2023 |
Warren JM, Hanstock TL, Hunt SA, Halpin SA, Warner-Metzger CM, Gurwitch R, 'Utilizing Parent-Child Interaction Therapy with Trauma-Directed Interaction in a Young Male in Out of Home Care Who Had Experienced Trauma', CLINICAL CASE STUDIES, 22 240-266 (2023) [C1]
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Nova |
2022 |
Warren JM, Halpin SA, Hanstock TL, Hood C, Hunt SA, 'Outcomes of Parent-Child Interaction Therapy (PCIT) for families presenting with child maltreatment: A systematic review', Child Abuse and Neglect, 134 (2022) [C1]
Background: The developmental consequences of childhood trauma for young children are extensive and impact a diverse range of areas. Young children require treatments that conside... [more]
Background: The developmental consequences of childhood trauma for young children are extensive and impact a diverse range of areas. Young children require treatments that consider their developmental stage and are inclusive of caregiver involvement. Parent-Child Interaction Therapy (PCIT), with its dyadic focus and developmental sensitivity, is uniquely positioned to offer therapeutic support to young children and their families. Aim: The current study aimed to conduct a systematic review of the current literature on PCIT and trauma and determine treatment outcomes for children and caregivers. Method: A systematic review of five electronic databases was undertaken. Studies that utilized PCIT to treat a population who had experienced trauma were included in the review regardless of study design. Results: PCIT was used to treat a population who had experienced trauma in 40 studies. PCIT was an effective treatment in improving a variety of child and parent outcomes in this population including reduced parenting stress, child behavior problems, child trauma symptoms, parental mental health concerns, negative parenting strategies, and reducing potential risk of recidivism of abuse and neglect. These findings should be taken with caution given attrition rates and potential for bias in the study samples. Discussion: Clinicians should consider PCIT as a potential treatment for children who have experienced trauma and their families. Future research should incorporate corroborative sources of information, assessment of caregiver and child trauma symptoms, examination of permanency outcomes, and consider standardization of PCIT modifications for child trauma to determine treatment in this population of children.
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Nova |
2022 |
Warren JM, Hanstock T, Hunt S, Halpin S, 'Parent-Child Interaction Therapy for a 3-Year-Old Girl With Post-Traumatic Stress Disorder: Restoration to Her Father's Care Following a Period in Out-of-Home Care', CLINICAL CASE STUDIES, 21 132-151 (2022) [C1]
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Nova |
2022 |
Skelton E, Lum A, Cooper LE, Barnett E, Smith J, Everson A, et al., 'Addressing smoking in sheltered homelessness with intensive smoking treatment (ASSIST project): A pilot feasibility study of varenicline, combination nicotine replacement therapy and motivational interviewing', Addictive Behaviors, 124 (2022) [C1]
Background: This pilot study aimed to test the feasibility of providing varenicline in combination with nicotine replacement therapy (NRT) and motivational interviewing (MI) to ad... [more]
Background: This pilot study aimed to test the feasibility of providing varenicline in combination with nicotine replacement therapy (NRT) and motivational interviewing (MI) to adult male smokers attending a clinic in a hostel for homeless people. Methods: A single group pre- and post-treatment (12 weeks following intervention commencement) design with embedded process evaluation (at weekly counselling and fortnightly safety check-ins). Participants were 20 male smokers attending a health clinic within a homelessness service in Sydney, Australia, between December 2019 and March 2020. Participants set a target quit date 7-days post intervention commencement. Adverse events, self-reported abstinence, cigarettes per day, treatment adherence and acceptability of the study interventions were assessed 12 weeks post intervention commencement. Abstinence was biochemically verified. Results are complete cases. Results: Retention was 65% at 12-weeks post-intervention commencement (n = 13). No related adverse events were reported. Three participants (15%) reported continuous abstinence. Two participants self-reported 30-day point prevalence abstinence (10%), confirmed by CO level. Participants who did not quit smoking (n = 10), reported a significant reduction in the number of cigarettes smoked per day (19.4 vs 4.7, p < .01). Cravings, withdrawal symptoms, and psychological distress significantly decreased from baseline to 12-week follow-up (all < 0.01). Adherence to the pharmacological interventions was good, most used combination NRT and varenicline. Adherence to the counselling sessions was low, attending three of 12 sessions. Both NRT and MI were rated as highly acceptable. Some participants expressed concerns about the safety of varenicline. Conclusions: The intervention was feasible and acceptable and associated with short-term smoking cessation and significant reductions in the number of cigarettes smoked-per-day.
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Nova |
2022 |
Hambleton AL, Hanstock TL, Halpin S, Dempsey C, 'Initiation, meaning and cessation of self-harm: Australian adults retrospective reflections and advice to adolescents who currently self-harm', Counselling Psychology Quarterly, 35 260-283 (2022) [C1]
Self-harm remains a major health issue, particularly for adolescents. This qualitative study explored the reflections of adults who had self-harmed during adolescence. Foci includ... [more]
Self-harm remains a major health issue, particularly for adolescents. This qualitative study explored the reflections of adults who had self-harmed during adolescence. Foci included reasons for commencing and ceasing self-harm, as well as the perceived meaning of the self-harm and advice they would provide to adolescents currently engaging in self-harm. Participants included 185 adults aged 18 to 61¿years, who had self-harmed at least once in adolescence. Participants responded to four qualitative questions that were part of a larger survey. Participants¿ responses were analyzed using either directed or conventional content analysis. Participants reported ambivalence about their self-harm with coexisting feelings of shame along with a recognition of the functions served by the behavior. The most frequently reported reasons for cessation included changes in personal relationships, frustration with shame, and receiving professional treatment. Most participants encouraged adolescents currently self-harming to seek help and to develop alternative coping mechanisms, although harm minimization also emerged as a theme. These findings are compared to international findings on reasons for initiation and cessation of self-harm as well as the advice for others. These insights may guide clinicians¿ understanding of motivations for adolescent self-harm and effective management of this behavior.
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Nova |
2021 |
Challacombe CL, Halpin SA, 'The influence of contact with mental health services on carers' help-seeking attitudes: contribution of stigma and affective state', JOURNAL OF MENTAL HEALTH, 31 75-82 (2021) [C1]
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Nova |
2020 |
Halpin SA, Duffy NM, 'Predictors of non-suicidal self-injury cessation in adults who self-injured during adolescence', Journal of Affective Disorders Reports, 1 (2020) [C1]
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Nova |
2020 |
Giles A, Nasstasia Y, Baker A, Kelly B, Dascombe B, Halpin S, et al., 'Exercise as Treatment for Youth With Major Depression: The Healthy Body Healthy Mind Feasibility Study', Journal of psychiatric practice, 26 444-460 (2020) [C1]
The goals of this study were to determine the feasibility of engaging youth with major depressive disorder (MDD) in a multimodal exercise intervention (Healthy Body Healthy Mind) ... [more]
The goals of this study were to determine the feasibility of engaging youth with major depressive disorder (MDD) in a multimodal exercise intervention (Healthy Body Healthy Mind) plus usual care and to evaluate the magnitude of its effects on psychological, physical fitness, and biomarker outcomes to inform a future randomized controlled trial. Youth (15 to 25¿y of age) with MDD diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) were eligible to participate. Feasibility measures included recruitment, retention, and program adherence rates. The exercise program consisted of a single session of motivational interviewing to enhance exercise adherence, then 1-hour, small-group supervised exercise sessions 3 times per week for 12 weeks. Assessments were administered at baseline and at 12 weeks. Depression symptoms were assessed using the Beck Depression Inventory (BDI-II). Physical fitness and blood biomarkers were also measured. Three males and 10 females with MDD, who were 18 to 24 years of age, participated. Retention at 12 weeks was 86%, and attendance at exercise sessions averaged 62%±28%. After 12 weeks, 69% of participants experienced a remission of MDD based on the SCID. Mean BDI-II scores decreased from 31.9±9.1 to 13.1±10.1 [Cohen d effect size (ES)=1.96]. Improvements were observed in upper (ES=0.64) and lower (ES=0.32) body muscular endurance. Exercise session attendance was moderately correlated with changes in BDI-II scores (Pearson r=0.49). It appears feasible to attract and engage some youth with MDD in an exercise intervention. The positive impact on depression symptoms justifies further studies employing exercise interventions as an adjunct to routine care for young people with MDD.
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Nova |
2020 |
Kunaharan S, Halpin S, Sitharthan T, Walla P, 'Do Varying Levels of Exposure to Pornography and Violence Have an Effect on Non-Conscious Emotion in Men?', Archives of Sexual Behavior, 49 1215-1229 (2020) [C1]
As we are often inundated with images of violence and pornography in modern times with the aid of mobile devices and unrestricted online access and content, the non-conscious effe... [more]
As we are often inundated with images of violence and pornography in modern times with the aid of mobile devices and unrestricted online access and content, the non-conscious effect of such exposure is an area of concern. To date, many clinicians and researchers in behavioral sciences rely on conscious responses from their clients to determine affective content. In doing so, they overlook the effect the non-conscious has on an individual¿s emotions. The present study aimed to examine variations in conscious and non-conscious responses to emotion-inducing images following varying amounts of exposure to violent and pornographic images. Eighteen participants who self-reported as being low pornography users were presented with emotion-inducing images after no exposure (Session 1), after one round of exposure to 50 pornographic and 50 violent images (Session 2) and after a further nine rounds of exposure to 50 pornographic and 50 violent images (Session 3). Sessions were temporally separated by at least 2¿days while startle reflex modulation (SRM) and scalp-recorded event-related potentials (ERPs) were used to determine non-conscious emotion-related responses to pre-evaluated emotion pictures. Explicit valence and arousal ratings were assessed for each of those emotion pictures to determine conscious emotion effects potentially changing as a function of increasing controlled exposure to pornographic and violent visual material. Conscious explicit ratings and SRM amplitudes revealed no significant difference between the sessions. However, frontal ERP analysis revealed significant changes between processing of ¿violent¿ and ¿unpleasant¿ images at later ERP time windows, further supporting the growing body of research which shows that relying on self-report data does not result in a full understanding of emotional responses.
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Nova |
2020 |
Murray EG, Isbister GK, McCrabb S, Halpin SA, Bonevski B, 'An examination of factors associated with tobacco smoking amongst patients presenting with deliberate self-poisoning', Journal of Affective Disorders, 260 544-549 (2020) [C1]
Background: Understand factors related to related to tobacco smoking amongst individuals who present with deliberate self-harm is important. This article explores the relationship... [more]
Background: Understand factors related to related to tobacco smoking amongst individuals who present with deliberate self-harm is important. This article explores the relationship between tobacco use with mental health diagnoses and substance use in a cohort of overdose admissions. Methods: Secondary analysis of an existing health service database with 7133 patients admitted for deliberate self-poisonings from 1997 to 2013 was conducted. A data collection form was used on admission to capture information on patient demographics, drugs ingested, use of drugs of misuse, regular medications and management and complications of poisoning. The data was analysed using a multiple logistic regression model. Results: Within a deliberate self-poisoning population, those diagnosed with: an amphetamine substance use disorder (OR = 1.84, p <.001), alcohol use disorder (OR = 1.68, p <.001), other substance use disorder (OR = 1.77, p <.001), psychotic diagnoses (OR = 1.17, p =.032), or had a history of self-harm (OR = 1.15, p =.011) were more likely to be a current tobacco smoker. Those who were older (OR = 0.99, p <.001) or diagnosed with a mood disorder (OR = 0.87, p =.018) were less likely to smoke tobacco. Limitations: The study was unable to differentiate between suicide attempts and self-harm self-poisonings. Conclusions: Among a deliberate self-poisoning population those who were younger, diagnosed with a variety of substance use disorders, or had a history of previous self-poisoning were more likely to use tobacco. Those with a mood disorder were less likely to smoke tobacco.
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Nova |
2019 |
Murray R, Baker A, Halpin S, Britton B, McCarter K, Palazzi K, Beck AK, 'Therapeutic Alliance Between Dietitians and Patients With Head and Neck Cancer: The Effect of Training in a Health Behavior Change Intervention', ANNALS OF BEHAVIORAL MEDICINE, 53 756-768 (2019) [C1]
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Nova |
2019 |
Kunaharan S, Halpin S, Sitharthan T, Walla P, 'Do EEG and Startle Reflex Modulation Vary with Self-Reported Aggression in Response to Violent Images?', BRAIN SCIENCES, 9 (2019) [C1]
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Nova |
2019 |
Nasstasia Y, Baker AL, Lewin TJ, Halpin SA, Hides L, Kelly BJ, Callister R, 'Differential treatment effects of an integrated motivational interviewing and exercise intervention on depressive symptom profiles and associated factors: A randomised controlled cross-over trial among youth with major depression', Journal of Affective Disorders, 259 413-423 (2019) [C1]
Background: Exercise is increasingly recognised as an efficacious intervention for major depressive disorder (MDD) but to our knowledge differential treatment effects on depressiv... [more]
Background: Exercise is increasingly recognised as an efficacious intervention for major depressive disorder (MDD) but to our knowledge differential treatment effects on depressive symptom profiles (cognitive, somatic and affective) and associated changes in psychological, physiological and behavioural factors have not been examined among youth with MDD. Methods: Sixty-eight participants (mean age 20.8) meeting DSM-IV diagnostic criteria for MDD were randomised to an Immediate intervention or Control/delayed condition (n = 34 per group). The integrated intervention comprised an initial session of motivational interviewing (MI) followed by a 12-week, multi-modal exercise program. Changes in depressive symptom profiles were assessed with the Beck Depression Inventory-II (BDI-II) total score and factorial symptom subscales. Results: There were significant differential improvements in BDI-II total scores post-treatment among intervention participants, which were also observed across the cognitive and affective subscales. Individual BDI-II items from the cognitive subscale showing significant differential improvement related to negative self-concept, while those from the affective subscale related to interest/activation; the energy item within the somatic subscale also revealed significant differential improvement. Significant differential improvements were also observed in exercise participation, negative automatic thoughts, behavioural activation and bench press repetitions among intervention participants, which correlated significantly with depression improvements. Limitations: The exercise intervention was delivered in a supervised, group format and potential social meditators of change cannot be excluded. Conclusions: Exercise differentially effects depressive symptom profiles with similar antidepressant effects as would be expected from psychological therapies improving negative cognition and emotional health.
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Nova |
2019 |
Clark V, Conrad AM, Lewin TJ, Baker AL, Halpin SA, Sly KA, Todd J, 'Addiction Vulnerability: Exploring Relationships Among Cigarette Smoking, Substance Misuse, and Early Psychosis', Journal of Dual Diagnosis, 14 78-88 (2019) [C1]
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Nova |
2019 |
Nasstasia Y, Baker AL, Lewin TJ, Halpin SA, Hides L, Kelly BJ, Callister R, 'Engaging youth with major depression in an exercise intervention with motivational interviewing', Mental Health and Physical Activity, 17 (2019) [C1]
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Nova |
2018 |
McCarter KL, Baker A, Britton B, Halpin S, Beck A, Carter G, et al., 'Head and neck cancer patient experience of a new dietitian-delivered health behaviour intervention: "You know you have to eat to survive ', SUPPORTIVE CARE IN CANCER, 26 2167-2175 (2018) [C1]
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Nova |
2018 |
McCarter KL, Baker A, Britton B, Beck A, Carter G, Bauer J, et al., 'Effectiveness of clinical practice change strategies in improving dietitian care for head and neck cancer patients according to evidence based clinical guidelines: A stepped wedge randomised controlled trial.', Translational Behavioral Medicine, 8 166-174 (2018) [C1]
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Nova |
2018 |
Nasstasia Y, Baker AL, Halpin SA, Hides L, Lewin TJ, Kelly BJ, Callister R, 'Evaluating the efficacy of an integrated motivational interviewing and multi-modal exercise intervention for youth with major depression: Healthy Body, Healthy Mind randomised controlled trial protocol', Contemporary Clinical Trials Communications, 9 13-22 (2018) [C1]
Background Recent meta-analytic reviews suggest exercise can reduce depression severity among adults with major depressive disorder (MDD); however, efficacy studies with depressed... [more]
Background Recent meta-analytic reviews suggest exercise can reduce depression severity among adults with major depressive disorder (MDD); however, efficacy studies with depressed youth are limited. Few studies have investigated the efficacy of multi-modal exercise interventions in this population, addressed treatment engagement, or explored the differential effects of exercise on depressive symptom profiles. Objectives This paper describes the study protocol and recruitment pattern for an assessor blinded, two-arm randomised controlled trial investigating the efficacy of an integrated motivational interviewing (MI) and multi-modal exercise intervention in youth diagnosed with MDD. Associations between depressive symptom profiles (cognitive, somatic and affective) and psychological, physiological (fitness), and biological (blood biomarker) outcomes will also be examined. Methods Participants aged 15¿25 years with current MDD were recruited. Eligible participants were randomised and stratified according to gender and depression severity to either an immediate or delayed (control) group. The immediate group received a brief MI intervention followed by a 12-week small group exercise intervention (3 times per week for 1 h), all delivered by personal trainers. The delayed control group received the same intervention 12-weeks later. Both groups were reassessed at mid-treatment or mid-control, post-treatment or post-control, and follow-up (12 weeks post-treatment). Results 68 participants were recruited and randomly allocated to an intervention group. Conclusion This trial will increase our understanding of the efficacy of multi-modal exercise interventions for depression and the specific effects of exercise on depressive symptom profiles. It also offers a novel contribution by addressing treatment engagement in exercise efficacy trials in youth with MDD.
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Nova |
2018 |
Denham A, Halpin S, Twyman L, Guillaumier A, Bonevski B, 'Prevent 2nd stroke: a pilot study of an online secondary prevention program for stroke survivors', Australian and New Zealand Journal of Public Health, 42 484-490 (2018) [C1]
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Nova |
2018 |
McCarter K, Baker A, Britton B, Wolfenden L, Wratten C, bauer J, et al., 'Smoking, drinking, and depression: comorbidity in head and neck cancer patients undergoing radiotherapy', Cancer Medicine, 7 2382-2390 (2018) [C1]
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Nova |
2018 |
Stain H, Halpin S, Baker A, Startup M, Carr V, Schall U, et al., 'The impact of rurality and substance use on young people at ultra-high risk for psychosis', Early Intervention in Psychiatry, 12 1173-1180 (2018) [C1]
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Nova |
2018 |
McCarter K, Britton B, Baker AL, Halpin SA, Beck AK, Carter G, et al., 'Interventions to improve screening and appropriate referral of patients with cancer for psychosocial distress: Systematic review', BMJ Open, 8 (2018) [C1]
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Nova |
2017 |
Kunaharan S, Halpin S, Sitharthan T, Bosshard S, Walla P, 'Conscious and Non-Conscious Measures of Emotion: Do They Vary with Frequency of Pornography Use?', APPLIED SCIENCES-BASEL, 7 (2017) [C1]
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Nova |
2017 |
Conrad AM, Lewin TJ, Sly KA, Schall U, Halpin SA, Hunter M, Carr VJ, 'Utility of risk-status for predicting psychosis and related outcomes: evaluation of a 10-year cohort of presenters to a specialised early psychosis community mental health service', Psychiatry Research, 247 336-344 (2017) [C1]
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Nova |
2017 |
Finch B, Gilligan DG, Halpin SA, Valentine ME, 'The Short- to Medium-Term Predictive Validity of Static and Dynamic Risk-of-Violence Measures in Medium- to Low-Secure Forensic and Civil Inpatients', PSYCHIATRY PSYCHOLOGY AND LAW, 24 410-427 (2017) [C1]
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Nova |
2017 |
Nasstasia Y, Baker AL, Halpin SA, Lewin TJ, Hides L, Kelly BJ, Callister R, 'Pilot Study of an Exercise Intervention for Depressive Symptoms and Associated Cognitive-Behavioral Factors in Young Adults with Major Depression', Journal of Nervous and Mental Disease, 205 647-655 (2017) [C1]
This study assesses the feasibility of integrating motivational interviewing (MI) with an exercise intervention. It also explores patterns of depressive symptom changes (cognitive... [more]
This study assesses the feasibility of integrating motivational interviewing (MI) with an exercise intervention. It also explores patterns of depressive symptom changes (cognitive, affective, and somatic subscales) and their relationship to cognitive, behavioral, and immunological factors (interleukin 6, IL-6, a marker for inflammation) across the exercise intervention. Twelve young adults (20.8 ± 1.7 years) meeting DSM-IV criteria for major depressive disorder received a brief MI intervention followed by a 12-week exercise intervention. Assessments were conducted preintervention, postintervention, throughout the intervention, and at follow-up. Preliminary results show differential effects of exercise, with the largest standardized mean improvements for the affective subscale (-1.71), followed by cognitive (-1.56) and somatic (-1.39) subscales. A significant relationship was observed between increased behavioral activation and lower levels of IL-6. Despite study limitations, the magnitude of changes suggests that natural remission of depressive symptoms is an unlikely explanation for the findings. A randomized controlled trial has commenced to evaluate effectiveness of the intervention.
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Nova |
2016 |
McCarter K, Martinez U, Britton B, Baker A, Bonevski B, Carter G, et al., 'Smoking cessation care among patients with head and neck cancer: a systematic review', BMJ OPEN, 6 (2016) [C1]
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Nova |
2016 |
Ward SK, Turner A, Hambridge JA, Halpin SA, Valentine ME, Sweetapple AL, et al., 'Group cognitive behavioural therapy for stroke survivors with depression and their carers', Topics in Stroke Rehabilitation, 23 358-365 (2016) [C1]
Background: Depression in stroke survivors is common, leads to poorer outcomes and often not treated. A group cognitive behavioural therapy (CBT) program (Brainstorm) for stroke s... [more]
Background: Depression in stroke survivors is common, leads to poorer outcomes and often not treated. A group cognitive behavioural therapy (CBT) program (Brainstorm) for stroke survivors with depression, and their carers has been running as part of usual care since 2007. Objective: To evaluate the implementation and acceptability of Brainstorm, a closed group intervention consisting of up to 10 sessions of education, activity planning, problem solving and thought challenging. Methods: Participating stroke survivors and their carers complete assessment measures at baseline, posttreatment and 1-month and 6-months follow-up. A mixed models for repeated measures data was conducted with depression and anxiety scores for stroke survivors (Beck Depression Inventory-II; Hospital Anxiety and Depression Scale) and the assessment of depression, anxiety and carer burden for carers. Acceptability was assessed by session attendance and written and open participant feedback upon completion of the program. Results: Forty-eight community dwelling stroke survivors and 34 carers attended Brainstorm, with a median attendance of 88% of sessions. Follow-up assessments were completed by 77% (post-treatment), 46% (1-month) and 38% (6-month) of stroke survivors. Stroke survivors¿ depression scores decreased from baseline to posttreatment (p<.001); maintained at 1-month (p<.001) but not at 6-month (p=.056). Anxiety scores decreased between baseline and 1-month (p=.013). Carer burden, depression and anxiety scores at 1-month and 6-month follow-up, for carers, were all reduced when compared with baseline (p<.05). Conclusion: The Brainstorm group intervention for depression in stroke survivors appears to have been effectively implemented and is acceptable to stroke survivors and carers.
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Nova |
2016 |
McCarter KL, Halpin SA, Baker AL, Kay-Lambkin FJ, Lewin TJ, Thornton LK, et al., 'Associations between personality disorder characteristics and treatment outcomes in people with co-occurring alcohol misuse and depression.', BMC Psychiatry, 16 210 (2016) [C1]
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Nova |
2016 |
Andrews M, Baker AL, Halpin SA, Lewin TJ, Richmond R, Kay-Lambkin FJ, et al., 'Early therapeutic alliance, treatment retention, and 12-month outcomes in a healthy lifestyles intervention for people with psychotic disorders', Journal of Nervous and Mental Disease, 204 894-902 (2016) [C1]
Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were ex... [more]
Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were examined in a subsample of smokers with a psychotic disorder (N = 178) participating in a healthy lifestyles study comparing a telephone versus face-to-face delivered intervention. Therapeutic alliance was assessed using the Agnew Relationship Measure; primary outcomes were treatment retention and changes in symptoms and health behaviors. Contrary to expectations, early alliance did not predict treatment retention. However, elements of both client- and therapist-rated alliance predicted some clinical outcomes (e.g., higher confidence in the therapeutic alliance at session 1 predicted improvements in 12-month depression). Some modest interactions between early alliance and intervention condition were also identified (e.g., clients initially with lower self-perceived initiative, or higher therapist-perceived bonding benefited preferentially from the telephone-delivered intervention), highlighting the need to further examine the interplay between therapeutic alliance and treatment modality.
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Nova |
2016 |
Stain HJ, Bucci S, Baker AL, Carr V, Emsley R, Halpin S, et al., 'A randomised controlled trial of cognitive behaviour therapy versus non-directive reflective listening for young people at ultra high risk of developing psychosis: The detection and evaluation of psychological therapy (DEPTh) trial', Schizophrenia Research, 176 212-219 (2016) [C1]
Background Intervention trials for young people at ultra high risk (UHR) for psychosis have shown cognitive behaviour therapy (CBT) to have promising effects on treating psychotic... [more]
Background Intervention trials for young people at ultra high risk (UHR) for psychosis have shown cognitive behaviour therapy (CBT) to have promising effects on treating psychotic symptoms but have not focused on functional outcomes. We hypothesized that compared to an active control, CBT would: (i) reduce the likelihood of, and/or delay, transition to psychosis; (ii) reduce symptom severity while improving social functioning and quality of life, whether or not transition occurred. Method This was a single-blind randomised controlled trial for young people at UHR for psychosis comparing CBT to an active control condition, Non Directive Reflective Listening (NDRL), both in addition to standard care, with a 6 month treatment phase and 12 months of follow-up. Statistical analysis is based on intention-to-treat and used random effect models to estimate treatment effects common to all time-points. Results Fifty-seven young people (mean age = 16.5 years) were randomised to CBT (n = 30) or NDRL (n = 27). Rate of transition to psychosis was 5%; the 3 transitions occurred in the CBT condition (baseline, 2 months, 5 months respectively). The NDRL condition resulted in a significantly greater reduction in distress associated with psychotic symptoms compared to CBT (treatment effect = 36.71, standard error = 16.84, p = 0.029). There were no significant treatment effects on frequency and intensity of psychotic symptoms, global, social or role functioning. Conclusion Our sample was higher functioning, younger and experiencing lower levels of psychotic like experiences than other trials. The significantly better treatment effect of NDRL on distress associated with psychotic symptoms supports the recommendations for a stepped-care model of service delivery. This treatment approach would accommodate the younger UHR population and facilitate timely intervention. Trial registration: ANZCTR 12606000101583
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Nova |
2015 |
Ditton-Phare P, Halpin S, Sandhu H, Kelly B, Vamos M, Outram S, et al., 'Communication skills in psychiatry training', AUSTRALASIAN PSYCHIATRY, 23 429-431 (2015) [C3]
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Nova |
2015 |
McCarter KL, Britton B, Baker A, Halpin S, Beck A, Carter G, et al., 'Interventions to improve screening and appropriate referral of patients with cancer for distress: Systematic review protocol', BMJ Open, 5 (2015) [C3]
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Nova |
2015 |
Britton B, McCarter K, Baker A, Wolfenden L, Wratten C, Bauer J, et al., 'Eating As Treatment (EAT) study protocol: a stepped-wedge, randomised controlled trial of a health behaviour change intervention provided by dietitians to improve nutrition in patients with head and neck cancer undergoing radiotherapy.', BMJ open, 5 e008921 (2015) [C3]
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Nova |
2014 |
Conrad AM, Lewin TJ, Sly KA, Schall U, Halpin SA, Hunter M, Carr VJ, 'Ten-year audit of clients presenting to a specialised service for young people experiencing or at increased risk for psychosis', BMC PSYCHIATRY, 14 (2014) [C1]
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Nova |
2013 |
Callister R, Giles A, Nasstasia Y, Baker A, Halpin S, Hides L, Kelly B, '12-weeks supervised exercise training is a feasible and efficacious treatment for reducing depression in youth with major depressive disorder', Journal of Science and Medicine in Sport, 16 e16-e16 (2013)
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2012 |
Nasstasia Y, Baker AL, Callister R, Halpin SA, 'Born to run, workout or maybe try Zumba: Managing depression with exercise', In Psych, 34 18-19 (2012) [C3]
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2010 |
Bucci S, Baker AL, Halpin SA, Hides L, Lewin TJ, Carr VJ, Startup MJ, 'Intervention for cannabis use in young people at ultra high risk for psychosis and in early psychosis', Mental Health and Substance Use: Dual Diagnosis, 3 66-73 (2010) [C1]
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Nova |
2006 |
Silverstein S, Uhlhaas PJ, Essex B, Halpin SA, Schall UA, Carr VJ, 'Perceptual organization in first episode schizophrenia and ultra-high-risk states', Schizophrenia Research, 83 41-52 (2006) [C1]
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2006 |
Startup M, Carr V, Baker A, Stain H, Halpin S, Bucci S, '01-07 Cannabis use as a complication in psychological treatments for people at ultrahigh risk of psychosis: early findings from the DEPTh trial.', Acta Neuropsychiatr, 18 316 (2006)
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2004 |
Carr VJ, Lewin TJ, Neil AL, Halpin SA, Holmes S, 'Premorbid, psychosocial and clinical predictors of the costs of schizophrenia and other psychoses', British Journal of Psychiatry, 184 517-525 (2004) [C1]
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Nova |
2004 |
Halpin SA, Allen M, 'Changes in psychosocial well-being during stages of gay identity development', Journal of Homosexuality, 47 109-124 (2004) [C1]
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Nova |
2004 |
Startup MJ, Mason O, Halpin S, Schall UA, Conrad A, Carr VJ, 'State and trait predictors of transition to first episode psychosis among individuals at ultra-high risk', Schizophrenia Research, 70 44 (2004) [C3]
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2004 |
Mason O, Startup MJ, Halpin SA, Schall UA, Conrad A, Carr VJ, 'Risk factors for transition to first episode psychosis among individuals with 'at-risk mental states'', Schizophrenia Research, 71 227-237 (2004) [C1]
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Nova |
2003 |
Carr VJ, Neil AL, Halpin SA, Holmes KS, Lewin TJ, 'Costs of schizophrenia and other psychoses in urban Australia: findings from the low prevalence (Psychotic) disorders study', Australian & New Zealand Journal of Psychiatry, 37 31-40 (2003) [C1]
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2001 |
Lewin TJ, Carr VJ, Halpin S, Barnard RE, Beckmann J, Walton JM, Chapman JL, 'Coping with psychosis: Demographic and dispositional correlates', SCHIZOPHRENIA RESEARCH, 49 263-263 (2001)
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