A5044138661- Digital Mental Health Interventions
- Impact of Technology on Adolescents
- Dementia and Cognitive Impairment Research
- Traumatic Brain Injury Research
- Mental Health Treatment and Access
- Empathy and Medical Education
- Adolescent and Pediatric Healthcare
- Social Media in Health Education
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Mental Health Research Topics
- Personality Disorders and Psychopathology
- Healthcare Policy and Management
- Older Adults Driving Studies
- Peripheral Neuropathies and Disorders
- Multiple Sclerosis Research Studies
- Childhood Cancer Survivors' Quality of Life
- Medical Education and Admissions
- Posttraumatic Stress Disorder Research
- Delphi Technique in Research
- Ophthalmology and Eye Disorders
- Body Image and Dysmorphia Studies
- Epilepsy research and treatment
- Child and Adolescent Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Cannabis and Cannabinoid Research
King's College London
2024
St Mary's Hospital
2023
St. Mary's Hospital
2023
Imperial College London
2023
Bethlem Royal Hospital
2023
South London and Maudsley NHS Foundation Trust
2023
University Hospitals Bristol and Weston NHS Foundation Trust
2022
University Hospitals Bristol NHS Foundation Trust
2022
University of Bristol
2020-2021
University of Oxford
2017-2019
Abstract Rationale Cannabis-based medicinal products (CBMPs) have been identified as novel therapeutics for generalised anxiety disorder (GAD) based on pre-clinical models; however, there is a paucity of high-quality evidence their effectiveness and safety. Objectives This study aimed to evaluate the clinical outcomes patients with GAD treated dried flower, oil-based preparations, or combination both CBMPs. Methods A prospective cohort ( n = 302) enrolled in UK Medical Cannabis Registry...
Digital technologies play an increasingly important role in the lives of young people and have effects on their mental health.We aimed to explore 3 key areas intersection between digital technology health: views experiences clinicians about health; implementation barriers UK national guidance recommendation-that discussion use should form a core part health assessment; how might be used support existing consultations.Two cross-sectional web-based surveys were conducted 2020 June December,...
Online activity has been linked to poor mental health in children and young people, particularly those with existing vulnerability who may inadvertently or otherwise access harmful content. It is suggested social care practitioners should address online during consultations, but guidance about acceptable effective ways do this lacking. This study sought derive good practice support engage people conversations their activities impact on health.A mixed-methods Delphi (consensus) was conducted...
Increasing concerns among mental health care professionals have focused on the impact of young people's use digital technology and social media their well-being. It has been recommended that be routinely explored during clinical consultations with people. Whether these conversations occur how they are experienced by both clinicians people currently unknown.
The online world may provide an alternative means to engage young people and students with suicidal feelings, who are typically reluctant seek help. We aimed map, characterise obtain user evaluation of current suicide support for this group in order assess the usefulness provision how it be improved. conducted a mixed-methods study, comprised internet search, content analysis site features qualitative interviews users: 9 4 general practitioners. Data collection took place 2019 2020 UK. Young...
Abstract Background Mentalizing, the ability to understand self and others as well behaviour in terms of intentional mental states, is impaired Borderline Personality Disorder (BPD). Evidence for mentalizing deficits other disorders, such depression, less robust these links have never been explored while accounting effects BPD on mentalizing. Additionally, it unknown whether symptoms might moderate any relationship between depressive Methods Using multivariate regression modelling...
Following a concussion, approximately 15% of individuals experience persistent symptoms that can lead to functional deficits. However, underlying symptom-clusters persist beyond 12 months have not been adequately characterized, and their relevance deficits are unclear. The aim this study was characterize the clusters prolonged post-concussive lasting more than months, investigate association with impairments.Although hierarchical clustering is ideally suited in evaluating subjective symptom...
Mindstep is an app that aims to improve dementia screening by assessing cognition and risk factors. It considers important clinical factors, including prodromal symptoms, mental health disorders, differential diagnoses of dementia. The 9-item Patient Health Questionnaire for depression (PHQ-9) the 7-item Generalized Anxiety Disorder Scale (GAD-7) are widely validated commonly used scales in anxiety respectively. Shortened versions both (PHQ-2/GAD-2) have been produced.We sought develop a...
Background: There is a lack of evidence to guide treatment comorbid depression and anxiety. Preliminary suggests mirtazapine may be effective in treating patients with both anxiety symptoms. Methods: We undertook secondary analysis (MIR): placebo-controlled trial the addition selective serotonin reuptake inhibitor or serotonin–norepinephrine treatment-resistant (TRD) primary care. subdivided participants into three groups by baseline generalized disorder score (GAD-7): severe (GAD-7 ⩾ 16),...
Abstract Background Digital health technologies are increasingly being used to monitor, assess, and treat depressive symptoms in the community. However, many such rely on screening tools which were originally designed for use primary care clinics, as Patient Health Questionnaire (PHQ-9). These scales symptom-focused do not capture wider experiences of patient. We developed a new screen assessing digital setting. Named Mindstep Mood Cause Examination (MMCE), it was replicate predictive...
<sec> <title>BACKGROUND</title> Increasing concerns among mental health care professionals have focused on the impact of young people’s use digital technology and social media their well-being. It has been recommended that be routinely explored during clinical consultations with people. Whether these conversations occur how they are experienced by both clinicians people currently unknown. </sec> <title>OBJECTIVE</title> This study aimed to explore practitioners’ experiences talking about...
<sec> <title>BACKGROUND</title> Digital technologies play an increasingly important role in the lives of young people and have effects on their mental health. </sec> <title>OBJECTIVE</title> We aimed to explore 3 key areas intersection between digital technology health: views experiences clinicians about health; implementation barriers UK national guidance recommendation—that discussion use should form a core part health assessment; how might be used support existing consultations....
<h3>Objective:</h3> The aim of this study was to characterize the underlying clusters prolonged post-concussive symptoms lasting more than 12 months, and investigate their association with functional impairments. <h3>Background:</h3> Following a concussion, approximately 15% individuals experience persistent that can lead deficits. However, symptom-clusters persist beyond months have not been adequately characterized, relevance deficits are unclear. <h3>Design/Methods:</h3> Although...
Aims The Psychiatry Early Experience Programme (PEEP) is a long-standing scheme, collaboratively run by GKT School of Medical Education and SLaM Trust, which pairs medical students with core psychiatry trainees for clinical shadowing, mentoring educational talks the duration their degree. We aimed to understand motives first year signing up PEEP compare these feedback after one year. Methods Before 2015 2016 academic years we administered an online survey 159 interested in joining PEEP,...
The start date for new junior doctors is referred to as “Black Wednesday,” coined after a 2009 study showed that patients admitted hospital in the first week August had 6-8% higher mortality rate than those last of July.1 As …
<h3></h3> A 59-year-old man presented with acute right-sided neck and arm pain which progressed to right numbness profound hand weakness. On MRI, a longitudinally extensive transverse myelitis affecting the cervical spinal cord extension into medulla was seen. He treated high-dose IV steroids followed by oral modest improvement. Aquaporin-4 autoantibody positivity confirmed neuromyelitis optic spectrum disease (NMOSD). Over previous three years, patient experienced recurrent/three-monthly...
<sec> <title>BACKGROUND</title> Mindstep is an app that aims to improve dementia screening by assessing cognition and risk factors. It considers important clinical factors, including prodromal symptoms, mental health disorders, differential diagnoses of dementia. The 9-item Patient Health Questionnaire for depression (PHQ-9) the 7-item Generalized Anxiety Disorder Scale (GAD-7) are widely validated commonly used scales in anxiety respectively. Shortened versions both (PHQ-2/GAD-2) have been...