- Child and Adolescent Psychosocial and Emotional Development
- Bipolar Disorder and Treatment
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
- Digital Mental Health Interventions
- Family Support in Illness
- Electroconvulsive Therapy Studies
- Infant Health and Development
- Suicide and Self-Harm Studies
- Schizophrenia research and treatment
- Impact of Technology on Adolescents
- Prenatal Substance Exposure Effects
- Resilience and Mental Health
- Neonatal and fetal brain pathology
- Disaster Response and Management
- Child Abuse and Trauma
- Tryptophan and brain disorders
- Adolescent and Pediatric Healthcare
- Early Childhood Education and Development
- Posttraumatic Stress Disorder Research
- Identity, Memory, and Therapy
- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Child and Adolescent Health
- Gun Ownership and Violence Research
Burwood Hospital
2023-2024
University of Otago
2012-2022
Canterbury District Health Board
2019
Princess Margaret Hospital
2013
University of Canterbury
2008
Christchurch Clinical Studies Trust
2006-2007
University of Cambridge
1991
Sutton Hospital
1989
Charing Cross Hospital
1988
<h3>Objectives:</h3> Neurodevelopmental outcomes associated with preterm birth are of major health and educational concern. This study examined the neuromotor, cognitive, language emotional/behavioural a regional cohort 4-year-old children born extremely (EPT: 23–27 weeks' gestation), very (VPT: 28–33 weeks) full term (FT: 38–41 weeks). Of particular interest were children's risks impairment across multiple neurodevelopmental domains. <h3>Methods:</h3> Data gathered as part prospective...
This study describes the development of emotional and behavioral regulation in a regional cohort children born extremely preterm (<28 weeks gestational age, n = 39), very (<34 56), full term (n 103). At 2 4 years, at younger ages demonstrated poorer self-regulation across multiple contexts spanning observed interactions, formal cognitive testing, parental report child behavior home. Among preterm, strongest predictors impairments were presence moderate-to-severe cerebral white matter...
Objective This randomized, controlled clinical trial compared the effect of interpersonal and social rhythm therapy ( IPSRT ) to that specialist supportive care SSC on depressive outcomes (primary), functioning, mania over 26–78 weeks in young people with bipolar disorder receiving psychopharmacological treatment. Methods Subjects were aged 15–36 years, recruited from a range sources, patient groups included I disorder, II not otherwise specified. Exclusion criteria minimal. Outcome measures...
The majority of patients with bipolar disorder have onset prior to twenty years early associated increased impairment. Despite this, little attention has been given the psychosocial developmental impact this disorder. This qualitative study explored having on development a sense self and identity. Key findings from identified that for these participants, had significant in area identity development. Bipolar created experiences confusion, contradiction, doubt which made it difficult...
To assess feasibility of online cognitive behaviour therapy (CBT) for children and adolescents with anxiety in the aftermath a natural disaster.42 clinical referred from primary care were invited to complete an internet CBT program (BRAVE-ONLINE). Outcome measures assessment timelines chosen allow comparison results developers' randomised controlled trials.At 6-month post intervention, more than half (55%) 33 participants assessed, no longer met criteria their disorder. The mean number...
Aims: This paper describes the emotional and behavioural adjustment of children born very preterm (VPT) at early school age. Of particular interest was degree agreement between parents teachers, extent situational (parent or teacher) pervasive teacher reported) problems. Methods: A regionally representative cohort 104 VPT (≤33 weeks gestation) 108 full‐term (FT) during 1998–2000 studied prospectively to age six. At corrected six, child assessed using parent rated strengths difficulties...
Objective: Binocular rivalry refers to a situation where contradictory information is presented simultaneously the same location of each eye. This leads alternation images every few seconds. The rate between has been shown be slower in euthymic participants with bipolar disorder than healthy controls. not uniformly slowed patients and may influenced by clinical variables. present study examined whether have rates, influence depression explored role variables cognitive functions on rate....
Objectives (1) To examine the differences between interpersonal and social rhythm therapy ( IPSRT ) specialist supportive care SSC in longer term impacts of on cumulative depression mania symptoms over a further 78‐week follow‐up period post treatment. (2) calculate survival time before recurrence new mood episode 3‐year period. Methods One hundred young people with bipolar disorder aged 15 36 years who had been randomized to treatment either or for 78 weeks were followed up subsequent...
Recognizing and treating anxiety early is an important public mental health objective. There clinical trial evidence that 'e' therapies are appealing, engaging effective have the potential to improve access treatment. However, their implementation effectiveness in real world settings still emerging. Following a major natural disaster NZ, online therapist assisted CBT programme for children with anxiety, (BRAVE_TA) was made available primary care. Uptake feasibility of BRAVE_TA delivery...
Background: Recently, advances in computer technology have made it possible to deliver evidence-based psychological therapies a computerised self-help format – promising approach the treatment of depression children and adolescents. We examine feasibility acceptability offering SPARX (smart, positive, active, realistic, X-factor thoughts), cognitive behavioural therapy tool an inpatient setting adolescent patients who typically experience greater severity mental illness than previous trials...
To examine the impact of Canterbury earthquakes on important adolescent transition period school leaving. Local and national data leaving age, attainment National Certificate Educational Achievement (NCEA) standards, rolls (total registered students for schools) were examined to clarify long‐term trends delineate these from any impacts earthquakes. Despite concerns about negative impacts, there was no evidence increased disengagement or poorer academic performance by as a consequence...
Accessible summary • The onset of bipolar disorder during adolescence has a serious impact on social and occupational functioning. Parents attributed the in their child to childhood adversity, parenting or substance misuse. often blame themselves for development child. aims this study were examine parental views symptoms, functioning meanings child's disorder. Early impacts across multiple domains. Psychosocial disability fluctuates parallel with changes affective symptoms may significantly...
inder m, crowe moor s, carter j, luty s & joyce p (2011) Journal of Nursing and Healthcare Chronic Illness 3, 427–435 ‘It wouldn’t be me if I didn’t have bipolar disorder’: managing the shift in self-identity with disorder Aims objectives. To explore how is integrated into one’s sense self identity. Method. Two case studies are drawn from a larger randomised controlled trial two psychotherapies for disorder. Data were collected during 18 months psychotherapy 2006 to 2009. The study used...
Objective: To examine the effects of 18 months intensive stabilisation with medication management and Interpersonal Social Rhythm Therapy or Non-specific Supportive Clinical Management on cognitive function in young people bipolar disorder. Determinants change over trial were also examined. Method: Patients aged 15–36 years Bipolar I Disorder, II Disorder Not Otherwise Specified recruited. From a battery tests, scores for pre-defined domains created based performance at baseline follow-up....
Aim. This case study explains how a psychotherapy previously used with adults can be adolescents by focusing on the specific developmental issues associated adolescence. Background. Bipolar disorder is damaging to experience during phase of Interpersonal social rhythm has been developed as an adjunct medication for managing bipolar and shows some promising outcomes in adults. Design. single design drawn from larger randomised control trial two psychotherapies disorder. The addressed...
Objective: Bipolar disorder is a chronic relapsing associated with high rates of suicide, suicide attempts and nonsuicidal self-injury. The study aimed to prospectively identify the self-injury in young people participating an adjunctive randomised controlled psychotherapy for bipolar differences individuals who engaged self-injury, made or did both. Method: In all, 100 participants aged 15–36 years received 78 weeks were followed up further weeks. Data collected using Longitudinal Interval...