- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Child and Adolescent Psychosocial and Emotional Development
- Grief, Bereavement, and Mental Health
- Palliative Care and End-of-Life Issues
- LGBTQ Health, Identity, and Policy
- Health disparities and outcomes
- Psychiatric care and mental health services
- Religion, Spirituality, and Psychology
- Mental Health and Patient Involvement
- Geriatric Care and Nursing Homes
- Phase Equilibria and Thermodynamics
- Health Systems, Economic Evaluations, Quality of Life
- Health, psychology, and well-being
- Mental Health and Psychiatry
- Cardiac Health and Mental Health
- Suicide and Self-Harm Studies
- Migration, Health and Trauma
- Family Caregiving in Mental Illness
- Homelessness and Social Issues
- Eating Disorders and Behaviors
- Cancer survivorship and care
- Adolescent and Pediatric Healthcare
- Down syndrome and intellectual disability research
- Psychotherapy Techniques and Applications
Pfizer (United States)
2024-2025
Trinity College Dublin
2020-2024
University of Glasgow
2024
University College London
2014-2023
Public Health England
2023
MRC Clinical Trials Unit at UCL
2014-2023
Vanderbilt University
2023
National Physical Laboratory
2023
Yale University
2023
University of Leicester
2023
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People with severe mental illness (SMI) appear to have an elevated risk of death from cardiovascular disease, but results regarding cancer mortality are conflicting.To estimate this excess and the contribution antipsychotic medication, smoking, social deprivation.Retrospective cohort study.United Kingdom's General Practice Research Database. Patients Two cohorts were compared: people SMI diagnoses without such diagnoses. Main Outcome Measure Mortality rates for coronary heart disease (CHD),...
Increasing numbers of people will die with dementia, many in the acute hospital. It is often not perceived to be a life-limiting illness.To investigate prevalence dementia older undergoing emergency medical admission and its effect on outcomes.Longitudinal cohort study 617 (aged over 70). The main outcome was mortality risk during admission.Of cohort, 42.4% had (only half diagnosed prior admission). In men aged 70-79, 16.4%, rising 48.8% those 90. women, 29.6% 70-79 75.0% Urinary tract...
Stigma defines people in terms of some distinguishing characteristic and devalues them as a consequence.To describe the relationship stigma with mental illness, psychiatric diagnosis, treatment its consequences for individual.Narrative interviews were conducted by trained users local health services; 46 patients recruited from community day services North London.Stigma was pervasive concern to almost all participants. People psychosis or drug dependence most likely report feelings...
Bipolar disorder and schizophrenia are associated with increased mortality relative to the general population. There is an international emphasis on decreasing this excess mortality.
BackgroundAlthough structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these because poor access in routine primary care. We assessed the effectiveness and cost-effectiveness brief treatment (Healthy Activity Program [HAP]) delivery by lay counsellors to patients with moderately severe depression health-care settings.MethodsIn this randomised controlled trial, we recruited participants aged 18–65...
Background There is concern about the stigma of mental illness, but it difficult to measure consistently. Aims To develop a standardised instrument illness. Method We used qualitative data from interviews with health service users pilot scale 42 items. recruited 193 in order standardise scale. Of these, 93 were asked complete questionnaire twice, 2 weeks apart, whom 60 (65%) did so. Items test–retest reliability kappa coefficient 0.4 or greater retained and subjected common factor analysis....
Background Screening of patients for common mental disorders (CMDs) is needed in primary-care management programmes. This study aimed to compare the screening properties five widely used questionnaires. Method Adult attenders settings India were recruited through systematic sampling. Four questionnaires administered, pairs, random order participants: General Health Questionnaire (GHQ, 12 items); Primary (PHQ, nine Kessler Psychological Distress Scale (K10, 10 items), and from which we could...
People with intellectual disability have a higher prevalence of physical health problems but often experience disparities in accessing care. In England, number legislative changes, policies and recommendations been introduced to improve care access for this population. The aim qualitative study was examine the extent which patients their carers discrimination or other barriers services, whether experiences improved over last decade years.Twenty nine participants (14 patient carer dyads, one...
Teachers have been shown to high levels of stress and common mental disorder, but few studies examined which factors within the school environment are associated with poor teacher health.Teachers (n=555) in 8 schools completed self-report questionnaires. Levels wellbeing (Warwick Edinburgh Mental Wellbeing Scale-WEMWBS) depressive symptoms (Patient Health Questionnaire-PHQ-9) were measured associations between these measures school-related using multilevel multivariable regression models.The...
There has been little research into the prevalence of mental health problems in lesbian, gay and bisexual (LGB) people UK with most work conducted USA.To relate disorder, self-harm suicide attempts to sexual orientation England, test whether psychiatric were associated discrimination on grounds sexuality.The Adult Psychiatric Morbidity Survey 2007 (n = 7403) was representative population living private households. Standardised questions provided demographic information. Neurotic symptoms,...
Background A number of studies in a range samples attest link between childhood sexual abuse and psychosis. Aims To use data from large representative general population sample (Adult Psychiatric Morbidity Survey 2007) to test hypotheses that is linked psychosis, the relationship consistent with mediation by revictimisation experiences, heavy cannabis use, anxiety depression. Method The prevalence psychosis was established operationally cross-sectional survey adult household England ( n =...
Depressive and anxiety disorders (common mental disorders) are the most common psychiatric condition encountered in primary healthcare.To test effectiveness of an intervention led by lay health counsellors care settings (the MANAS intervention) to improve outcomes people with disorders.Twenty-four facilities (12 public, 12 private) Goa (India) were randomised provide either collaborative stepped or enhanced usual adults who screened positive for disorders. Participants assessed at 2, 6...
Intervention studies have found that psychotherapeutic interventions explicitly integrate clients' spiritual and religious beliefs in therapy are as effective, if not more so, reducing depression than those do for clients. However, few empirical examined the effectiveness of religiously (vs. spiritually) integrated psychotherapy, no manualized mental health intervention had been developed medically ill with beliefs. To address this gap, we implemented a novel adaptation cognitive-behavioral...