2024 |
O'Dean S, Sunderland M, Newton N, Gardner L, Teesson M, Chapman C, et al., 'The Health4Life e-health intervention for modifying lifestyle risk behaviours of adolescents: secondary outcomes of a cluster randomised controlled trial.', Med J Aust, (2024) [C1]
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2024 |
Wells H, Heinsch M, Brosnan C, Kay-Lambkin F, 'Young People's Support Needs During the Military-Civilian Transition: "I Would Have Been a Very Different Person if There was More Support Available"', AUSTRALIAN SOCIAL WORK, 77 74-87 (2024) [C1]
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2024 |
Fitzgeraldson E, Fitzpatrick S, Dizon J, Kay-Lambkin F, 'Evaluating a targeted support program for mental health carers: a randomised controlled trial', Advances in Mental Health, (2024) [C1]
Introduction: Minds Together is a novel online early intervention program developed for carers of a person with depressive or anxiety symptoms. A previous study indicated the feas... [more]
Introduction: Minds Together is a novel online early intervention program developed for carers of a person with depressive or anxiety symptoms. A previous study indicated the feasibility, acceptability and initial trends in efficacy for this support program. Aims: The current study used a parallel RCT design to explore the effect of adding a social support platform to this program on carers¿ quality of life and perceived social support outcomes. Methods: 127 carers (82% female), living in Australia, were recruited online and randomly allocated to the program alone, or program paired with the social forum. Participants completed surveys at baseline, post and 3-month follow up. Results: Intervention and survey completion were low for this study. Across both groups, 49% completed the program and 20% used the social forum. Similarly, 42 participants completed post-surveys and 43 completed follow up surveys. The overall intervention effect between groups was non-significant for quality of life (p-value = 0.773) and perceived social support (p-value = 0.931). Conclusions: This is the first RCT to evaluate the effects of adding a social support component to an existing support program for carers of a person with depressive or anxiety symptoms. While unable to draw conclusions about the added social support, the study emphasises the urgent need for collaboration between researchers, consumers and sector professionals to address challenges related to missing data in online health intervention research.
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2024 |
Sultani G, Heinsch M, Wilson J, Pallas P, Tickner C, Kay-Lambkin F, ''Now I Have Dreams in Place of the Nightmares': An Updated Systematic Review of Post-Traumatic Growth Among Refugee Populations.', Trauma Violence Abuse, 25 795-812 (2024) [C1]
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2023 |
Knox J, Morgan P, Kay-Lambkin F, Wilson J, Wallis K, Mallise C, et al., 'Male involvement in randomised trials testing psychotherapy or behavioural interventions for depression: a scoping review', Current Psychology, 42 30322-30337 (2023) [C1]
The prevalence of Major Depressive Disorder in men is half that of women, yet depression affects approximately 109¿million men worldwide. Alarmingly, men account for three quarter... [more]
The prevalence of Major Depressive Disorder in men is half that of women, yet depression affects approximately 109¿million men worldwide. Alarmingly, men account for three quarters of suicides in Western countries but are unlikely to seek help for mental health concerns. It is possible that existing mental health treatments are not engaging or accessible to men. The aim of this review was to quantify the number of men involved in randomised trials of psychotherapy or lifestyle behaviour change targeting depression. Results found men represented 26% of participants in 110 eligible articles compared to 73% women. Men¿s representation was low across all intervention characteristics (e.g., delivery mode). No studies used a completely male sample, compared to 19 studies targeting women only. Men are substantially underrepresented in research trials targeting depression.
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2023 |
Barakat S, McLean SA, Bryant E, Le A, Marks P, Aouad P, et al., 'Risk factors for eating disorders: findings from a rapid review', Journal of Eating Disorders, 11 (2023) [C1]
Background: Risk factors represent a range of complex variables associated with the onset, development, and course of eating disorders. Understanding these risk factors is vital f... [more]
Background: Risk factors represent a range of complex variables associated with the onset, development, and course of eating disorders. Understanding these risk factors is vital for the refinement of aetiological models, which may inform the development of targeted, evidence-based prevention, early intervention, and treatment programs. This Rapid Review aimed to identify and summarise research studies conducted within the last 12¿years, focusing on risk factors associated with eating disorders. Methods: The current review forms part of a series of Rapid Reviews to be published in a special issue in the Journal of Eating Disorders, funded by the Australian Government to inform the development of the National Eating Disorder Research and Translation Strategy 2021¿2031. Three databases were searched for studies published between 2009 and 2021, published in English, and comprising high-level evidence studies (meta-analyses, systematic reviews, moderately sized randomised controlled studies, moderately sized controlled-cohort studies, or population studies). Data pertaining to risk factors for eating disorders were synthesised and outlined in the current paper. Results: A total of 284 studies were included. The findings were divided into nine main categories: (1) genetics, (2) gastrointestinal microbiota and autoimmune reactions, (3) childhood and early adolescent exposures, (4) personality traits and comorbid mental health conditions, (5) gender, (6) socio-economic status, (7) ethnic minority, (8) body image and social influence, and (9) elite sports. A substantial amount of research exists supporting the role of inherited genetic risk in the development of eating disorders, with biological risk factors, such as the role of gut microbiota in dysregulation of appetite, an area of emerging evidence. Abuse, trauma and childhood obesity are strongly linked to eating disorders, however less conclusive evidence exists regarding developmental factors such as role of in-utero exposure to hormones. Comorbidities between eating disorders and mental health disorders, including personality and mood disorders, have been found to increase the severity of eating disorder symptomatology. Higher education attainment, body image-related factors, and use of appearance-focused social media are also associated with increased risk of eating disorder symptoms. Conclusion: Eating disorders are associated with multiple risk factors. An extensive amount of research has been conducted in the field; however, further studies are required to assess the causal nature of the risk factors identified in the current review. This will assist in understanding the sequelae of eating disorder development and in turn allow for enhancement of existing interventions and ultimately improved outcomes for individuals.
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2023 |
Tickner C, Heinsch M, Brosnan C, Kay-Lambkin F, '"Another tool in our toolbox": a scoping review of the use of eHealth technologies in health social work practice.', Soc Work Health Care, 62 1-18 (2023) [C1]
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Nova |
2023 |
Koreshe E, Paxton S, Miskovic-Wheatley J, Bryant E, Le A, Maloney D, et al., 'Prevention and early intervention in eating disorders: findings from a rapid review', Journal of Eating Disorders, 11 (2023) [C1]
Background: Eating disorders (EDs) are complex psychological disorders, with low rates of detection and early intervention. They can lead to significant mental and physical health... [more]
Background: Eating disorders (EDs) are complex psychological disorders, with low rates of detection and early intervention. They can lead to significant mental and physical health complications, especially if intervention is delayed. Given high rates of morbidity and mortality, low treatment uptake, and significant rates of relapse, it is important to examine prevention, early intervention, and early recognition initiatives. The aim of this review is to identify and evaluate literature on preventative and early intervention programs in EDs. Methods: This paper is one of a series of Rapid Reviews, designed to inform the Australian National Eating Disorders Research and Translation Strategy 2021¿2031, funded, and released by the Australian Government. To provide a current and rigorous review, peer-reviewed articles between 2009 and 2021 published in English were searched across three databases: ScienceDirect, PubMed and Ovid/Medline. Priority was given to high-level evidence including meta-analyses, systematic reviews, Randomised Control Trials, and large population studies. Findings from selected studies pertaining to prevention and early intervention in EDs were evaluated and are presented in this review. Results: In total, 130 studies were identified in the current review, 72% relating to prevention and 28% to early intervention. Most programs were theory-driven and targeted one or more ED risk factors such as thin-ideal internalisation and/or body dissatisfaction. There is reasonable evidence to support prevention programs reducing risk factors, particularly as part of school or university-based programs, with established feasibility and relatively high acceptance among students. There is increasing evidence around the use of technology (to increase dissemination potential) and for use of mindfulness approaches (targeting emotional resilience). Few longitudinal studies assessing incident cases following participation in a prevention program exist. Conclusions: Although several prevention and early intervention programs have been shown to significantly reduce risk factors, promote symptom recognition, and encourage help-seeking behaviour, most of these studies have been conducted in older adolescent and university aged students, past the age of peak ED onset. One of the most targeted risk factors, body dissatisfaction, is found in girls as young as 6¿years old, indicating a need for further research implementing prevention initiatives at younger ages. Follow-up research is limited; thus, the long-term efficacy and effectiveness of studied programs is unknown. Greater attention should be paid to the implementation of prevention and early intervention programs in identified high-risk cohorts or diverse groups, where a more targeted approach may be necessary.
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2023 |
Rodan SC, Bryant E, Le A, Maloney D, Touyz S, McGregor IS, et al., 'Pharmacotherapy, alternative and adjunctive therapies for eating disorders: findings from a rapid review', Journal of Eating Disorders, 11 (2023) [C1]
Background: The current review broadly summarises the evidence base for pharmacotherapies and adjunctive and alternative therapies in the treatment of eating disorders and disorde... [more]
Background: The current review broadly summarises the evidence base for pharmacotherapies and adjunctive and alternative therapies in the treatment of eating disorders and disordered eating. Methods: This¿paper¿forms part of a¿Rapid Review¿series examining¿the evidence base in the field of eating disorders. This was¿conducted¿to inform the Australian National Eating Disorder Research and Translation Strategy 2021¿2030.¿ScienceDirect, PubMed and Ovid/Medline were searched for included studies published between 2009 and 2021 in English. High-level evidence such as meta-analyses, large population studies and randomised control trials were¿prioritised, and grey literature excluded. Data from included studies relating to pharmacotherapy, and to adjunctive and alternative therapies in eating disorders, were synthesised and disseminated in the current review. Results: A total of 121 studies were identified, relating to pharmacotherapy (n = 90), adjunctive therapies (n = 21) and alternative therapies (n = 22). Some of the identified studies involved combinations of the above (e.g. adjunctive pharmacotherapy). Evidence of efficacy of interventions across all three categories was very limited with few relevant high quality clinical trials. There was a particular scarcity of evidence around effective treatments for anorexia nervosa (AN). With treatment of bulimia nervosa (BN), fluoxetine has exhibited some efficacy leading to regulatory approval in some countries. With binge eating disorder (BED), recent evidence supports the use of lisdexamfetamine. Neurostimulation interventions show some emerging efficacy in the treatment of AN, BN and BED but some, such as deep brain stimulation can be highly invasive. Conclusion: Despite widespread use of medications, this Rapid Review has identified a lack of effective medications and adjunctive and alternative therapies in the treatment of EDs. An intensification of high-quality clinical trial activity and drug discovery innovation are required to better assist patients suffering from EDs.
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2023 |
Hay P, Aouad P, Le A, Marks P, Maloney D, Barakat S, et al., 'Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia a rapid review', Journal of Eating Disorders, 11 (2023) [C1]
Background: Understanding of the epidemiology and health burden of eating disorders has progressed significantly in the last 2 decades. It was considered one of seven key areas to... [more]
Background: Understanding of the epidemiology and health burden of eating disorders has progressed significantly in the last 2 decades. It was considered one of seven key areas to inform the Australian Government commissioned National Eating Disorder Research and Translation Strategy 2021¿2031, as emerging research had highlighted a rise in eating disorder prevalence and worsening burden-of-illness. The aim of this review was to better understand the global epidemiology and impact of eating disorders to inform policy decision-making. Methods: Using a systematic Rapid Review methodology, ScienceDirect, PubMed and Medline (Ovid) were searched for peer-reviewed studies published between 2009 and 2021. Clear inclusion criteria were developed in consultation with experts in the field. Purposive sampling of literature was conducted, which predominately focused on higher-level evidence (meta-analyses, systematic reviews, and large epidemiological studies), synthesised, and narratively analysed. Results: 135 studies were deemed eligible for inclusion in this review (N = 1324). Prevalence estimates varied. Global Lifetime prevalence of any eating disorder ranged from 0.74 to 2.2% in males, and 2.58¿8.4% in females. Australian 3-month point-prevalence¿of broadly defined disorders¿was around 16% in females. Eating disorders appeared more prevalent in young people and adolescents, particularly females (in Australia: eating disorders ~ 22.2%; disordered eating ~ 25.7%). Limited evidence was found on sex, sexuality and gender diverse (LGBTQI +) individuals, particularly males, who had a six-fold increase in prevalence compared to the general male population, with increased illness impact. Similarly, limited evidence on First Australian¿s (Aboriginal and Torres Strait Islander) suggests prevalence rates similar to non-Indigenous Australians. No prevalence studies were identified specifically assessing culturally and linguistically diverse populations. Global disease burden of any eating disorder was 43.4 age-standardised disability-adjusted-life-years per 100,000; increasing by 9.4% between 2007 and 2017. Australian¿s total economic cost was estimated at $84 billion from years-of-life lost due to disability and death, and annual lost earnings ~ $1.646 billion.¿ Conclusions: There is no doubt that eating disorder prevalence and impact are on the rise, particularly in at-risk and understudied populations. Much of the evidence came from female-only samples, and Western, high-income countries which more readily have access to specialised services. Future research should examine more representative samples. There is an urgent need for more refined epidemiological methods to better understand these complex illnesses over time, to guide health policy and development-of-care.
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Nova |
2023 |
Aouad P, Hambleton A, Marks P, Maloney D, Calvert S, Caldwell B, et al., 'Setting the top 10 eating disorder research and translation priorities for Australia', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 57 1281-1291 (2023) [C1]
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Nova |
2023 |
Fitzgeraldson E, Reeves P, Kay-Lambkin F, Dolja-Gore X, Hamilton F, Fitzpatrick S, 'Research Translation and Impact of a Program of Work to Support Carers of a Person with Depressive or Anxiety Symptoms', Journal of Advanced Research in Social Sciences, 6 30-52 [C1]
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Nova |
2023 |
Champion KE, Newton NC, Gardner LA, Chapman C, Thornton L, Slade T, et al., 'Health4Life eHealth intervention to modify multiple lifestyle risk behaviours among adolescent students in Australia: a cluster-randomised controlled trial.', The Lancet. Digital health, 5 e276-e287 (2023) [C1]
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Nova |
2023 |
Carman MJ, Kay-Lambkin F, Burgman I, 'Long-Term Recovery from Intimate Partner Violence: Definitions by Australian Women', Journal of Family Violence, 38 747-760 (2023) [C1]
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Nova |
2023 |
Batterham P, Gulliver A, Sunderland M, Farrer L, Kay-Lambkin F, Trias A, Calear A, 'Factors Influencing Community Participation in Internet Interventions Compared With Research Trials: Observational Study in a Nationally Representative Adult Cohort.', Journal of medical Internet research, 25 e41663 (2023) [C1]
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2023 |
Sampson D, Heinsch M, Geddes J, Velleman R, Velleman G, Teesson M, et al., ''I no longer know that person': Experiences of families living with someone using crystal methamphetamine.', PloS one, 18 e0284156 (2023) [C1]
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Nova |
2023 |
Fitzgeraldson E, Triandafilidis Z, Franklin Y, Palazzi K, Kay-Lambkin F, Fitzpatrick S, 'Feasibility and Acceptability of a Novel Online Program for Mental Health Carers', International Journal of Psychological Research, 16 41-55 [C1]
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Nova |
2023 |
Hutchesson M, Whatnall M, Fenton S, Ashton L, Patterson A, Smith J, et al., 'Are health behaviors associated with mental health among tertiary education students? A systematic review of cohort studies.', J Am Coll Health, 1-13 (2023) [C1]
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2023 |
Miskovic-Wheatley J, Bryant E, Ong SH, Vatter S, Le A, Aouad P, et al., 'Eating disorder outcomes: findings from a rapid review of over a decade of research', Journal of Eating Disorders, 11 (2023) [C1]
Background: Eating disorders (ED), especially Anorexia Nervosa (AN), are internationally reported to have amongst the highest mortality and suicide rates in mental health. With li... [more]
Background: Eating disorders (ED), especially Anorexia Nervosa (AN), are internationally reported to have amongst the highest mortality and suicide rates in mental health. With limited evidence for current pharmacological and/or psychological treatments, there is a grave responsibility within health research to better understand outcomes for people with a lived experience of ED, factors and interventions that may reduce the detrimental impact of illness and to optimise recovery. This paper aims to synthesise the literature on outcomes for people with ED, including rates of remission, recovery and relapse, diagnostic crossover, and mortality. Methods: This paper forms part of a Rapid Review series scoping the evidence for the field of ED, conducted to inform the Australian National Eating Disorders Research and Translation Strategy 2021¿2031, funded and released by the Australian Government. ScienceDirect, PubMed and Ovid/MEDLINE were searched for studies published between 2009 and 2022 in English. High-level evidence such as meta-analyses, large population studies and Randomised Controlled Trials were prioritised through purposive sampling. Data from selected studies relating to outcomes for people with ED were synthesised and are disseminated in the current review. Results: Of the over 1320 studies included in the Rapid Review, the proportion of articles focused on outcomes in ED was relatively small, under 9%. Most evidence was focused on the diagnostic categories of AN, Bulimia Nervosa and Binge Eating Disorder, with limited outcome studies in other ED diagnostic groups. Factors such as age at presentation, gender, quality of life, the presence of co-occurring psychiatric and/or medical conditions, engagement in treatment and access to relapse prevention programs were associated with outcomes across diagnoses, including mortality rates. Conclusion: Results are difficult to interpret due to inconsistent study definitions of remission, recovery and relapse, lack of longer-term follow-up and the potential for diagnostic crossover. Overall, there is evidence of low rates of remission and high risk of mortality, despite evidence-based treatments, especially for AN. It is strongly recommended that research in long-term outcomes, and the factors that influence better outcomes, using more consistent variables and methodologies, is prioritised for people with ED.
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2023 |
Morse AK, Sercombe J, Askovic M, Fisher A, Marel C, Chatterton ML, et al., 'Systematic review of the efficacy, effectiveness, and cost-effectiveness of stepped-care interventions for the prevention and treatment of problematic substance use', Journal of Substance Abuse Treatment, 144 (2023) [C1]
Background: Stepped-care is a commonly recommended and implemented care model across health care domains, including substance use. Despite their presumed efficient allocation of t... [more]
Background: Stepped-care is a commonly recommended and implemented care model across health care domains, including substance use. Despite their presumed efficient allocation of treatment resources, a current and robust evidence synthesis is needed on the efficacy, effectiveness and cost-effectiveness of stepped-care for substance use. Methods: This systematic review analyzed articles describing evaluations of stepped-care models that measured the use of acutely psychoactive substances (i.e., alcohol, cannabis, hallucinogens, inhalants, opioids, sedatives, hypnotics, anxiolytics, and stimulants) as a primary or secondary outcome, in participants over 18 years old. The analysis investigated model and participant characteristics associated with treatment outcomes. Results: The study team conducted a search of five databases of literature (PsychINFO, MEDLINE, Embase, Cochrane Library and Scopus) published between January 1, 2010, and November 1, 2020. The search yielded 1051 unique articles, 19 of which were included in the analysis. The studies had considerable variability in sample sizes (n = 18¿2310), time to follow-up (4.5 months to 3 years), and retention rates (35.1¿100 %). Studies examined outcomes for either alcohol alone (n = 9), alcohol and other drug use (n = 9), or drug use alone (n = 1). Most studies (n = 13;) were rated as good quality. Three (15.8 %) were rated as fair and three (15.8 %) were rated as poor quality. The evidence regarding the efficacy, effectiveness and cost-effectiveness of stepped-care approaches is limited, but four of seven studies found that adaptive-care interventions delivered in the context of other systemic interventions produced greater benefit than control conditions in relation to at least one alcohol-related outcome. We have insufficient evidence to determine whether the modes or intensity of interventions included in the models, or decision rules used to step people up or down to differing levels of care, have an impact on outcome. Conclusion: Heterogeneity between studies with regard to model and evaluation design limited the degree to which the analysis could draw robust conclusions. Sample recruitment and statistical power are particular challenges, and the field needs more innovative evaluation designs to assess the efficacy, effectiveness, and cost-effectiveness of stepped-care models.
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2023 |
Russell H, Aouad P, Le A, Marks P, Maloney D, Barakat S, et al., 'Psychotherapies for eating disorders: findings from a rapid review', Journal of Eating Disorders, 11 (2023) [C1]
Background: Psychotherapy is considered central to the effective treatment of eating disorders¿focusing on behavioural, psychological, and social factors that contribute to the il... [more]
Background: Psychotherapy is considered central to the effective treatment of eating disorders¿focusing on behavioural, psychological, and social factors that contribute to the illness. Research indicates psychotherapeutic interventions out-perform placebo, waitlist, and/or other treatments; but, outcomes vary with room for major improvement. Thus, this review aims to (1) establish and consolidate knowledge on efficacious eating disorder psychotherapies; (2) highlight select emerging psychotherapeutic interventions; and (3) identify knowledge gaps to better inform future treatment research and development. Methods: The current review forms part of a series of Rapid Reviews published in a special issue in the Journal of Eating Disorders to inform the development of the Australian-government-funded National Eating Disorder Research and Translation Strategy 2021¿2031. Three databases were searched for studies published between 2009 and 2023, published in English, and comprising high-level evidence studies (meta-analyses, systematic reviews, moderately sized randomised controlled studies, moderately sized controlled-cohort studies, and population studies). Data pertaining to psychotherapies for eating disorders were synthesised and outlined in the current paper. Results: 281 studies met inclusion criteria. Behavioural therapies were most commonly studied, with cognitive-behavioural and family-based therapies being the most researched; and thus, having the largest evidence-base for treating anorexia nervosa, bulimia nervosa, and binge eating disorder. Other therapies, such as interpersonal and dialectical behaviour therapies also demonstrated positive treatment outcomes. Emerging evidence supports specific use of Acceptance and Commitment; Integrative Cognitive Affective; Exposure; Mindfulness; and Emotionally-Focused therapies; however further research is needed to determine their efficacy. Similarly, growing support for self-help, group, and computer/internet-based therapeutic modalities was noted. Psychotherapies for avoidant/restrictive food intake disorder; other, and unspecified feeding and eating disorders were lacking evidence. Conclusions: Currently, clinical practice is largely supported by research indicating that behavioural and cognitive-behavioural psychotherapies are most effective for the treatment of eating disorders. However, the efficacy of psychotherapeutic interventions varies across studies, highlighting the need for investment and expansion of research into enhanced variants and novel psychotherapies to improve illness outcomes. There is also a pressing need for investigation into the whole range of eating disorder presentations and populations, to determine the most effective interventions.
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2023 |
Speirs B, Hanstock TL, Kay-Lambkin FJ, 'The lived experience of caring for someone with bipolar disorder: A qualitative study.', PLoS One, 18 e0280059 (2023) [C1]
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Nova |
2022 |
Hutchesson MJ, Whatnall MC, Yazin N, Fenton S, Duncan MJ, Kay-Lambkin FJ, Burrows TL, 'Health behavior interventions for university students measuring mental health outcomes: A scoping review', Frontiers in Public Health, 10 (2022) [C1]
Introduction: Many university students have poor mental health, and co-occurring health risk behaviors. Targeting health behavior change in this population may improve mental heal... [more]
Introduction: Many university students have poor mental health, and co-occurring health risk behaviors. Targeting health behavior change in this population may improve mental health outcomes. This scoping review describes the extent and range of randomized controlled trials (RCT) evaluating interventions targeting health risk behaviors and measuring a mental health outcome, among university students. Methods: Six electronic databases were searched for RCTs published until the 18th May 2021. Eligible RCTs included university students, evaluated interventions that promoted health behavior change (i.e., dietary intake, physical activity, sedentary behavior, alcohol and drug use, smoking, and sleep), and measured a mental health-related outcome. Results: Fifty-nine RCTs met the inclusion criteria that were published from 2000 to 2021, and over half (n = 33) were conducted in the United States. Interventions evaluated within the RCTs (n = 92) predominantly targeted changes to dietary intake (n = 41 interventions), physical activity (n = 39), or alcohol intake (n = 35). Most interventions targeted one (n = 51) or two (n = 27) health behaviors only. Included RCTs considered mental ill health outcomes (n = 24), psychological wellbeing outcomes (n = 20), or both (n = 15). Discussion: This scoping review identified a moderate volume of experimental research investigating the impact of health behavior interventions on university students' mental health. There is scope for further research examining health behavior interventions targeting university students, particularly interventions taking a multi-behavioral approach.
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2022 |
Heinsch M, Cootes H, Wells H, Tickner C, Sampson D, Kay-Lambkin F, ' It s Hard, but We Could Kind of Laugh About It : Exploring the Role of Humor in Brain Cancer Caregiving', Qualitative Health Research, 32 744-754 (2022) [C1]
Research exploring the benefits of humor for caregivers is limited and, to date, no qualitative studies have explored the role of humor in brain cancer caregiving. To address this... [more]
Research exploring the benefits of humor for caregivers is limited and, to date, no qualitative studies have explored the role of humor in brain cancer caregiving. To address this gap, we analyzed transcripts from twenty-one in-depth telephone interviews conducted with brain cancer caregivers from a strengths perspective. Thematic analysis using Braun and Clarke¿s method revealed that humor functions as (1) an innate element of the self and relationship, (2) an expression of mutual connection and understanding, (3) a way of managing difficult or awkward moments, (4) a form of avoidance or a welcome distraction, and may be (5) helpful, or unhelpful, depending on where someone is in the brain cancer trajectory. Findings suggest that humor represents an important yet complex individual and family strength for health service providers to identify and build upon.
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2022 |
Drew RJ, Morgan PJ, Collins CE, Callister R, Kay-Lambkin F, Kelly BJ, Young MD, 'Behavioral and Cognitive Outcomes of an Online Weight Loss Program for Men With Low Mood: A Randomized Controlled Trial', Annals of Behavioral Medicine, 56 1026-1041 (2022) [C1]
Background: Depression and obesity are major health concerns and commonly co-exist, but men rarely seek help for these conditions. SHED-IT: Recharge was a gender-tailored eHealth ... [more]
Background: Depression and obesity are major health concerns and commonly co-exist, but men rarely seek help for these conditions. SHED-IT: Recharge was a gender-tailored eHealth program for men that generated clinically meaningful improvements in weight and depressive symptoms. Purpose: To evaluate behavioral and psychological outcomes from the SHED-IT: Recharge intervention designed for overweight/obese men with low mood. Methods: Overall, 125 men (18-70 years) with a BMI between 25 and 42 kg/m2 and depressive symptoms (PHQ-9 = 5) were randomly allocated to SHED-IT: Recharge (n = 62) or wait-list control (n = 63) groups. The self-directed program targeted key health behaviors combined with online mental fitness modules based on cognitive behavioral therapy. Behavioral (e.g., physical activity) and psychological outcomes (e.g., cognitive flexibility) were assessed with validated measures at baseline, 3 months (post-test) and 6 months (follow-up). Intention-to-treat linear mixed models examined treatment effects, which were adjusted for covariates, and effect size estimated (Cohen's d). Results: At post-test, intervention men achieved small-to-medium improvements in several health behavior outcomes including moderate-to-vigorous physical activity, light physical activity, sedentary behavior, sleep, energy intake, portion size, and risky alcohol consumption (range, d = 0.3-0.5), when compared with the control group. Intervention effects were also observed for perceived physical self-worth, perceived physical strength, cognitive flexibility, and behavioral activation (range, d = 0.3-0.8). No effects were found for fruit and vegetable intake, or mindful attention. Most effects were maintained at follow-up. Conclusions: This gender-tailored, eHealth program with integrated mental fitness support elicited meaningful improvements in health behaviors and psychological outcomes for men with low mood. Trial Registration: Australian New Zealand Clinical Trials Registry (ACTRN12619001209189).
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Nova |
2022 |
Fitzgeraldson E, Kay-Lambkin F, Harding N, McNaughton KM, Triandafilidis Z, Heath J, et al., 'Supports and Interventions for Carers of a Person with Depressive or Anxiety Symptomology: A Systematic Review', Europe's Journal of Psychology, 18 476-493 (2022) [C1]
An increasing body of research attests to the capacity of evidence-based interventions to improve outcomes for informal carers. A review of suitable supports and interventions for... [more]
An increasing body of research attests to the capacity of evidence-based interventions to improve outcomes for informal carers. A review of suitable supports and interventions for carers of a person with depressive or anxiety symptomology is timely. This systematic review explores intervention suitability evidence for this carer group. Searches for relevant primary studies were conducted in six databases across a 15-year timeframe (October 2004¿October 2019). Studies were assessed and compared narratively and thematically. Qualitative themes were synthesised with quantitative studies to explore the extent to which carer preferences were embedded in interventions. The initial literature search produced 13,183 studies. Six studies¿three randomised controlled trials (RCTs) and three mixed-method studies¿were included following a double-blinded screening process, a review of reference lists and risk of bias assessment. Included studies contributed either intervention efficacy or acceptability evidence. The synthesis of qualitative themes with quantitative studies found that carer-specific needs and targeted psychoeducation were featured in interventions from all six quantitative studies. Current evidence for appropriate supports and interventions for this carer group is limited. The review uncovers a lack of interventions for carers of a person with anxiety symptomology and limited intervention suitability evidence for carers of a person with depressive symptomology. More research is needed to explore the needs and preferences of this carer group, and how best to support them.
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2022 |
Tickner C, Holland L, Wark P, Hilton J, Morrison C, Kay-Lambkin F, Heinsch M, 'Mental health care needs in cystic fibrosis: A scoping review.', Social work in health care, 1-15 (2022) [C1]
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2022 |
Sanatkar S, Heinsch M, Tickner C, Hunt S, Teesson M, Geddes J, et al., 'A systematic literature review and narrative synthesis of effective interventions for family and caregivers of people who use methamphetamine.', Substance abuse, 43 1190-1196 (2022) [C1]
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2022 |
Heinsch M, Tickner C, Kay-Lambkin F, 'Placing equity at the heart of eHealth implementation: a qualitative pilot study.', International journal for equity in health, 21 38 (2022) [C1]
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Nova |
2022 |
Carman MJ, Kay-Lambkin F, 'Long-Term Recovery from Intimate Partner Violence: Recovery and Hope.', International journal of environmental research and public health, 19 13825 (2022) [C1]
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Nova |
2022 |
Morse AK, Askovic M, Sercombe J, Dean K, Fisher A, Marel C, et al., 'A systematic review of the efficacy, effectiveness and cost-effectiveness of workplace-based interventions for the prevention and treatment of problematic substance use.', Frontiers in public health, 10 1051119 (2022) [C1]
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2022 |
Aouad P, Bryant E, Maloney D, Marks P, Le A, Russell H, et al., 'Informing the development of Australia s National Eating Disorders Research and Translation Strategy: a rapid review methodology', Journal of Eating Disorders, 10 (2022) [C1]
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2022 |
Bryant E, Spielman K, Le A, Marks P, Aouad P, Barakat S, et al., 'Screening, assessment and diagnosis in the eating disorders: findings from a rapid review', Journal of Eating Disorders, 10 (2022) [C1]
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Nova |
2022 |
Hambleton A, Pepin G, Le A, Maloney D, Aouad P, Barakat S, et al., 'Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature', Journal of Eating Disorders, 10 (2022) [C1]
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2022 |
Heinsch M, Wells H, Sampson D, Wootten A, Cupples M, Sutton C, Kay-Lambkin F, 'Protective factors for mental and psychological wellbeing in Australian adults: A review', Mental Health and Prevention, 25 (2022) [C1]
There is a need to better understand protective factors for mental and psychological wellbeing beyond the absence of disease. The current review sought to synthesise empirical (qu... [more]
There is a need to better understand protective factors for mental and psychological wellbeing beyond the absence of disease. The current review sought to synthesise empirical (qualitative and quantitative) evidence on this topic to inform the development of future mental health and wellbeing interventions for Australian adults. Systematic searches of health and behavioural science databases were conducted to identify studies on protective factors for mental and psychological wellbeing in Australian adults. A total of 38 studies were included based on the following criteria: studies conducted in Australia from 2009 to present; articles written in English; articles which reported on empirical research, articles that were peer-reviewed, and research where study participants were Australian adults (>18 years). Data extraction was conducted using Covidence, and design quality was assessed according to the Levels of Evidence hierarchy. There was consistent evidence that components of social capital, physical and other lifestyle factors, individual attributes and creative arts constitute protective factors for mental and psychological wellbeing in Australian adults. The high prevalence of cross-sectional and self-report studies suggests more randomised and longitudinal research is needed. Additional qualitative research would facilitate a more detailed understanding of participants¿ lived experiences and perspectives. Existing evidence indicates a significant, positive relationship between social capital, physical and other lifestyle factors, individual attributes and creative arts engagement, and mental and psychological wellbeing among particular groups of Australian adults. Implications are considered for the development of interventions that promote mental health and wellbeing across a wide range of Australian regions and populations.
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2022 |
Wyllie J, Carlson J, Heinsch M, Kay-Lambkin F, McCoy A, 'eHealth Services and SDG3: Increasing the Capacity of Care', Australasian Marketing Journal, 30 131-141 (2022) [C1]
The paper¿s research objective pertains to explicating the concept of value co-creation of health and social outcomes in an eHealth digital ecosystem context that is critical in a... [more]
The paper¿s research objective pertains to explicating the concept of value co-creation of health and social outcomes in an eHealth digital ecosystem context that is critical in addressing sustainable development goal (SDG) 3 ¿ good health and well-being. It conceptualises a theoretical framework using the dynamics inherent to the value cocreation process involving a user of eHealth services and considers the influences of all involved actors from an activity theory and dialogic engagement perspectives. A Mental Health, Alcohol and other drug use eHealth service (eCLiPSE) assists as a case to illustrate the proposed theoretical framework where three overarching propositions are advanced to provide managerial guidance and critical research enquiry. This framework clarifies the importance of improving dialogic engagement processes during both synchronous and asynchronous interactions over time as value creation pathways. Managerially, the paper points to the importance of optimising service design processes and role readiness of actors (users and healthcare professionals) to better enable consumers to engage in effective dialogue in eHealth interactions for harnessing value co-creation. Through the introduction of this framework, eHealth services can be better delivered and scaled to increase the capacity of care and achieve health outcomes pivotal to the success of SDG3.
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Nova |
2022 |
Heinsch M, Cootes H, Wells H, Tickner C, Wilson J, Sultani G, Kay-Lambkin F, 'Supporting friends and family of adults with a primary brain tumour: A systematic review.', Health Soc Care Community, 30 869-887 (2022) [C1]
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Nova |
2022 |
Whatnall M, Ashton L, Patterson A, Smith J, Duncan M, Burrows T, et al., 'Are health behaviors associated with academic performance among tertiary education students? A systematic review of cohort studies', JOURNAL OF AMERICAN COLLEGE HEALTH, (2022) [C1]
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Nova |
2022 |
McGill K, Whyte IM, Sawyer L, Adams D, Delamothe K, Lewin TJ, et al., 'Effectiveness of the Hunter Way Back Support Service: An historical controlled trial of a brief non-clinical after-care program for hospital-treated deliberate self-poisoning.', Suicide Life Threat Behav, 52 500-514 (2022) [C1]
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Nova |
2021 |
Sanatkar S, Heinsch M, Baldwin PA, Rubin M, Geddes J, Hunt S, et al., 'Factors Predicting Trial Engagement, Treatment Satisfaction, and Health-Related Quality of Life During a Web-Based Treatment and Social Networking Trial for Binge Drinking and Depression in Young Adults: Secondary Analysis of a Randomized Controlled Trial', JMIR Mental Health, 8 1-13 (2021) [C1]
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Nova |
2021 |
Bailey KA, Baker AL, McElduff P, Kay-Lambkin F, Kavanagh DJ, 'Do outcomes of cognitive-behaviour therapy for co-occurring alcohol misuse and depression differ for participants with symptoms of posttraumatic stress?', Journal of Mental Health, 30 12-19 (2021) [C1]
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Nova |
2021 |
Drew RJ, Morgan PJ, Kay-Lambkin F, Collins CE, Callister R, Kelly BJ, et al., 'Men's Perceptions of a Gender-Tailored eHealth Program Targeting Physical and Mental Health: Qualitative Findings from the SHED-IT Recharge Trial', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 18 (2021) [C1]
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Nova |
2021 |
Champion KE, Chapman C, Gardner LA, Sunderland M, Newton NC, Smout S, et al., 'Lifestyle risks for chronic disease among Australian adolescents: a cross-sectional survey', MEDICAL JOURNAL OF AUSTRALIA, 216 156-157 (2021)
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2021 |
Hides L, Riordan BC, Gullo M, Morley KC, Manning V, Connor J, et al., 'Caring for and managing patients with alcohol problems: interventions, treatments, relapse prevention, aftercare, and long term follow-up', MEDICAL JOURNAL OF AUSTRALIA, 215 S12-S20 (2021)
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2021 |
Hutchesson MJ, Duncan MJ, Oftedal S, Ashton LM, Oldmeadow C, Kay-Lambkin F, Whatnall MC, 'Latent Class Analysis of Multiple Health Risk Behaviors among Australian University Students and Associations with Psychological Distress', NUTRIENTS, 13 (2021) [C1]
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Nova |
2021 |
Deen H, Kershaw S, Newton N, Stapinski L, Birrell L, Debenham J, et al., 'Stigma, discrimination and crystal methamphetamine ( ice ): Current attitudes in Australia', International Journal of Drug Policy, 87 (2021) [C1]
Background: Crystal methamphetamine attracts an elevated level of negative attention in Australia and internationally, however there is a paucity of research into stigma and discr... [more]
Background: Crystal methamphetamine attracts an elevated level of negative attention in Australia and internationally, however there is a paucity of research into stigma and discrimination surrounding this drug. This study aimed to investigate and compare levels of public stigma, self-stigma and discrimination surrounding crystal methamphetamine use in a large sample of Australian residents. Methods: A cross-sectional online survey, open to all Australian residents aged 18 years and over, was conducted from November 2018 to March 2019 examining stigmatising attitudes towards people who use crystal methamphetamine. Respondents also reported any personal history of crystal methamphetamine use and experiences of discrimination. Multiple linear regression examined whether prior crystal methamphetamine use was associated with holding stigmatising attitudes. Covariates included in the analysis were presence of a family member or friend who uses crystal methamphetamine, knowledge about crystal methamphetamine, gender, age and region. Results: A total of 2108 Australian participants completed the study (mean age = 36.3 years; 59% females; 27% had used crystal methamphetamine). Many participants reported being discriminated against because of their crystal methamphetamine use. Stigmatising attitudes were prevalent, particularly among those who hadn't used crystal methamphetamine (p<.001). Others more likely to endorse stigmatising attitudes included females (p=.004 vs. males), individuals with less knowledge about crystal methamphetamine (p<.001) and those living in regional (p<.001) and rural/remote locations (p<.001) compared to metropolitan areas. Conclusion: Stigma and discrimination surrounding crystal methamphetamine use was common in this sample of Australian residents, with public stigma more prevalent than self-stigma. This highlights a need for stigma reduction initiatives. Given higher levels of knowledge were associated with less stigmatising attitudes, public education campaigns providing accurate, evidence-based information about crystal methamphetamine along with guidelines and support for accurate media reporting, present promising approaches to stigma reduction. Exploration of other stigma reduction initiatives is also vital to ensuring people who use crystal methamphetamine feel supported in seeking help.
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Nova |
2021 |
Sanatkar S, Heinsch M, Baldwin PA, Rubin M, Geddes J, Hunt S, et al., 'Factors Predicting Trial Engagement, Treatment Satisfaction, and Health-Related Quality of Life During a Web-Based Treatment and Social Networking Trial for Binge Drinking and Depression in Young Adults: Secondary Analysis of a Randomized Controlled Trial', JMIR Mental Health, 8 1-13 (2021) [C1]
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2021 |
Wells H, Heinsch M, Brosnan C, Kay-Lambkin F, 'Military family dynamics in transition: The experiences of young people when their families leave the Australian Defence Force', CHILD & FAMILY SOCIAL WORK, 27 454-464 (2021) [C1]
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Nova |
2021 |
Young CL, Mohebbi M, Staudacher HM, Kay-Lambkin F, Berk M, Jacka FN, O'Neil A, 'Optimizing engagement in an online dietary intervention for depression (My food & mood version 3.0): Cohort study', JMIR Mental Health, 8 (2021) [C1]
Background: Online interventions can be a cost-effective and efficient way to deliver programs to large numbers of people regardless of geographic location. However, attrition in ... [more]
Background: Online interventions can be a cost-effective and efficient way to deliver programs to large numbers of people regardless of geographic location. However, attrition in web-based interventions is often an issue. Developing ways to keep participants engaged is important for ensuring validity and limiting potential biases. We developed a web-based dietary intervention as part of The My Food & Mood study which aimed to optimize ways to engage participants with low mood or depressive symptoms to promote dietary behavior change. Different versions of the My Food & Mood program were tested during optimization. Iterations were developed based on user feedback and usage analysis. Objective: The purpose of this study was to compare engagement and nonusage attrition across 4 program iterations¿which differed by platform format, delivery mode, and activity type¿to create an optimized version. Methods: Each program version contained modular videos with key activities with respect to implementing behavior change techniques of equivalent levels of required participation and length: version 1.0, desktop program and smartphone app; version 2.1, desktop or smartphone program; version 2.2, desktop program; and version 3.0, smartphone app. Adults with PHQ-8 scores of 5 or greater were recruited online and assigned to 1 of the 4 versions. Participants were asked to use the program for 8 weeks and complete measures at weeks 4 and 8. Engagement data were collected from the web-based platform system logs and customized reports. Cox regression survival analysis examined nonusage attrition and Kruskal-Wallis tests compared engagement across each cohort. Results: A total of 614 adults participated. Kruskal-Wallis tests showed significant differences across the 4 cohorts in all engagement measures. The smartphone app (version 3.0) had the greatest engagement as measured by weeks engaged, total usage time, total time key activities, number of active sessions, percentage of activities completed against protocol, goals completed, and percentage of videos watched. Cox regression multivariate survival analysis showed referral from a health practitioner (hazard ratio [HR] 0.344, P=.001) and greater proficiency with computers (HR 0.796, P=.049) reduced the risk of nonusage attrition. Computer confidence was associated with an increased risk of nonusage attrition. Conclusions: My Food & Mood version 3.0, a dietary intervention delivered via smartphone app with self-monitoring tools for diet quality and mood monitoring, was the version with greatest engagement in a population with low mood or depression. The iterative design techniques employed and analysis of feedback from participants resulted in a program that achieved lower rates of nonusage attrition and higher rates of intensity of use.
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Nova |
2021 |
Crouse JJ, Morley KC, Buckley N, Dawson A, Seth D, Monds LA, et al., 'Online interventions for people hospitalized for deliberate self-harm and problematic alcohol use: Lessons learned from the iiAIM trial', Bulletin of the Menninger Clinic, 85 123-142 (2021) [C1]
Deliberate self-harm and suicide affect all age groups, sexes, and regions, and their prevention is a global health priority. Acute alcohol misuse and chronic alcohol misuse are s... [more]
Deliberate self-harm and suicide affect all age groups, sexes, and regions, and their prevention is a global health priority. Acute alcohol misuse and chronic alcohol misuse are strong, modifiable risk factors, and Internet interventions aiming to reduce alcohol misuse and comorbid mental health problems (e.g., depression) are a promising and effective treatment modality. The research team aimed to evaluate the feasibility and effectiveness of an Internet-based comorbidity intervention primarily aiming to reduce alcohol consumption, and secondarily to reduce readmission for deliberate self-harm and improve psychological outcomes among people hospitalized for deliberate self-harm who also engage in problematic alcohol use. However, due to several barriers to recruitment, the trial could not be completed and was discontinued. The authors present a ¿Lessons Learned¿ discussion and describe the Internet Intervention for Alcohol Improvement (iiAIM) trial, discuss the key barriers experienced by the research team, and recommend potential solutions that may help future trials in this area.
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Nova |
2021 |
Heinsch M, Wyllie J, Carlson J, Wells H, Tickner C, Kay-Lambkin F, 'Theories Informing eHealth Implementation: Systematic Review and Typology Classification.', Journal of Medical Internet Research, 23 (2021) [C1]
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Nova |
2021 |
McDonough M, Baillie AJ, Clark PJ, Gowing L, Stapinski LA, Taye B, et al., 'Understanding and managing comorbidities for people with alcohol problems: polydrug use and dependence, co-occurring mental disorders, and physical comorbidities', MEDICAL JOURNAL OF AUSTRALIA, 215 S28-S32 (2021)
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2021 |
Wilson J, Heinsch M, Betts D, Booth D, Kay-Lambkin F, 'Barriers and facilitators to the use of e-health by older adults: a scoping review', BMC Public Health, 21 (2021) [C1]
Background: Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. T... [more]
Background: Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. This scoping review sought to address this gap. Methods: Databases were searched for papers reporting on the use of e-health services by older adults, defined as being aged 60 years or older, with specific reference to barriers and facilitators to e-health use. Result: 14 papers were included and synthesised into five thematic categories and related subthemes. Results are discussed with reference to the Unified Theory of Acceptance and Use of Technology2. The most prevalent barriers to e-health engagement were a lack of self-efficacy, knowledge, support, functionality, and information provision about the benefits of e-health for older adults. Key facilitators were active engagement of the target end users in the design and delivery of e-health programs, support for overcoming concerns privacy and enhancing self-efficacy in the use of technology, and integration of e-health programs across health services to accommodate the multi-morbidity with which older adults typically present. Conclusion: E-health offers a potential solution to overcome the barriers faced by older adults to access timely, effective, and acceptable health care for physical and mental health. However, unless the barriers and facilitators identified in this review are addressed, this potential will not be realised.
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Nova |
2021 |
Knock E, Johnson MP, Baker A, Thornton L, Kay-Lambkin F, 'Therapeutic alliance in psychological treatment for depression and alcohol use comorbidity: The client's perspective', BULLETIN OF THE MENNINGER CLINIC, 85 177-203 [C1]
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Nova |
2021 |
Brown E, O'Donoghue B, White SL, Chanen A, Bedi G, Adams S, et al., 'Tobacco smoking in young people seeking treatment for mental ill-health: What are their attitudes, knowledge and behaviours towards quitting?', Irish Journal of Psychological Medicine, 38 30-39 (2021) [C1]
Introduction Tobacco smoking is a leading cause of preventable death and disease worldwide. Adults with mental ill-health smoke tobacco at substantially higher rates than other ad... [more]
Introduction Tobacco smoking is a leading cause of preventable death and disease worldwide. Adults with mental ill-health smoke tobacco at substantially higher rates than other adults, with public health approaches effective in the population overall having less impact on those with mental ill-health. However, less is known about the tobacco smoking behaviours, attitudes and knowledge of young people with mental ill-health, despite this being the peak period of onset for both mental illness and cigarette smoking. Methods Young people attending a youth mental health centre (providing both primary and specialist care) in Melbourne, Australia were approached by youth peer researchers and asked to complete a survey about smoking behaviours, attitudes and knowledge. We examined smoking and associated attitudes in the sample overall, and as a function of the services accessed. Results In total, 114 young people completed the survey, with 56.3% reporting lifetime cigarette smoking, 42.0% smoking in the last 12 months and 28.6% in the past week. Of current regular smokers, 75.0% acknowledged they should quit in the future; however, only 23.5% planned to do so in the next month, with 44.4% confident that they could quit. Participants lacked knowledge about interactions between tobacco smoking, mental and physical health. Conclusions Youth presenting for mental ill-health had high rates of cigarette smoking relative to population rates. Presentation at youth mental health services may represent a critical window for early intervention to reduce the lifetime impacts of cigarette smoking in mental ill-health. Interventions to support smoking cessation in this group are urgently needed.
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Nova |
2021 |
Haber PS, Riordan BC, Winter DT, Barrett L, Saunders J, Hides L, et al., 'New Australian guidelines for the treatment of alcohol problems: an overview of recommendations', Medical Journal of Australia, 215 S3-S32 (2021)
Summary of recommendations and levels of evidence: Chapter 2: Screening and assessment for unhealthy alcohol use Screening Screening for unhealthy alcohol use and appropriate inte... [more]
Summary of recommendations and levels of evidence: Chapter 2: Screening and assessment for unhealthy alcohol use Screening Screening for unhealthy alcohol use and appropriate interventions should be implemented in general practice (Level A), hospitals (Level B), emergency departments and community health and welfare settings (Level C). Quantity¿frequency measures can detect consumption that exceeds levels in the current Australian guidelines (Level B). The Alcohol Use Disorders Identification Test (AUDIT) is the most effective screening tool and is recommended for use in primary care and hospital settings. For screening in the general community, the AUDIT-C is a suitable alternative (Level A). Indirect biological markers should be used as an adjunct to screening (Level A), and direct measures of alcohol in breath and/or blood can be useful markers of recent use (Level B). Assessment Assessment should include evaluation of alcohol use and its effects, physical examination, clinical investigations and collateral history taking (Level C). Assessment for alcohol-related physical problems, mental health problems and social support should be undertaken routinely (GPP). Where there are concerns regarding the safety of the patient or others, specialist consultation is recommended (Level C). Assessment should lead to a clear, mutually acceptable treatment plan which specifies interventions to meet the patient¿s needs (Level D). Sustained abstinence is the optimal outcome for most patients with alcohol dependence (Level C). Chapter 3: Caring for and managing patients with alcohol problems: interventions, treatments, relapse prevention, aftercare, and long term follow-up Brief interventions Brief motivational interviewing interventions are more effective than no treatment for people who consume alcohol at risky levels (Level A). Their effectiveness compared with standard care or alternative psychosocial interventions varies by treatment setting. They are most effective in primary care settings (Level A). Psychosocial interventions Cognitive behaviour therapy should be a first-line psychosocial intervention for alcohol dependence. Its clinical benefit is enhanced when it is combined with pharmacotherapy for alcohol dependence or an additional psychosocial intervention (eg, motivational interviewing) (Level A). Motivational interviewing is effective in the short term and in patients with less severe alcohol dependence (Level A). Residential rehabilitation may be of benefit to patients who have moderate-to-severe alcohol dependence and require a structured residential treatment setting (Level D). Alcohol withdrawal management Most cases of withdrawal can be managed in an ambulatory setting with appropriate support (Level B). Tapering diazepam regimens (Level A) with daily staged supply from a pharmacy or clinic are recommended (GPP). Pharmacotherapies for alcohol dependence Acamprosate is recommended to help maintain abstinence from alcohol (Level A). Naltrexone is recommended for prevention of relapse to heavy drinking (Level A). Disulfiram is only recommended in close supervision settings where patients are motivated for abstinence (Level A). Some evidence for off-label therapies baclofen and topiramate exists, but their side effect profiles are complex and neither should be a first-line medication (Level B). Peer support programs Peer-led support programs such as Alcoholics Anonymous and SMART Recovery are effective at maintaining abstinence or reductions in drinking (Level A). Relapse prevention, aftercare and long-term follow-up Return to problematic drinking is common and aftercare should focus on addressing factors that contribute to relapse (GPP). A harm-minimisation approach should be considered for patients who are unable to reduce their drinking (GPP). Chapter 4: Providing appropriate treatment and care to people with alcohol problems: a summary for key specific populations Gender-specific issues Screen women and men for domes...
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2021 |
Cunningham JA, Godinho A, Hendershot CS, Kay-Lambkin F, Neighbors C, Griffiths KM, Schell C, 'Randomized controlled trial of online interventions for co-occurring depression and hazardous alcohol consumption: Primary outcome results', Internet Interventions, 26 (2021) [C1]
Background and aims: The current trial tested the benefits of offering a brief online intervention for hazardous alcohol consumption along with one for depression among people exp... [more]
Background and aims: The current trial tested the benefits of offering a brief online intervention for hazardous alcohol consumption along with one for depression among people experiencing both conditions. Methods: Online advertisements were used to recruit people with persistent low mood. Those who also had current hazardous alcohol consumption were identified and invited to take part in the trial (those not eligible were offered access to the online depression intervention). Participants were randomized to an established intervention for depression (MoodGYM; M-only) or to receive MoodGYM plus a brief personalized feedback intervention for hazardous drinking (Check Your Drinking; M + CYD). Participants were followed-up at three and six months. Results: While levels of depression symptoms (p < .001) and hazardous alcohol consumption (p < .001) reduced in both the M-only and the M + CYD groups, there was no difference between groups on drinking (p = .374) or depression outcomes (p = .752). Further, participants who were provided both interventions logged into the intervention website less often (M = 4.1, SD = 3.9) compared to participants only offered the depression intervention (M = 4.9, SD = 5.2), t (986) = 2.47, p = .014. However, there was no significant difference (p > .05) in the number of MoodGYM modules completed between the two groups. Discussion and conclusion: The current trial found no benefit to providing a brief online intervention for hazardous alcohol consumption alongside one for depression among people experiencing these co-occurring disorders. Further, the finding that adding an online intervention for drinking to one for depression led to a small reduction in the number of times the interventions were accessed implies the need for caution when deciding how best to provide online help to those with co-occurring depression and hazardous alcohol consumption. Trial Registration: ClinicalTrials.gov NCT03421080.
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Nova |
2021 |
Sanatkar S, Heinsch M, Baldwin PA, Rubin M, Geddes J, Hunt S, et al., 'Factors predicting trial engagement, treatment satisfaction, and health-related quality of life during the iTreAD project: Secondary analysis of an online treatment and social networking trial for binge drinking and depression in young adults. (Preprint)', JMIR Mental Health, (2021)
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2021 |
Batterham PJ, Calear AL, Sunderland M, Kay-Lambkin F, Farrer LM, Christensen H, Gulliver A, 'A Brief Intervention to Increase Uptake and Adherence of an Internet-Based Program for Depression and Anxiety (Enhancing Engagement With Psychosocial Interventions): Randomized Controlled Trial', Journal of Medical Internet Research, 23 e23029-e23029 [C1]
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Nova |
2021 |
Kay-Lambkin F, Searl A, Johnson MP, Baker A, 'Working with people experiencing psychotic disorders and co-occurring nicotine dependence: Attitudes and reflections from psychologists on the Healthy Lifestyles research trial.', Bulletin of the Menninger Clinic, 85 204-230 (2021) [C1]
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Nova |
2021 |
Gulliver A, Calear AL, Sunderland M, Kay-Lambkin F, Farrer LM, Batterham PJ, 'Predictors of acceptability and engagement in a self-guided online program for depression and anxiety.', Internet Interventions-The Application of Information Technology in Mental and Behavioural Health, 25 (2021) [C1]
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Nova |
2021 |
Young MD, Drew RJ, Kay-Lambkin F, Collins CE, Callister R, Kelly BJ, et al., 'Impact of a Self-Guided, eHealth Program Targeting Weight Loss and Depression in Men: A Randomized Trial', JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 89 682-694 (2021) [C1]
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Nova |
2021 |
Kershaw S, Birrell L, Deen H, Newton NC, Stapinski LA, Champion KE, et al., 'Evaluation of a Digital Health Initiative in Illicit Substance Use: Cross-sectional Survey Study', JOURNAL OF MEDICAL INTERNET RESEARCH, 23 (2021) [C1]
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Nova |
2021 |
Sunderland M, Champion K, Slade T, Chapman C, Newton N, Thornton L, et al., 'Age-varying associations between lifestyle risk factors and major depressive disorder: a nationally representative cross-sectional study of adolescents.', Social psychiatry and psychiatric epidemiology, 56 129-139 (2021) [C1]
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Nova |
2021 |
Thornton L, Gardner LA, Osman B, Green O, Champion KE, Bryant Z, et al., 'A multiple health behavior change, self-monitoring mobile app for adolescents: Development and usability study of the Health4Life app', JMIR Formative Research, 5 (2021) [C1]
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Nova |
2020 |
Hindson J, Hanstock T, Dunlop A, Kay-Lambkin F, 'Internet-Delivered Tobacco Treatment for People Using Cannabis: A Randomized Trial in Two Australian Cannabis Clinics.', JMIR formative research, 4 (2020) [C1]
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Nova |
2020 |
Mewton L, Visontay R, Chapman C, Newton N, Slade T, Kay-Lambkin F, Teesson M, 'Universal prevention of alcohol and drug use: An overview of reviews in an Australian context (vol 37, pg S435, 2018)', DRUG AND ALCOHOL REVIEW, 39 773-773 (2020)
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2020 |
Gulliver A, Calear AL, Sunderland M, Kay-Lambkin F, Farrer LM, Banfield M, Batterham PJ, 'Consumer-Guided Development of an Engagement-Facilitation Intervention for Increasing Uptake and Adherence for Self-Guided Web-Based Mental Health Programs: Focus Groups and Online Evaluation Survey.', JMIR formative research, 4 1-15 (2020) [C1]
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Nova |
2020 |
Heinsch M, Sampson D, Huens V, Handley T, Hanstock T, Harris K, Kay-Lambkin F, 'Understanding ambivalence in help-seeking for suicidal people with comorbid depression and alcohol misuse.', PloS one, 15 e0231647 (2020) [C1]
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Nova |
2020 |
Guell X, Anteraper SA, Gardner AJ, Whitfield-Gabrieli S, Kay-Lambkin F, Iverson GL, et al., 'Functional Connectivity Changes in Retired Rugby League Players: A Data-Driven Functional Magnetic Resonance Imaging Study', JOURNAL OF NEUROTRAUMA, 37 1788-1796 (2020) [C1]
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Nova |
2020 |
Heinsch M, Agllias K, Tickner C, Wells H, Cootes H, Sampson D, Kay-Lambkin F, ' Speaking with them, not about them : engaging undergraduate social work students in research with young people', Social Work Education, 39 111-125 (2020) [C1]
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Nova |
2020 |
Teesson M, Champion KE, Newton NC, Kay-Lambkin F, Chapman C, Thornton L, et al., 'Study protocol of the Health4Life initiative: A cluster randomised controlled trial of an eHealth school-based program targeting multiple lifestyle risk behaviours among young Australians', BMJ Open, 10 (2020)
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2020 |
Thornton L, Osman B, Wescott AB, Sunderland M, Champion K, Green O, et al., 'Measurement properties of smartphone approaches to assess key lifestyle behaviours: Protocol of a systematic review', Systematic Reviews, 9 (2020)
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2019 |
Whatnall M, Patterson A, Siew YY, Kay-Lambkin F, Hutchesson M, 'Are psychological distress and resilience associated with dietary intake among Australian university students?', International Journal of Environmental Research and Public Health, 16 (2019) [C1]
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2019 |
Brunette MF, Achtyes E, Pratt S, Stilwell K, Opperman M, Guarino S, Kay-Lambkin F, 'Use of Smartphones, Computers and Social Media Among People with SMI: Opportunity for Intervention', Community Mental Health Journal, 55 973-978 (2019) [C1]
Mobile technology provides a unique opportunity to expand access to evidence-based interventions. The objective of this study was to provide an update regarding use of technology ... [more]
Mobile technology provides a unique opportunity to expand access to evidence-based interventions. The objective of this study was to provide an update regarding use of technology in people with serious mental illness (SMI). In 2017, 403 people in treatment for SMI were surveyed. Technology use was common: 65.8% used a smartphone, 53.6% used the Internet on a computer or tablet in the past 6¿months, and over two thirds (67.9%) used social media. Rates of technology and Facebook use were similar to rates among low-income Americans. Approximately three quarters were willing to use a device to access interventions for stress, health and mental health. Younger adults were more likely to use most forms of technology and social media compared to older adults, but willingness to try technology-delivered interventions did not vary by age. This survey supports the rationale for ongoing development and testing of digital interventions for people with SMI.
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Nova |
2019 |
Killackey E, Allott K, Jackson HJ, Scutella R, Tseng YP, Borland J, et al., 'Individual placement and support for vocational recovery in first-episode psychosis: Randomised controlled trial', British Journal of Psychiatry, 214 76-82 (2019) [C1]
Background High unemployment is a hallmark of psychotic illness. Individual placement and support (IPS) may be effective at assisting the vocational recoveries of young people wit... [more]
Background High unemployment is a hallmark of psychotic illness. Individual placement and support (IPS) may be effective at assisting the vocational recoveries of young people with first-episode psychosis (FEP).Aims To examine the effectiveness of IPS at assisting young people with FEP to gain employment (Australian and Clinical Trials Registry ACTRN12608000094370).Method Young people with FEP (n = 146) who were interested in vocational recovery were randomised using computer-generated random permuted blocks on a 1:1 ratio to: (a) 6 months of IPS in addition to treatment as usual (TAU) or (b) TAU alone. Assessments were conducted at baseline, 6 months (end of intervention), 12 months and 18 months post-baseline by research assistants who were masked to the treatment allocations.Results At the end of the intervention the IPS group had a significantly higher rate of having been employed (71.2%) than the TAU group (48.0%), odds ratio 3.40 (95% CI 1.17-9.91, z = 2.25, P = 0.025). However, this difference was not seen at 12-and 18-month follow-up points. There was no difference at any time point on educational outcomes.Conclusions This is the largest trial to our knowledge on the effectiveness of IPS in FEP. The IPS group achieved a very high employment rate during the 6 months of the intervention. However, the advantage of IPS was not maintained in the long term. This seems to be related more to an unusually high rate of employment being achieved in the control group rather than a gross reduction in employment among the IPS group.Declaration of interest None.
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Nova |
2019 |
Young C, Campolonghi S, Ponsonby S, Dawson SL, O'Neil A, Kay-Lambkin F, et al., 'Supporting Engagement, Adherence, and Behavior Change in Online Dietary Interventions', Journal of Nutrition Education and Behavior, 51 719-739 (2019) [C1]
Introduction: Poor diet is a leading cause of death and disease globally. This epidemic requires effective and accessible interventions to stop the increasing number of diet-relat... [more]
Introduction: Poor diet is a leading cause of death and disease globally. This epidemic requires effective and accessible interventions to stop the increasing number of diet-related deaths and the health and economic impacts of diet-related disease. Online interventions provide flexibility and accessibility. With the ubiquitous use of smartphones, they can be intertwined with daily activities such as shopping and eating. The aim of this review is to determine what features and behavior change techniques employed in online dietary interventions for adult populations promoting dietary behavior change. Methods: The researchers conducted a systematic search of Cumulative Index of Nursing and Allied Health, Cochrane Library, Global Health, MEDLINE, PsychINFO, and psychological and behavioral sciences electronic bibliography databases, and specialist electronic health (e-health) journals from database inception to January, 2018. Studies were included if they were randomized controlled trials of online dietary interventions with active comparator conditions in adult populations, and with reported dietary change measures. A quality score was applied to each study calculated by a developed scoring system. The review analyzed intervention dietary change measures, attrition (nonuse and dropout), engagement (metrics and intensity of use), adherence (defined as compliance to the treatment protocol), behavior change techniques employed to achieve dietary change, and techniques employed in successful (those who achieved significant results in the targeted dietary behavior) vs unsuccessful interventions as reported by the studies. Results: A total of 21 studies composed of a total of 7,455 adults and reporting on 19 different e-health interventions were included from 1,237 records. These studies targeted dietary change as measured by reduced energy intake (5) or changes in specific dietary components (15) and overall diet quality (4). Dietary change was a behavior target in general healthy populations (12) and for managing diseases such as obesity and cardiovascular disease (7), or for improving quality of life for those with chronic conditions (1). Improvements in dietary behavior were seen in 14 of the 19 interventions reported. Discussion: The results suggest that online interventions can be successful in achieving dietary behavior change across a range of defined populations. However, disparate reporting of engagement and limited reporting of nonuse attrition rates limited the analysis of which behavior change techniques were most effective in achieving this change. Implications for Research and Practice: The results of this review support the potential of online and smartphone dietary interventions as a method to achieve change in diet in defined populations. However, further work needs to be done in examining how users engage with interventions, and thus which behavior change techniques are most effective.
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Nova |
2019 |
Batterham PJ, Calear AL, Sunderland M, Kay-Lambkin F, Farrer LM, Gulliver A, 'A brief intervention to increase uptake and adherence of an online program for depression and anxiety: Protocol for the Enhancing Engagement with Psychosocial Interventions (EEPI) Randomized Controlled Trial', Contemporary Clinical Trials, 78 107-115 (2019)
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2019 |
Mewton L, Champion K, Kay-Lambkin F, Sunderland M, Thornton L, Teesson M, 'Lifestyle risk indices in adolescence and their relationships to adolescent disease burden: Findings from an Australian national survey', BMC Public Health, 19 (2019)
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2019 |
Heinsch M, Geddes J, Sampson D, Brosnan C, Hunt S, Wells H, Kay-Lambkin F, 'Disclosure of suicidal thoughts during an e-mental health intervention: relational ethics meets actor-network theory', ETHICS & BEHAVIOR, 31 151-170 (2019) [C1]
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Nova |
2019 |
Whatnall M, Patterson A, Siew YY, Kay-Lambkin F, Hutchesson M, 'Are psychological distress and resilience associated with dietary intake among Australian university students?', International Journal of Environmental Research and Public Health, 16 (2019) [C1]
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Nova |
2018 |
Champion KE, Mather M, Spring B, Kay-Lambkin F, Teesson M, Newton NC, 'Clustering of Multiple Risk Behaviors Among a Sample of 18-Year-Old Australians and Associations With Mental Health Outcomes: A Latent Class Analysis.', Frontiers in public health, 6 135 (2018) [C1]
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Nova |
2018 |
Young CL, Trapani K, Dawson S, O Neil A, Kay-Lambkin F, Berk M, Jacka FN, 'Efficacy of online lifestyle interventions targeting lifestyle behaviour change in depressed populations: A systematic review', Australian and New Zealand Journal of Psychiatry, 52 834-846 (2018) [C1]
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Nova |
2018 |
Chapman C, Champion KE, Birrell L, Deen H, Brierley M-E, Stapinski LA, et al., 'Smartphone Apps About Crystal Methamphetamine ("Ice"): Systematic Search in App Stores and Assessment of Composition and Quality', JMIR MHEALTH AND UHEALTH, 6 (2018) [C1]
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Nova |
2018 |
Champion KE, Chapman C, Newton NC, Brierley M-E, Stapinski L, Kay-Lambkin F, et al., 'A Web-Based Toolkit to Provide Evidence-Based Resources About Crystal Methamphetamine for the Australian Community: Collaborative Development of Cracks in the Ice.', JMIR mental health, 5 e21 (2018) [C1]
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Nova |
2018 |
Thornton L, Kay-Lambkin F, Tebbutt B, Hanstock TL, Baker AL, 'A mobile phone Based healthy lifestyle monitoring tool for people with mental health problems (MyHealthPA): Development and pilot testing', JMIR Cardio, 2 (2018) [C1]
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Nova |
2018 |
Burrows T, Kay-Lambkin F, Pursey K, Skinner J, Dayas C, 'Food addiction and associations with mental health symptoms: a systematic review with meta-analysis', Journal of Human Nutrition and Dietetics, 31 544-572 (2018) [C1]
Background: The present study systematically reviewed the literature aiming to determine the relationships between food addiction, as measured by the Yale Food Addiction Scale (YF... [more]
Background: The present study systematically reviewed the literature aiming to determine the relationships between food addiction, as measured by the Yale Food Addiction Scale (YFAS), and mental health symptoms. Methods: Nine databases were searched using keywords. Studies were included if they reported: (i) YFAS diagnosis or symptom score and (ii) a mental health outcome, as well as the association between (i) and (ii). In total, 51 studies were included. Results: Through meta-analysis, the mean prevalence of food addiction diagnosis was 16.2%, with an average of 3.3 (range 2.85¿3.92) food addiction symptoms being reported. Subanalyses revealed that the mean number of food addiction symptoms in populations seeking treatment for weight loss was 3.01 (range 2.65¿3.37) and this was higher in groups with disordered eating (mean 5.2 3.6¿6.7). Significant positive correlations were found between food addiction and binge eating [mean r¿=¿0.602 (0.557¿0.643), P¿<¿0.05], depression, anxiety and food addiction [mean r¿=¿0.459 (0.358¿0.550), r¿=¿0.483 (0.228¿0.676), P¿<¿0.05, respectively]. Conclusions: A significant, positive relationship exists between food addiction and mental health symptoms, although the results of the present study highlight the complexity of this relationship.
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Nova |
2018 |
Glasner S, Kay-Lambkin F, Budney AJ, Gitlin M, Kagan B, Chokron-Garneau H, et al., 'Preliminary Outcomes of a Computerized CBT/MET Intervention for Depressed Cannabis Users in Psychiatry Care.', Cannabis (Albuquerque, N.M.), 1 36-47 (2018) [C1]
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Nova |
2018 |
Mewton L, Visontay R, Chapman C, Newton N, Slade T, Kay-Lambkin F, Teesson M, 'Universal prevention of alcohol and drug use: An overview of reviews in an Australian context', Drug and Alcohol Review, 37 S435-S469 (2018)
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2018 |
Beck AK, Baker A, Jones S, Lobban F, Kay-Lambkin F, Attia J, Banfield M, 'Exploring the feasibility and acceptability of a recovery-focused group therapy intervention for adults with bipolar disorder: Trial protocol', BMJ Open, 8 (2018)
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2018 |
Cunningham JA, Hendershot CS, Kay-Lambkin F, Neighbors C, Griffiths KM, Bennett K, et al., 'Does providing a brief internet intervention for hazardous alcohol use to people seeking online help for depression reduce both alcohol use and depression symptoms among participants with these co-occurring disorders? Study protocol for a randomised controlled trial', BMJ Open, 8 (2018)
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2018 |
Baker AL, Richmond R, Kay-Lambkin FJ, Filia SL, Castle D, Williams JM, et al., 'Randomised controlled trial of a healthy lifestyle intervention among smokers with psychotic disorders: Outcomes to 36 months', Australian and New Zealand Journal of Psychiatry, 52 239-252 (2018) [C1]
Objective: People living with psychotic disorders (schizophrenia spectrum and bipolar disorders) have high rates of cardiovascular disease risk behaviours, including smoking, phys... [more]
Objective: People living with psychotic disorders (schizophrenia spectrum and bipolar disorders) have high rates of cardiovascular disease risk behaviours, including smoking, physical inactivity and poor diet. We report cardiovascular disease risk, smoking cessation and other risk behaviour outcomes over 36 months following recruitment into a two-arm randomised controlled trial among smokers with psychotic disorders. Methods: Participants (N = 235) drawn from three sites were randomised to receive nicotine replacement therapy plus (1) a Healthy Lifestyles intervention delivered over approximately 9 months or (2) a largely telephone-delivered intervention (designed to control for nicotine replacement therapy provision, session frequency and other monitoring). The primary outcome variables were 10-year cardiovascular disease risk and smoking status, while the secondary outcomes included weekly physical activity, unhealthy eating, waist circumference, psychiatric symptomatology, depression and global functioning. Results: Significant reductions in cardiovascular disease risk and smoking were detected across the 36-month follow-up period in both intervention conditions, with no significant differences between conditions. One-quarter (25.5%) of participants reported reducing cigarettes per day by 50% or more at multiple post-treatment assessments; however, few (8.9%) managed to sustain this across the majority of time points. Changes in other health behaviours or lifestyle factors were modest; however, significant improvements in depression and global functioning were detected over time in both conditions. Participants experiencing worse ¿social discomfort¿ at baseline (e.g. anxiety, mania, poor self-esteem and social disability) had on average significantly worse global functioning, lower scores on the 12-Item Short Form Health Survey physical scale and significantly greater waist circumference. Conclusion: Although the telephone-delivered intervention was designed as a comparison condition, it achieved excellent retention and comparable outcomes. Telephone-delivered smoking cessation support may potentially help to reduce smoking rates among people with psychotic disorders. Discomfort in social situations may also be a useful target for future health interventions, addressing confidence and social skills, and promoting social networks that reduce inactivity.
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Nova |
2018 |
Birrell L, Deen H, Champion KE, Newton NC, Stapinski LA, Kay-Lambkin F, et al., 'A Mobile App to Provide Evidence-Based Information About Crystal Methamphetamine (Ice) to the Community (Cracks in the Ice): Co-Design and Beta Testing', JMIR MHEALTH AND UHEALTH, 6 (2018) [C1]
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Nova |
2018 |
Thornton LK, Kay-Lambkin FJ, 'Specific features of current and emerging mobile health apps: user views among people with and without mental health problems.', mHealth, 4 (2018) [C1]
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Nova |
2017 |
Gardner A, Iverson G, Wojtowicz M, Levi C, Kay-Lambkin F, Schofield P, et al., 'MR spectroscopy findings in retired professional rugby league players', International Journal of Sports Medicine, 38 241-252 (2017) [C1]
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Nova |
2017 |
Thornton L, Quinn C, Birrell L, Guillaumier A, Shaw B, Forbes E, et al., 'Free smoking cessation mobile apps available in Australia: a quality review and content analysis', Australian and New Zealand Journal of Public Health, 41 625-630 (2017) [C1]
Objectives: This review aimed to identify free, high-quality, smoking cessation mobile applications (apps) that adhere to Australian smoking cessation treatment guidelines. Method... [more]
Objectives: This review aimed to identify free, high-quality, smoking cessation mobile applications (apps) that adhere to Australian smoking cessation treatment guidelines. Methods: A systematic search of smoking cessation apps was conducted using Google. The technical quality of relevant apps was rated using the Mobile Application Rating Scale. The content of apps identified as high quality was assessed for adherence to smoking cessation treatment guidelines. Results: 112 relevant apps were identified. The majority were of poor technical quality and only six ¿high-quality¿ apps were identified. These apps adhered to Australian treatment guidelines in part. The efficacy of two apps had been previously evaluated. Conclusions: In lieu of more substantial research in this area, it is suggested that the high-quality apps identified in this review may be more likely than other available apps to encourage smoking cessation. Implications for public health: Smoking cessation apps have the potential to address many barriers that prevent smoking cessation support being provided; however few high-quality smoking cessation apps are currently available in Australia, very few have been evaluated and the app market is extremely volatile. More research to evaluate smoking cessation apps, and sustained funding for evidence-based apps, is needed.
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Nova |
2017 |
Kay-Lambkin FJ, Baker AL, Palazzi K, Lewin TJ, Kelly BJ, 'Therapeutic Alliance, Client Need for Approval, and Perfectionism as Differential Moderators of Response to eHealth and Traditionally Delivered Treatments for Comorbid Depression and Substance Use Problems', International Journal of Behavioral Medicine, 24 728-739 (2017) [C1]
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Nova |
2017 |
Thornton L, Handley T, Kay-Lambkin F, Baker A, 'Is A Person Thinking About Suicide Likely to Find Help on the Internet? An Evaluation of Google Search Results', Suicide and Life-Threatening Behavior, 47 48-53 (2017) [C1]
It is unclear whether individuals searching the Internet for assistance with thoughts of suicide are likely to encounter predominantly helpful or harmful resources. This study inv... [more]
It is unclear whether individuals searching the Internet for assistance with thoughts of suicide are likely to encounter predominantly helpful or harmful resources. This study investigated websites retrieved by searching Google for information and support for suicidal thoughts. Google searches retrieved a high percentage of irrelevant websites (26%, n¿=¿136). Of the 329 relevant websites retrieved, the majority were suicide preventive (68%); however, a considerable proportion of sites expressed mixed (22%) or neutral (8%) suicide attitudes, and 1% were explicitly pro-suicide. The results highlight a need for suicide prevention organization websites to be made more easily accessible. In the meantime, clinicians should be aware of appropriate websites to recommend to clients.
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Nova |
2017 |
Fletcher R, May C, Kay-Lambkin F, Gemmill AW, Cann W, Nicholson JM, et al., 'SMS4dads: Providing information and support to new fathers through mobile phones a pilot study', Advances in Mental Health, 15 121-131 (2017) [C1]
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Nova |
2017 |
Tynan RJ, Considine R, Wiggers J, Lewin TJ, James C, Inder K, et al., 'Alcohol consumption in the Australian coal mining industry', Occupational and Environmental Medicine, 74 259-267 (2017) [C1]
Objectives: To investigate patterns of alcohol use within the coal mining industry, and associations with the personal, social, workplace and employment characteristics. Design: 8... [more]
Objectives: To investigate patterns of alcohol use within the coal mining industry, and associations with the personal, social, workplace and employment characteristics. Design: 8 mine sites across 3 eastern Australian states were surveyed, selected to encompass key geographic characteristics (accessibility and remoteness) and mine type (open cut and underground). Problematic alcohol use was measured using the Alcohol Use Disorders Identification Test (AUDIT) to determine: (1) overall risky or hazardous drinking behaviour; and (2) frequency of single-occasion drinking (6 or more drinks on 1 occasion). Results: A total of 1457 employees completed the survey, of which 45.7% of male and 17.0% of female participants reported levels of alcohol use within the range considered as risky or hazardous, considerably higher than the national average. Hierarchical linear regression revealed a significant contribution of many individual level factors associated with AUDIT scores: younger age, male, current smoking status; illicit substance use; previous alcohol and other drug use (AOD) problems; and higher psychological distress. Workplace factors associated with alcohol use included working in mining primarily for the high remuneration, and the type of mining, with underground miners reporting higher alcohol use than open-cut miners. Conclusions: Our findings provide support for the need to address alcohol use in the coal mining industry over and above routine on-site testing for alcohol use.
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Nova |
2017 |
Burrows T, Hides L, Brown R, Dayas CV, Kay-Lambkin F, 'Differences in Dietary Preferences, Personality and Mental Health in Australian Adults with and without Food Addiction', NUTRIENTS, 9 (2017) [C1]
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Nova |
2017 |
Fletcher R, Kay-Lambkin F, May C, Oldmeadow C, Attia J, Leigh L, 'Supporting men through their transition to fatherhood with messages delivered to their smartphones: a feasibility study of SMS4dads', BMC PUBLIC HEALTH, 17 (2017) [C1]
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Nova |
2017 |
Clark V, Baker A, Lewin T, Richmond R, Kay-Lambkin F, Filia S, et al., 'Self-Reported Reasons for Smoking: Predicting Abstinence and Implications for Smoking Cessation Treatments Among Those With a Psychotic Disorder', Journal of Dual Diagnosis, 13 6-14 (2017) [C1]
Objectives: People living with a psychotic illness have higher rates of cigarette smoking and face unique barriers to quitting compared to the general population. We examined whet... [more]
Objectives: People living with a psychotic illness have higher rates of cigarette smoking and face unique barriers to quitting compared to the general population. We examined whether self-reported reasons for smoking are useful predictors of successful quit attempts among people with psychosis. Methods: As part of a randomized controlled trial addressing smoking and cardiovascular disease risk behaviors among people with psychosis, self-reported reasons for smoking were assessed at baseline (n = 235), 15 weeks (n = 151), and 12 months (n = 139). Three factors from the Reasons for Smoking Questionnaire (Coping, Physiological, and Stimulation/Activation) were entered into a model to predict short- and long-term abstinence. The relationship between these factors and mental health symptoms were also assessed. Results: Participants scoring higher on the Stimulation/Activation factor (control of weight, enjoyment, concentration, and ¿peps me up¿) at baseline were just less than half as likely to be abstinent at 15 weeks. Female participants were five times more likely to abstinent at 15 weeks, and those with a higher global functioning at baseline were 5% more likely to be abstinent. There was a positive correlation between changes over time in the Stimulation/Activation factor from baseline to 12-month follow-up and the Brief Psychiatric Rating Scale total score at 12-month follow-up. This indicates that increasingly higher endorsement of the factor was associated with more psychological symptoms. There was also a negative correlation between the change over time in the Stimulation/Activation factor and global functioning at 12 months, indicating that increasingly higher endorsement of the factor led to lower global assessment of functioning. Conclusions: The Stimulation/Activation factor may be particularly important to assess and address among smokers with psychosis. It is recommended that further research use the Reasons for Smoking Questionnaire among smokers with psychosis as a clinical tool to identify specific quit barriers. Further research into why females have higher smoking cessation rates in the short term and relapse prevention interventions seem worthy of further investigation.
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Nova |
2016 |
Tynan RJ, Considine R, Rich JL, Skehan J, Wiggers J, Lewin TJ, et al., 'Help-seeking for mental health problems by employees in the Australian Mining Industry', BMC HEALTH SERVICES RESEARCH, 16 (2016) [C1]
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Nova |
2016 |
Deady M, Mills KL, Teesson M, Kay-Lambkin F, 'An online intervention for co-occurring depression and problematic alcohol use in young people: Primary outcomes from a randomized controlled trial', Journal of Medical Internet Research, 18 (2016) [C1]
Background: Depression and problematic alcohol use represent two of the major causes of disease burden in young adults. These conditions frequently co-occur and this is associated... [more]
Background: Depression and problematic alcohol use represent two of the major causes of disease burden in young adults. These conditions frequently co-occur and this is associated with increased harm and poorer outcomes than either disorder in isolation. Integrated treatments have been shown to be effective; however, there remains a significant gap between those in need of treatment and those receiving it. The increased availability of eHealth programs presents a unique opportunity to treat these conditions. Objective: This study aimed to evaluate the feasibility and preliminary efficacy of an automated Web-based self-help intervention (DEAL Project) in treating co-occurring depressive symptoms and problematic alcohol use in young people. Methods: Young people (aged 18 to 25 years) with moderate depression symptoms and drinking at hazardous levels (recruited largely via social media) were randomly allocated to the DEAL Project (n=60) or a Web-based attention-control condition (HealthWatch; n=44). The trial consisted of a 4-week intervention phase with follow-up assessment at posttreatment and at 3 and 6 months postbaseline. The primary outcomes were change in depression severity according to the Patient Health Questionnaire-9 as well as quantity and frequency of alcohol use (TOT-AL). Results: The DEAL Project was associated with statistically significant improvement in depression symptom severity (d=0.71) and reductions in alcohol use quantity (d=0.99) and frequency (d=0.76) in the short term compared to the control group. At 6-month follow-up, the improvements in the intervention group were maintained; however, the differences between the intervention and control groups were no longer statistically significant, such that between-group effects were in the small to moderate range at 6 months (depression symptoms: d=0.39; alcohol quantity: d=-0.09; alcohol frequency: d=0.24). Conclusions: Overall, the DEAL Project was associated with more rapid improvement in both depression symptoms and alcohol use outcomes in young people with these co-occurring conditions relative to an attention-control condition. However, long-term outcomes are less clear.
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Nova |
2016 |
Handley TE, Kay-Lambkin FJ, Baker AL, Lewin TJ, Kelly BJ, Inder KJ, et al., 'Investigation of a Suicide Ideation Risk Profile in People with Co-occurring Depression and Substance Use Disorder', Journal of Nervous and Mental Disease, 204 820-826 (2016) [C1]
Disengagement from services is common before suicide, hence identifying factors at treatment presentation that predict future suicidality is important. This article explores risk ... [more]
Disengagement from services is common before suicide, hence identifying factors at treatment presentation that predict future suicidality is important. This article explores risk profiles for suicidal ideation among treatment seekers with depression and substance misuse. Participants completed assessments at baseline and 6 months. Baseline demographics, psychiatric history, and current symptoms were entered into a decision tree to predict suicidal ideation at follow-up. Sixty-three percent of participants at baseline and 43.5% at follow-up reported suicidal ideation. Baseline ideation most salient when psychiatric illness began before adulthood, increasing the rate of follow-up ideation by 16%. Among those without baseline ideation, dysfunctional attitudes were the most important risk factor, increasing rates of suicidal ideation by 35%. These findings provide evidence of factors beyond initial diagnoses that increase the likelihood of suicidal ideation and are worthy of clinical attention. In particular, providing suicide prevention resources to those with high dysfunctional attitudes may be beneficial.
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Nova |
2016 |
Thornton LK, Harris K, Baker AL, Johnson M, Kay-Lambkin FJ, 'Recruiting for addiction research via Facebook', Drug and alcohol review, 35 494-502 (2016) [C1]
DESIGN AND METHODS: Participants were recruited via an advertisement on Facebook, a local research register and university psychology courses. Participants completed a self-report... [more]
DESIGN AND METHODS: Participants were recruited via an advertisement on Facebook, a local research register and university psychology courses. Participants completed a self-report survey regarding substance use, history of mental health issues and current psychological distress.
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Nova |
2016 |
Thornton L, Batterham PJ, Fassnacht DB, Kay-Lambkin F, Calear AL, Hunt S, 'Recruiting for health, medical or psychosocial research using Facebook: Systematic review', Internet Interventions, 4 72-81 (2016) [C1]
Recruiting participants is a challenge for many health, medical and psychosocial research projects. One tool more frequently being used to improve recruitment is the social networ... [more]
Recruiting participants is a challenge for many health, medical and psychosocial research projects. One tool more frequently being used to improve recruitment is the social networking website Facebook. A systematic review was conducted to identify studies that have used Facebook to recruit participants of all ages, to any psychosocial, health or medical research. 110 unique studies that used Facebook as a recruitment source were included in the review. The majority of studies used a cross-sectional design (80%) and addressed a physical health or disease issue (57%). Half (49%) of the included studies reported specific details of the Facebook recruitment process. Researchers paid between $1.36 and $110 per completing participants (Mean = $17.48, SD = $23.06). Among studies that examined the representativeness of their sample, the majority concluded (86%) their Facebook-recruited samples were similarly representative of samples recruited via traditional methods. These results indicate that Facebook is an effective and cost-efficient recruitment method. Researchers should consider their target group, advertisement wording, offering incentives and no-cost methods of recruitment when considering Facebook as a recruitment source. It is hoped this review will assist researchers to make decisions regarding the use of Facebook as a recruitment tool in future research.
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Nova |
2016 |
Sankaranarayanan A, Clark V, Baker A, Palazzi K, Lewin TJ, Richmond R, et al., 'Reducing smoking reduces suicidality among individuals with psychosis: Complementary outcomes from a Healthy Lifestyles intervention study', Psychiatry Research, 243 407-412 (2016) [C1]
This study sought to explore the impact of smoking reduction on suicidality (suicide ideation and behaviour) among people with a psychotic disorder (n=235) who participated in a r... [more]
This study sought to explore the impact of smoking reduction on suicidality (suicide ideation and behaviour) among people with a psychotic disorder (n=235) who participated in a randomized trial of a healthy lifestyle intervention trial. Suicidality, measured by item -4 of the Brief Psychiatric Rating Scale (BPRS) was the main variable of interest. Measures were collected by research assistants blind to treatment allocation at baseline, at 15 weeks (mid-intervention) and 12 months after baseline. Mediation analysis, adjusted for confounders, was used to determine the relationship between smoking reduction and suicidality and to explore whether this was mediated through depression. At 12 months, smoking reduction was found to be significantly associated with suicidality change; an association was also seen between smoking reduction and depression and depression and suicidality. After adjusting for depression, the association between smoking reduction and suicidality was attenuated but remained statistically significant; the proportion of the total effect that was mediated through depression was 30%. There was no significant association between suicidality and treatment group (vs. controls) over time. Our study suggests that smoking interventions may have benefits over and above those for improved physical health, by reducing suicidal ideation in people with psychosis.
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Nova |
2016 |
Twyman L, Bonevski B, Paul C, Kay-Lambkin FJ, Bryant J, Oldmeadow C, et al., 'The association between cannabis use and motivation and intentions to quit tobacco within a sample of Australian socioeconomically disadvantaged smokers.', Health Educ Res, 31 771-781 (2016) [C1]
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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 |
Delgadillo J, Kay-Lambkin F, 'Closing the science-practice gap: introduction to the special issue on psychological interventions for comorbid addictions and mental health problems', Advances in Dual Diagnosis, 9 (2016)
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2016 |
Batterham PJ, McGrath J, McGorry PD, Kay-Lambkin FJ, Hickie IB, Christensen H, 'NHMRC funding of mental health research', Medical Journal of Australia, 205 348-349.e1 (2016)
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2016 |
Kay-Lambkin FJ, Thornton L, Lappin JM, Hanstock T, Sylvia L, Jacka F, et al., 'Study protocol for a systematic review of evidence for lifestyle interventions targeting smoking, sleep, alcohol/other drug use, physical activity, and healthy diet in people with bipolar disorder', Systematic Reviews, 5 (2016)
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2016 |
Batterham PJ, McGrath J, McGorry PD, Kay-Lambkin FJ, Hickie IB, Christensen H, 'NHMRC funding of mental health research', The Medical journal of Australia, 205 350-351 (2016)
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2016 |
James E, Freund M, Booth A, Duncan MJ, Johnson N, Short CE, et al., 'Comparative efficacy of simultaneous versus sequential multiple health behavior change interventions among adults: A systematic review of randomised trials', Preventive Medicine, 89 211-223 (2016) [C1]
Background: Growing evidence points to the benefits of addressing multiple health behaviors rather than single behaviors. Purpose: This review evaluates the relative effectiveness... [more]
Background: Growing evidence points to the benefits of addressing multiple health behaviors rather than single behaviors. Purpose: This review evaluates the relative effectiveness of simultaneous and sequentially delivered multiple health behavior change (MHBC) interventions. Secondary aims were to identify: a) the most effective spacing of sequentially delivered components; b) differences in efficacy of MHBC interventions for adoption/cessation behaviors and lifestyle/addictive behaviors, and c) differences in trial retention between simultaneously and sequentially delivered interventions. Methods: MHBC intervention trials published up to October 2015 were identified through a systematic search. Eligible trials were randomised controlled trials that directly compared simultaneous and sequential delivery of a MHBC intervention. A narrative synthesis was undertaken. Results: Six trials met the inclusion criteria and across these trials the behaviors targeted were smoking, diet, physical activity, and alcohol consumption. Three trials reported a difference in intervention effect between a sequential and simultaneous approach in at least one behavioral outcome. Of these, two trials favoured a sequential approach on smoking. One trial favoured a simultaneous approach on fat intake. There was no difference in retention between sequential and simultaneous approaches. Conclusions: There is limited evidence regarding the relative effectiveness of sequential and simultaneous approaches. Given only three of the six trials observed a difference in intervention effectiveness for one health behavior outcome, and the relatively consistent finding that the sequential and simultaneous approaches were more effective than a usual/minimal care control condition, it appears that both approaches should be considered equally efficacious. PROSPERO registration number: CRD42015027876.
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Nova |
2015 |
Tait RJ, McKetin R, Kay-Lambkin F, Carron-Arthur B, Bennett A, Bennett K, et al., 'Six-month outcomes of a web-based intervention for users of amphetamine-type stimulants: Randomized controlled trial', Journal of Medical Internet Research, 17 e105 (2015) [C1]
Background: The use of amphetamine-type stimulants (ATS) places a large burden on health services. Objective: The aim was to evaluate the effectiveness of a self-guided Web-based ... [more]
Background: The use of amphetamine-type stimulants (ATS) places a large burden on health services. Objective: The aim was to evaluate the effectiveness of a self-guided Web-based intervention ("breakingtheice") for ATS users over 6 months via a free-to-access site. Methods: We conducted a randomized trial comparing a waitlist control with a fully automated intervention containing 3 modules derived from cognitive behavioral therapy and motivation enhancement. The main outcome was self-reported ATS use in the past 3 months assessed at 3- and 6-month follow-ups using the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). Secondary outcomes were help-seeking intentions (general help-seeking questionnaire), actual help seeking (actual help-seeking questionnaire), psychological distress (Kessler 10), polydrug use (ASSIST), quality of life (European Health Interview Survey), days out of role, and readiness to change. Follow-up data were evaluated using an intention-to-treat (ITT) analysis with a group by time interaction. Results: We randomized 160 people (intervention: n=81; control: n=79). At 6 months, 38 of 81 (47%) intervention and 41 of 79 (52%) control participants provided data. ATS scores significantly declined for both groups, but the interaction effect was not significant. There were significant ITT time by group interactions for actual help seeking (rate ratio [RR] 2.16; d=0.45) and help-seeking intentions (RR 1.17; d=0.32), with help seeking increasing for the intervention group and declining for the control group. There were also significant interactions for days completely (RR 0.50) and partially (RR 0.74) out of role favoring the intervention group. However, 37% (30/81) of the intervention group did not complete even 1 module. Conclusions: This self-guided Web-based intervention encouraged help seeking associated with ATS use and reduced days out of role, but it did not reduce ATS use. Thus, this program provides a means of engaging with some sections of a difficult-to-reach group to encourage treatment, but a substantial minority remained disengaged. Trial Registration: Australian and New Zealand Clinical Trials Registry: ACTRN12611000947909; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=343307 (Archived by WebCite at http://www.webcitation.org/6Y0PGGp8q).
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Nova |
2015 |
Hunt SA, Kay-Lambkin FJ, Baker AL, Michie PT, 'Systematic review of neurocognition in people with co-occurring alcohol misuse and depression', Journal of Affective Disorders, 179 51-64 (2015) [C1]
Background Alcohol misuse and depression represent two major social and health problems globally. These conditions commonly co-occur and both are associated with significant cogni... [more]
Background Alcohol misuse and depression represent two major social and health problems globally. These conditions commonly co-occur and both are associated with significant cognitive impairment. Despite this, few studies have examined the impact on cognitive functioning of co-occurring alcohol misuse and depression. This study aims to critically review findings from peer-reviewed published articles examining neuropsychological test performance among samples of people with co-occurring alcohol misuse and depression. Method A comprehensive literature search was conducted, yielding six studies reporting neuropsychological profiles of people with co-occurring alcohol misuse and depression. Results comparing cognitive functioning of people with this comorbidity to those with alcohol misuse alone, depression alone, healthy controls and published norms were examined as well as those describing the correlation between depressive symptoms and cognitive functioning in people with alcohol use disorders. Results In the majority of instances, the comorbid groups did not differ significantly from those with depression only or alcohol misuse only, nor from healthy controls or published norms. In the cases where a difference in neuropsychological test scores between groups was found, it was not consistently identified across studies. However, visual memory was identified in two studies as being impaired in comorbid samples and is worthy of inclusion in future studies. Limitations Due to the small number of included studies and the large variation in inclusion criteria as well as differing assessment tools and methodologies between studies, the review did not include a quantitative synthesis. Conclusions Research into cognitive deficits among people with singly occurring versus co-occurring alcohol misuse and depression is accumulating. Evidence suggests that the neuropsychological performance among samples with this comorbidity is generally not severely impaired and is unlikely to preclude benefit from treatment.
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Nova |
2015 |
Gardner A, Iverson GL, Levi CR, Schofield PW, Kay-Lambkin F, Kohler RMN, Stanwell P, 'A systematic review of concussion in rugby league', British Journal of Sports Medicine, 49 495-498 (2015) [C1]
Objectives: Concussion remains one of the inherent risks of participation in rugby league. While other injuries incurred by rugby league players have been well studied, less focus... [more]
Objectives: Concussion remains one of the inherent risks of participation in rugby league. While other injuries incurred by rugby league players have been well studied, less focus and attention has been directed towards concussion. Review method: The current review examined all articles published in English from 1900 up to June 2013 pertaining to concussion in rugby league players. Data sources: Publications were retrieved via six databases using the key search terms: rugby league, league, football; in combination with injury terms: athletic injuries, concussion, sports concussion, sports-related concussion, brain concussion, brain injury, brain injuries, mild traumatic brain injury, mTBI, traumatic brain injury, TBI, craniocerebral trauma, head injury and brain damage. Observational, cohort, correlational, cross-sectional and longitudinal studies were all included. Results: 199 rugby league injury publications were identified. 39 (20%) were related in some way to concussion. Of the 39 identified articles, 6 (15%) had the main aim of evaluating concussion, while the other 33 reported on concussion incidence as part of overall injury data analyses. Rugby league concussion incidence rates vary widely from 0.0 to 40.0/1000 playing hours, depending on the definition of injury (time loss vs no time loss). The incidence rates vary across match play versus training session, seasons (winter vs summer) and playing position (forwards vs backs). The ball carrier has been found to be at greater risk for injury than tacklers. Concussion accounts for 29% of all injuries associated with illegal play, but only 9% of injuries sustained in legal play. Conclusions: In comparison with other collision sports, research evaluating concussion in rugby league is limited. With such limited published rugby league data, there are many aspects of concussion that require attention, and future research may be directed towards these unanswered questions.
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Nova |
2015 |
Handley T, Perkins D, Kay-Lambkin F, Lewin T, Kelly B, 'Familiarity with and intentions to use Internet-delivered mental health treatments among older rural adults', Aging and Mental Health, 19 989-996 (2015) [C1]
Objectives: Older adults are the fastest growing age group in Australia, necessitating an increase in appropriate mental health services in the coming years. While Internet-delive... [more]
Objectives: Older adults are the fastest growing age group in Australia, necessitating an increase in appropriate mental health services in the coming years. While Internet-delivered mental health treatments have been established as acceptable and efficacious among younger samples, little research has explored whether they would be similarly useful in older populations.Methods: The participants were part of the Australian Rural Mental Health study, which explores mental health and well-being in residents of non-metropolitan New South Wales. A postal survey was used to assess knowledge of and intentions to use Internet-delivered mental health treatments. Demographics, mental health, and frequency of Internet use were also measured.Results: The survey was completed by 950 adults aged 50-93. The sample was largely unfamiliar with Internet mental health services, with 75% reporting that they had never heard of them and a further 20% not knowing any details of what they involved. Intentions to use these services were also low, at 13.5%; however, this increased with level of familiarity. Respondents with higher psychological distress, higher education, and more frequent Internet use were significantly more likely to consider using Internet treatments.Conclusions: Among older adults, overall awareness of Internet-delivered mental health treatments appears to be limited; however, higher familiarity contributes to higher intentions to use these treatments. Importantly, respondents with higher distress and greater computer literacy were more likely to consider mental health treatments delivered via the Internet. Future research exploring strategies to increase the promotion of these services to older samples may further improve their perceptions and use.
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Nova |
2015 |
Baker AL, Richmond R, Kay-Lambkin FJ, Filia SL, Castle D, Williams JM, et al., 'Randomized controlled trial of a healthy lifestyle intervention among smokers with psychotic disorders', Nicotine and Tobacco Research, 17 946-954 (2015) [C1]
Introduction: People with severe mental disorders typically experience a range of health problems; consequently, interventions addressing multiple health behaviors may provide an ... [more]
Introduction: People with severe mental disorders typically experience a range of health problems; consequently, interventions addressing multiple health behaviors may provide an efficient way to tackle this major public health issue. This two-arm randomized controlled trial among people with psychotic disorders examined the efficacy of nicotine replacement therapy (NRT) plus either a faceto- face or predominantly telephone delivered intervention for smoking cessation and cardiovascular disease (CVD) risk reduction. Methods: Following baseline assessment and completion of a common, individually delivered 90-minute face-to-face intervention, participants (n = 235) were randomized to receive NRT plus: (1) a "Healthy Lifestyles" intervention for smoking cessation and CVD risk behaviors or (2) a predominantly telephone-based intervention (designed to control for NRT provision, session frequency, and other monitoring activities). Research assistants blind to treatment allocation performed assessments at 15 weeks (mid-intervention) and 12 months after baseline. Results: There were no significant differences between intervention conditions in CVD risk or smoking outcomes at 15 weeks or 12 months, with improvements in both conditions (eg, 12 months: 6.4% confirmed point prevalence abstinence rate; 17% experiencing a 50% or greater smoking reduction; mean reduction of 8.6 cigarettes per day; mean improvement in functioning of 9.8 points). Conclusions: The health disparity experienced by people with psychotic disorders is high. Faceto- face Healthy Lifestyle interventions appear to be feasible and somewhat effective. However, given the accessibility of telephone delivered interventions, potentially combined with lower cost, further studies are needed to evaluate telephone delivered smoking cessation and lifestyle interventions for people with psychotic disorders.
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Nova |
2015 |
Adamson SJ, Kay-Lambkin FJ, Baker A, Frampton CMA, Sellman D, Lewin TJ, 'Measuring change in cannabis use', Addiction Research and Theory, 23 43-49 (2015) [C1]
We examined the ability of the Cannabis User Disorders Identification Test - Revised (CUDIT-R) to detect change in a treatment sample, including correlation with changes in other ... [more]
We examined the ability of the Cannabis User Disorders Identification Test - Revised (CUDIT-R) to detect change in a treatment sample, including correlation with changes in other clinically relevant areas of functioning, and to determine reliable and clinically significant change thresholds. 133 cannabis-using patients taking part in a treatment trial for concurrent substance use and mood disorder were administered the 8-item CUDIT-R at baseline, 6 and 12 months, in addition to assessment of current cannabis use disorder, mood, alcohol use, motivation and employment status. Significant reductions in CUDIT-R scores were observed and were correlated with change in cannabis diagnosis, and improvement in mood. Higher motivation at baseline predicted greater reduction in CUDIT-R score. Reliable change was identified as occurring when CUDIT-R score changed by two or more, while clinically significant change, benchmarked against an increase or decrease of one DSM-IV cannabis dependence symptom, was equated to a CUDIT-R score changing by 3 or more points.
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Nova |
2015 |
Thornton LK, Kay-Lambkin FJ, 'Negative effect of alcohol use on mood among people with psychosis', Evidence-Based Mental Health, 18 e3 (2015) [C3]
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2015 |
Batterham PJ, Sunderland M, Calear AL, Davey CG, Christensen H, Teesson M, et al., 'Developing a roadmap for the translation of e-mental health services for depression.', The Australian and New Zealand journal of psychiatry, 49 776-784 (2015) [C1]
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Nova |
2015 |
Kay-Lambkin FJ, Baker AL, Geddes J, Hunt SA, Woodcock KL, Teesson M, et al., 'The iTreAD project: A study protocol for a randomised controlled clinical trial of online treatment and social networking for binge drinking and depression in young people Health behavior, health promotion and society', BMC Public Health, 15 (2015) [C3]
Background: Depression and binge drinking behaviours are common clinical problems, which cause substantial functional, economic and health impacts. These conditions peak in young ... [more]
Background: Depression and binge drinking behaviours are common clinical problems, which cause substantial functional, economic and health impacts. These conditions peak in young adulthood, and commonly co-occur. Comorbid depression and binge drinking are undertreated in young people, who are reluctant to seek help via traditional pathways to care. The iTreAD project (internet Treatment for Alcohol and Depression) aims to provide and evaluate internet-delivered monitoring and treatment programs for young people with depression and binge drinking concerns. Methods: Three hundred sixty nine participants will be recruited to the trial, and will be aged 18-30 years will be eligible for the study if they report current symptoms of depression (score 5 or more on the depression subscale of the Depression Anxiety Stress Scale) and concurrent binge drinking practices (5 or more standard drinks at least twice in the prior month). Following screening and online baseline assessment, participants are randomised to: (a) online monthly self-assessments, (b) online monthly self-assessments¿+¿12-months of access to a 4 week online automated cognitive behaviour therapy program for binge drinking and depression (DEAL); or (c) online monthly assessment¿+¿DEAL¿+¿12-months of access to a social networking site (Breathing Space). Independent, blind follow-up assessments occur at 26, 39, 52 and 64-weeks post-baseline. Discussion: The iTreAD project is the first randomised controlled trial combining online cognitive behaviour therapy, social networking and online monitoring for young people reporting concerns with depression and binge drinking. These treatments represent low-cost, wide-reach youth-appropriate treatment, which will have significantly public health implications for service design, delivery and health policy for this important age group. Trial registration: Australian and New Zealand Clinical Trials Registry ACTRN12614000310662. Date registered 24 March 2014.
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Nova |
2014 |
Hunt SA, Baker AL, Michie PT, Kay-Lambkin F, 'Change in neurocognition in people with co-occurring alcohol misuse and depression: 12-month follow-up', Journal of Addiction Research & Therapy, S10:004 (2014) [C1]
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Nova |
2014 |
Deady M, Teesson M, Kay-Lambkin F, Mills KL, 'Evaluating a brief, internet-based intervention for co-occurring depression and problematic alcohol use in young people: Protocol for a randomized controlled trial', Journal of Medical Internet Research, 16 (2014) [C3]
Background: Depression and alcohol misuse represent two of the major causes of disease burden in young adults. These conditions frequently co-occur and this co-occurrence is assoc... [more]
Background: Depression and alcohol misuse represent two of the major causes of disease burden in young adults. These conditions frequently co-occur and this co-occurrence is associated with increased risks and poorer outcomes than either disorder in isolation. Integrated treatments have been shown to be effective, however, there remains a significant gap between those in need of treatment and those receiving it, particularly in young people. The increased availability of Internet-based programs to complement health care presents a unique opportunity in the treatment of these conditions. Objective: The objective of our study was to evaluate whether a brief, Internet-based, self-help intervention (the DEAL [DEpression-ALcohol] Project) can be effective in treating co-occurring depression and problematic alcohol use in young people (18-25 years old). Methods: The evaluation will take the form of a randomized controlled trial (RCT), comparing the DEAL Project with an attention-control condition (HealthWatch). The RCT will consist of a four-week intervention phase and a 24-week follow-up. It will be entirely Internet-based and open Australia-wide to young people 18 to 25 years old. The primary outcomes will be change in depression symptoms and alcohol use at 5, 12, and 24 weeks post baseline. Secondary outcomes include change in general functioning and quality of life, anxiety/stress symptomatology, and a number of other depression/alcohol related outcomes. Process analysis will also measure engagement across the conditions. Results: This study is currently ongoing with preliminary results expected in late 2014. Conclusions: This study, to our knowledge, will be the first RCT of a Internet-based treatment for comorbid depression and problematic alcohol use in any age group. If successful, the program represents a novel and innovative approach to addressing the significant harms associated with these conditions and will be an invaluable resource to those not receiving help elsewhere.
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2014 |
Anderson AE, Hure AJ, Forder PM, Powers J, Kay-Lambkin FJ, Loxton DJ, 'Risky drinking patterns are being continued into pregnancy: a prospective cohort study.', PLoS One, 9 e86171 (2014) [C1]
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Nova |
2014 |
Tait RJ, McKetin R, Kay-Lambkin F, Carron-Arthur B, Bennett A, Bennett K, et al., 'A web-based intervention for users of amphetamine-type stimulants: 3-month outcomes of a randomized controlled trial', JMIR Mental Health, 16 1-12 (2014) [C1]
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Nova |
2014 |
Kay-Lambkin FJ, Simpson AL, Bowman J, Childs S, 'Dissemination of a computer-based psychological treatment in a drug and alcohol clinical service: an observational study.', Addiction science & clinical practice, 9 1-9 (2014) [C1]
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Nova |
2014 |
Baker AL, Turner A, Kelly PJ, Spring B, Callister R, Collins CE, et al., ''Better Health Choices' by telephone: A feasibility trial of improving diet and physical activity in people diagnosed with psychotic disorders', Psychiatry Research, (2014) [C1]
The study objective was to evaluate the feasibility of a telephone delivered intervention consisting of motivational interviewing and cognitive behavioural strategies aimed at imp... [more]
The study objective was to evaluate the feasibility of a telephone delivered intervention consisting of motivational interviewing and cognitive behavioural strategies aimed at improving diet and physical activity in people diagnosed with psychotic disorders. Twenty participants diagnosed with a non-acute psychotic disorder were recruited. The intervention consisted of eight telephone delivered sessions targeting fruit and vegetable (F&V) consumption and leisure screen time, as well as smoking and alcohol use (as appropriate). F&V frequency and variety, and overall diet quality (measured by the Australian Recommended Food Score, ARFS), leisure screen time, overall sitting and walking time, smoking, alcohol consumption, mood, quality of life, and global functioning were examined before and 4-weeks post-treatment. Nineteen participants (95%) completed all intervention sessions, and 17 (85%) completed follow-up assessments. Significant increases from baseline to post-treatment were seen in ARFS fruit, vegetable and overall diet quality scores, quality of life and global functioning. Significant reductions in leisure screen time and overall sitting time were also seen. Results indicated that a telephone delivered intervention targeting key cardiovascular disease risk behaviours appears to be feasible and relatively effective in the short-term for people diagnosed with psychosis. A randomized controlled trial is warranted to replicate and extend these findings. © 2014 Elsevier Ireland Ltd. All rights reserved.
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Nova |
2014 |
Anderson AE, Hure AJ, Kay-Lambkin FJ, Loxton DJ, 'Women's perceptions of information about alcohol use during pregnancy: a qualitative study.', BMC Public Health, 14 1048 (2014) [C1]
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Nova |
2014 |
Law J, Richmond RL, Kay-Lambkin F, 'The contribution of personality to longevity: Findings from the Australian Centenarian Study', Archives of Gerontology and Geriatrics, 59 528-535 (2014) [C1]
Objectives: To examine whether centenarians have a unique set of personality traits, which may in part explain their longevity. Methods: 79 Australian centenarians completed the N... [more]
Objectives: To examine whether centenarians have a unique set of personality traits, which may in part explain their longevity. Methods: 79 Australian centenarians completed the NEO Five Factory Inventory (NEO-FFI), Connor-Davidson Resilience Scale (CD-RISC) and Life Orientation Test Revised (LOT-R) to assess different dimensions of their personalities. Centenarians were asked to answer items of the NEO-FFI, CD-RISC and LOT-R based on current views, and were then asked to recall in the presence of an informant (e.g. carers, offspring) on past personality (i.e. at mid-adult-life). Both sets of answers were recorded and analysed. Results: Centenarians were currently low in Openness and Extraversion and high in Neuroticism, but were low in Openness and high in Neuroticism, Conscientiousness and Extraversion when reflecting on past traits. Currently, centenarians in high care facilities reported higher levels of Neuroticism, as did centenarians who did not socialize. Cognitively intact centenarians reported higher levels of Agreeableness; and males reported lower Neuroticism compared to females when reflecting on past experiences. Discussion: Centenarians were characterized by several personality traits, which facilitated positive health behaviors and thus contributed to their longevity. It is possible that personality may not be static across the lifespan, but instead, reflect advancing age, psychosocial factors and changes in life circumstances.
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Nova |
2014 |
Baker AL, Kavanagh DJ, Kay-Lambkin FJ, Hunt SA, Lewin TJ, Carr VJ, McElduff P, 'Randomized controlled trial of MICBT for co-existing alcohol misuse and depression: Outcomes to 36-months', Journal of Substance Abuse Treatment, 46 281-290 (2014) [C1]
Integrated psychological treatment addressing co-existing alcohol misuse and depression has not been compared with single-focused treatment. This trial evaluates changes over 36. ... [more]
Integrated psychological treatment addressing co-existing alcohol misuse and depression has not been compared with single-focused treatment. This trial evaluates changes over 36. months following randomization of 284 outpatients to one of four motivational interviewing and cognitive-behavior therapy (MICBT) based interventions: (1) brief integrated intervention (BI); or BI plus 9 further sessions with (2) an integrated-, (3) alcohol-, or (4) depression-focus. Outcome measures included changes in alcohol consumption, depression (BDI-II: Beck Depression Inventory) and functioning (GAF: Global Assessment of Functioning), with average improvements from baseline of 21.8 drinks per week, 12.6 BDI-II units and 8.2 GAF units. Longer interventions tended to be more effective in reducing depression and improving functioning in the long-term, and in improving alcohol consumption in the short-term. Integrated treatment was at least as good as single-focused MICBT. Alcohol-focused treatment was as effective as depression-focused treatment at reducing depression and more effective in reducing alcohol misuse. The best approach seems to be an initial focus on both conditions followed by additional integrated- or alcohol-focused sessions. © 2014 Elsevier Inc.
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Nova |
2014 |
Handley TE, Kay-Lambkin FJ, Inder KJ, Attia JR, Lewin TJ, Kelly BJ, 'Feasibility of internet-delivered mental health treatments for rural populations', Social Psychiatry and Psychiatric Epidemiology, 49 275-282 (2014) [C1]
Purpose: Rural populations face numerous barriers to mental health care. Although internet-delivered mental health treatments may offer an accessible and cost-effective answer to ... [more]
Purpose: Rural populations face numerous barriers to mental health care. Although internet-delivered mental health treatments may offer an accessible and cost-effective answer to these barriers, there has been little evaluation of the feasibility of this approach among rural communities. Methods: Data were obtained from a random rural community sample through the third wave of the Australian Rural Mental Health Study. Attitudes towards internet-delivered mental health treatments and availability of internet access were explored. Data were analysed to identify sub-groups in whom internet-delivered treatments may be usefully targeted. Results: Twelve hundred and forty-six participants completed the survey (mean age 59 years, 61 % females, 22 % from remote areas). Overall, 75 % had internet access and 20 % would consider using internet-based interventions, with 18 % meeting both of these feasibility criteria. Logistic regression revealed feasibility for internet-delivered mental health treatment was associated with younger age, male gender, being a carer, and a 12-month mental health problem. Participants who had used internet-delivered services in the past were significantly more likely to endorse these treatments as acceptable. Conclusions: There is considerable potential for internet-delivered treatments to increase service accessibility to some sub-groups, particularly among people with mental health problems who are not currently seeking help. Resistance to internet treatments appears to be largely attitudinal, suggesting that enhancing community education and familiarity with such programs may be effective in improving perceptions and ultimately access. © 2013 Springer-Verlag Berlin Heidelberg.
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Nova |
2014 |
Kelly PJ, Baker AL, Kay-Lambkin F, 'ADDRESSING MULTIPLE HEALTH RISK BEHAVIOURS IN DISADVANTAGED POPULATIONS: RESEARCH BEING LED BY THE NATIONAL HEALTH AND MEDICAL RESEARCH COUNCIL CENTRE OF RESEARCH EXCELLENCE IN MENTAL HEALTH AND SUBSTANCE USE', DRUG AND ALCOHOL REVIEW, 33 37-37 (2014) [E3]
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2014 |
Deady M, Kay-Lambkin F, Teesson M, Mills K, 'Developing an integrated, Internet-based self-help programme for young people with depression and alcohol use problems', Internet Interventions, 1 118-131 (2014) [C1]
Depression and alcohol use problems represent two of the major causes of disease burden in young people today. These conditions frequently co-occur and this co-occurrence is assoc... [more]
Depression and alcohol use problems represent two of the major causes of disease burden in young people today. These conditions frequently co-occur and this co-occurrence is associated with increased risks and poorer outcomes than either disorder in isolation. Integrated treatments have been shown to be effective, however, there remains a significant gap between those in need of treatment and those receiving it, particularly in young people. The increased availability of Internet-based programmes to complement health care presents a unique opportunity in the treatment of these conditions. This paper presents the findings of a development stage of the first Internet-based programme for young people (aged 18-25. years) with co-occurring depression and alcohol use problems: the DEAL Project (DEpression-ALcohol). This stage involved engaging young people and mental health professionals to provide feedback regarding the acceptability and feasibility of a draft version of the programme. The 4-module draft programme incorporated evidence-based cognitive-behavioural therapy techniques and motivational enhancement principles. A series of focus groups with young people (n = 25) and interviews of key professionals (n = 6) were conducted. The feedback provided by this phase of testing was used to inform revisions to the programme. Overall, the DEAL Project programme was well-received and provides an innovative new platform for the treatment of co-occurring depression and alcohol use problems in young people. The next phase will include an evaluation of programme efficacy. If found to be efficacious, the programme has the potential to improve outcomes, reduce disease burden, and increase treatment uptake in this vulnerable group.
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2014 |
Handley TE, Hiles SA, Inder KJ, Kay-Lambkin FJ, Kelly BJ, Lewin TJ, et al., 'Predictors of Suicidal Ideation in Older People: A Decision Tree Analysis', AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 22 1325-1335 (2014) [C1]
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Nova |
2014 |
Handley TE, Kay-Lambkin FJ, Inder KJ, Lewin TJ, Attia JR, Fuller J, et al., 'Self-reported contacts for mental health problems by rural residents: Predicted service needs, facilitators and barriers', BMC Psychiatry, 14 (2014) [C1]
Background: Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to which current services and support networks may provide... [more]
Background: Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to which current services and support networks may provide assistance. This paper examines self-reported mental health problems and contacts during the last 12¿months, and explores cross-sectional associations between potential facilitators/barriers and professional and non-professional help-seeking, while taking into account expected associations with socio-demographic and health-related factors. Methods: During the 3-year follow-up of the Australian Rural Mental Health Study (ARMHS) a self-report survey was completed by adult rural residents (N = 1,231; 61% female 77% married; 22% remote location; mean age = 59¿years), which examined socio-demographic characteristics, current health status factors, predicted service needs, self-reported professional and non-professional contacts for mental health problems in the last 12¿months, other aspects of help-seeking, and perceived barriers. Results: Professional contacts for mental health problems were reported by 18% of the sample (including 14% reporting General Practitioner contacts), while non-professional contacts were reported by 16% (including 14% reporting discussions with family/friends). Perceived barriers to health care fell under the domains of structural (e.g., costs, distance), attitudinal (e.g., stigma concerns, confidentiality), and time commitments. Participants with 12-month mental health problems who reported their needs as met had the highest levels of service use. Hierarchical logistic regressions revealed a dose-response relationship between the level of predicted need and the likelihood of reporting professional and non-professional contacts, together with associations with socio-demographic characteristics (e.g., gender, relationships, and financial circumstances), suicidal ideation, and attitudinal factors, but not geographical remoteness. Conclusions: Rates of self-reported mental health problems were consistent with baseline findings, including higher rural contact rates with General Practitioners. Structural barriers displayed mixed associations with help-seeking, while attitudinal barriers were consistently associated with lower service contacts. Developing appropriate interventions that address perceptions of mental illness and attitudes towards help-seeking is likely to be vital in optimising treatment access and mental health outcomes in rural areas.
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Nova |
2014 |
Hamall KM, Heard TR, Inder KJ, McGill KM, Kay-Lambkin F, 'The Child Illness and Resilience Program (CHiRP): a study protocol of a stepped care intervention to improve the resilience and wellbeing of families living with childhood chronic illness', BMC Psychology, 2 (2014) [C1]
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Nova |
2014 |
Mills KL, Ewer P, Dore G, Teesson M, Baker A, Kay-Lambkin F, Sannibale C, 'The feasibility and acceptability of a brief intervention for clients of substance use services experiencing symptoms of post traumatic stress disorder', Addictive Behaviors, 39 1094-1099 (2014) [C1]
Background: Trauma exposure and post traumatic stress disorder (PTSD) are common among clients of substance use services. Existing treatments for these co-occurring conditions ten... [more]
Background: Trauma exposure and post traumatic stress disorder (PTSD) are common among clients of substance use services. Existing treatments for these co-occurring conditions tend to be lengthy, treatment retention is relatively poor, and they require extensive training and clinical supervision. The aim of the present study was to conduct a preliminary examination of the feasibility and acceptability of a brief intervention for PTSD symptoms among individuals seeking substance use treatment. Methods: An uncontrolled open-label pilot study was conducted among 29 inpatients of a medicated detoxification unit in Sydney, Australia. All participants completed a baseline interview followed by the brief intervention. The intervention consists of a single, one-hour manualised session providing psychoeducation pertaining to common trauma reactions and symptom management. PTSD and substance use outcomes were assessed at 1-week, 1-month and 3-month post-intervention. Results: PTSD symptom severity (assessed using the Clinicians Administered PTSD Scale) decreased significantly from baseline to 1-week follow up (ß - 10.87, 95%CI: - 19.75 to - 1.99) and again between the 1-week and 3-month follow-ups (ß - 15.38, 95%CI: - 23.20 to - 7.57). Despite these reductions, the majority of participants continued to meet criteria for a diagnosis of PTSD and there was no change in participants' negative post-traumatic cognitions. Participants expressed high levels of satisfaction with the intervention. Conclusions: Brief psychoeducation for traumatised clients attending substance use services appears to be feasible, acceptable, and may be of some benefit in reducing PTSD symptoms. However, participants continued to experience symptoms at severe levels; thus, brief intervention may best be conceptualised as a "stepping stone" to further trauma treatment. © 2014 Elsevier Ltd.
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Nova |
2014 |
Deady M, Teesson M, Kay-Lambkin FJ, 'Treatments for co-occurring depression and substance use in young people: a systematic review.', Current drug abuse reviews, 7 3-17 (2014) [C1]
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Nova |
2013 |
Handley TE, Attia JR, Inder KJ, Kay-Lambkin FJ, Barker D, Lewin TJ, Kelly BJ, 'Longitudinal course and predictors of suicidal ideation in a rural community sample.', Australian & New Zealand Journal of Psychiatry, 47 1032-1040 (2013) [C1]
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Nova |
2013 |
Healey A, Kay-Lambkin F, Bowman J, Childs S, 'Avoiding emotional bonds: An examination of the dimensions of therapeutic alliance among cannabis users', Frontiers in Psychiatry, 4 (2013) [C1]
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Nova |
2013 |
Handley TE, Kay-Lambkin FJ, Baker AL, Lewin TJ, Kelly BJ, Inder KJ, et al., 'Incidental treatment effects of CBT on suicidal ideation and hopelessness', JOURNAL OF AFFECTIVE DISORDERS, 151 275-283 (2013) [C1]
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Nova |
2013 |
Connolly JM, Kavanagh DJ, Baker AL, Kay-Lambkin FJ, Lewin TJ, Davis PJ, Quek L-H, 'Craving as a predictor of treatment outcomes in heavy drinkers with comorbid depressed mood', ADDICTIVE BEHAVIORS, 38 1585-1592 (2013) [C1]
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Nova |
2013 |
Wolfe S, Kay-Lambkin F, Bowman J, Childs S, 'To enforce or engage: The relationship between coercion, treatment motivation and therapeutic alliance within community-based drug and alcohol clients', Addictive Behaviors, 38 2187-2195 (2013) [C1]
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Nova |
2013 |
Baker AL, Kay-Lambkin FJ, Gilligan C, Kavanagh DJ, Baker F, Lewin TJ, 'When does change begin following screening and brief intervention among depressed problem drinkers?', Journal of Substance Abuse Treatment, 44 264-270 (2013) [C1]
Brief interventions are effective for problem drinking and reductions are known to occur in association with screening and assessment. The present study sought to assess, among pa... [more]
Brief interventions are effective for problem drinking and reductions are known to occur in association with screening and assessment. The present study sought to assess, among participants (N= 202) in a clinical trial, how much change occurred between baseline assessment and a one-session brief intervention (S1), and the predictors of early change. The primary focus was on changes in the Beck Depression Inventory Fast Screen scores and alcohol consumption (standard drinks per week) prior to random allocation to nine further sessions addressing either depression, alcohol, or both problems. There were large and clinically significant reductions between baseline and S1, with the strongest predictors being baseline scores in the relevant domain and change in the other domain. Client engagement was also predictive of early depression changes. Monitoring progress in both domains from first contact, and provision of empathic care, followed by brief intervention appear to be useful for this high prevalence comorbidity. © 2013 Elsevier Inc.
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Nova |
2013 |
Anderson AE, Hure AJ, Forder P, Powers JR, Kay-Lambkin FJ, Loxton DJ, 'Predictors of antenatal alcohol use among Australian women: A prospective cohort study', BJOG: An International Journal of Obstetrics and Gynaecology, 120 1366-1374 (2013) [C1]
Objective To identify predictors of antenatal alcohol consumption among women who usually consume alcohol. Design Prospective cohort study. Setting Australian Longitudinal Study o... [more]
Objective To identify predictors of antenatal alcohol consumption among women who usually consume alcohol. Design Prospective cohort study. Setting Australian Longitudinal Study on Women's Health (ALSWH). Population or Sample A total of 1969 women sampled from the ALSWH 1973-78 cohort. Methods Women were included if they were pregnant in 2000, 2003, 2006 or 2009. The relationship between antenatal alcohol consumption and sociodemographics, reproductive health, mental health, physical health, health behaviours, alcohol guidelines and healthcare factors was investigated using a multivariate logistic regression model. Main outcome measures Alcohol use during pregnancy. Results Most (82.0%) women continued to drink alcohol during pregnancy. Women were more likely to drink alcohol during pregnancy if they had consumed alcohol on a weekly basis before pregnancy (odds ratio [OR] 1.47; 95% confidence interval [95% CI] 1.13-1.90), binge drank before pregnancy (OR 2.28; 95% CI 1.76-2.94), or if they were pregnant while alcohol guidelines recommended low alcohol versus abstinence (OR 1.60; 95% CI 1.26-2.03). Drinking during pregnancy was less likely if women had a Health Care Card (OR 0.63; 95% CI 0.45-0.88) or if they had ever had fertility problems (OR 0.64; 95% CI 0.48-0.86). Conclusions Most Australian women who drank alcohol continued to do so during pregnancy. Prepregnancy alcohol consumption was one of the main predictors of antenatal alcohol use. Alcohol guidelines, fertility problems and Health Care Card status also impacted antenatal alcohol consumption. © 2013 RCOG.
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Nova |
2013 |
Allen J, Inder KJ, Lewin TJ, Attia JR, Kay-Lambkin FJ, Baker AL, et al., 'Integrating and extending cohort studies: lessons from the eXtending Treatments, Education and Networks in Depression (xTEND) study', BMC Medical Research Methodology, 13 (2013) [C1]
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Nova |
2013 |
Kay-Lambkin F, Edwards S, Baker A, Kavanagh D, Kelly B, Bowman J, Lewin T, 'The Impact of Tobacco Smoking on Treatment for Comorbid Depression and Alcohol Misuse', International Journal of Mental Health and Addiction, 11 619-633 (2013) [C1]
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Nova |
2013 |
Killackey E, Allott K, Cotton SM, Jackson H, Scutella R, Tseng Y, et al., 'A randomized controlled trial of vocational intervention for young people with first-episode psychosis: method', Early Intervention in Psychiatry, 7 329-337 (2013) [C1]
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Nova |
2012 |
Thornton LK, Baker AL, Lewin TJ, Kay-Lambkin FJ, Kavanagh D, Richmond R, et al., 'Reasons for substance use among people with mental disorders', Addictive Behaviors, 37 427-434 (2012) [C1]
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Nova |
2012 |
Thornton LK, Baker AL, Johnson MP, Kay-Lambkin FJ, Lewin TJ, 'Reasons for substance use among people with psychotic disorders: Method triangulation approach', Psychology of Addictive Behaviors, 26 279-288 (2012) [C1]
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Nova |
2012 |
Gardner AJ, Kay-Lambkin FJ, Stanwell PT, Donnelly J, Williams WH, Hiles A, et al., 'A systematic review of diffusion tensor imaging findings in sports-related concussion', Journal of Neurotrauma, 29 2521-2538 (2012) [C1]
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Nova |
2012 |
Handley T, Inder KJ, Kelly BJ, Attia JR, Lewin TJ, Fitzgerald MN, Kay-Lambkin FJ, 'You've got to have friends: The predictive value of social integration and support in suicidal ideation among rural communities', Social Psychiatry and Psychiatric Epidemiology, 47 1281-1290 (2012) [C1]
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Nova |
2012 |
Kelly PJ, Baker AL, Deane FP, Kay-Lambkin FJ, Bonevski B, Tregarthen J, 'Prevalence of smoking and other health risk factors in people attending residential substance abuse treatment', Drug and Alcohol Review, 31 638-644 (2012) [C1]
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Nova |
2012 |
Holsinger RMD, Brown R, Richmond R, Law J, Kay-Lambkin F, Kirby AC, Chan DKY, 'Prevalence of the Long-Allele Genotype of the Serotonin Transporter-Linked Gene in Female Centenarians', JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 60 1786-1788 (2012)
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Nova |
2012 |
Tait RJ, McKetin R, Kay-Lambkin F, Bennett K, Tam A, Bennett A, et al., 'Breakingtheice: A protocol for a randomised controlled trial of an internet-based intervention addressing amphetamine-type stimulant use', BMC Psychiatry, 12 67 (2012) [C3]
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Nova |
2012 |
Handley T, Inder KJ, Kay-Lambkin FJ, Stain HJ, Fitzgerald M, Lewin TJ, et al., 'Contributors to suicidality in rural communities: Beyond the effects of depression', BMC Psychiatry, 12 105 (2012) [C1]
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2012 |
Kay-Lambkin FJ, Baker AL, Healey A, Wolfe S, Simpson A, Brooks M, et al., 'Study protocol: A dissemination trial of computerized psychological treatment for depression and alcohol/other drug use comorbidity in an Australian clinical service', BMC Psychiatry, 12 77 (2012) [C3]
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Nova |
2012 |
Kelly PJ, Kay-Lambkin FJ, Baker AL, Deane FP, Brooks AC, Mitchell A, et al., 'Study protocol: A randomized controlled trial of a computer-based depression and substance abuse intervention for people attending residential substance abuse treatment', BMC Public Health, 12 113 (2012) [C3]
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Nova |
2012 |
Anderson AE, Hure AJ, Powers JR, Kay-Lambkin FJ, Loxton DJ, 'Determinants of pregnant women's compliance with alcohol guidelines: A prospective cohort study', BMC Public Health, 12 1-10 (2012) [C1]
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Nova |
2012 |
Kay-Lambkin FJ, Baker AL, Kelly BJ, Lewin TJ, 'It's worth a try: The treatment experiences of rural and urban participants in a randomized controlled trial of computerized psychological treatment for comorbid depression and alcohol/other drug use', Journal of Dual Diagnosis, 8 262-276 (2012) [C1]
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Nova |
2012 |
Richmond RL, Law J, KayLambkin F, 'Morbidity profiles and lifetime health of Australian centenarians', AUSTRALASIAN JOURNAL ON AGEING, 31 227-232 (2012)
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2012 |
Brooks M, Kay-Lambkin FJ, Bowman JA, Childs S, 'Self-compassion amongst clients with problematic alcohol use', Mindfulness, 3 308-317 (2012) [C1]
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Nova |
2011 |
Kay-Lambkin FJ, White A, Baker AL, Kavanagh DJ, Klein B, Proudfoot J, et al., 'Assessment of function and clinical utility of alcohol and other drug web sites: An observational, qualitative study', BMC Public Health, 11 277 (2011) [C1]
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Nova |
2011 |
Baker AL, Kay-Lambkin FJ, Richmond R, Filia S, Castle D, Williams J, Lewin TJ, 'Study protocol: A randomised controlled trial investigating the effect of a healthy lifestyle intervention for people with severe mental disorders', BMC Public Health, 11 10 (2011) [C3]
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2011 |
Thornton LK, Baker AL, Johnson MP, Kay-Lambkin FJ, 'Perceptions of anti-smoking public health campaigns among people with psychotic disorders', Mental Health and Substance Use: Dual Diagnosis, 4 110-115 (2011) [C1]
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Nova |
2011 |
Filia SL, Baker AL, Richmond R, Castle DJ, Kay-Lambkin FJ, Sakrouge RE, et al., 'Health behaviour risk factors for coronary heart disease (CHD) in smokers with a psychotic disorder: Baseline results', Mental Health and Substance Use: Dual Diagnosis, 4 158-171 (2011) [C1]
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Nova |
2011 |
Baker AL, Kay-Lambkin FJ, Richmond R, Filia S, Castle D, Williams J, Thornton LK, 'Healthy lifestyle intervention for people with severe mental disorders', Mental Health and Substance Use: Dual Diagnosis, 4 144-157 (2011) [C1]
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Nova |
2011 |
Richmond RL, Law J, Kay-Lambkin FJ, 'Physical, mental, and cognitive function in a convenience sample of centenarians in Australia', Journal of the American Geriatrics Society, 59 963-1163 (2011) [C1]
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Nova |
2011 |
Kay-Lambkin FJ, Baker AL, Kelly BJ, Lewin TJ, 'Clinician-assisted computerised versus therapist-delivered treatment for depressive and addictive disorders: A randomised controlled trial', Medical Journal of Australia, 195 S44-S50 (2011) [C1]
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Nova |
2011 |
Kay-Lambkin FJ, Baker AL, Lee NM, Jenner L, Lewin TJ, 'The influence of depression on treatment for methamphetamine use', Medical Journal of Australia, 195 S38-S43 (2011) [C1]
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Nova |
2011 |
Richmond R, Law J, Kay-Lambkin F, 'Higher Blood Pressure Associated With Higher Cognition and Functionality Among Centenarians in Australia', AMERICAN JOURNAL OF HYPERTENSION, 24 299-303 (2011)
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2011 |
Lee N, Jenner L, Baker AL, Ritter A, Hides L, Norman J, et al., 'Screening and intervention for mental health problems in alcohol and other drug settings: Can training change practitioner behaviour?', Drugs: Education, Prevention and Policy, 18 157-160 (2011) [C1]
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Nova |
2011 |
Handley T, Inder KJ, Kelly BJ, Attia JR, Kay-Lambkin FJ, 'Urban-rural influences on suicidality: Gaps in the existing literature and recommendations for future research', Australian Journal of Rural Health, 19 279-283 (2011) [C1]
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Nova |
2011 |
Kay-Lambkin F, Baker AL, Lewin TJ, Carr V, 'Acceptability of a clinician-assisted computerized psychological intervention for comorbid mental health and substance use problems: Treatment adherence data from a randomized controlled trial', Journal of Medical Internet Research, 13 254-264 (2011) [C1]
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Nova |
2010 |
Kay-Lambkin F, 'Mindfulness- & Acceptance-Based Behavioral Therapies in Practice', DRUG AND ALCOHOL REVIEW, 29 463-464 (2010) |
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2010 |
Baker AL, Richmond R, Lewin TJ, Kay-Lambkin FJ, 'Cigarette smoking and psychosis: Naturalistic follow up 4 years after an intervention trial', Australian and New Zealand Journal of Psychiatry, 44 342-350 (2010) [C1]
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Nova |
2010 |
Adamson SJ, Kay-Lambkin FJ, Baker AL, Lewin TJ, Thornton LK, Kelly BJ, Sellman JD, 'An improved brief measure of cannabis misuse: The Cannabis Use Disorders Identification Test-Revised (CUDIT-R)', Drug and Alcohol Dependence, 110 137-143 (2010) [C1]
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Nova |
2010 |
Lee NK, Pohlman S, Baker AL, Femis J, Kay-Lambkin FJ, 'It's the thought that counts: Craving metacognitions and their role in abstinence from methamphetamine use', Journal of Substance Abuse Treatment, 38 245-250 (2010) [C1]
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Nova |
2010 |
White A, Kavanagh DJ, Stallman HM, Klein B, Kay-Lambkin F, Proudfoot J, et al., 'ONLINE ALCOHOL INTERVENTIONS: A SYSTEMATIC REVIEW', DRUG AND ALCOHOL REVIEW, 29 13-13 (2010)
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Nova |
2010 |
Kay-Lambkin F, White A, Baker A, Kavanagh DJ, Klein B, Proudfoot J, et al., 'ASSESSMENT OF FUNCTION AND CLINICAL UTILITY OF ALCOHOL AND OTHER DRUG WEB SITES: AN OBSERVATIONAL, QUALITATIVE STUDY', DRUG AND ALCOHOL REVIEW, 29 13-14 (2010)
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Nova |
2010 |
Kavanagh D, Klein B, Austin D, Proudfoot J, Kay-Lambkin F, Connor J, et al., 'ONTRACK: EVALUATING ONLINE PSYCHOLOGICAL INTERVENTIONS FOR ALCOHOL AND DEPRESSION', DRUG AND ALCOHOL REVIEW, 29 14-14 (2010) |
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Nova |
2010 |
Kay-Lambkin FJ, Baker AL, McKetin R, Lee N, 'Stepping through treatment: Reflections on an adaptive treatment strategy among methamphetamine users with depression', Drug and Alcohol Review, 29 475-482 (2010) [C1]
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Nova |
2010 |
Baker AL, Kavanagh DJ, Kay-Lambkin FJ, Hunt SA, Lewin TJ, Carr VJ, Connolly J, 'Randomized controlled trial of cognitive-behavioural therapy for coexisting depression and alcohol problems: Short-term outcome', Addiction, 105 87-99 (2010) [C1]
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Nova |
2010 |
Klein B, White A, Kavanagh D, Shandley K, Kay-Lambkin FJ, Proudfoot J, et al., 'Content and functionality of alcohol and other drug websites: Results of an online survey', Journal of Medical Internet Research, 12 e51 (2010) [C1]
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Nova |
2010 |
White A, Kavanagh D, Stallman H, Klein B, Kay-Lambkin FJ, Proudfoot J, et al., 'Online alcohol Interventions: A systematic review', Journal of Medical Internet Research, 12 1-9 (2010) [C1]
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Nova |
2009 |
Baker AL, Kay-Lambkin FJ, Lee N, 'When less is more: Addressing symptoms of mental health problems in drug and alcohol treatment settings', Mental Health and Substance Use: Dual Diagnosis, 2 130-139 (2009) [C1]
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Nova |
2009 |
Baker AL, Richmond R, Castle D, Kulkarni J, Kay-Lambkin FJ, Sakrouge RE, et al., 'Coronary heart disease risk reduction intervention among overweight smokers with a psychotic disorder: Pilot trial', Australian and New Zealand Journal of Psychiatry, 43 129-135 (2009) [C1]
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Nova |
2009 |
Gilligan C, Sanson-Fisher RW, Eades S, D'Este CA, Kay-Lambkin FJ, Scheman S, 'Identifying pregnant women at risk of poor birth outcomes', Journal of Obstetrics and Gynaecology, 29 181-187 (2009) [C1]
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Nova |
2009 |
Baker AL, Turner A, Kay-Lambkin FJ, Lewin TJ, 'The long and the short of treatments for alcohol or cannabis misuse among people with severe mental disorders', Addictive Behaviors, 34 852-858 (2009) [C1]
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Nova |
2009 |
Kay-Lambkin FJ, 'Adapting cognitive therapy for depression: Managing complexity and comorbidity', Drug and Alcohol Review, 28 331-332 (2009) [C3]
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Nova |
2009 |
Kay-Lambkin FJ, Baker AL, Lewin TJ, Carr VJ, 'Computer-based psychological treatment for comorbid depression and problematic alcohol and/or cannabis use: A randomized controlled trial of clinical efficacy', Addiction, 104 378-388 (2009) [C1]
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Nova |
2008 |
Kay-Lambkin FJ, 'Technology and innovation in the psychosocial treatment of methamphetamine use, risk and dependence', Drug and Alcohol Review, 27 318-325 (2008) [C1]
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Nova |
2007 |
Hides L, Elkins K, Catania LS, Mathias S, Kay-Lambkin FJ, Lubman DI, 'Feasibility and outcomes of an innovative cognitive-behavioural skill training programme for co-occurring disorders in the youth alcohol and other drug (AOD) sector', Drug and Alcohol Review, 26 517-523 (2007) [C1]
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2007 |
Kay-Lambkin FJ, 'Contracts in counselling and psychotherapy: professional skills for counsellors', Drug and Alcohol Review, 26 568-569 (2007) [C3]
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2006 |
Turner A, Hambridge J, Baker A, Grace C, Kay-Lambkin F, Bowman J, 'BraveHeart: a new development in cognitive behaviour therapy for co-existing depression and coronary heart disease', JOURNAL OF AFFECTIVE DISORDERS, 91 S27-S27 (2006)
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2006 |
Baker AL, Ivers RG, Bowman JA, Butler T, Kay-Lambkin FJ, Wye PM, et al., 'Where there's smoke, there's fire: high prevalence of smoking among some sub-populations and recommendations for intervention', Drug and Alcohol Review, 25 85-96 (2006) [C1]
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2006 |
Wilhelm K, Wedgwood L, Niven H, Kay-Lambkin FJ, 'Smoking cessation and depression: current knowledge and future directions', Drug and Alcohol Review, 25 97-107 (2006) [C1]
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2006 |
Bucci S, Baker A, Kay-Lambkin F, Lewin T, Carr V, 'A randomized controlled trial of cognitive-behaviour therapy among people with a psychotic illness and coexisting alcohol and other drug problems', ACTA PSYCHIATRICA SCANDINAVICA, 114 57-57 (2006)
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2006 |
Baker AL, Bucci SR, Lewin TJ, Kay-Lambkin FJ, Constable PM, Carr VJ, 'Cognitive-behavioural therapy for substance use disorders in people with psychotic disorders - Randomised controlled trial', British Journal of Psychiatry, 188 439-448 (2006) [C1]
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Nova |
2006 |
Turner A, Hambridge J, Baker A, Kay-Lambkin F, Phillips L, Bowman J, 'Depression and anxiety in cardiac rehabilitation patients: characteristics, treatment and outcome.', Acta Neuropsychiatr, 18 310 (2006)
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2005 |
Baker AL, Lee NK, Claire MR, Lewin TJ, Grant T, Pohlman S, et al., 'Brief cognitive behavioural interventions for regular amphetamine users: a step in the right direction', Addiction, 100 367-378 (2005) [C1]
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Nova |
2004 |
Kay-Lambkin F, 'Schema therapy: A practitioner's guide', DRUG AND ALCOHOL REVIEW, 23 373-374 (2004) |
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Nova |
2004 |
Kay-Lambkin F, 'Integrated treatment for dual disorders: A guide to effective practice', DRUG AND ALCOHOL REVIEW, 23 491-492 (2004)
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Nova |
2004 |
Kay-Lambkin FJ, Baker AL, Lewin TJ, 'The 'co-morbidity roundabout': a framework to guide assessment and intervention strategies and engineer change among people with co-morbid problems', Drug and Alcohol Review, 23 407-423 (2004) [C1]
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2004 |
Baker AL, Lee NK, Claire MR, Lewin TJ, Grant T, Pohlman S, et al., 'Drug use patterns and mental health of regular ampthetamine users during a reported 'heroin drought'', Addiction, 99 875-884 (2004) [C1]
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Nova |
2003 |
Claire M, Baker A, Lee N, Pohlman S, Saunders J, Lewin T, et al., 'Nonpharmacological interventions for psychostimulant use', AUSTRALIAN JOURNAL OF PSYCHOLOGY, 55 101-101 (2003)
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2003 |
Haile M, Baker A, Richmond R, Carr V, Lewin T, Wilhelm K, et al., 'A randomised controlled trial of an intervention for tobacco dependence among people with a psychotic illness', AUSTRALIAN JOURNAL OF PSYCHOLOGY, 55 102-103 (2003)
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2003 |
Kay-Lambkin F, Baker A, Bucci S, Lewin T, Rajkumar S, Carr V, 'Computer-based therapy for depression and alcohol/other drug (AOD) problems', AUSTRALIAN JOURNAL OF PSYCHOLOGY, 55 104-104 (2003)
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2003 |
Bucci SR, Baker AL, Kay-Lambkin FJ, Lewin (Ext) T, Carr VJ, Constable PM, 'Randomised controlled trial of cognitive behavioural therapy for comorbid psychotic illness and alcohol and other drug problems', Australian Journal of Psychology, 55 100 (2003) [C3]
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2003 |
Kay-Lambkin F, 'Male depression, alcohol and violence', DRUG AND ALCOHOL REVIEW, 22 239-240 (2003)
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Nova |
2002 |
Kay-Lambkin F, Pearson SA, Rolfe I, 'The influence of admissions variables on first year medical school performance: a study from Newcastle University, Australia', MEDICAL EDUCATION, 36 154-159 (2002)
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Nova |
2002 |
Pearson S-A, Rolfe IE, Ringland CL, Kay-Lambkin FJ, 'A comparison of practice outcomes of graduates from traditional and non-traditional medical schools in Australia', Medical Education, 36 985-991 (2002) [C1]
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2001 |
Grey M, Pearson S, Rolfe IE, Kay F, Powis D, 'How do Australian Doctors with Different Pre-medical School Backgrounds Perform as Interns', Education for Health, 14 87-96 (2001) [C1]
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1998 |
Rolfe IE, Pearson SA, Fardell SD, Kay FJ, 'Monitoring the performance of junior doctors in the first two years of postgraduate training', Education for Health, 11 183-192 (1998)
A clinical supervisors' rating form addressing thirteen competences was used to assess the performance of Australian doctors in their first (intern) and subsequent first year... [more]
A clinical supervisors' rating form addressing thirteen competences was used to assess the performance of Australian doctors in their first (intern) and subsequent first year of postgraduate hospital training. After adjusting for the effects of age and gender, comparisons were made between graduates from Newcastle medical school (which has a problem-based curriculum) and Sydney medical school (a traditional curriculum at the time of the study). Data on 349 doctors (79% response rate) indicated that there were no significant differences between graduates from different educational backgrounds during internship or residency. This is probably not surprising as past research has shown that both Newcastle and Sydney graduates perform very well when compared to their peers from other institutes in the state. Older graduates were rated better at 'teaching' during the intern year only, and younger graduates better than their older counterparts on 'clinical clerking', 'clinical judgement' and 'diagnostic skills' in the resident year. Females were rated better than males on seven competences. Our study suggests that gender and age are factors influencing junior doctors' performance.
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1998 |
Rolfe IE, Pearson S, Sanson-Fisher R, Fardell SD, Kay FJ, Gordon J, 'Measuring the hospital experiences of junior doctors', MEDICAL EDUCATION, 32 312-319 (1998)
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1998 |
Rolfe IE, Gordon J, Atherton S, Pearson S, Kay FJ, Fardell SD, 'A system for maintaining the educational and training standards of junior doctors', MEDICAL EDUCATION, 32 426-431 (1998)
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