| 2020 |
Hambleton AL, Hanstock TL, Simeone R, Sperling M, 'Group-Delivered Enhanced Cognitive Behavior Therapy: A Focus on a Young Adult Woman With Bulimia Nervosa', Clinical Case Studies, 19 62-77 (2020)
© The Author(s) 2019. Enhanced Cognitive Behavioral Therapy (CBT-E) is an evidence-based treatment for bulimia nervosa (BN), which can be delivered individually or in a group form... [more] © The Author(s) 2019. Enhanced Cognitive Behavioral Therapy (CBT-E) is an evidence-based treatment for bulimia nervosa (BN), which can be delivered individually or in a group format. This case study describes a young adult female¿s progress through a CBT-E group program at an Australian community outpatient eating disorder service. She completed 20 sessions over 10 weeks. The client was administered measures for eating disorder symptoms, depression, anxiety, stress, stage of change, and clinical impairment at pre- and posttreatment. She improved on global eating disorder symptoms, food restriction, eating concern, and her stage of change. Her weight and shape concerns remained unchanged. Her levels of depression, anxiety, and stress significantly increased after treatment, highlighting the need for concurrent treatment for these comorbidities. These results support the developing literature on the efficacy of CBT-E for BN and describe in detail the progress of an individual, including their progress and challenges within a group intervention.
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| 2019 |
Hanstock T, 'A Hole in My Genes: A Memoir', JOURNAL OF PSYCHOSOCIAL ONCOLOGY, 37 791-793 (2019)
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| 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', Journal of Medical Internet Research, 20 (2018) [C1]
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| 2017 |
Clark GI, Hanstock TL, Clark LH, 'Psychological Treatment of Co-occurring Anxiety Disorders in Clinical Practice: A Vignette Study', Australian Psychologist, 52 480-490 (2017) [C1]
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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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| 2015 |
Hirneth SJ, Hazell PL, Hanstock TL, Lewin TJ, 'Bipolar disorder subtypes in children and adolescents: Demographic and clinical characteristics from an Australian sample', Journal of Affective Disorders, 175 98-107 (2015) [C1]
© 2014 Elsevier B.V. All rights reserved. Background Bipolar disorder (BD) phenomenology in children and adolescents remains contentious. The study investigated Australian childre... [more] © 2014 Elsevier B.V. All rights reserved. Background Bipolar disorder (BD) phenomenology in children and adolescents remains contentious. The study investigated Australian children and adolescents with bipolar I disorder (BD-I), bipolar II disorder (BD-II), or BD not otherwise specified (BD-NOS). Methods Index episode demographics, symptomatology, functioning and diagnostic data were compared for 88 participants (63 female) aged 8-18 years (M=14.8, SD=2.5) meeting DSM-IV-TR criteria for BD-I (n=24), BD-II (n=13) or BD-NOS (n=51). Results BD-I had higher rates of previous episodes, psychotropic medication (compared to BD-II but not BD-NOS), rates of inpatient admissions (compared to BD-NOS), and number of inpatient admissions (compared to BD-II). BD-II had lower rates of lifetime depression and anxiety disorders, higher frequency of hypomania, shorter duration of illness, and fewer previous episodes. BD-NOS had younger age of onset, chronic course, irritability and mixed presentation. All BD subtypes had high rates of self-harm (69.3%), suicidal ideation (73.9%), suicide attempts (36.4%), psychiatric admission (55.7%), and psychosis (36.4%). Limitations There were relatively small numbers of BD-I and BD-II. Diagnoses were based on retrospective recall. Conclusions All BD subtypes had high levels of acuity and clinical risk. In accord with previous results, BD-I and BD-II participants' phenomenology was consistent with classical descriptions of these subtypes. BD-NOS participants were younger, with less euphoric mania but otherwise phenomenologically on a continuum with BD-I, suggesting that child and adolescent BD-NOS may be an early and less differentiated phase of illness of BD-I or BD-II and hence a target for early intervention.
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| 2014 |
Scott N, Hanstock TL, Thornton C, 'Dysfunctional self-talk associated with eating disorder severity and symptomatology.', J Eat Disord, 2 14 (2014) [C1]
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| 2014 |
Scott N, Hanstock TL, Thornton C, 'Dysfunctional self-talk associated with eating disorder severity and symptomatology', Journal of Eating Disorders, 2 (2014)
Background: While self-talk has been argued to play a crucial role in the development and maintenance of eating disorders (EDs), it has received limited research attention. This s... [more] Background: While self-talk has been argued to play a crucial role in the development and maintenance of eating disorders (EDs), it has received limited research attention. This study aimed to explore the relationship of ED self-talk with ED severity and symptomatology.Methods: Analysis of the existing literature, supplemented with a small-scale pilot study, identified 24 distinct categories of ED self-talk. The main study involved the completion of on-line questionnaires by 172 women aged 18-49, recruited through clinical services, ED websites, and the general population. Participants were assigned to clinical (n = 83) and non-clinical (n = 89) samples, using the Eating Disorder Examination Questionnaire to screen for ED psychopathology.Results: Substantial differences in the levels of ED self-talk were found between the clinical and non-clinical populations. Principal components analysis, conducted within the clinical sample, revealed ED self-talk to have a two-component structure. Self-talk reflecting an 'abusive relationship' between the sufferer and the ED strongly predicted overall severity and several aspects of symptomatology. 'Ascetic attitudes' towards thinness were linked with compulsive exercising and lower BMIs but not with overall severity.Conclusions: Close examination of the 'abusive relationship' component suggests a need to loosen the connection between negative appraisals of the abused self and the abusive voice of the ED so that the former can fulfil their potential as a force for change. Further, in seeking to counter the impact of the ED voice, it is suggested that the seducer and abuser roles require primary clinical focus. © 2014 Scott et al.; licensee BioMed Central Ltd.
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| 2014 |
Pullin MA, Webster RA, Hanstock TL, 'Psychoform and Somatoform Dissociation in a Clinical Sample of Australian Adolescents', Journal of Trauma and Dissociation, 15 66-78 (2014) [C1]
Psychoform dissociation has been researched more than somatoform dissociation. The Somatoform Dissociation Questionnaire (SDQ-20), a commonly used adult measure of somatoform diss... [more] Psychoform dissociation has been researched more than somatoform dissociation. The Somatoform Dissociation Questionnaire (SDQ-20), a commonly used adult measure of somatoform dissociation, is increasingly being used with adolescents internationally. We compared psychoform and somatoform dissociation in a mixed clinical adolescent sample. A total of 71 adolescents (12-18 years old) attending Australian community mental health and counseling services completed the SDQ-20 and the Adolescent Dissociative Experiences Scale, a commonly used measure of adolescent psychoform dissociation. The participants' treating clinicians provided participants' demographic details and mental health diagnoses. We found that 41% of participants reported high levels of psychoform dissociation and 21% reported high levels of somatoform dissociation. Both dissociation types were positively correlated. Neither was significantly related to participants' age, gender, or mental health diagnoses. Participants with more than 1 Axis I mental health diagnosis had higher levels of somatoform dissociation than participants with only 1 or no Axis I mental health diagnosis. This study is the first to examine somatoform dissociation in Australian adolescents and enables initial international comparisons. © 2014 Copyright Taylor and Francis Group, LLC.
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| 2013 |
Lehmann CA, Marks ADG, Hanstock TL, 'Age and synchrony effects in performance on the Rey Auditory Verbal Learning Test', International Psychogeriatrics, 25 657-665 (2013) [C1]
Background: There is evidence that individuals perform better on some memory tasks when tested at their preferred time of day, a phenomenon named the synchrony effect. There is al... [more] Background: There is evidence that individuals perform better on some memory tasks when tested at their preferred time of day, a phenomenon named the synchrony effect. There is also evidence of a predictable change from evening to morning preference during the adult life span. Together, these findings suggest that age effects on memory measures may be overestimated when time of testing is ignored. The aim of this study was to investigate whether synchrony effects could partially explain the well-documented age-related decline in performance on the Rey Auditory Verbal Learning Test (RAVLT). Methods: Groups of 42 younger adults (aged 18-33 years) and 42 older adults (aged 55-71 years) were administered the RAVLT at either their optimal (n = 21) or non-optimal (n = 21) time of day. Results: Although both age groups benefited moderately from being tested at their optimal time, this effect was greater for older participants and extended to all facets of RAVLT performance except proactive interference. However, younger adults outperformed older adults on three of the five RAVLTs. Conclusions: These findings add to existing evidence of synchrony effects, particularly in memory functioning of older adults, and highlight the need for clinicians to consider optimal time of testing when administering and interpreting the RAVLT. © International Psychogeriatric Association 2012.
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| 2013 |
Scott N, Hanstock TL, Patterson-Kane L, 'Using narrative therapy to treat eating disorder not otherwise specified', Clinical Case Studies, 12 307-321 (2013) [C3]
Eating disorders have proved resistant to therapy with high relapse rates. Enhanced cognitive behavior therapy (CBT-E) is the favored treatment of choice but has been criticized f... [more] Eating disorders have proved resistant to therapy with high relapse rates. Enhanced cognitive behavior therapy (CBT-E) is the favored treatment of choice but has been criticized for placing a similar emphasis on controlling eating behavior as the psychopathology it seeks to counter. In contrast, narrative therapy focuses on the development of an anti-eating disorder lifestyle and values. Evidence for this approach primarily consists of informal case study material. This case study describes a 28-year-old woman with a recurring history of anorexia nervosa, who self-referred to a university psychology clinic, due to fears of imminent relapse. The client received 10 sessions of narrative therapy and made significant progress in externalizing her eating disorder, in lessening her adherence to the ascetic values underpinning it, and in developing/expressing her non-eating disorder character and values. This case study provides evidence of the potential effectiveness of narrative therapy and contains valuable learning for clinicians regarding its implementation. © 2013 The Author(s).
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| 2012 |
Ferris TS, Mills JP, Hanstock TL, 'Exposure and response prevention in the treatment of distressing and repugnant thoughts and images', Clinical Case Studies, 11 140-151 (2012) [C1]
Repugnant thoughts are often described as intrusive and distressing thoughts that are not acceptable to one's own, and society's, morals and values. They can occur in a ... [more] Repugnant thoughts are often described as intrusive and distressing thoughts that are not acceptable to one's own, and society's, morals and values. They can occur in a small number of sufferers with obsessive-compulsive disorder. The following case study describes a young woman who experienced a number of distressing and repugnant thoughts and images. Her presenting most distressing obsessive thought was about committing suicide when she had no desire or intent to do so; however, her most repugnant thoughts centered around thoughts of harming her children. Psychological treatment sessions initially focused on psychoeducation and relaxation to prepare the client for more intense therapy. Exposure and response prevention methods were then used in a graded exposure method to help the client confront her feared obsessions and to help the client to overcome her subsequent strong emotional responses. Following 11 psychological treatment sessions, the client demonstrated significant improvements, including decreased distress from her obsessions, as well as a general decline in stress and anxiety. © The Author(s) 2012.
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| 2010 |
Hanstock TL, Mallet PE, Clayton EH, 'Increased plasma D-lactic acid associated with impaired memory in rats', PHYSIOLOGY & BEHAVIOR, 101 653-659 (2010)
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| 2009 |
Clayton EH, Hanstock T, Watson JF, 'Estimated intakes of meat and fish by children and adolescents in Australia and comparison with recommendations', British Journal of Nutrition, 101 1731-1735 (2009) [C1]
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| 2009 |
Cooper KL, Hanstock T, 'Confusion between depression and autism in a high functioning child', Clinical Case Studies, 8 59-71 (2009) [C1]
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| 2009 |
Clayton EH, Hanstock T, Hirneth SJ, Kable CJ, Garg ML, Hazell P, 'Reduced mania and depression in juvenile bipolar disorder associated with long-chain omega-3 polyunsaturated fatty acid supplementation', European Journal of Clinical Nutrition, 63 1037-1040 (2009) [C1]
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| 2008 |
Clayton EH, Hanstock T, Hirneth SJ, Kable CJ, Garg ML, Hazell P, 'Long-chain omega-3 polyunsaturated fatty acids in the blood of children and adolescents with juvenile bipolar disorder', Lipids, 43 1031-1038 (2008) [C1]
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| 2008 |
Jairam R, Hanstock T, Cahill CM, Hazell P, Walter GJ, Malhi GS, 'The changing face of bipolar disorder: Adolescence to adulthood', Minerva Pediatrica, 60 59-68 (2008) [C1]
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| 2007 |
Hanstock T, 'Bipolar affective disorder and dissociation: A potentially lethal combination', Clinical Case Studies, 6 131-142 (2007) [C3]
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| 2007 |
Clayton EH, Hanstock T, Garg ML, Hazell P, 'Long chain omega-3 polyunsaturated fatty acids in the treatment of psychiatric illnesses in children and adolescents', Acta Neuropsychiatrica, 19 92-103 (2007) [C1]
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| 2007 |
Cahill C, Hanstock T, Jairam R, Hazell P, Walter G, Malhi GS, 'Comparison of diagnostic guidelines for juvenile bipolar disorder', Australian and New Zealand Journal of Psychiatry, 41 479-484 (2007) [C1]
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| 2006 |
Hanstock T, 'Brainwaves: the cerebellum', The Clinician (Child & Adolescent Mental Health Statewide Network), 3 223-227 (2006) [C3] |
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| 2006 |
Hanstock T, 'Book review: Thinking in pictures and other reports from my life with autism by Temple Grandin', The Clinician (Child & Adolescent Mental Health Statewide Network), 3 251-252 (2006) [C3] |
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| 2004 |
Hanstock TL, Clayton EH, Li KM, Mallet PE, 'Anxiety and aggression associated with the fermentation of carbohydrates in the hindgut of rats', Physiology and Behavior, 82 357-368 (2004)
Lactic acid accumulation in the caecum and colon resulting from the fermentation of carbohydrates can lead to deleterious effects in ruminant and monogastric animals, including hu... [more] Lactic acid accumulation in the caecum and colon resulting from the fermentation of carbohydrates can lead to deleterious effects in ruminant and monogastric animals, including humans. In the present study, we examined the behavioural effects of two types of commonly consumed foods: soluble and fermentable carbohydrates (FCs). Thirty-six male Wistar rats were fed either a commercial rat and mouse chow, a soluble carbohydrate (SC)-based diet or an FC-based diet. Social interaction, anxiety, aggression and locomotor activity were examined by employing a social interaction test and a light/dark emergence test, while physical parameters of hindgut fermentation were examined after sacrifice, either 3 or 21 h after feeding. Results showed that anxiety (spending less time in the light compartment during the light/dark emergence test) and aggression (increased fighting during the social interaction test) were increased following raised concentrations of fermentation end products, such as lactic acid and volatile fatty acids (VFAs) in the caecum of rats. These associations occurred regardless of dopamine and 5-HT concentrations in the prefrontal cortex (PFC) and provide evidence supporting a general effect of FCs on behaviour. Possible mechanisms of action along with similarities between a rat and human model of acidosis are discussed. © 2004 Elsevier Inc. All rights reserved.
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| 2003 |
Hanstock TL, O'Mahony JF, 'Treatment seeking in young women with acne', Dermatology and Psychosomatics, 4 194-199 (2003)
Background: It is important that acne sufferers seek medical treatment to alleviate physical and possible psychological effects as early as possible. Treatment seeking behaviour a... [more] Background: It is important that acne sufferers seek medical treatment to alleviate physical and possible psychological effects as early as possible. Treatment seeking behaviour amongst acne sufferers, however, is poorly understood. Objectives: To examine which type of personality variables can predict those who will seek medical treatment. To also examine what type of help seeking is associated with better acne related quality of life. Methods: Participants were 165 female students from an Australian University (82.5% response rate) aged between 17 and 28 years. All participants had their acne objectively rated as well as provided their own subjective rating. The General Health Questionnaire (GHQ-28), Acne Related Quality of Life Questionnaire (Acne QoL), The Multidimensional Perfectionism Scale (MPS) and The Dysmorphic Concerns Questionnaire (DCQ) were used to assess participants' general psychopathology, acne related quality of life, type and level of perfectionism and dysmorphic concerns, respectively. Results: Binomial logistic regression analysis revealed that a greater level of objective rated acne severity was associated with seeking treatment from non-medical help (p < 0.05). ANOVAs revealed (p < 0.01) that those participants seeking treatment from nonmedical professionals had less psychopathology, greater acne severity and a high level of socially prescribed perfectionism and dysmorphic concerns. Furthermore, ANOVA revealed that those participants who were currently seeking help from a medical professional had a greater acne quality of life (p < 0.01). Conclusions: Those young women experiencing more severe acne severity seek help from non-physicians. Less distress due to acne is associated with seeking medical help.
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| 2003 |
Hanstock TL, Claytons EH, Mallet PE, 'Anxiety following increased hind-gut fermentation.', Asia Pac J Clin Nutr, 12 Suppl S12 (2003) |
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| 2002 |
Hanstock TL, O'Mahony JF, 'Perfectionism, acne and appearance concerns', Personality and Individual Differences, 32 1317-1325 (2002)
This study investigated the relationship between perfectionism and two aspects of appearance worry: acne-related concerns and dysmorphic concerns. One-hundred and sixty five femal... [more] This study investigated the relationship between perfectionism and two aspects of appearance worry: acne-related concerns and dysmorphic concerns. One-hundred and sixty five female university students completed measures of three facets of perfectionism: self-oriented, other-oriented and socially prescribed [Hewitt, P. L., & Flett, G. L. (1991a). Perfectionism in the self and social contexts: conceptualization. assessment and association with psychopathology. Journal of Personality and Social Psychology, 60, 456-470], general psychopathology (GHQ-28), acne health related quality of life [Girman, C. J., Hartmaier, S., Thiboutot, D., Johnson, J., Barter, B., DeMunro-Mercon, & Waldstreicher, J. (1996). Evaluating health-related quality of life in patients with facial acne: development of a self-administered questionnaire for clinical trials. Quality of Life Research, 5, 481-490] and dysmorphic concerns [Oostuizen, P., Lambert, T., & Castle, D.J. (1998). Dysmorphic concern: prevalence and associations with clinical variables. Australian and New Zealand Journal of Psychiatry, 32, 129-132]. Multiple regression analyses showed that, after controlling for general psychopathology, a high level of socially prescribed perfectionism was associated with a greater tendency to be concerned about acne in particular and appearance in general. © 2002 Elsevier Science Ltd. All rights reserved.
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| 2002 |
Hanstock TL, Clayton EH, 'Changes in the pattern of fermentation in the caecum of rats', Asia Pacific Journal of Clinical Nutrition, 11 (2002) |
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