A5037570506- Posttraumatic Stress Disorder Research
- Traumatic Brain Injury Research
- Child Abuse and Trauma
- Psychiatric care and mental health services
- Resilience and Mental Health
- Mental Health Treatment and Access
- Migration, Health and Trauma
- Child and Adolescent Psychosocial and Emotional Development
- Suicide and Self-Harm Studies
- Digital Mental Health Interventions
- Psychosomatic Disorders and Their Treatments
- Gambling Behavior and Treatments
- Substance Abuse Treatment and Outcomes
- Homelessness and Social Issues
- Psychotherapy Techniques and Applications
- Grief, Bereavement, and Mental Health
- Mental Health Research Topics
- Attachment and Relationship Dynamics
- Sleep and Work-Related Fatigue
- Counseling Practices and Supervision
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Family Caregiving in Mental Illness
- Child Therapy and Development
- Climate Change and Health Impacts
- Education and Military Integration
Cardiff and Vale University Health Board
2010-2025
Cardiff University
2005-2023
National Health Service Wales
2015-2023
Centre for Mental Health
2023
University Hospital of Wales
2002-2019
The Priory Hospital
2001
At Bristol
2001
Surgical Materials Testing Laboratory
2000
Glanrhyd Hospital
1992
Background: Post-traumatic stress disorder (PTSD) is a major cause of morbidity amongst active duty and ex-serving military personnel. In recent years increasing efforts have been made to develop more effective treatments. Objective: To determine which psychological therapies are efficacious in treating personnel with post-traumatic (PTSD). Method: A systematic review was undertaken according Cochrane Collaboration Guidelines. The primary outcome measure reduction PTSD symptoms the secondary...
To determine if guided internet based cognitive behavioural therapy with a trauma focus (CBT-TF) is non-inferior to individual face-to-face CBT-TF for mild moderate post-traumatic stress disorder (PTSD) one traumatic event.
There are numerous barriers that limit access to evidence-based treatment for posttraumatic stress disorder (PTSD). Internet-based guided self-help is a option may help widen effective intervention, but the approach has not been sufficiently explored of PTSD.Forty two adults with DSM-5 PTSD mild moderate severity were randomly allocated internet-based up 3 h therapist assistance, or delayed control group. The program included eight modules focused on psychoeducation, grounding, relaxation,...
We set out to investigate the association between negative trauma-related cognitions, emotional regulation strategies, and attachment style complex post-traumatic stress disorder (CPTSD). As evidence regarding treatment of CPTSD is emerging, investigating psychological factors that are associated with can inform adaptation or development effective interventions for CPTSD.A cross-sectional design was employed. Measures CPTSD, emotion were completed by a British clinical sample trauma-exposed...
Background: PTSD self-report measures are frequently used in mental health services but very few have been evaluated clinical samples that include civilians. The PCL-5 was developed to assess for DSM-5 PTSD.Objective: aim of this study evaluate the psychometric properties a sample trauma-exposed service users who were evidencing symptoms PTSD.Method: Reliability and validity investigated 273 participants reported past diagnosis or had screened positively traumatic stress symptoms. Diagnostic...
Abstract Current longitudinal disaster studies usually focus only on posttraumatic stress disorder (PTSD), although some have shown that increased risks for other disorders and comorbidity is common. To obtain an insight into the course of postdisaster psychopathology, a community sample survivors Enschede fireworks was followed from 2–3 weeks to 4‐years postdisaster. Diagnostic interviews (Composite International Interview [CIDI]; World Health Organization, 1997) childhood stressor were...
To explore the potential efficacy of multi-modular motion-assisted memory desensitization and reprocessing (3MDR) in British military veterans with treatment-resistant service-related PTSD.Exploratory single-blind, randomized, parallel arm, cross-over controlled trial nested process evaluation to assess fidelity, adherence factors that influence outcome.A total 42 participants (all male) were randomized 83% retention at 12 weeks 86% 26 weeks. The difference mean Clinician-Administered PTSD...
Military service, mental health, and gambling activities motivations as predictors of problem in a sample UK AF veterans. Age-and-gender matched veterans (n = 1,037) non-veterans 1,148) completed an online survey gambling, motivation, health (depression anxiety), posttraumatic stress disorder (PTSD). Past year rates were higher compared to non-veterans. Veteran status predicted increased risk. The relationship between cope with distress was significantly stronger among Veterans experiencing...
Objectives To explore in‐depth the views on Internet‐based psychological therapies and their implementation from perspective of National Health Service (NHS) commissioners managers. Design Qualitative interview study. Method Ten NHS managers participated in a semi‐structured, co‐produced interview. Each transcribed was double‐coded thematically analysed using The Framework Method. Results Interviews generated three main themes. (1) Capacity issues across therapy services create barriers to...
Background: Guided internet-based, cognitive behavioural therapy with a trauma-focus (i-CBT-TF) is recommended in guidelines for post-traumatic stress disorder (PTSD). There limited evidence regarding its acceptability, significant dropout from individual face-to-face CBT-TF, suggesting non-acceptability at least some cases.Objective: To determine the acceptability of guided internet-based CBT-TF intervention, 'Spring', comparison mild to moderate PTSD.Method: Treatment adherence,...
There is good evidence that trauma-focused therapies for Post-Traumatic Stress Disorder are effective. However, they not always feasible to deliver due a shortage of trained therapists and demands on the patient. An online Guided Self-Help (GSH) programme which could overcome these barriers has shown promise in pilot study. This study will be first evaluate GSH against standard face-to-face therapy assess its suitability use NHS. The large-scale multi-centre pragmatic randomised controlled...
Internationally, problem gambling is elevated in Armed Forces veterans compared to the general population. Here, we re-examined prevalence of and non-veterans residing England using an established large dataset investigated whether was associated with length service, common mental health disorders, substance abuse, or financial management history. Using 2007 Adult Psychiatric Morbidity Survey, 257 post-national service 514 age- sex-matched controls were compared. Veterans had significantly...
Abstract Studies of posttraumatic stress disorder (PTSD) have predominantly focused on victims trauma. Some studies examined the after‐effects a person's own violent actions in combat or police situations. However, there is sparsity literature examining development PTSD convicted perpetrators crime, and no concerning treatment such perpetrators. This single‐case study presents outcome behavioral one case which patient had consequential to being perpetrator manslaughter. The theoretical...
Trauma focused cognitive behavioural therapy (TFCBT) is recommended as a first line treatment for post traumatic stress disorder (PTSD). Unfortunately, it not widely available, often resulting in long waits sufferers. We attempted to overcome this through pilot feasibility study of brief training and supervision with group mental health professionals (MHPs). The MHPs attended structured weekly clinical adhering model supervision. Eleven PTSD sufferers were treated during the phase. Davidson...
Background: Anxiety disorders are extremely common and regularly treated in group settings. At present there is limited evidence for the effectiveness of anxiety management courses.Aims: To examine relative efficacies a six week cognitive behavioural adult education evening class, traditional waiting list treatment disorders.Method: Individuals with DSM IV disorder were randomized to either therapy class (Stress Control), or control condition. Both active treatments lasted 2 hours per 6...