2022 |
Gale L, McGill K, Twaddell S, Whyte IM, Lewin TJ, Carter GL, 'Hospital-treated deliberate self-poisoning patients: Drug-induced delirium and clinical outcomes.', Aust N Z J Psychiatry, 56 154-163 (2022) [C1]
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Nova |
2022 |
McGill K, Spittal MJ, Bryant J, Lewin TJ, Whyte IM, Madden C, Carter G, 'Comparison of accredited person and medical officer discharge decisions under the Mental Health Act of NSW: A cohort study of deliberate self-poisoning patients.', Aust N Z J Psychiatry, 56 178-185 (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 |
Hollier TM, Frost BG, Michie PT, Lewin TJ, Sly KA, 'Improvements in Hope, Engagement and Functioning Following a Recovery-Focused Sub-Acute Inpatient Intervention: a Six-Month Evaluation', Psychiatric Quarterly, 92 1611-1634 (2021) [C1]
Few studies have examined the post-discharge benefits associated with recover-oriented programs delivered in inpatient and sub-acute mental health settings. The aim of this study ... [more]
Few studies have examined the post-discharge benefits associated with recover-oriented programs delivered in inpatient and sub-acute mental health settings. The aim of this study was to evaluate the medium-term outcomes of a 6-week sub-acute inpatient intervention program for 27 service users with a diagnosis of serious mental illness (mean age = 33.22¿years, 70.4% with a psychosis diagnosis). Recovery data were collected on admission, at discharge, and at 3- and 6-months post-discharge using self-report, collaborative and clinical measures. The three clinician-rated measures (assessing therapeutic engagement, functioning, and life skills) revealed linear improvements from admission to 6-month follow-up (with mean z-change ranging from 0.72 to 1.35), as did the self-reported social connection measure (Mental Health Recovery Star, MHRS; mean z-change: 1.05). There were also curvilinear improvements in self-determination and self-reported MHRS symptom management and functioning scores; however, only modest changes were detected in hope (Herth Hope Index) and MHRS self-belief scores. Change scores based on self-reported and clinician-rated measures tended to be uncorrelated. An exploration of client-level outcomes revealed three recovery trajectory subgroups: transient (21.7%), gradual (34.8%), or sustained (43.5%) improvement; with members of the latter group tending to have longer illness durations. The study¿s findings are encouraging, to the extent that they demonstrate recovery-focused sub-acute inpatient programs can promote clinical recovery and aspects of personal recovery. However, they also suggest that recovery perspectives differ between clients and clinicians, and that far more work is required to understand the psychological factors that generate and sustain the hope that recovery is possible.
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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 |
Handley TE, Lewin TJ, Butterworth P, Kelly BJ, 'Employment and retirement impacts on health and wellbeing among a sample of rural Australians', BMC Public Health, 21 (2021) [C1]
Background: In Australia, it is projected that one in four individuals will be at the nominal retirement age of 65 or over by 2056; this effect is expected to be especially pronou... [more]
Background: In Australia, it is projected that one in four individuals will be at the nominal retirement age of 65 or over by 2056; this effect is expected to be especially pronounced in rural areas. Previous findings on the effects of retirement on wellbeing have been mixed. The present study explores the effects of employment and retirement on health and wellbeing among a sample of rural Australians. Methods: Australian Rural Mental Health Study participants who were aged 45 or over (N = 2013) were included in a series of analyses to compare the health and wellbeing of individuals with differing employment and retirement circumstances. Self-reported outcome variables included perceived physical health and everyday functioning, financial wellbeing, mental health, relationships, and satisfaction with life. Results: Across the outcomes, participants who were employed or retired generally reported better health and wellbeing than those not in the workforce. Retired participants rated more highly than employed participants on mental health, relationships, and satisfaction with life. There was also a short-term benefit for perceived financial status for retired participants compared to employed participants, but this effect diminished over time. Conclusions: While retirement is a significant life transition that may affect multiple facets of an individual¿s life, the direction and magnitude of these effects vary depending on the retirement context, namely the pre-retirement and concurrent circumstances within which an individual is retiring. Personal perceptions of status changes may also contribute to an individual¿s wellbeing more so than objective factors such as income. Policies that promote rural work/retirement opportunities and diversity and address rural disadvantage are needed.
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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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2020 |
Walton CJ, Bendit N, Baker AL, Carter GL, Lewin TJ, 'A randomised trial of dialectical behaviour therapy and the conversational model for the treatment of borderline personality disorder with recent suicidal and/or non-suicidal self-injury: An effectiveness study in an Australian public mental health service', Australian and New Zealand Journal of Psychiatry, 54 1020-1034 (2020) [C1]
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Nova |
2020 |
Mullen A, Isobel S, Flanagan K, Key K, Dunbar A, Bell A, Lewin TJ, 'Motivational Interviewing: Reconciling Recovery-Focused Care and Mental Health Nursing Practice', Issues in Mental Health Nursing, 41 807-814 (2020) [C1]
Motivational interviewing (MI) is a long-established evidenced-based intervention aimed at guiding people to implement change. Originally developed by William Miller from the Unit... [more]
Motivational interviewing (MI) is a long-established evidenced-based intervention aimed at guiding people to implement change. Originally developed by William Miller from the United States and Stephen Rollnick from the United Kingdom, a strong emphasis for MI is the underlying ¿spirit¿, rather than merely the specific techniques within the model. The ¿spirit¿ of MI consists of four key components: acceptance, partnership, evocation and compassion. These have direct overlap with concepts within the personal recovery model recognised as a critical framework in delivery of contemporary mental health services for consumers. Despite this recognition, recovery concepts have struggled to gain consistent traction, particularly within inpatient mental health units. This paper proposes that MI presents one strategy for integrating recovery-focused principles within routine mental health nursing (MHN) practice. An overview of MI and its relationship with recovery principles is discussed in the context of contemporary MHN practice. Evaluation results of a locally developed MI workshop for MHNs within a regional area of New South Wales (NSW) in Australia are presented to highlight the emerging evidence for this potential. Following the workshop, MHN participants showed key improvements in knowledge and confidence scores, as well as in understanding of key MI processes and strategies. The consolidation of these skills through training and a supervision framework is outlined.
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Nova |
2020 |
Sly KA, Lewin TJ, Frost BG, Tirupati S, Turrell M, Conrad AM, 'Care pathways, engagement and outcomes associated with a recovery-oriented intermediate stay mental health program', PSYCHIATRY RESEARCH, 286 (2020) [C1]
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Nova |
2020 |
Jackson M, McGill K, Lewin TJ, Bryant J, Whyte I, Carter G, 'Hospital-treated deliberate self-poisoning in the older adult: Identifying specific clinical assessment needs', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 54 591-601 (2020) [C1]
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Nova |
2019 |
McGill K, Hiles SA, Handley TE, Page A, Lewin TJ, Whyte I, Carter GL, 'Is the reported increase in young female hospital-treated intentional self-harm real or artefactual?', Australian and New Zealand Journal of Psychiatry, 53 663-672 (2019) [C1]
Background: The Australian Institute of Health and Welfare has reported an increased rate of hospital-treated intentional self-harm in young females (2000¿2012) in Australia. Thes... [more]
Background: The Australian Institute of Health and Welfare has reported an increased rate of hospital-treated intentional self-harm in young females (2000¿2012) in Australia. These reported increases arise from institutional data that are acknowledged to underestimate the true rate, although the degree of underestimation is not known. Objective: To consider whether the reported increase in young females¿ hospital-treated intentional self-harm is real or artefactual and specify the degree of institutional underestimation. Methods: Averages for age- and gender-standardised event rates for hospital-treated intentional self-harm (national: Australian Institute of Health and Welfare; state: New South Wales Ministry of Health) were compared with sentinel hospital event rates for intentional self-poisoning (Hunter Area Toxicology Service, Calvary Mater Newcastle) in young people (15¿24 years) for the period 2000¿2012. A time series analysis of the event rates for the sentinel hospital was conducted. Results: The sentinel hospital event rates for young females of 444 per 100,000 were higher than the state (378 per 100,000) and national (331 per 100,000) rates. There was little difference in young male event rates ¿ sentinel unit: 166; state: 166 and national: 153 per 100,000. The sentinel hospital rates showed no change over time for either gender. Conclusion: There was no indication from the sentinel unit data of any increase in rates of intentional self-poisoning for young females. The sentinel and state rates were higher than the national rates, demonstrating the possible magnitude of underestimation of the national data. The reported increases in national rates of hospital-treated self-harm among young females might be due to artefactual factors, such as changes in clinical practice (greater proportion admitted), improved administrative coding of suicidal behaviours or possibly increased hospital presentations of community self-injury cases, but not intentional self-poisoning. A national system of sentinel units is needed for the accurate and timely monitoring of all hospital-treated self-harm.
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Nova |
2019 |
Clancy R, Lewin TJ, Bowman JA, Kelly BJ, Mullen AD, Flanagan K, Hazelton MJ, 'Providing physical health care for people accessing mental health services: Clinicians perceptions of their role', International Journal of Mental Health Nursing, 28 256-267 (2019) [C1]
The prevalence of health risk behaviours and associated poor physical health is high in people with severe mental illness. Mental health service guidelines and policies stipulate ... [more]
The prevalence of health risk behaviours and associated poor physical health is high in people with severe mental illness. Mental health service guidelines and policies stipulate that mental health services should address physical health of people who access services. This study reports results from a large, interdisciplinary, cross-sectional study exploring mental health clinicians¿ (n¿=¿385) views of role legitimacy in physical health service provision. All disciplines reported that mental health clinicians have a role to play in addressing the physical health of consumers. Among mental health clinicians, psychiatrists and mental health nurses received higher endorsement than allied health clinicians in relation to the provision of physical health care, with primary care providers including general practitioners also ranking highly. As community mental health services routinely appoint allied health staff to case management roles, a challenge for services and a challenge for clinicians are to ensure that physical health and the effects of medication are monitored appropriately and systematically. Online and telephone support services received relatively lower endorsement. As the availability of nonface to face services increases, there is a need to explore their utility in this population and where appropriate promote their uptake.
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Nova |
2019 |
Nasstasia Y, Baker AL, Lewin TJ, Halpin SA, Hides L, Kelly BJ, Callister R, 'Differential treatment effects of an integrated motivational interviewing and exercise intervention on depressive symptom profiles and associated factors: A randomised controlled cross-over trial among youth with major depression', Journal of Affective Disorders, 259 413-423 (2019) [C1]
Background: Exercise is increasingly recognised as an efficacious intervention for major depressive disorder (MDD) but to our knowledge differential treatment effects on depressiv... [more]
Background: Exercise is increasingly recognised as an efficacious intervention for major depressive disorder (MDD) but to our knowledge differential treatment effects on depressive symptom profiles (cognitive, somatic and affective) and associated changes in psychological, physiological and behavioural factors have not been examined among youth with MDD. Methods: Sixty-eight participants (mean age 20.8) meeting DSM-IV diagnostic criteria for MDD were randomised to an Immediate intervention or Control/delayed condition (n = 34 per group). The integrated intervention comprised an initial session of motivational interviewing (MI) followed by a 12-week, multi-modal exercise program. Changes in depressive symptom profiles were assessed with the Beck Depression Inventory-II (BDI-II) total score and factorial symptom subscales. Results: There were significant differential improvements in BDI-II total scores post-treatment among intervention participants, which were also observed across the cognitive and affective subscales. Individual BDI-II items from the cognitive subscale showing significant differential improvement related to negative self-concept, while those from the affective subscale related to interest/activation; the energy item within the somatic subscale also revealed significant differential improvement. Significant differential improvements were also observed in exercise participation, negative automatic thoughts, behavioural activation and bench press repetitions among intervention participants, which correlated significantly with depression improvements. Limitations: The exercise intervention was delivered in a supervised, group format and potential social meditators of change cannot be excluded. Conclusions: Exercise differentially effects depressive symptom profiles with similar antidepressant effects as would be expected from psychological therapies improving negative cognition and emotional health.
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Nova |
2019 |
Clark V, Conrad AM, Lewin TJ, Baker AL, Halpin SA, Sly KA, Todd J, 'Addiction Vulnerability: Exploring Relationships Among Cigarette Smoking, Substance Misuse, and Early Psychosis', Journal of Dual Diagnosis, 14 78-88 (2019) [C1]
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Nova |
2019 |
Handley TE, Rich J, Lewin TJ, Kelly BJ, 'The predictors of depression in a longitudinal cohort of community dwelling rural adults in Australia', Social Psychiatry and Psychiatric Epidemiology, 54 171-180 (2019) [C1]
Purpose: Many major studies of depression in Australia are under-representative of rural and remote residents, limiting the generalizability of their findings. This study explores... [more]
Purpose: Many major studies of depression in Australia are under-representative of rural and remote residents, limiting the generalizability of their findings. This study explores the contributions of a range of individual, social, and community factors to the trajectory of depressive symptoms among a cohort of rural and remote residents. Methods: Data from four waves of the Australian Rural Mental Health Study (baseline n = 2639), a 5¿year longitudinal study of rural community residents, were examined within generalized linear mixed models to predict depressive symptoms. Depression was measured using the PHQ-9, with key correlates including social support, employment status, financial wellbeing, neuroticism, and rural community factors. Results: Moderate-to-severe depression was reported by 6.3% of the baseline sample. Being permanently unable to work resulted in over a threefold increase in the odds of depression at the following survey wave. Self-rated financial hardship was associated with a fourfold increase in the odds of future depression, as was a high level of community concerns. Neuroticism and tobacco use also made a significant independent contribution to future depressive symptoms. Interpersonal support was a protective factor, reducing the odds of next-wave depression by 64%. Conclusion: Financial and employment-related difficulties appear to be important risk factors for depression, and targeting individuals experiencing such difficulties may be an effective means of reducing depression among certain sub-groups. Strategies to prevent depression in rural and remote Australia may benefit from a focus on interpersonal and community-level support, as the effects of this support are lasting and contribute to a reduced likelihood of depressive episodes in future years.
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Nova |
2019 |
Nasstasia Y, Baker AL, Lewin TJ, Halpin SA, Hides L, Kelly BJ, Callister R, 'Engaging youth with major depression in an exercise intervention with motivational interviewing', Mental Health and Physical Activity, 17 (2019) [C1]
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Nova |
2018 |
Hassanian-Moghaddam H, Ghorbani F, Rahimi A, Farahani TF, Sani PSV, Lewin TJ, Carter GL, 'Federation Internationale de Football Association (FIFA) 2014 World Cup Impact on Hospital-Treated Suicide Attempt (Overdose) in Tehran', Suicide and Life-Threatening Behavior, 48 367-375 (2018) [C1]
Social influences on suicidal behaviors may be important but are less frequently studied than the influences of mental illness, physical illness, and demographic variables. Major ... [more]
Social influences on suicidal behaviors may be important but are less frequently studied than the influences of mental illness, physical illness, and demographic variables. Major international sporting events may have an impact on suicidal behaviors at the national and local level, an effect possibly mediated by gender and age. We examined the association of hospital-treated deliberate self-poisoning episodes (by gender and by age) in Tehran: before, during, and after the 2014 FIFA World Cup held in Brazil, in which the Iranian national team participated and was eliminated after the pool games. We used a time series analysis within an autoregressive integrated moving average model and found a significant increase in hospital-treated deliberate self-poisoning during the 4-week period of the 2014 FIFA World Cup in Brazil in females but a nonsignificant increase in males. A significant increase was also seen in the youngest age group (12¿20¿years), but not in the two older age groups. If the effects of nonsuccess at major international sporting events could be shown to have a potential harmful effect on aggregate local or national rates of suicidal behaviors, the possibility of preventative interventions and preemptive additional service provision could be planned in advance of these events.
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Nova |
2018 |
Tynan RJ, James C, Considine R, Skehan J, Gullestrup J, Lewin TJ, et al., 'Feasibility and acceptability of strategies to address mental health and mental ill-health in the Australian coal mining industry', INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS, 12 (2018) [C1]
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Nova |
2018 |
Butterworth P, Kelly BJ, Handley TE, Inder KJ, Lewin TJ, 'Does living in remote Australia lessen the impact of hardship on psychological distress?', Epidemiology and Psychiatric Sciences, 27 500-509 (2018) [C1]
Aims. Rural and remote regions tend to be characterised by poorer socioeconomic conditions than urban areas, yet findings regarding differences in mental health between rural and ... [more]
Aims. Rural and remote regions tend to be characterised by poorer socioeconomic conditions than urban areas, yet findings regarding differences in mental health between rural and urban areas have been inconsistent. This suggests that other features of these areas may reduce the impact of hardship on mental health. Little research has explored the relationship of financial hardship or deprivation with mental health across geographical areas.Methods. Data were analysed from a large longitudinal Australian study of the mental health of individuals living in regional and remote communities. Financial hardship was measured using items from previous Australian national population research, along with measures of psychological distress (Kessler-10), social networks/support and community characteristics/locality, including rurality/remoteness (inner regional; outer regional; remote/very remote). Multilevel logistic regression modelling was used to examine the relationship between hardship, locality and distress. Supplementary analysis was undertaken using Australian Household, Income and Labour Dynamics in Australia (HILDA) Survey data.Results. 2161 respondents from the Australian Rural Mental Health Study (1879 households) completed a baseline survey with 26% from remote or very remote regions. A significant association was detected between the number of hardship items and psychological distress in regional areas. Living in a remote location was associated with a lower number of hardships, lower risk of any hardship and lower risk of reporting three of the seven individual hardship items. Increasing hardship was associated with no change in distress for those living in remote areas. Respondents from remote areas were more likely to report seeking help from welfare organisations than regional residents. Findings were confirmed with sensitivity tests, including replication with HILDA data, the use of alternative measures of socioeconomic circumstances and the application of different analytic methods.Conclusions. Using a conventional and nationally used measure of financial hardship, people residing in the most remote regions reported fewer hardships than other rural residents. In contrast to other rural residents, and national population data, there was no association between such hardship and mental health among residents in remote areas. The findings suggest the need to reconsider the experience of financial hardship across localities and possible protective factors within remote regions that may mitigate the psychological impact of such hardship.
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Nova |
2018 |
Nasstasia Y, Baker AL, Halpin SA, Hides L, Lewin TJ, Kelly BJ, Callister R, 'Evaluating the efficacy of an integrated motivational interviewing and multi-modal exercise intervention for youth with major depression: Healthy Body, Healthy Mind randomised controlled trial protocol', Contemporary Clinical Trials Communications, 9 13-22 (2018) [C1]
Background Recent meta-analytic reviews suggest exercise can reduce depression severity among adults with major depressive disorder (MDD); however, efficacy studies with depressed... [more]
Background Recent meta-analytic reviews suggest exercise can reduce depression severity among adults with major depressive disorder (MDD); however, efficacy studies with depressed youth are limited. Few studies have investigated the efficacy of multi-modal exercise interventions in this population, addressed treatment engagement, or explored the differential effects of exercise on depressive symptom profiles. Objectives This paper describes the study protocol and recruitment pattern for an assessor blinded, two-arm randomised controlled trial investigating the efficacy of an integrated motivational interviewing (MI) and multi-modal exercise intervention in youth diagnosed with MDD. Associations between depressive symptom profiles (cognitive, somatic and affective) and psychological, physiological (fitness), and biological (blood biomarker) outcomes will also be examined. Methods Participants aged 15¿25 years with current MDD were recruited. Eligible participants were randomised and stratified according to gender and depression severity to either an immediate or delayed (control) group. The immediate group received a brief MI intervention followed by a 12-week small group exercise intervention (3 times per week for 1 h), all delivered by personal trainers. The delayed control group received the same intervention 12-weeks later. Both groups were reassessed at mid-treatment or mid-control, post-treatment or post-control, and follow-up (12 weeks post-treatment). Results 68 participants were recruited and randomly allocated to an intervention group. Conclusion This trial will increase our understanding of the efficacy of multi-modal exercise interventions for depression and the specific effects of exercise on depressive symptom profiles. It also offers a novel contribution by addressing treatment engagement in exercise efficacy trials in youth with MDD.
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Nova |
2018 |
Handley T, Rich J, Davies K, Lewin T, Kelly B, 'The Challenges of Predicting Suicidal Thoughts and Behaviours in a Sample of Rural Australians with Depression.', International journal of environmental research and public health, 15 1-9 (2018) [C1]
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Nova |
2018 |
Handley TE, Lewin TJ, Perkins D, Kelly B, 'Self-recognition of mental health problems in a rural Australian sample', Australian Journal of Rural Health, 26 173-180 (2018) [C1]
Objective: Although mental health literacy has increased in recent years, mental illness is often under-recognised. There has been little research conducted on mental illness in r... [more]
Objective: Although mental health literacy has increased in recent years, mental illness is often under-recognised. There has been little research conducted on mental illness in rural areas; however, this can be most prominent in rural areas due to factors such as greater stigma and stoicism. The aim of this study is to create a profile of those who are most and least likely to self-identify mental health problems among rural residents with moderate- to-high psychological distress. Design: Secondary analysis of a longitudinal postal survey. Setting: Rural and remote New South Wales, Australia. Participants: Four-hundred-and-seventy-two community residents. Main outcome measure: Participants completed the K10 Psychological Distress Scale, as well as the question ¿In the past 12 months have you experienced any mental health problems?¿ The characteristics of those who reported moderate/high distress scores were explored by comparing those who did and did not experience mental health problems recently. Results: Of the 472 participants, 319 (68%) with moderate/high distress reported a mental health problem. Reporting a mental health problem was higher among those with recent adverse life events or who perceived more stress from life events while lower among those who attributed their symptoms to a physical cause. Conclusions: Among a rural sample with moderate/high distress, one-third did not report a mental health problem. Results suggest a threshold effect, whereby mental health problems are more likely to be acknowledged in the context of additional life events. Ongoing public health campaigns are necessary to ensure that symptoms of mental illness are recognised in the multiple forms that they take.
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Nova |
2018 |
Austin EK, Handley T, Kiem AS, Rich JL, Lewin TJ, Askland HH, et al., 'Drought-related stress among farmers: findings from the Australian Rural Mental Health Study.', The Medical journal of Australia, 209 159-165 (2018) [C1]
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Nova |
2018 |
Stain H, Halpin S, Baker A, Startup M, Carr V, Schall U, et al., 'The impact of rurality and substance use on young people at ultra-high risk for psychosis', Early Intervention in Psychiatry, 12 1173-1180 (2018) [C1]
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Nova |
2018 |
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 |
2017 |
Considine R, Tynan R, James C, Wiggers J, Lewin T, Inder K, et al., 'The contribution of individual, social and work characteristics to employee mental health in a coal mining industry population', PLoS ONE, 12 1-15 (2017) [C1]
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Nova |
2017 |
Inder KJ, Holliday EG, Handley TE, Fragar LJ, Lower T, Booth A, et al., 'Depression and risk of unintentional injury in rural communities a longitudinal analysis of the Australian rural mental health study', International Journal of Environmental Research and Public Health, 14 (2017) [C1]
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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 |
Frost BG, Turrell M, Sly KA, Lewin TJ, Conrad AM, Johnston S, et al., 'Implementation of a recovery-oriented model in a sub-acute Intermediate Stay Mental Health Unit (ISMHU)', BMC Health Services Research, 17 1-12 (2017) [C1]
Background: An ongoing service evaluation project was initiated following the establishment of a new, purpose-built, 20-bed sub-acute Intermediate Stay Mental Health Unit (ISMHU).... [more]
Background: An ongoing service evaluation project was initiated following the establishment of a new, purpose-built, 20-bed sub-acute Intermediate Stay Mental Health Unit (ISMHU). This paper: provides an overview of the targeted 6-week program, operating within an Integrated Recovery-oriented Model (IRM); characterises the clients admitted during the first 16 months; and documents their recovery needs and any changes. Methods: A brief description of the unit¿s establishment and programs is initially provided. Client needs and priorities were identified collaboratively using the Mental Health Recovery Star (MHRS) and addressed through a range of in-situ, individual and group interventions. Extracted client and service data were analysed using descriptive statistics, paired t-tests examining change from admission to discharge, and selected correlations. Results: The initial 154 clients (165 admissions, average stay = 47.86 days) were predominately male (72.1%), transferred from acute care (75.3%), with schizophrenia or related disorders (74.0%). Readmission rates within 6-months were 16.2% for acute and 3.2% for sub-acute care. Three MHRS subscales were derived, together with stage-of-change categories. Marked improvements in MHRS Symptom management and functioning were identified (z-change = -1.15), followed by Social-connection (z-change = -0.82) and Self-belief (z-change = -0.76). This was accompanied by a mean reduction of 2.59 in the number of pre-action MHRS items from admission to discharge (z-change = 0.98). Clinician-rated Health of the Nation Outcome Scales (HoNOS) improvements were smaller (z-change = 0.41), indicative of illness chronicity. Staff valued the elements of client choice, the holistic and team approach, program quality, review processes and opportunities for client change. Addressing high-levels of need in the 6-week timeframe was raised as a concern. Conclusions: This paper demonstrates that a recovery-oriented model can be successfully implemented at the intermediate level of care. It is hoped that ongoing evaluations support the enthusiasm, commitment and feedback evident from staff, clients and carers.
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Nova |
2017 |
Frost BG, Tirupati S, Johnston S, Turrell M, Lewin TJ, Sly KA, Conrad AM, 'An Integrated Recovery-oriented Model (IRM) for mental health services: evolution and challenges', BMC PSYCHIATRY, 17 (2017) [C1]
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Nova |
2017 |
Conrad AM, Lewin TJ, Sly KA, Schall U, Halpin SA, Hunter M, Carr VJ, 'Utility of risk-status for predicting psychosis and related outcomes: evaluation of a 10-year cohort of presenters to a specialised early psychosis community mental health service', Psychiatry Research, 247 336-344 (2017) [C1]
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Nova |
2017 |
Hassanian-Moghaddam H, Sarjami S, Kolahi AA, Lewin T, Carter G, 'Postcards in Persia: A Twelve to Twenty-four Month Follow-up of a Randomized Controlled Trial for Hospital-Treated Deliberate Self-Poisoning', Archives of Suicide Research, 21 138-154 (2017) [C1]
This study reports the outcomes, during follow-up, of a low-cost postcard intervention in a Randomized Control Trial of hospital-treated self-poisoning (n¿=¿2300). The interventio... [more]
This study reports the outcomes, during follow-up, of a low-cost postcard intervention in a Randomized Control Trial of hospital-treated self-poisoning (n¿=¿2300). The intervention was 9 postcards over 12 months (plus usual treatment) versus usual treatment. Three binary endpoints at 12¿24 months (n¿=¿2001) were: any suicidal ideation, suicide attempt, or self-cutting. There was a significant reduction in any suicidal ideation (RRR 0.20 CI 95% 0.13¿0.27), (NNT 8, 6¿13), and any suicide attempt (RRR 0.31, 0.06¿0.50), (NNT 35, 19¿195), in this non-western population. However, there was no effect on self-cutting (RRR -0.01, -1.05¿0.51). Sustained, brief contact by mail may reduce some forms of suicidal behavior in self-poisoning patients during the post intervention phase.
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Nova |
2017 |
Conrad AM, Sankaranarayanan A, Lewin TJ, Dunbar A, 'Effectiveness of a 10-week group program based on Dialectical Behaviour Therapy skills among patients with personality and mood disorders: findings from a pilot study', Australasian Psychiatry, 25 466-470 (2017) [C1]
Objectives: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-thi... [more]
Objectives: Community mental health services are often required to manage people experiencing repeated crises. Personality disorders are not uncommon, accounting for up to one-third of such presentations. These patients are often difficult to treat, leading to a revolving-door phenomenon. This study evaluated the effectiveness of a pilot intervention in reducing psychological symptoms and distress, and examined the impact of the intervention on mental health service utilization. Methods: A pre- versus post-treatment evaluation was conducted of the effectiveness of a 10-week group psychological intervention based on Dialectical Behaviour Therapy skills, conducted in a regional Australian community mental health service with patients diagnosed with either Cluster B personality disorder or a mood disorder. Results: Of those who completed the program (N = 38 patients), 84% were female, with an average age of 35.13 years. Participants were active clients of the service for an average of 58.3 weeks prior to the program. They demonstrated significant improvements in quality of life and self-control, and a reduction in hopelessness, cognitive instability and dependence on mental health services. Conclusions: Limiting the Dialectical Behaviour Therapy program to a short-term skills-based group component was successful with the targeted patient group; however, more research is required to establish the generalizability of these results.
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Nova |
2017 |
Nasstasia Y, Baker AL, Halpin SA, Lewin TJ, Hides L, Kelly BJ, Callister R, 'Pilot Study of an Exercise Intervention for Depressive Symptoms and Associated Cognitive-Behavioral Factors in Young Adults with Major Depression', Journal of Nervous and Mental Disease, 205 647-655 (2017) [C1]
This study assesses the feasibility of integrating motivational interviewing (MI) with an exercise intervention. It also explores patterns of depressive symptom changes (cognitive... [more]
This study assesses the feasibility of integrating motivational interviewing (MI) with an exercise intervention. It also explores patterns of depressive symptom changes (cognitive, affective, and somatic subscales) and their relationship to cognitive, behavioral, and immunological factors (interleukin 6, IL-6, a marker for inflammation) across the exercise intervention. Twelve young adults (20.8 ± 1.7 years) meeting DSM-IV criteria for major depressive disorder received a brief MI intervention followed by a 12-week exercise intervention. Assessments were conducted preintervention, postintervention, throughout the intervention, and at follow-up. Preliminary results show differential effects of exercise, with the largest standardized mean improvements for the affective subscale (-1.71), followed by cognitive (-1.56) and somatic (-1.39) subscales. A significant relationship was observed between increased behavioral activation and lower levels of IL-6. Despite study limitations, the magnitude of changes suggests that natural remission of depressive symptoms is an unlikely explanation for the findings. A randomized controlled trial has commenced to evaluate effectiveness of the intervention.
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Nova |
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 |
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 |
2017 |
McMinn BG, Lewin TJ, Savio N, Matters D, Smith C, 'Readiness for discharge from subacute mental health units for older people: Using available measures to support clinical decision-making', International Journal of Mental Health Nursing, 26 151-159 (2017) [C1]
Prior to introduction of the Health of the Nation Outcome Scale 65+ (HoNOS65) as a mandated measure, the three subacute mental health units for older people in the present study r... [more]
Prior to introduction of the Health of the Nation Outcome Scale 65+ (HoNOS65) as a mandated measure, the three subacute mental health units for older people in the present study routinely used the Care Planning Assessment Tool (CPAT) for clinical review and discharge planning. The aims of the present study were to compare these two measures of behavioural change during subacute admissions, to examine associations with discharge readiness, and to assess their overall contributions to discharge planning decisions. This is a prospective, comparative measurement study. HoNOS65 (severity) and CPAT (frequency) behavioural subscale ratings were collected from admission to discharge for older patients with very severe and persistent behavioural and psychological symptoms of dementia. Readiness for discharge data (yes/no), collected from multidisciplinary review meetings, was used as the outcome in all analyses. In combination, these measures achieved only modest positive predictive value (52.8%) but good negative predictive value (90.4%). Consequently, patients above the cut-point on both measures are reasonably unlikely to be discharge ready. The combined use of a standard outcome measure of severity along with a specialized measure of frequency is recommended to support and enhance discharge planning decisions in this population.
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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 |
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 |
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 |
McCarter KL, Halpin SA, Baker AL, Kay-Lambkin FJ, Lewin TJ, Thornton LK, et al., 'Associations between personality disorder characteristics and treatment outcomes in people with co-occurring alcohol misuse and depression.', BMC Psychiatry, 16 210 (2016) [C1]
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Nova |
2016 |
Andrews M, Baker AL, Halpin SA, Lewin TJ, Richmond R, Kay-Lambkin FJ, et al., 'Early therapeutic alliance, treatment retention, and 12-month outcomes in a healthy lifestyles intervention for people with psychotic disorders', Journal of Nervous and Mental Disease, 204 894-902 (2016) [C1]
Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were ex... [more]
Engaging and retaining individuals with psychotic disorders in psychosocial treatments is difficult. Early therapeutic alliance, treatment retention, and 12-month outcomes were examined in a subsample of smokers with a psychotic disorder (N = 178) participating in a healthy lifestyles study comparing a telephone versus face-to-face delivered intervention. Therapeutic alliance was assessed using the Agnew Relationship Measure; primary outcomes were treatment retention and changes in symptoms and health behaviors. Contrary to expectations, early alliance did not predict treatment retention. However, elements of both client- and therapist-rated alliance predicted some clinical outcomes (e.g., higher confidence in the therapeutic alliance at session 1 predicted improvements in 12-month depression). Some modest interactions between early alliance and intervention condition were also identified (e.g., clients initially with lower self-perceived initiative, or higher therapist-perceived bonding benefited preferentially from the telephone-delivered intervention), highlighting the need to further examine the interplay between therapeutic alliance and treatment modality.
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Nova |
2016 |
Stain HJ, Bucci S, Baker AL, Carr V, Emsley R, Halpin S, et al., 'A randomised controlled trial of cognitive behaviour therapy versus non-directive reflective listening for young people at ultra high risk of developing psychosis: The detection and evaluation of psychological therapy (DEPTh) trial', Schizophrenia Research, 176 212-219 (2016) [C1]
Background Intervention trials for young people at ultra high risk (UHR) for psychosis have shown cognitive behaviour therapy (CBT) to have promising effects on treating psychotic... [more]
Background Intervention trials for young people at ultra high risk (UHR) for psychosis have shown cognitive behaviour therapy (CBT) to have promising effects on treating psychotic symptoms but have not focused on functional outcomes. We hypothesized that compared to an active control, CBT would: (i) reduce the likelihood of, and/or delay, transition to psychosis; (ii) reduce symptom severity while improving social functioning and quality of life, whether or not transition occurred. Method This was a single-blind randomised controlled trial for young people at UHR for psychosis comparing CBT to an active control condition, Non Directive Reflective Listening (NDRL), both in addition to standard care, with a 6 month treatment phase and 12 months of follow-up. Statistical analysis is based on intention-to-treat and used random effect models to estimate treatment effects common to all time-points. Results Fifty-seven young people (mean age = 16.5 years) were randomised to CBT (n = 30) or NDRL (n = 27). Rate of transition to psychosis was 5%; the 3 transitions occurred in the CBT condition (baseline, 2 months, 5 months respectively). The NDRL condition resulted in a significantly greater reduction in distress associated with psychotic symptoms compared to CBT (treatment effect = 36.71, standard error = 16.84, p = 0.029). There were no significant treatment effects on frequency and intensity of psychotic symptoms, global, social or role functioning. Conclusion Our sample was higher functioning, younger and experiencing lower levels of psychotic like experiences than other trials. The significantly better treatment effect of NDRL on distress associated with psychotic symptoms supports the recommendations for a stepped-care model of service delivery. This treatment approach would accommodate the younger UHR population and facilitate timely intervention. Trial registration: ANZCTR 12606000101583
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Nova |
2015 |
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 |
Handley TE, Kelly BJ, Lewin TJ, Coleman C, Stain HJ, Weaver N, Inder KJ, 'Long-term effects of lifetime trauma exposure in a rural community sample Health behavior, health promotion and society', BMC Public Health, 15 (2015) [C1]
Background: This study examines the long-term outcomes of lifetime trauma exposure, including factors that contribute to the development of PTSD, in a sample of rural adults. Meth... [more]
Background: This study examines the long-term outcomes of lifetime trauma exposure, including factors that contribute to the development of PTSD, in a sample of rural adults. Methods: In 623 rural community residents, lifetime trauma exposure, PTSD, other psychiatric disorders and lifetime suicidal ideation were assessed using the World Mental Health Composite International Diagnostic Interview. Logistic regressions were used to examine relationships between potentially traumatic events (PTEs) and lifetime PTSD and other diagnoses. Results: 78.2 % of participants reported at least on PTE. Rates were broadly comparable with Australian national data: the most commonly endorsed events were unexpected death of a loved one (43.7 %); witnessing injury or death (26.3 %); and life-threatening accident (19.3 %). While the mean age of the sample was 55 years, the mean age of first trauma exposure was 19 years. The estimated lifetime rate of PTSD was 16.0 %. Events with the strongest association with PTSD were physical assault and unexpected death of a loved one. Current functioning was lowest among those with current PTSD, with this group reporting elevated psychological distress, higher mental health service use, a greater number of comorbidities, and lower perceived social support. Respondents with a past PTE but no PTSD history were generally similar in terms of their current wellbeing to those with no lifetime PTE. Conclusions: PTEs may have diverse psychological and social consequences beyond the development of PTSD. Ensuring that adequate support services are available in rural areas, particularly in the period immediately following a PTE, may reduce the long-term impact of traumatic events.
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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 |
Hiles S, Bergen H, Hawton K, Lewin T, Whyte I, Carter G, 'General hospital-treated self-poisoning in England and Australia: Comparison of presentation rates, clinical characteristics and aftercare based on sentinel unit data', Journal of Psychosomatic Research, 78 356-362 (2015) [C1]
Objective: Hospital-treated deliberate self-poisoning (DSP) is common and the existing national monitoring systems are often deficient. Clinical Practice Guidelines (UK and Austra... [more]
Objective: Hospital-treated deliberate self-poisoning (DSP) is common and the existing national monitoring systems are often deficient. Clinical Practice Guidelines (UK and Australia) recommend universal psychosocial assessment within the general hospital as standard care. We compared presentation rates, patient characteristics, psychosocial assessment and aftercare in UK and Australia. Methods: We used a cross sectional design, for a ten year study of all DSP presentations identified through sentinel units in Oxford, UK (n. = 3042) and Newcastle, Australia (n. = 3492). Results: Oxford had higher presentation rates for females (standardised rate ratio 2.4: CI 99% 1.9, 3.2) and males (SRR 2.5: CI 99% 1.7, 3.5). Female to male ratio was 1.6:1, 70% presented after-hours, 95% were admitted to a general hospital and co-ingestion of alcohol occurred in a substantial minority (Oxford 24%, Newcastle 32%). Paracetamol, minor tranquilisers and antidepressants were the commonest drug groups ingested, although the overall pattern differed. Psychosocial assessment rates were high (Oxford 80%, Newcastle 93%). Discharge referral for psychiatric inpatient admission (Oxford 8%, Newcastle 28%), discharge to home (Oxford 80%, Newcastle 70%) and absconding (Oxford 11%, Newcastle 2%) differed between the two units. Conclusions: Oxford has higher age-standardised rates of DSP than Newcastle, although many other characteristics of patients are similar. Services can provide a high level of assessment as recommended in clinical guidelines. There is some variation in after-care. Sentinel service monitoring routine care of DSP patients can provide valuable comparisons between countries.
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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 |
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]
Background Bipolar disorder (BD) phenomenology in children and adolescents remains contentious. The study investigated Australian children and adolescents with bipolar I disorder ... [more]
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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Nova |
2015 |
Inder KJ, Hussain R, Allen J, Brew B, Lewin TJ, Attia J, Kelly BJ, 'Factors associated with personal hopefulness in older rural and urban residents of New South Wales', Advances in Mental Health, 13 43-57 (2015) [C1]
Background: As research focuses on the concept of resilience, evidence suggests that greater levels of personal hope may have a mitigating effect on the mental health impact of ad... [more]
Background: As research focuses on the concept of resilience, evidence suggests that greater levels of personal hope may have a mitigating effect on the mental health impact of adversity. In view of the adversity affecting rural communities, a better understanding of factors influencing personal hope may help identify foci for mental health promotion and mental illness prevention research and interventions. Aim: To explore the relationship between demographic, socioeconomic and mental health factors and personal hopefulness, including the influence of locality and remoteness. Method: Using data from two community-based longitudinal cohorts from New SouthWales ¿ one urban and one rural ¿ we analysed cross-sectional relationships between a range of factors and personal hopefulness using logistic regression techniques, as part of a common follow-up. Personal hopefulness was measured using a 12-item scale and scores were categorised as low (<2.5), medium (2.5¿3.4) and high (=3.5). Results: Of 2774 participants (53% female, mean age 69.1 years [SD 7.3, range 58¿91 years], 36% living outside metropolitan areas) 32% had low, 51% had medium and 17% had high personal hopefulness scores. Several factors displayed univariate associations with personal hopefulness. In the multivariate model, five factors were independently associated with lower personal hopefulness: being older, having lower perceived prosperity, less frequent socialisation, experiencing high psychological distress or psychological impairment. Hopefulness was not associated with geographical location. Conclusion: The impact of current psychological distress and aspects of adversity on personal hopefulness over time should be further investigated in longitudinal research. Personal hopefulness did not differ across geographical location.
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Nova |
2014 |
Butterworth P, Handley TE, Lewin TJ, Reddy P, Kelly BJ, 'Psychological distress in rural Australia: regional variation and the role of family functioning and social support', Journal of Public Health (Germany), 22 481-488 (2014)
Aim: Regional variation in the prevalence of mental disorders and particularly variation in the role of risk and protective factors has received limited research attention. This s... [more]
Aim: Regional variation in the prevalence of mental disorders and particularly variation in the role of risk and protective factors has received limited research attention. This study investigates variation in the prevalence of significant psychological distress across regions, and quantifies the relative impact of family functioning and social support. Subject and method: Multilevel analysis of data from the longitudinal Australian Rural Mental Health Study, comprising a stratified random sample from non-metropolitan New South Wales. Distress was assessed using the Kessler-10. The analysis considered clustering within households and across geographic regions based on Local Government Areas and collapsed to represent residence in inner regional, outer regional, remote and very remote locations. Results: There was limited clustering of psychological distress within areas (0.4¿%). However, the household accounted for almost 45¿% of the variance in psychological distress, and the salience of the household was greater in more remote regions (33.1¿% in inner regional to 60.5¿% in very remote areas). Family functioning and perceived social support were associated with increased risk of psychological distress, but explained only a modest amount of variance in mental health at household level. After controlling for individual and family/social covariates, 34.5¿% of the remaining variance in psychological distress was observed at the household level. Conclusion: The findings suggest that individuals in remote locations are more reliant on their family/confidants for their mental health than those in more populated areas. Future research will consider whether this simply reflects differences in the accessibility of formal health services or broader social and cultural differences.
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2014 |
Brieva J, Coleman N, Lacey J, Harrigan P, Lewin TJ, Carter GL, 'Prediction of death in less than 60 minutes after withdrawal of cardiorespiratory support in potential organ donors after circulatory death', Transplantation, 98 1112-1118 (2014) [C1]
Background: Given the stable number of potential organ donors after brain death, donors after circulatory death have been an increasing source of organs procured for transplant. A... [more]
Background: Given the stable number of potential organ donors after brain death, donors after circulatory death have been an increasing source of organs procured for transplant. Among the most important considerations for donation after circulatory death (DCD) is the prediction that death will occur within a reasonable period of time after the withdrawal of cardiorespiratory support (WCRS). Accurate prediction of time to death is necessary for the procurement process. We aimed to develop simple predictive rules for death in less than 60 min and test the accuracy of these rules in a pool of potential DCD donors. Methods: A multicenter prospective longitudinal cohort design of DCD eligible patients (n=318), with the primary binary outcome being death in less than 60 min after withdrawal of cardiorespiratory support conducted in 28 accredited intensive care units (ICUs) in Australia. We used a random split-half method to produce two samples, first to develop the predictive classification rules and then to estimate accuracy in an independent sample. Results: The best classification model used only three simple classification rules to produce an overall efficiency of 0.79 (0.72-0.85), sensitivity of 0.82 (0.73-0.90), and a positive predictive value of 0.80 (0.70-0.87) in the independent sample. Using only intensive care unit specialist prediction (a single classification rule) produced comparable efficiency 0.80 (0.73-0.86), sensitivity 0.87 (0.78-0.93), and positive predictive value 0.78 (0.68-0.86). Conclusion: This best predictive model missed only 18% of all potential donors. A positive prediction would be incorrect on only 20% of occasions, meaning there is an acceptable level of lost opportunity costs involved in the unnecessary assembly of transplantation teams and theatres.
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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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2014 |
Filia SL, Baker AL, Gurvich CT, Richmond R, Lewin TJ, Kulkarni J, 'Gender differences in characteristics and outcomes of smokers diagnosed with psychosis participating in a smoking cessation intervention', Psychiatry Research, 215 586-593 (2014) [C1]
While research has identified gender differences in characteristics and outcomes of smokers in the general population, no studies have examined this among smokers with psychosis. ... [more]
While research has identified gender differences in characteristics and outcomes of smokers in the general population, no studies have examined this among smokers with psychosis. This study aimed to explore gender differences among 298 smokers with psychosis (schizophrenia, schizoaffective and bipolar affective disorder) participating in a smoking intervention study. Results revealed a general lack of gender differences on a range of variables for smokers with psychosis including reasons for smoking/quitting, readiness and motivation to quit, use of nicotine replacement therapy, and smoking outcomes including point prevalence or continuous abstinence, and there were no significant predictors of smoking reduction status according to gender at any of the follow-up time-points. The current study did find that female smokers with psychosis were significantly more likely than males to report that they smoked to prevent weight gain. Furthermore, the females reported significantly more reasons for quitting smoking and were more likely to be driven by extrinsic motivators to quit such as immediate reinforcement and social influence, compared to the male smokers with psychosis. Clinical implications include specifically focussing on weight issues and enhancing intrinsic motivation to quit smoking for female smokers with psychosis; and strengthening reasons for quitting among males with psychosis. © 2014 Elsevier Ireland Ltd.
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2014 |
Neil AL, Carr VJ, Mihalopoulos C, Mackinnon A, Lewin TJ, Morgan VA, 'What difference a decade? The costs of psychosis in Australia in 2000 and 2010: Comparative results from the first and second Australian national surveys of psychosis', Australian and New Zealand Journal of Psychiatry, 48 237-248 (2014) [C1]
Objectives: To assess differences in costs of psychosis between the first and second Australian national surveys of psychosis and examine them in light of policy developments. Met... [more]
Objectives: To assess differences in costs of psychosis between the first and second Australian national surveys of psychosis and examine them in light of policy developments. Method: Cost differences due to changes in resource use and/or real price rises were assessed by minimizing differences in recruitment and costing methodologies between the two surveys. For each survey, average annual societal costs of persons recruited through public specialized mental health services in the census month were assessed through prevalence-based, bottom-up cost-of-illness analyses. The first survey costing methodology was employed as the reference approach. Unit costs were specific to each time period (2000, 2010) and expressed in 2010 Australian dollars. Results: There was minimal change in the average annual costs of psychosis between the surveys, although newly included resources in the second survey's analysis cost AUD$3183 per person. Among resources common to each analysis were significant increases in the average annual cost per person for ambulatory care of AUD$7380, nongovernment services AUD$2488 and pharmaceuticals AUD$1892, and an upward trend in supported accommodation costs. These increases were offset by over a halving of mental health inpatient costs of AUD$11,790 per person and a 84.6% (AUD$604) decrease in crisis accommodation costs. Productivity losses, the greatest component cost, changed minimally, reflecting the magnitude and constancy of reduced employment levels of individuals with psychosis across the surveys. Conclusions: Between 2000 and 2010 there was little change in total average annual costs of psychosis for individuals receiving treatment at public specialized mental health services. However, there was a significant redistribution of costs within and away from the health sector in line with government initiatives arising from the Second and Third National Mental Health Plans. Non-health sector costs are now a critical component of cost-of-illness analyses of mental illnesses reflecting, at least in part, a whole-of-government approach to care. © The Royal Australian and New Zealand College of Psychiatrists 2013.
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Nova |
2014 |
Hickie C, Nash L, Kelly BJ, Lewin TJ, 'Psychiatry trainees confidence as teachers, perceptions of supervisor support and opportunities for further training', Australasian Psychiatry, 22 292-295 (2014) [C1]
Objective: To investigate psychiatry trainees' confidence in their role as teachers, their perceptions of support and preferences for a program to support this role. Methods:... [more]
Objective: To investigate psychiatry trainees' confidence in their role as teachers, their perceptions of support and preferences for a program to support this role. Methods: Psychiatry trainees in New South Wales (NSW) (Australia) in the first three years of psychiatry training (N = 118) were invited to complete a survey which included demographic data, self-assessment of teaching confidence and perceptions of support for teaching. Results: A total of 63% (N = 74) agreed to participate. Overall, 62% percent of participants regarded teaching as an important part of their role, 46% felt supported in the role by their training supervisors, but only 18% regularly discussed their teaching role in routine supervision. Conclusions: Psychiatry trainees viewed teaching as part of their role. They reported a low level of formal training in teaching skills and perceived a low level of support from supervisors. Registrar training needs to address trainees' competencies in a range of teaching skills along with supervisor support. Further research is required to assess the impact of a teaching program on teaching performance and learner outcomes. © The Royal Australian and New Zealand College of Psychiatrists 2014.
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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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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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2014 |
Mullen A, Drinkwater V, Lewin TJ, 'Care zoning in a psychiatric intensive care unit: Strengthening ongoing clinical risk assessment', Journal of Clinical Nursing, 23 731-743 (2014) [C1]
Aims and objectives: To implement and evaluate the care zoning model in an eight-bed psychiatric intensive care unit and, specifically, to examine the model's ability to impr... [more]
Aims and objectives: To implement and evaluate the care zoning model in an eight-bed psychiatric intensive care unit and, specifically, to examine the model's ability to improve the documentation and communication of clinical risk assessment and management. Background: Care zoning guides nurses in assessing clinical risk and planning care within a mental health context. Concerns about the varying quality of clinical risk assessment prompted a trial of the care zoning model in a psychiatric intensive care unit within a regional mental health facility. The care zoning model assigns patients to one of 3 'zones' according to their clinical risk, encouraging nurses to document and implement targeted interventions required to manage those risks. Design: An implementation trial framework was used for this research to refine, implement and evaluate the impact of the model on nurses' clinical practice within the psychiatric intensive care unit, predominantly as a quality improvement initiative. Methods: The model was trialled for three months using a pre- and postimplementation staff survey, a pretrial file audit and a weekly file audit. Informal staff feedback was also sought via surveys and regular staff meetings. Results: This trial demonstrated improvement in the quality of mental state documentation, and clinical risk information was identified more accurately. There was limited improvement in the quality of care planning and the documentation of clinical interventions. Nurses' initial concerns over the introduction of the model shifted into overall acceptance and recognition of the benefits. Conclusions: The results of this trial demonstrate that the care zoning model was able to improve the consistency and quality of risk assessment information documented. Care planning and evaluation of associated outcomes showed less improvement. Relevance to clinical practice: Care zoning remains a highly applicable model for the psychiatric intensive care unit environment and is a useful tool in guiding nurses to carry out routine patient risk assessments. © 2013 John Wiley & Sons Ltd.
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Nova |
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 |
Conrad AM, Lewin TJ, Sly KA, Schall U, Halpin SA, Hunter M, Carr VJ, 'Ten-year audit of clients presenting to a specialised service for young people experiencing or at increased risk for psychosis', BMC PSYCHIATRY, 14 (2014) [C1]
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Nova |
2014 |
Conrad A, Mulchandani M, Sankaranarayanan A, Lewin TJ, 'Inpatient aggression by mentally ill offenders: a retrospective case-control study', Journal of Forensic Psychiatry and Psychology, 25 464-479 (2014) [C1]
A retrospective case-control study was conducted examining relationships between patients' socio-demographic, clinical and admission characteristics and inpatient aggression.... [more]
A retrospective case-control study was conducted examining relationships between patients' socio-demographic, clinical and admission characteristics and inpatient aggression. Patients aged 18-64 years with a recent offence episode, who were admitted to a regional acute mental health unit, were included as cases (N = 82), while controls comprised the next available admission, matched for age and gender (N = 82). The prototypical patient was a young, single male, with a diagnosis of schizophrenia, a history of substance use and previous psychiatric admissions. The majority of cases had a history of aggression and recent offences against public order. They also revealed a higher likelihood of involvement in 'less serious' aggressive incidents (e.g. verbal threats or demands) during the index admission. Clinically, knowledge of each patient's recent offence history, arrival mode and observed characteristics on admission (including any verbal aggression) may be important in the management of subsequent inpatient aggression. © 2014 © 2014 Taylor & Francis.
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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 |
Inder KJ, Handley TE, Johnston A, Weaver N, Coleman C, Lewin TJ, et al., 'Determinants of suicidal ideation and suicide attempts: Parallel cross-sectional analyses examining geographical location', BMC Psychiatry, 14 (2014) [C1]
Background: Suicide death rates in Australia are higher in rural than urban communities however the contributors to this difference remain unclear. Geographical differences in sui... [more]
Background: Suicide death rates in Australia are higher in rural than urban communities however the contributors to this difference remain unclear. Geographical differences in suicidal ideation and attempts were explored using two datasets encompassing urban and rural community residents to examine associations between socioeconomic, demographic and mental health factors. Differing patterns of association between psychiatric disorder and suicidal ideation and attempts as geographical remoteness increased were investigated.Methods: Parallel cross-sectional analyses were undertaken using data from the 2007 National Survey of Mental Health and Wellbeing (2007-NSMHWB, n = 8,463), under-representative of remote and very remote residents, and selected participants from the Australian Rural Mental Health Study (ARMHS, n = 634), over-representative of remote and very remote residents. Uniform measures of suicidal ideation and attempts and mental disorder using the World Mental Health Composite International Diagnostic Interview (WMH-CIDI-3.0) were used in both datasets. Geographic region was classified into major cities, inner regional and other. A series of logistic regressions were undertaken for the outcomes of 12-month and lifetime suicidal ideation and lifetime suicide attempts, adjusting for age, gender and psychological distress. A sub-analysis of the ARMHS sample was undertaken with additional variables not available in the 2007-NSMHWB dataset.Results: Rates and determinants of suicidal ideation and suicide attempts across geographical region were similar. Psychiatric disorder was the main determinant of 12-month and lifetime suicidal ideation and lifetime suicide attempts across all geographical regions. For lifetime suicidal ideation and attempts, marital status, employment status, perceived financial adversity and mental health service use were also important determinants. In the ARMHS sub-analysis, higher optimism and better perceived infrastructure and service accessibility tended to be associated with a lower likelihood of lifetime suicidal ideation, when age, gender, psychological distress, marital status and mental health service use were taken into account.Conclusions: Rates and determinants of suicidal ideation and attempts did not differ according to geographical location. Psychiatric disorder, current distress, employment and financial adversity remain important factors associated with suicidal ideation and attempts across all regions in Australia. Regional characteristics that influence availability of services and lower personal optimism may also be associated with suicidal ideation in rural communities. © 2014 Inder et al.; licensee BioMed Central Ltd.
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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 |
Brieva J, Coleman N, Lacey J, Harrigan P, Lewin TJ, Carter GL, 'Prediction of death in less than 60 minutes following withdrawal of cardiorespiratory support in ICUs.', Crit Care Med, 41 2677-2687 (2013) [C1]
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Nova |
2013 |
Hurwitz S, Kelly B, Powis D, Smyth R, Lewin T, 'The desirable qualities of future doctors - A study of medical student perceptions', MEDICAL TEACHER, 35 E1332-E1339 (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 |
Thornton LK, Baker AL, Johnson MP, Lewin T, 'Perceived risk associated with tobacco, alcohol and cannabis use among people with and without psychotic disorders', ADDICTIVE BEHAVIORS, 38 2246-2251 (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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2013 |
Fragar L, Inder K, Kelly B, Coleman C, Perkins DA, Lewin T, 'Unintentional injury, psychological distress and depressive symptoms - is there an association for rural Australians?', Journal of Rural Health, 29 12-19 (2013) [C1]
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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 |
Perkins D, Fuller J, Kelly BJ, Lewin TJ, Fitzgerald M, Coleman C, et al., 'Factors associated with reported service use for mental health problems by residents of rural and remote communities: cross-sectional findings from a baseline survey', BMC HEALTH SERVICES RESEARCH, 13 (2013) [C1]
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Nova |
2013 |
Allen J, Inder KJ, Lewin TJ, Attia JR, Kelly BJ, 'Construct validity of the Assessment of Quality of Life - 6D (AQoL-6D) in community samples', HEALTH AND QUALITY OF LIFE OUTCOMES, 11 (2013) [C1]
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Nova |
2013 |
Allen J, Inder KJ, Harris ML, Lewin TJ, Attia JR, Kelly BJ, 'Quality of life impact of cardiovascular and affective conditions among older residents from urban and rural communities', HEALTH AND QUALITY OF LIFE OUTCOMES, 11 (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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2012 |
Thornton LK, Baker AL, Johnson MP, Lewin TJ, 'Attitudes and perceptions towards substances among people with mental disorders: A systematic review', Acta Psychiatrica Scandinavica, 126 87-105 (2012) [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 |
Brieva J, Coleman N, Lacey J, Harrigan P, Lewin T, Carter G, 'PREDICTION OF DEATH IN LESS THAN 60 MINUTES FOLLOWIING WITHDRAWAL OF CARDIO-RESPIRATORY SUPPORT IN INTENSIVE CARE UNITS: THE PREDICT STUDY', INTENSIVE CARE MEDICINE, 38 S241-S242 (2012)
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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 |
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 |
Lewin TJ, Carr VJ, Conrad A, Sly K, Tirupati S, Cohen M, et al., 'Shift climate profiles and correlates in acute psychiatric inpatient units', Social Psychiatry and Psychiatric Epidemiology, 47 1429-1440 (2012) [C1]
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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 |
Allen J, Inder KJ, Lewin TJ, Attia JR, Kelly BJ, 'Social support and age influence distress outcomes differentially across urban, regional and remote Australia: An exploratory study', BMC Public Health, 12 928 (2012) [C1]
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2012 |
Inder KJ, Handley T, Fitzgerald MN, Lewin TJ, Coleman CE, Perkins DA, Kelly BJ, 'Individual and district-level predictors of alcohol use: cross sectional findings from a rural mental health survey in Australia', BMC Public Health, 12 (2012) [C1]
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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 |
Inder KJ, Lewin TJ, Kelly BJ, 'Factors impacting on the well-being of older residents in rural communities', Perspectives in Public Health, 132 182-191 (2012) [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 |
Baker AL, Lewin TJ, 'Psychosis and comorbid substance misuse: integrated motivational interviewing and cognitive behavioural therapy reduces alcohol intake', Evidence-Based Mental Health, 14 51-51 (2011)
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2011 |
Catts SV, Frost ADJ, O'Toole BI, Carr VJ, Lewin TJ, Neil AL, et al., 'Clinical indicators for routine use in the evaluation of early psychosis intervention: Development, training support and inter-rater reliability', Australian and New Zealand Journal of Psychiatry, 45 63-75 (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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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 |
Eysenbach G, Stoner S, Drozd F, Blankers M, Crutzen R, Tait R, et al., 'ConSORT-eHealth: Improving and standardizing evaluation reports of web-based and mobile health interventions', Journal of Medical Internet Research, 13 (2011)
Background: Web-based and mobile health interventions (also called "Internet interventions" or "eHealth/mHealth interventions") are tools or treatments, typica... [more]
Background: Web-based and mobile health interventions (also called "Internet interventions" or "eHealth/mHealth interventions") are tools or treatments, typically behaviorally based, that are operationalized and transformed for delivery via the Internet or mobile platforms. These include electronic tools for patients, informal caregivers, healthy consumers, and health care providers. The Consolidated Standards of Reporting Trials (CONSORT) statement was developed to improve the suboptimal reporting of randomized controlled trials (RCTs). While the CONSORT statement can be applied to provide broad guidance on how eHealth and mHealth trials should be reported, RCTs of web-based interventions pose very specific issues and challenges, in particular related to reporting sufficient details of the intervention to allow replication and theory-building. Objective: To develop a checklist, dubbed CONSORT-EHEALTH (Consolidated Standards of Reporting Trials of Electronic and Mobile HEalth Applications and onLine TeleHealth), as an extension of the CONSORT statement that provides guidance for authors of eHealth and mHealth interventions. Methods: A literature review was conducted, followed by a survey among eHealth experts and a workshop. Results: A checklist instrument was constructed as an extension of the CONSORT statement. The instrument has been adopted by the Journal of Medical Internet Research (JMIR) and authors of eHealth RCTs are required to submit an electronic checklist explaining how they addressed each subitem. Conclusions: CONSORT-EHEALTH has the potential to improve reporting and provides a basis for evaluating the validity and applicability of eHealth trials. Subitems describing how the intervention should be reported can also be used for non-RCT evaluation reports. As part of the development process, an evaluation component is essential; therefore, feedback from authors will be solicited, and a before-after study will evaluate whether reporting has been improved.
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2011 |
De Ville M, Baker AL, Lewin TJ, Bucci S, Loughland CM, 'Associations between substance use, neuropsychological functioning and treatment response in psychosis', Psychiatry Research, 186 190-196 (2011) [C1]
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Nova |
2011 |
Stain HJ, Kelly BJ, Carr VJ, Lewin TJ, Fitzgerald MN, Fragar L, 'The psychological impact of chronic environmental adversity: Responding to prolonged drought', Social Science and Medicine, 73 1593-1599 (2011) [C1]
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Nova |
2011 |
Kelly BJ, Lewin TJ, Stain HJ, Coleman CE, Fitzgerald MN, Perkins D, et al., 'Determinants of mental health and well-being within rural and remote communities', Social Psychiatry and Psychiatric Epidemiology, 46 1331-1342 (2011) [C1]
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2011 |
Carter GL, Lewin TJ, Gianacas L, Clover K, Adams CA, 'Caregiver satisfaction with out-patient oncology services: utility of the FAMCARE instrument and development of the FAMCARE-6', Supportive Care in Cancer, 19 565-572 (2011) [C1]
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Nova |
2011 |
Barrowclough C, Baker AL, Lewin TJ, 'Psychosis and comorbid substance misuse: Integrated motivational interviewing and cognitive behavioural therapy reduces alcohol intake', Evidence-Based Mental Health, 14 51 (2011) [C3]
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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 |
Catts SV, Evans RW, O'Toole BI, Carr VJ, Lewin T, Neil AL, et al., 'Is a national framework for implementing early psychosis services necessary? Results of a survey of Australian mental health service directors', Early Intervention in Psychiatry, 4 25-30 (2010) [C1]
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Nova |
2010 |
Conrad A, Lewin TJ, Carr VJ, Baker AL, Terry MA, Taylor A, 'Pathways to care and community-based service contact patterns among clients with a dual diagnosis', Mental Health and Substance Use: Dual Diagnosis, 3 10-24 (2010) [C1]
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Nova |
2010 |
Bucci S, Baker AL, Halpin SA, Hides L, Lewin TJ, Carr VJ, Startup MJ, 'Intervention for cannabis use in young people at ultra high risk for psychosis and in early psychosis', Mental Health and Substance Use: Dual Diagnosis, 3 66-73 (2010) [C1]
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Nova |
2010 |
Evans G, Lewin TJ, Bowen K, Lowe J, 'Dealing with anxiety: A pilot cognitive behavioural therapy program for diabetic clinic outpatient attendees', International Journal of Diabetes Mellitus, 2 51-55 (2010)
Aims: To assess a group-based cognitive behaviour therapy [CBT] program in diabetes. Methods: Sixty people with diabetes were randomly allocated to either immediate (29) or 3 mont... [more]
Aims: To assess a group-based cognitive behaviour therapy [CBT] program in diabetes. Methods: Sixty people with diabetes were randomly allocated to either immediate (29) or 3 months delayed (31) CBT groups. Results: DASS scores were reduced by 0.37 standardised [effect-size] units [P < 0.01], with a tendency for more marked reductions in anxiety and stress [0.60] among those for whom treatment had been delayed whose HbA1C fell by 0.93% . ADDQoL scores also improved in the short-term but these changes did not persist at 6 months. Conclusions: The CBT program led to short-term improvements in anxiety, depression, stress and quality of life. © 2009 International Journal of Diabetes Mellitus.
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2010 |
Carter GL, Willcox CH, Lewin TJ, Conrad A, Bendit NR, 'Hunter D. B. T Project: Randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder', Australian and New Zealand Journal of Psychiatry, 44 162-173 (2010) [C1]
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Nova |
2010 |
Catts SV, O'Toole BI, Carr VJ, Lewin TJ, Neil A, Harris MG, et al., 'Appraising evidence for intervention effectiveness in early psychosis: conceptual framework and review of evaluation approaches', Australian and New Zealand Journal of Psychiatry, 44 195-219 (2010) [C1]
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Nova |
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 |
Maddock GR, Carter GL, Murrell ER, Lewin TJ, Conrad A, 'Distinguishing suicidal from non-suicidal deliberate self-harm events in women with Borderline Personality Disorder', Australian and New Zealand Journal of Psychiatry, 44 574-582 (2010) [C1]
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Nova |
2010 |
Schofield PW, Lee SJ, Lewin TJ, Lyall G, Moyle J, Attia JR, McEvoy MA, 'The Audio Recorded Cognitive Screen (ARCS): A flexible hybrid cognitive test instrument', Journal of Neurology Neurosurgery and Psychiatry, 81 602-607 (2010) [C1]
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Nova |
2010 |
Sankaranarayanan A, Carter GL, Lewin TJ, 'Rural-Urban Differences in Suicide Rates for Current Patients of a Public Mental Health Service in Australia', Suicide and Life-Threatening Behavior, 40 376-382 (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 |
Loughland CM, Allen J, Gianacas L, Schofield PW, Lewin TJ, Hunter M, Carr VJ, 'Brief neuropsychological profiles in psychosis: A pilot study using the Audio Recorded Cognitive Screen (ARCS)', Acta Neuropsychiatrica, 22 243-252 (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 |
Kelly BJ, Stain HJ, Coleman CE, Perkins D, Fragar L, Fuller J, et al., 'Mental health and well-being within rural communities: The Australian Rural Mental Health Study', Australian Journal of Rural Health, 18 16-24 (2010) [C1]
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Nova |
2010 |
Fragar L, Stain HJ, Perkins D, Kelly BJ, Fuller J, Coleman CE, et al., 'Distress among rural residents: Does employment and occupation make a difference?', Australian Journal of Rural Health, 18 25-31 (2010) [C1]
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Nova |
2010 |
Kallapiran K, Sankaranarayanan A, Lewin TJ, 'A pilot investigation of the relationship between community treatment orders and hospital utilization rates', Australasian Psychiatry, 18 503-505 (2010) [C1]
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Nova |
2009 |
Johns K, Baker AL, Webster RA, Lewin TJ, 'Factors associated with retention in a long-term residential rehabilitation programme for women with substance use problems', Mental Health and Substance Use: Dual Diagnosis, 2 40-51 (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 |
Sly K, Sharples J, Lewin TJ, Bench CJ, 'Court outcomes for clients referred to a community mental health court liaison service', International Journal of Law and Psychiatry, 32 92-100 (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 |
Sly K, Lewin TJ, Carr VJ, Conrad A, Cohen M, Tirupati S, et al., 'Measuring observed mental state in acute psychiatric inpatients', Social Psychiatry and Psychiatric Epidemiology, 44 151-161 (2009) [C1]
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Nova |
2009 |
Loughland CM, Lawrence G, Allen J, Hunter M, Lewin TJ, Oud NE, Carr VJ, 'Aggression and trauma experiences among carer-relatives of people with psychosis', Social Psychiatry and Psychiatric Epidemiology, 44 1031-1040 (2009) [C1]
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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 |
Lane P, Stain HJ, Kelly BJ, Lewin TJ, Higginbotham HN, 'Creating a database to facilitate multilevel analyses of mental health determinants and outcomes in rural and remote areas', Australian Journal of Rural Health, 16 207-212 (2008) [C1]
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Nova |
2008 |
Carter GL, Lewin TJ, Rashid G, Adams CA, Clover K, 'Computerised assessment of quality of life in oncology patients and carers', Psycho-Oncology, 17 26-33 (2008) [C1]
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Nova |
2008 |
Carr VJ, Lewin TJ, Sly K, Conrad A, Tirupati S, Cohen M, et al., 'Adverse incidents in acute psychiatric inpatient units: Rates, correlates and pressures', Australian and New Zealand Journal of Psychiatry, 42 267-282 (2008) [C1]
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Nova |
2008 |
Bucci SR, Startup MJ, Wynn PL, Heathcote AJ, Baker AL, Lewin TJ, 'Referential delusions of communication and reality discrimination deficits in psychosis', British Journal of Clinical Psychology, 47 323-334 (2008) [C1]
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Nova |
2008 |
Bucci SR, Startup MJ, Wynn PL, Baker AL, Lewin TJ, 'Referential delusions of communication and interpretations of gestures', Psychiatry Research, 158 27-34 (2008) [C1]
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Nova |
2008 |
Stain HJ, Kelly BJ, Lewin TJ, Higginbotham HN, Beard JR, Hourihan F, 'Social networks and mental health among a farming population', Social Psychiatry and Psychiatric Epidemiology, 43 843-849 (2008) [C1]
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Nova |
2007 |
Loughland CM, Lewin TJ, Carr VJ, Sheedy J, Harris AW, 'RBANS neuropsychological profiles within schizophrenia samples recruited from non-clinical settings', Schizophrenia Research, 89 232-242 (2007) [C1]
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2007 |
Baker A, Lewin TJ, 'Readiness to quit and smoking reduction outcomes - Reply', AMERICAN JOURNAL OF PSYCHIATRY, 164 828-828 (2007)
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2007 |
Bradley AC, Baker AL, Lewin TJ, 'Group intervention for coexisting psychosis and substance use disorders in rural Australia: Outcomes over 3 years', Australian and New Zealand Journal of Psychiatry, 41 501-508 (2007) [C1]
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2007 |
Baker AL, Richmond R, Haile M, Lewin TJ, Carr VJ, Taylor RL, et al., 'Characteristics of smokers with a psychotic disorder and implications for smoking interventions', Psychiatry Research, 150 141-152 (2007) [C1]
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2006 |
Whyte IM, Bryant J, Carter GL, Safranko I, Lewin TJ, 'Psychiatric hospitalization after deliberate self-poisoning', Suicide and Life-Threatening Behavior, 36 213-222 (2006) [C1]
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2006 |
Greig RL, Baker AL, Lewin TJ, Webster RA, Carr VJ, 'Long-term follow-up of people with co-existing psychiatric and substance use disorders: patterns of use and outcomes', Drug and Alcohol Review, 25 249-258 (2006) [C1]
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Nova |
2006 |
Baker A, Richmond R, Haile M, Lewin TJ, Carr VJ, Taylor RL, et al., 'A Randomized Controlled Trial of a Smoking Cessation Intervention Among People With a Psychotic Disorder', American Journal of Psychiatry, 163 1934-1942 (2006)
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2006 |
Wright M, Harmon K, Lewin T, 'Improving collaboration between community mental health services and GPs', Australian Family Physician, 35 73-74 (2006)
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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, Richmond R, Haile MJ, Lewin TJ, Carr VJ, Taylor RL, et al., 'A randomized controlled trial of a smoking cessation intervention among people with a psychotic disorder', American Journal of Psychiatry, 163 1934-1942 (2006) [C1]
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Nova |
2006 |
Carr VJ, Lewin TJ, Neil AL, 'What is the value of treating schizophrenia?', Australian and New Zealand Journal of Psychiatry, 40 963-971 (2006) [C1]
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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 |
2005 |
Carter GL, Lewin TJ, Stoney C, Whyte IM, Bryant JL, 'Clinical Management for Hospital-Treated Deliberate Self-Poisoning: Comparisons between Patients with Major Depression and Borderline Personality Disorder', Australian & New Zealand Journal of Psychiatry, 39 266-273 (2005)
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2005 |
Hazell P, Lewin TJ, Sly K, 'What is a clinically important level of improvement in symptoms of attention-deficit/hyperactivity disorder', Australian and New Zealand Journal of Psychiatry, 39 354-358 (2005) [C1]
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2005 |
Baker AL, Bucci SR, Lewin TJ, Richmond R, Carr VJ, 'Comparisons between psychosis samples with different patterns of substance use recruited for clinical and epidemiological studies', Psychiatry Research, 134 241-250 (2005) [C1]
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Nova |
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 |
2005 |
Wright MJ, Harmon KD, Bowman JA, Lewin TJ, Carr VJ, 'Caring for depressed patients in rural communities: general practitioners' attitudes, needs and relationships with mental health services', Australian Journal of Rural Health, 13 21-27 (2005) [C1]
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2005 |
Wright MJ, White A, Glover M, Lewin TJ, Harmon KD, 'Patients with diabetes and impaired glucose tolerance: Is it feasible to screen for depression?', Australian Family Physician, 34 607-608 (2005)
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2005 |
Lewin TJ, Slade T, Andrews G, Carr VJ, Hornabrook CW, 'Assessing personality disorders in a national mental health survey', Social Psychiatry and Psychiatric Epidemiology, 40 87-98 (2005) [C1]
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Nova |
2005 |
Carter GL, Lewin TJ, Stoney C, Whyte IM, Bryant J, 'Clinical management for hospital-treated deliberate self-poisoning: comparisons between patients with major depression and borderline personality disorder', Australian and New Zealand Journal of Psychiatry, 39 266-273 (2005) [C1]
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2004 |
Carr VJ, Lewin TJ, Neil AL, Halpin SA, Holmes S, 'Premorbid, psychosocial and clinical predictors of the costs of schizophrenia and other psychoses', British Journal of Psychiatry, 184 517-525 (2004) [C1]
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Nova |
2004 |
Loughland CM, Carr VJ, Lewin TJ, Barnard RE, Chapman JL, Walton JM, 'Potential sampling and recruitment source impacts in schizophrenia research', Psychiatry Research: an international journal for rapid communication, 125 117-127 (2004) [C1]
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2004 |
Carr VJ, Lewin TJ, Barnard RE, Walton JM, Allen JL, Constable PM, Chapman JL, 'Attitudes and roles of general practitioners in the treatment of schizophrenia compared with community mental health staff and patients', Social Psychiarty and Psychiatric Epidemiology, 39 78-84 (2004) [C1]
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2004 |
Bailey KA, Baker AL, Webster RA, Lewin TJ, 'Pilot randomized controlled trial of a brief alcohol intervention group for adolescents', Drug and Alcohol Review, 23 157-166 (2004) [C1]
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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 |
2004 |
Carr VJ, Neil AL, Lewin TJ, 'Resource allocation for psychosis in Australia.', International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists, 1 5-6 (2004)
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2003 |
Neil AL, Lewin TJ, Carr VJ, 'Allocation of resources and psychosis', Australian & New Zealand Journal of Psychiatry, 37 15-23 (2003) [C1]
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2003 |
Carr VJ, Neil AL, Halpin SA, Holmes KS, Lewin TJ, 'Costs of schizophrenia and other psychoses in urban Australia: findings from the low prevalence (Psychotic) disorders study', Australian & New Zealand Journal of Psychiatry, 37 31-40 (2003) [C1]
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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 |
Claire M, Baker A, Lewin T, Lee N, Grant T, Pohlman S, 'Cognitive behaviour therapy, aggression and 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 |
Hazell P, Carr VJ, Lewin TJ, Sly K, 'Manic Symptoms in Young Males With ADHD Predict Functioning But Not Diagnosis After 6 Years', Journal of the American Academy of Child & Adolescent Psychiatry, 42 552-560 (2003) [C1]
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2003 |
Carr VJ, Johnston PJ, Lewin TJ, Rajkumar S, Carter GL, Issakidis C, 'Patterns of service use among persons with schizophrenia and other psychotic disorders (vol 54, pg 226, 2003)', PSYCHIATRIC SERVICES, 54 339-339 (2003)
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2003 |
Carr VJ, Johnston PJ, Lewin TJ, Rajkumar S, Carter GL, Issakidis C, 'Patterns of Service Use Among Persons With Schizophrenia and Other Psychotic Disorders', Psychiatric Services, 54 226-235 (2003) [C1]
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2003 |
Sharples J, Lewin TJ, Hinton RJ, Sly KA, Coles GW, Johnston PJ, Carr VJ, 'Offending behaviour and mental illness: Characteristics of a mental health court liaison service', Psychiatry, Psychology and Law, 10 300-315 (2003)
This paper begins with a brief review of recent literature about relationships between offending behaviour and mental illness, classifying studies by the settings within which the... [more]
This paper begins with a brief review of recent literature about relationships between offending behaviour and mental illness, classifying studies by the settings within which they occurred. The establishment and role of a mental health court liaison (MHCL) service is then described, together with findings from a 3-year service audit, including an examination of relationships between clients¿ characteristics and offence profiles, and comparisons with regional offence data. During the audit period, 971 clients (767 males, 204 females) were referred to the service, comprising 1139 service episodes, 35.5% of which involved a comorbid substance use diagnosis. The pattern of offences for MHCL clients was reasonably similar to the regional offence data, except that among MHCL clients there were proportionately more offences against justice procedures (e.g., breaches of apprehended violence orders [AVOs]) and fewer driving offences and ¿other offences¿. Additionally, male MHCL clients had proportionately more malicious damage and robbery offences and lower rates of offensive behaviour and drug offences. A range of service and research issues is also discussed. Overall, the new service appears to have forged more effective links between the mental health and criminal justice systems. © 2003 Taylor & Francis Group, LLC.
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2002 |
Baker AL, Lewin TJ, Reichler HM, Clancy R, Carr VJ, Garrett R, et al., 'Evaluation of a motivational interview for substance use within psychiatric in-patient services', Addiction, 97(10) 1329-1337 (2002) [C1]
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2002 |
Baker AL, Lewin TJ, Reichler HM, Clancy R, Carr VJ, Garrett R, et al., 'Motivational interviewing among psychiatric in-patients with substance use disorders', ACTA Psychiatrica Scandinavica, 106 233-240 (2002) [C1]
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2002 |
Carr VJ, Lewin T, Barnard RE, Walton JM, Allen JL, Constable PM, Chapman JL, 'Comparisons between schizophrenia patients recruited from Australian general practices and public mental health services', ACTA Psychiatrica Scandinavica, 105 346-355 (2002) [C1]
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Nova |
2001 |
Loughland CM, Carr VJ, Lewin T, 'The NISAD Schizophrenia Research Register: why do we need a database of schizophrenia volunteers?', Australian and New Zealand Journal of Psychiatry, 35 660-667 (2001) [C1]
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2001 |
Carr VJ, Lewin TJ, Loughland CM, Barnard RE, Johnston PJ, Chapman JL, Walton JM, 'Does the source of sampling make a difference in schizophrenia research?', SCHIZOPHRENIA RESEARCH, 49 258-258 (2001)
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2001 |
Lewin TJ, Carr VJ, Halpin S, Barnard RE, Beckmann J, Walton JM, Chapman JL, 'Coping with psychosis: Demographic and dispositional correlates', SCHIZOPHRENIA RESEARCH, 49 263-263 (2001)
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2001 |
Reichler HM, Baker AL, Lewin T, Carr VJ, 'Smoking among in-patients with drug-related problems in an Australian psychiatric hospital', Drug and Alcohol Review, 20 231-237 (2001) [C1]
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2001 |
Baker AL, Boggs TG, Lewin TJ, 'Characteristics of regular amphetamine users and implications for treatment', Drug and Alcohol Review, 20 49-56 (2001) [C1]
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2001 |
Baker AL, Heather N, Wodak A, Lewin TJ, 'Heroin use and HIV risk-taking behaviour among women injecting drug users', Drug and Alcohol Review, 20 205-211 (2001) [C1]
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2001 |
Baker AL, Boggs TG, Lewin TJ, 'Randomized controlled trial of brief cognitive-behavioural interventions among regular users of amphetamine', Addiction, 96 1279-1287 (2001) [C1]
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2000 |
Harmon K, Carr VJ, Lewin T, 'Comparison of integrated and consultation-liaison models for providing mental health care in general practice in New South WalesAaustralia', Journal of Advanced Nursing, 32 1459-1466 (2000) [C1]
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2000 |
Carr VJ, Johnston P, Rajkumar S, Lewin T, 'Patterns of service utilization in relation to substance abuse and disability in schizophrenia and other psychoses', SCHIZOPHRENIA RESEARCH, 41 73-74 (2000)
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2000 |
Carr VJ, Barnard RE, Lewin TJ, Walton J, 'Schizophrenia as a primary care disorder', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 34 A12-A12 (2000) |
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1999 |
Hazell P, Carr VJ, Lewin TJ, Dewis SA, Heathcote D, Brucki BM, 'Effortful and Automatic Information Processing in Boys with ADHD and Specific Learning Disorders', Journal of Child Psychological Psychiatry, 40 275-286 (1999) [C1]
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1999 |
Akkerman K, Lewin TJ, Carr VJ, 'Long-term changes in defense style among patients recovering from major depression', Journal of Nervous and Mental Disease, 157 80-87 (1999) [C1]
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1999 |
Hazell PL, Lewin TJ, McDowell MJ, Walton JM, 'Factors associated with medium-term response to psychostimulant medication', JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 35 264-268 (1999)
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1999 |
Hazell P, Lewin TJ, Carr VJ, 'Confirmation that Child Behaviour Checklist clinical scales discriminate juvenile mania from attention deficit hyperactivity disorder', Journal of Paediatric and Chlid Health, 35 199-203 (1999) [C1]
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1999 |
Carr VJ, Lewin TJ, 'Supplementary outcome data on treatment for psychological morbidity in general practice', Australian & New Zealand Journal of Psychiatry, 33 764-766 (1999) [C3]
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1999 |
Hazell PL, Carr VJ, Lewin TJ, Dewis SAM, Heathcote DM, Brucki BM, 'Effortful and Automatic Information Processing in Boys with ADHD and Specific Learning Disorders', Journal of Child Psychology and Psychiatry, 40 275-286 (1999)
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1998 |
Carr VJ, Lewin TJ, 'Response to 'Shared care but not consultation-liaison psychiatry'', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 32 312-313 (1998)
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1998 |
Lewin TJ, Carr VJ, 'Response to Meadows: failure 'to convincingly confirm the effectiveness of C-L in general practice'?', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 32 729-730 (1998)
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1998 |
Carr VJ, Lewin TJ, 'Shared care but not consultation-liaison psychiatry', Australian & New Zealand Journal of Psychiatry, 32 312-313 (1998) [C3] |
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1998 |
Carr VJ, Lewin TJ, 'Failure to convincingly confirm the effectiveness of C-L in general practice', Australian & New Zealand Journal of Psychiatry, 32 729-730 (1998) [C3] |
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1998 |
Lewin TJ, Carr VJ, Webster R, 'Recovery from post-earthquake psychological morbidity: who suffers and who recovers?', Australian & New Zealand Journal of Psychiatry, 32 15-20 (1998) [C1]
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1998 |
Lewin TJ, Carr VJ, 'Rates of treatment of schizophrenia by general practitioners - A pilot study', Medical Journal of America, 168 166-170 (1998) [C1]
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1998 |
Meadows G, Lewin TJ, Carr VJ, 'Evaluating consultation-liaison in general practice (multiple letters) [1]', Australian and New Zealand Journal of Psychiatry, 32 728-730 (1998)
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1998 |
Carr VJ, Lewin TJ, Dewis S, 'Preattentive visual search and perceptual grouping in schizophrenia', Psychiatry Research, 79 151-162 (1998) [C1]
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1998 |
Carr VJ, Lewin TJ, Dewis S, 'Illusory conjunctions and perceptual grouping in a visual search task in schizophrenia', Psychiatry Research, 80 69-81 (1998) [C1]
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1998 |
Fowler I, Carr VJ, Carter NT, Lewin TJ, 'Patterns of Current and Lifetime Substance Use in Schizophrenia', Schizophrenia Bulletin, 24 (3) 443-455 (1998) [C1]
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1997 |
Carr VJ, Lewin TJ, Reid ALA, Walton JM, Faehrmann C, 'An evaluation of the effectiveness of a consultation-liaison psychiatry service in general practice', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 31 714-725 (1997) |
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1997 |
Carr VJ, Lewin TJ, Walton JM, Faehrmann C, Reid ALA, 'Consultation-liaison psychiatry in general practice', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 31 85-94 (1997)
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1997 |
Carr VJ, Lewin TJ, Reid ALA, Walton JM, Faehrmann C, 'An evaluation of the effectiveness of a consultation-liaison psychiatry service in general practice', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 31 714-725 (1997)
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1997 |
Carr VJ, Lewin TJ, Webster RA, Kenardy JA, Hazell PL, Carter GL, 'Psychosocial sequelae of the 1989 Newcastle earthquake .2. Exposure and morbidity profiles during the first 2 years post-disaster', PSYCHOLOGICAL MEDICINE, 27 167-178 (1997)
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1997 |
Carr VJ, Lewin TJ, Kenardy JA, Webster RA, Hazell PL, Carter GL, Williamson M, 'Psychosocial sequelae of the 1989 Newcastle earthquake .3. Role of vulnerability factors in postdisaster morbidity', PSYCHOLOGICAL MEDICINE, 27 179-190 (1997)
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1997 |
Carr VJ, Faehrmann C, Lewin TJ, Walton JM, Reid AA, 'Determining the effect that consultation-liaison psychiatry in primary care has on family physicians' psychiatric knowledge and practice', PSYCHOSOMATICS, 38 217-229 (1997)
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1997 |
Carr VJ, Lewin TJ, Webster RA, Kenardy JA, 'A synthesis of the findings from the Quake Impact Study: A two year investigation of the psychosocial sequelae of the 1989 Newcastle earthquake', SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 32 123-136 (1997)
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1996 |
Nunn KP, Lewin TJ, Walton JM, Carr VJ, 'The construction and characteristics of an instrument to measure personal hopefulness', PSYCHOLOGICAL MEDICINE, 26 531-545 (1996)
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1996 |
Aderibigbe YA, Riley W, Lewin T, Gureje O, 'Factor structure of the 28-item General Health Questionnaire in a sample of antenatal women', INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 26 263-269 (1996)
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1996 |
Ticehurst S, Webster RA, Carr VJ, Lewin TJ, 'The psychosocial impact of an earthquake on the elderly', INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 11 943-951 (1996)
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1996 |
Kenardy JA, Webster RA, Lewin TJ, Carr VJ, Hazell PL, Carter GL, 'Stress debriefing and patterns of recovery following a natural disaster', JOURNAL OF TRAUMATIC STRESS, 9 37-49 (1996)
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1996 |
Kenardy JA, Webster RA, Lewin TJ, Carr VJ, Hazell PL, Carter GL, 'Stress debriefing and patterns of recovery following a natural disaster', Journal of Traumatic Stress, 9 37-49 (1996)
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1995 |
WEBSTER RA, MCDONALD R, LEWIN TJ, CARR VJ, 'EFFECTS OF A NATURAL DISASTER ON IMMIGRANTS AND HOST POPULATION', JOURNAL OF NERVOUS AND MENTAL DISEASE, 183 390-397 (1995)
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1995 |
CARR VJ, LEWIN TJ, WEBSTER RA, HAZELL PL, KENARDY JA, CARTER GL, 'PSYCHOSOCIAL SEQUELAE OF THE 1989 NEWCASTLE EARTHQUAKE .1. COMMUNITY DISASTER EXPERIENCES AND PSYCHOLOGICAL MORBIDITY 6 MONTHS POSTDISASTER', PSYCHOLOGICAL MEDICINE, 25 539-555 (1995)
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1993 |
HAZELL P, LEWIN T, 'AN EVALUATION OF POSTVENTION FOLLOWING ADOLESCENT SUICIDE', SUICIDE AND LIFE-THREATENING BEHAVIOR, 23 101-109 (1993)
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1993 |
CHAN EC, SMITH R, LEWIN T, BRINSMEAD MW, ZHANG HP, CUBIS J, et al., 'PLASMA CORTICOTROPIN-RELEASING HORMONE, BETA-ENDORPHIN AND CORTISOL INTERRELATIONSHIPS DURING HUMAN-PREGNANCY', ACTA ENDOCRINOLOGICA, 128 339-344 (1993)
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1993 |
HAZELL P, LEWIN T, 'FRIENDS OF ADOLESCENT SUICIDE ATTEMPTERS AND COMPLETERS', JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 32 76-81 (1993)
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1992 |
AKKERMAN K, CARR V, LEWIN T, 'CHANGES IN EGO DEFENSES WITH RECOVERY FROM DEPRESSION', JOURNAL OF NERVOUS AND MENTAL DISEASE, 180 634-638 (1992)
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1992 |
CUMESRAYNER DP, LUCKE JC, SINGH B, ADLER B, LEWIN T, DUNNE M, RAPHAEL B, 'A HIGH-RISK COMMUNITY STUDY OF PATERNAL ALCOHOL-CONSUMPTION AND ADOLESCENTS PSYCHOSOCIAL CHARACTERISTICS', JOURNAL OF STUDIES ON ALCOHOL, 53 626-635 (1992)
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1992 |
CARR VJ, LEWIN TJ, CARTER GL, WEBSTER RA, 'PATTERNS OF SERVICE UTILIZATION FOLLOWING THE 1989 NEWCASTLE EARTHQUAKE - FINDINGS FROM PHASE-1 OF THE QUAKE IMPACT STUDY', AUSTRALIAN JOURNAL OF PUBLIC HEALTH, 16 360-369 (1992) [C1]
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1991 |
ADLER R, HAYES M, NOLAN M, LEWIN T, RAPHAEL B, 'ANTENATAL PREDICTION OF MOTHER INFANT DIFFICULTIES', CHILD ABUSE & NEGLECT, 15 351-361 (1991)
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1991 |
VANCLAY F, RAPHAEL B, DUNNE M, WHITFIELD J, LEWIN T, SINGH B, 'A COMMUNITY SCREENING-TEST FOR HIGH ALCOHOL-CONSUMPTION USING BIOCHEMICAL AND HEMATOLOGICAL MEASURES', ALCOHOL AND ALCOHOLISM, 26 337-346 (1991)
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1990 |
RAPHAEL B, CUBIS J, DUNNE M, LEWIN T, KELLY B, 'THE IMPACT OF PARENTAL LOSS ON ADOLESCENTS PSYCHOSOCIAL CHARACTERISTICS', ADOLESCENCE, 25 689-700 (1990)
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1990 |
CANTOR CH, LEWIN T, 'FIREARMS AND SUICIDE IN AUSTRALIA', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 24 500-509 (1990)
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1990 |
SMITH R, CUBIS J, BRINSMEAD M, LEWIN T, SINGH B, OWENS P, et al., 'MOOD CHANGES, OBSTETRIC EXPERIENCE AND ALTERATIONS IN PLASMA-CORTISOL, BETA-ENDORPHIN AND CORTICOTROPIN RELEASING HORMONE DURING PREGNANCY AND THE PUERPERIUM', JOURNAL OF PSYCHOSOMATIC RESEARCH, 34 53-69 (1990)
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1989 |
CUBIS J, LEWIN T, DAWES F, 'AUSTRALIAN ADOLESCENTS PERCEPTIONS OF THEIR PARENTS', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 23 35-47 (1989)
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1989 |
MCNAMARA K, LEWIN T, 'GENERAL-PRACTITIONERS RECOGNITION AND MANAGEMENT OF PSYCHIATRIC-ILLNESS', MEDICAL JOURNAL OF AUSTRALIA, 151 250-+ (1989)
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1989 |
KELLEHEAR A, LEWIN T, 'FAREWELLS BY THE DYING - A SOCIOLOGICAL-STUDY', OMEGA-JOURNAL OF DEATH AND DYING, 19 275-292 (1989)
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1987 |
Nicholas AM, Lewin TJ, Raphael B, 'Congenital developmental disability The first 18 months: Parental perceptions and early intervention', Early Child Development and Care, 27 507-523 (1987)
This paper reports data based on interviews with parents of congenitally developmentally disabled infants, including parental perceptions and reactions to professional services. T... [more]
This paper reports data based on interviews with parents of congenitally developmentally disabled infants, including parental perceptions and reactions to professional services. The role of early support programmes is also examined and its relation to parental perceptions. Overall, family distress scores on interview showed a significant relationship (r = 0.64, p<0.001) to family grief scores on an unresolved grief inventory reported in an earlier paper (Nicholas & Lewin, 1986). Results also suggest that early intervention programmes extend the social network of the family and provide parents with skills to manage their baby. In so doing, such programmes may ameliorate the intensity of the parental grief response. © 1987, Taylor & Francis Group, LLC. All rights reserved.
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1987 |
SINGH B, LEWIN T, RAPHAEL B, JOHNSTON P, WALTON J, 'MINOR PSYCHIATRIC MORBIDITY IN A CASUALTY POPULATION - IDENTIFICATION, ATTEMPTED INTERVENTION AND 6-MONTH FOLLOW-UP', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 21 231-240 (1987)
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1987 |
OWENS PC, SMITH R, BRINSMEAD MW, HALL C, ROWLEY M, HURT D, et al., 'POSTNATAL DISAPPEARANCE OF THE PREGNANCY-ASSOCIATED REDUCED SENSITIVITY OF PLASMA-CORTISOL TO FEEDBACK INHIBITION', LIFE SCIENCES, 41 1745-1750 (1987)
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1987 |
BOUGHTON RC, KENYON Y, LAYCOCK L, LEWIN TJ, THOMAS SP, 'AUSTRALIAN CHILDREN AND THE THREAT OF NUCLEAR-WAR', MEDICAL JOURNAL OF AUSTRALIA, 147 121-124 (1987)
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1986 |
NICHOLAS AM, LEWIN TJ, 'GRIEF REACTIONS OF PARENTAL COUPLES - CONGENITAL HANDICAP AND COT DEATH', MEDICAL JOURNAL OF AUSTRALIA, 144 292-& (1986)
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1986 |
SINGH B, GILHOTRA M, SMITH R, BRINSMEAD M, LEWIN T, HALL C, 'POSTPARTUM PSYCHOSES AND THE DEXAMETHASONE SUPPRESSION TEST', JOURNAL OF AFFECTIVE DISORDERS, 11 173-177 (1986)
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1985 |
BRINSMEAD M, SMITH R, SINGH B, LEWIN T, OWENS P, 'PERIPARTUM CONCENTRATIONS OF BETA-ENDORPHIN AND CORTISOL AND MATERNAL MOOD STATES', AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 25 194-197 (1985)
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1985 |
Cubis J, Lewin T, Raphael B, 'Correlates of pregnancy and sexual experience in australian adolescents', Journal of Psychosomatic Obstetrics and Gynecology, 4 237-254 (1985)
In 1983 a longitudinal study was commenced in the Hunter Region of New South Wales to investigate the development of adolescent psychosocial morbidity. This paper reports analyses... [more]
In 1983 a longitudinal study was commenced in the Hunter Region of New South Wales to investigate the development of adolescent psychosocial morbidity. This paper reports analyses based on data obtained during the screening phase of that project, in which 2157 adolescents completed a Social and Emotional Development questionnaire. Those surveyed comprised approximately 25% of the 14-16 year olds in the region. Adolescents were allocated to 1 of 3 groups on the basis of their sexual experience: no sexual experience (26% minor sexual experience (such as petting, 47% and major sexual experience (sexual intercourse on at least one occasion, 27% Overall, 31% of the males and 24% of the females were in the major sexual experience group; 1 in 15 of the females in this group (n == 17) reported that she had been pregnant. Just over half (52% of the girls in the major sexual experience group had used contraceptives, compared with 42% of the boys. A series of hierarchical discriminant analyses were undertaken to try to identify variables that distinguished between the 3 sexual experience groups. A similar analysis was undertaken to compare those girls within the major sexual experience group who had been pregnant with those who had not. Although the 3 sexual experience groups differed in a number of important respects (e.g., beliefs about access to contraceptives, extraversion, age, perceptions of parental caring, and church attendance), there were few features that distinguished between the sexually active girls who had been pregnant and those who had not, prompting the conclusion that 'chance' may well be one of the major determinants of adolescent pregnancy (together with related but unexamined factors such as frequency of intercourse). © 1985 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
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1984 |
DEROME E, LEWIN T, 'PREDICTING PERSISTENCE AT UNIVERSITY FROM INFORMATION OBTAINED AT INTAKE', HIGHER EDUCATION, 13 49-66 (1984)
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1983 |
SINGH BS, LEWIN T, 'PREDICTORS OF INITIAL AND FINAL WORK CAPACITY IN A CHRONIC OBSTRUCTIVE AIRWAYS DISEASE REHABILITATION PROGRAM', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 17 321-327 (1983)
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1978 |
LEWIN TJ, 'WARFARE IN THE SOKOTO CALIPHATE - HISTORICAL AND SOCIOLOGICAL-PERSPECTIVES - SMALDONE,JP', AMERICAN HISTORICAL REVIEW, 83 1312-1313 (1978)
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