- Gastrointestinal motility and disorders
- Psychiatric care and mental health services
- Mental Health and Psychiatry
- Psychosomatic Disorders and Their Treatments
- Suicide and Self-Harm Studies
- Psychotherapy Techniques and Applications
- Mental Health Treatment and Access
- Health, psychology, and well-being
- Music Therapy and Health
- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Complementary and Alternative Medicine Studies
- Healthcare Decision-Making and Restraints
- Pathogenesis and Treatment of Hiccups
- Personality Disorders and Psychopathology
- Long-Term Effects of COVID-19
- Schizophrenia research and treatment
- Counseling, Therapy, and Family Dynamics
- Healthcare professionals’ stress and burnout
- Poisoning and overdose treatments
- Intensive Care Unit Cognitive Disorders
- Cardiac Health and Mental Health
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
University of Leeds
2002-2025
Imperial College London
2022-2024
NIHR Leicester Biomedical Research Centre
2023
University of Leicester
2023
University Hospitals of Leicester NHS Trust
2023
National Institute for Health Research
2023
Glenfield Hospital
2023
Newcastle upon Tyne Hospitals NHS Foundation Trust
2023
Restore America's Estuaries
2023
University of Oxford
2023
OBJECTIVE: The purposes of this study were to estimate suicide rates up 4 years after a deliberate self-harm episode, investigate time-period effects on the rate over follow-up period, and examine potential sociodemographic clinical predictors within cohort. METHOD: This prospective cohort included 7,968 attendees at emergency departments four hospital trusts in neighboring cities Manchester Salford, northwest England, between September 1, 1997, August 31, 2001. Suicide standardized...
To assess survival, morbidity (physical and psychological), quality of life (QOL), employment status intensive care survivors up to 12 months after discharge from the unit (ICU).Prospective study.University hospital adult ICU.Between August 1, 1995, July 31, 1996, 370 patients were admitted. Of these patients, 29% died in ICU. Three ICU, 227 alive, 143 agreed participate. Cumulative mortality was calculated using original complete cohort.Demographic data, severity acute illness (Acute...
The aim of this study was to assess psychological morbidity and symptoms burnout in medical students during their undergraduate training, identify baseline factors that predict the final year course. It a 5-year prospective longitudinal cohort study. Students were assessed years 1, 4 5 training by means GHQ-12 Maslach Burnout Inventory. 172 (84.3%), 157 (77.0%) 155 (75.9%) out an original group 204 completed assessments 5, respectively. 18 above threshold on all three occasions, 25 two...
Most patients with irritable bowel syndrome (IBS) are managed in primary care. When first-line therapies for IBS ineffective, the UK National Institute Health and Care Excellence guideline suggests considering low- dose tricyclic antidepressants as second-line treatment, but their effectiveness care is unknown, they infrequently prescribed this setting.
<h3>Abstract</h3> <b>Objectives:</b> To determine the effects of a brief psychological intervention (brief psychodynamic interpersonal therapy) for patients after deliberate self poisoning compared with usual treatment. compare impact active and treatment on patients9 satisfaction care. <b>Design:</b> Randomised controlled trial. <b>Participants:</b> 119 adults who had deliberately poisoned themselves presented to emergency department teaching hospital. <b>Setting:</b> Community based study....
This study was undertaken to measure the prevalence of psychological morbidity, and nature source stress, in first year medical students. Two hundred four students at a university north England were sent postal, self-report questionnaire. They asked complete General Health Questionnaire (GHQ), Stress Incident Record give details their alcohol consumption. A total 172 (84.3%) replied. Thirty-six per cent scored above threshold GHQ, indicating probable disturbance. There no difference between...
The determinants of health-related quality life in inflammatory bowel disease are not completely understood. present study aimed to assess two factors patients with disease: a) whether is independently associated both severity and psychological disorder, b) Crohn's more marked disorder than ulcerative colitis.116/170 (68%) consecutive attending a GI clinic (37 colitis, 75 disease, four unspecified) completed the following self-report questionnaires: demographic details, modified activity...
Background Multisomatoform disorder is characterised by severe and disabling bodily symptoms, pain one of the most common impairing these. Furthermore, these symptoms cannot be explained an underlying organic disorder. Patients with multisomatoform are commonly found at all levels healthcare typically difficult to treat for physicians as well mental health specialists. Aims To test whether brief psychodynamic interpersonal therapy (PIT) effectively improves physical quality life in patients...
It is known that a small number of patients with mental health problems have chronic disorders and account for disproportionate amount costs. This randomized controlled trial evaluated the cost-effectiveness psychodynamic-interpersonal therapy vs treatment as usual in who were unresponsive to treatment.Subjects (N = 110) nonpsychotic 6 months routine specialist enrolled trial. Sixty-three percent women, mean age was 41.4 years, median duration illness 5 68% unemployed or receiving state...
Our relapse rate is similar to that in a trial of nicotine patches (37% between years 1 and 3) 3 study using supportive counselling gum for 5 (40% 5). 4 High rates after year are also common those not attending treatment.A large general population survey estimated 35% from non-validated self reports the duration abstinence. Success or less follow up substantially overestimate lifelong cessation single treatment episode.Contributors: MAHR, GS, JAS designed original study, which GS...
Patients with chronic, refractory irritable bowel syndrome ( n =102) were entered into a randomised controlled trial of psychotherapy versus supportive listening. Independent physical and psychological assessments carried out at the beginning end 12-week trial. For women, was found to be superior listening, in terms an improvement both symptoms. There similar trend for men, but this did not reach significance. Following completion trial, patients control group offered psychotherapy; 33...
INTRODUCTION: Conventionally, patients with irritable bowel syndrome (IBS) are subgrouped based on their predominant habit. Given the relevance of psychological comorbidity to IBS symptoms, our aim was explore an alternative approach subgrouping by incorporating factors beyond stool form and frequency. METHODS: We collected demographic, symptom, health data from 1,375 adult subjects in community who self-identified as having IBS, identifying 2 cohorts meeting either Rome III or IV criteria....