression anxiety disorder in adulthood, net a series covariate factors.Data were obtained from longitudinal birth cohort.Christchurch, New Zealand.The Christchurch Health Development Study (CHDS), study cohort born 1977 studied to 35 years. Analysis samples ranged size 1056 (ages 11-13 years) 962 (age years); 50.2% the total sample was male.A measure AFD...
Objective: Personality has been associated with a variety of outcomes in adulthood. Most the literature related to mental state disorder and personality is cross sectional. Methods: Data from more than 900 participants Christchurch Health Development Study (CHDS) were examined. Extroversion neuroticism measured at 14 years old social age 30. The presence between 18-30 was identified. Multiple potential confounders childhood included analysis. Results: Neuroticism fourteen significantly...