- Posttraumatic Stress Disorder Research
- Healthcare professionals’ stress and burnout
- Childhood Cancer Survivors' Quality of Life
- Resilience and Mental Health
- Kawasaki Disease and Coronary Complications
- Family Support in Illness
- Empathy and Medical Education
- Cardiac Health and Mental Health
- Adolescent and Pediatric Healthcare
- Family and Patient Care in Intensive Care Units
- Long-Term Effects of COVID-19
- Child and Adolescent Health
- Cleft Lip and Palate Research
- Family and Disability Support Research
- COVID-19 and Mental Health
- Child Abuse and Trauma
- COVID-19 Clinical Research Studies
- Emergency and Acute Care Studies
- Infant Health and Development
- Blood groups and transfusion
- Palliative Care and End-of-Life Issues
- Glioma Diagnosis and Treatment
- Disaster Response and Management
- Immunodeficiency and Autoimmune Disorders
- Ethics in medical practice
University College London
2009-2025
Great Ormond Street Hospital
2016-2025
St George's Hospital
2025
Epsom and St Helier University Hospitals NHS Trust
2025
Great Ormond Street Hospital for Children NHS Foundation Trust
2016-2024
University College London Hospitals NHS Foundation Trust
2011
University College Hospital
2009-2010
University Hospital of the West Indies
2009
University of Oxford
2006-2008
St Pancras Hospital
2007
To explore the nature of psychosocial adjustment in young people with a cleft as well their parents, within framework Lazarus and Folkman's (1984) transactional model stress coping. DESIGN, PARTICIPANTS, SETTING: A cross-sectional postal questionnaire design study was used, involving aged between 11 16 years parents. There were 145 families from two services participating study.Participants completed measures psychological adjustment, coping, social experiences, satisfaction appearance,...
TO explore the factors that predict psychosocial adjustment in young people with a cleft and their parents. DESIGN, PARTICIPANTS, SETTING: The study used cross-sectional postal questionnaire design involving aged between 11 16 parents from two services. Data are presented for 91 adolescents mothers.Participants completed measures of psychological adjustment, coping, social experiences, satisfaction appearance, stressful life events, cleft-related factors, demographic information.Psychosocial...
Major trauma is a leading cause of death and disability in children young people (CYP) the United Kingdom (UK). Since 2012, major centres (MTCs) have been created with specialist expertise to treat patients suffering lifechanging injuries. Much research has focused on physical recovery patients; however, psychological psychosocial impacts are significant often neglected/deprioritised. Less known about this area relation paediatric population. This service evaluation reports first year an...
Despite children and young people (CYP) with cancer having elevated mental health needs, accessing evidence-based psychological support remains difficult. Delivering low-intensity cognitive behavioural therapy (LICBT) to CYP could increase access support. This qualitative study aimed understand the views of key clinician stakeholders regarding potential facilitators barriers implementation LICBT in paediatric services. Semi-structured interviews were conducted 39 professionals working...
Abstract Objectives This study aimed to: (1) investigate the degree to which older MI patients experienced post‐MI PTSD and general health problems, (2) identify association between five personality traits, problems among these people. Methods The sample comprised 96 were recruited from two practices. They interviewed using Posttraumatic Stress Diagnostic Scale (PDS), General Health Questionnaire‐28 (GHQ‐28) NEO‐Five Factor Inventory (NEO‐FFI). control group 92 people who no MI. assessed...
This study aimed to investigate co-morbidity and coping strategies among older patients who suffer from different levels of posttraumatic stress disorder (PTSD) following myocardial infarction. Ninety-six infarction (MI) were recruited two general practices completed the Posttraumatic Stress Diagnostic Scale (PDS), General Health Questionnaire-28 (GHQ-28) COPE Scale. Ninety-two with no previous MI experience constituted control. Using PDS, 30, 42 28% had full, partial no-PTSD respectively....
In Western society, identity formation is argued to be one of the key developmental tasks adolescence. Despite implications for adolescent development, research into chronic illness (CI) onset during this period has been notably sparse. This study aimed explore how diagnosis impacts on adolescence, what role adolescent-onset CI plays in formation, and adolescents incorporate their using a narrative analysis. Individual semi-structured interviews were carried out with eight young people aged...
This study aimed to investigate the interrelationship between trauma exposure characteristics of myocardial infarction (MI), MI patients' personality traits, coping strategies, post-MI PTSD, and general psychological distress.One hundred twenty patients were recruited from two practices. The interviewed using a experience questionnaire completed Posttraumatic Stress Diagnostic Scale (PDS), General Health Questionnaire-28 (GHQ-28), NEO-Five Factor Inventory (NEO-FFI), COPE Scale.Neuroticism...
Summary Childhood ITP is often considered to be a relatively mild haematological disorder, with only minority of patients requiring treatment for troublesome bleeding. Over recent years, wider effects the condition have been identified in some adults, particularly relating fatigue and cognitive impairment. In this study, we sought investigate such group children further our understanding their psychological profile. Children attending routine haematology outpatient clinics parents were asked...
Caring for a child with life-limiting condition brings number of challenges and many families require additional support. The need services to move away from 'one size fits all' approach personalised care planning is well recognised, as the value establishing robust way assessing family members' differing needs. A assessment tools that consider individuals' holistic needs already exist. These are predominantly adult cancer population exclude consideration in its system. There was therefore...
Background There is little understanding of the mental health impact for young people with long-term physical conditions and professionals’ experiences supporting them during COVID-19. This service evaluation aimed to conduct a survey psychological services provided by professionals in paediatric hospital relation Method Clinical psychologists assistant ( n = 76) across were asked complete survey, asking about their perceptions COVID-19’s on patients families providing support Open-ended...
<h3>Background</h3> Technological advances have decreased PICU mortality but increased the number of children surviving with disability or technologically-dependent. Death in most frequently follows withdrawal life-sustaining therapy (LST), increasingly after prolonged admissions for invasive organ support. Disagreements families about cessation (LST) can be protracted, distressing everyone, harmful to child and ultimately require court adjudication. Little is known impact this, that...
Purpose: In the paediatric population there are two conditions associated with COVID-19 infection: Paediatric Multisystem Inflammatory Syndrome (PIMS-TS) and Long-COVID. The emerging clinical picture of children young people (CYP) affected by has highlighted vital role Allied Health Professionals (AHP’s) psychologists have in supporting rehabilitation. Therefore, it is imperative that AHP’s Psychologists working across all sectors knowledge, experience training to meet rehabilitation needs...
Paediatric Multisystem Inflammatory Syndrome (PIMS-TS) is a novel condition that was identified for the first time during COVID-19 pandemic. Limited research exists describes psychological needs of children and young people (CYP) following an acute hospital admission PIMS-TS.
Background: Paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS), a new, rare post-infectious complication of SARS-CoV-2, was first defined by the Royal College Paediatrics and Child Health in April 2020. The natural history PIMS-TS is unknown. Methods: Children (<18 years old) meeting diagnostic criteria for were followed up multidisciplinary team specialists at regular intervals over 6 months after their acute admission. Findings: 46 children...
<h3>Background</h3> Paediatric Multisystem Inflammatory Syndrome Temporally Associated with SARS-CoV-2 (PIMS-Ts) is a rare inflammatory condition affecting children and young people (CYP). Many CYP report behavioural/mood changes, concentration difficulties increased isolation, which for some occurred following an admission to intensive care. This workshop aimed reduce CYPs' experiences of isolation using strength-based Narrative Therapy group approach. <h3>Methods</h3> The was...
<h3>Background</h3> Paediatric Inflammatory Multisystem Syndrome (PIMS-TS) is a rare inflammatory condition affecting children and young people (CYP) weeks after infection with the COVID-19 virus. The aim of this study was to understand potential psychological needs these families. <h3>Methods</h3> PIMS-TS patients their parents admitted hospital between April 2020 May 2021 were reviewed by psychologist 6–8 post discharge, as part clinical care. Young over age 7 asked complete 2 measures for...
The pandemic has resulted in an unprecedented amount of attention being given to the psychological wellbeing healthcare staff. But role interventions been controversial, particularly context debriefing. This paper sets out reflections a group psychologists involved delivering these for many years together with suggestions how we move forward.
Aims & Objectives: ICU mortality has decreased, but severe disability/technological-dependence is prevalent in survivors and death most often follows withdrawal of life-sustaining therapy (WLST) following prolonged admission. Disagreements with parents about WLST can be protracted, distressing for everyone, harmful to the child ultimately require court. Little known impact this, associated social/other media campaigns, on staff. Methods 50 staff (39 nurses; 9 doctors, 2 AHPs) surveyed using...