- Mental Health Treatment and Access
- Diabetes Management and Education
- Family Caregiving in Mental Illness
- Cardiac Health and Mental Health
- Digital Mental Health Interventions
- Health, psychology, and well-being
- Diabetes Management and Research
- Schizophrenia research and treatment
- Maternal Mental Health During Pregnancy and Postpartum
- Dialysis and Renal Disease Management
- Health Policy Implementation Science
- Gout, Hyperuricemia, Uric Acid
- Inflammatory Bowel Disease
- Mental Health Research Topics
- Psychosomatic Disorders and Their Treatments
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Microscopic Colitis
- Mindfulness and Compassion Interventions
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Psychiatric care and mental health services
- Case Reports on Hematomas
King's College London
2016-2025
King's College School
2022
University Of Bristol Dental Hospital
2021
iHealth
2019
University of Manchester
2014-2016
Manchester Academic Health Science Centre
2014-2016
University of Kentucky
2008-2010
Loneliness is associated with all-cause mortality and coronary heart disease. However, the prospective relationship between loneliness type 2 diabetes onset unclear.We conducted a longitudinal observational population study data on 4112 diabetes-free participants (mean age 65.02 ± 9.05) from English Longitudinal Study of Ageing. was assessed in 2004-2005 using revised University California, Los Angeles (UCLA) Scale. Incident cases were 2006 to 2017. Associations modelled Cox proportional...
Abstract Background Depression and anxiety are commonly experienced by people with chronic kidney disease (CKD). This study aimed to evaluate person- service-level factors associated depression symptoms. We sought also understand utilisation of mental health treatments preferences for future psychological support. Methods An online survey recruited participants from six UK services varying levels psychosocial provision. The was advertised on social media. Participants completed screening...
Introduction Psychological distress is common in end-stage kidney disease (ESKD) and associated with poorer health outcomes. Cognitive behavioural therapy (CBT) recommended UK clinical guidelines for the management of depression people long-term conditions. Access to skilled therapists competent managing competing mental physical demands ESKD limited. Online CBT treatments tailored needs population offers a pragmatic solution under-resourced services. This study examines feasibility...
BackgroundDepression is three to four times more prevalent in patients with neurological and inflammatory disorders than the general population. For example, multiple sclerosis, 12-month prevalence of major depressive disorder around 25% it associated a lower quality life, faster disease progression, higher morbidity mortality. Despite its clinical relevance, there are few treatment options for depression sclerosis confirmatory trials scarce. We aimed evaluate safety efficacy...
Abstract Background To evaluate the clinical efficacy of COMPASS, a therapist-supported digital therapeutic for reducing psychological distress (anxiety/depression) in people living with long-term physical health conditions (LTCs). Methods A two-armed randomized-controlled trial recruiting from LTC charities. Participants anxiety and/or depression symptoms related to their LTC(s) were randomized (concealed allocation via independent administrator) COMPASS (access 11 tailored modules plus...
Abstract Background Services for patients with kidney disease underwent radical adaptations in response to the COVID-19 pandemic. We undertook an online national survey of UK centres understand nature, range, and degree variation these changes explore factors contributing differing practice. Methods The was designed by a multidisciplinary team professionals, service users researchers. It enquired about centre services staffing, including psychosocial provision, Links were sent all 68...
Depression is common in people with chronic kidney disease, yet little known about how depression identified and managed as part of routine care.
Background Research indicates that treatment outcomes are poorer for people with long-term physical health conditions (LTCs) in Talking Therapies services (formerly known as Improving Access to Psychological Therapies). However, the impact of having an LTC on attendance at assessment and appointments within remains unclear. Internet-enabled therapies may be one way overcome barriers engagement Therapies. their effect influence status receipt internet-enabled is unknown. Aims To explore...
Depression is common in people living with Inflammatory Bowel Disease (IBD). rates increase active disease and are linked to poorer clinical outcomes. Previous studies investigating the relationship between contemporaneous IBD activity depression often poorly controlled, use small samples and/or rely on self-reported measures of activity. (SRDA) increased healthcare usage, however, objective inflammation rarely statistically controlled. The primary aim was understand how related depression....
Abstract Background Individuals with long-term physical health conditions (LTCs) experience higher rates of depression and anxiety. Conventional self-report measures do not distinguish distress related to LTCs from primary mental disorders. This difference is important as treatment protocols differ. We developed a transdiagnostic measure illness-related distress, applicable across LTCs. Methods The new Illness-Related Distress (IRD) scale was through thematic coding interviews, systematic...
Self-compassion and psychological flexibility appear to benefit wellbeing quality of life (QoL) in the general population people with long-term conditions like Type 2 Diabetes (T2D). However, both variables share similarities their unique roles relation distress QoL diabetes over time are not clear.This was a longitudinal study online assessments self-compassion, inflexibility, (depression, anxiety, diabetes-distress), at baseline (T1) six (T2) 12 months (T3).In total, 173 UK adults T2D...
Inefficient and delayed recruitment into clinical trials in Alzheimer disease are major obstacles impeding progress the discovery of more effective therapeutic strategies to combat this disease. Despite widespread recognition problem, limited empirical data demonstrating effectiveness specific available guide endeavors. This study was designed evaluate efforts targeting either primary care health professionals (PCPs) or patients families with a community grass-roots outreach event. The...