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Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. ....Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. The findings will inform interventions to improve the health of mothers and infants in all resource-constrained settings, including among indigenous and refugee groups in Australia. It will advance Australia's international relations by strengthening a partnership with Viet Nam and contributing to a World Health Organization priority area. Read moreRead less
Diagnosis of depressive disorder and risk for depression in adolescents using acoustic speech analysis. Depression is the most common mental health problem in young people in Australia. Early diagnosis can minimise the disturbance of typical functioning and development of social and academic skills. Current assessment techniques consume significant time in urgent clinical situations, where an immediate assessment of risk is required. An automatic diagnostic system will provide an important objec ....Diagnosis of depressive disorder and risk for depression in adolescents using acoustic speech analysis. Depression is the most common mental health problem in young people in Australia. Early diagnosis can minimise the disturbance of typical functioning and development of social and academic skills. Current assessment techniques consume significant time in urgent clinical situations, where an immediate assessment of risk is required. An automatic diagnostic system will provide an important objective indicator giving an immediate quantitative assessment of the mental state of a patient. The quantitative measure given by the diagnostic system proposed will give physicians and therapists an improved metric by which they can gauge the effectiveness of various treatments in reducing depression and suicidality. Read moreRead less
Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood progr ....Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood programs to date are limited in effectiveness and not truly population-based. The proposed parenting / family support trial aims to overcome these obstacles, by comparing and costing two approaches that can be implemented within whole communities. The trial will help clarify optimal primary care to prevent mental health problems early in life.Read moreRead less
Popping the Bubblewrap, Unleashing the Power of Play. The long-term costs of childhood obesity, bullying and poor mental health are staggering. Despite the investment of billions of dollars for prevention and intervention, the statistics continue to worsen. We offer a simple, sustainable, cost-effective programme of prevention aimed at important national priorities within health and research. We expect to demonstrate a significant effect on children's activity levels, coping and social skills th ....Popping the Bubblewrap, Unleashing the Power of Play. The long-term costs of childhood obesity, bullying and poor mental health are staggering. Despite the investment of billions of dollars for prevention and intervention, the statistics continue to worsen. We offer a simple, sustainable, cost-effective programme of prevention aimed at important national priorities within health and research. We expect to demonstrate a significant effect on children's activity levels, coping and social skills through strategies that are replicable in every school playground in the nation and to contribute to policy regarding play, health, and education.Read moreRead less
The HPA-axis as a marker for disruptive behaviour disorder subtypes in toddlers. Emerging neurobiological models of antisocial behaviour emphasise the role of the hypothalamic-pituitary-adrenal (HPA) axis in the onset of disruptive behaviour disorders (DBDs). Given the broad consensus that antisocial trajectories originate in the toddler years, this project will use cortisol measures of HPA-axis activity to identify the mechanisms through which developmental factors interact with parenting and ....The HPA-axis as a marker for disruptive behaviour disorder subtypes in toddlers. Emerging neurobiological models of antisocial behaviour emphasise the role of the hypothalamic-pituitary-adrenal (HPA) axis in the onset of disruptive behaviour disorders (DBDs). Given the broad consensus that antisocial trajectories originate in the toddler years, this project will use cortisol measures of HPA-axis activity to identify the mechanisms through which developmental factors interact with parenting and family environment to shape persistent DBDs; this will be achieved by following toddlers with severe DBDs across a controlled trial of a parenting intervention.Read moreRead less
The role of the other in self-regulation: Who, when, where, how, and why. We assume that some individuals, because of the role they have (e.g., parents), are significant others. Moreover, we assume that significant others influence our emotions, motivation, and behaviour. These assumptions have not been systematically tested using a self-regulatory framework. Also no coherent model, detailing how and why individuals come to be significant and the mechanisms by which they have an influence, ha ....The role of the other in self-regulation: Who, when, where, how, and why. We assume that some individuals, because of the role they have (e.g., parents), are significant others. Moreover, we assume that significant others influence our emotions, motivation, and behaviour. These assumptions have not been systematically tested using a self-regulatory framework. Also no coherent model, detailing how and why individuals come to be significant and the mechanisms by which they have an influence, has been proposed. We present a theoretical model to be tested in a sequence of 10 studies. The results will provide understanding of the role of significant others that will have applications in clinical settings and in organisational contexts.Read moreRead less
Environmental and genetic risk factors for anxiety disorders in children. Anxiety disorders provide one of the largest sources of disability affecting Australian society. The results of this study will lead to critical advances in our understanding of the causes of anxiety disorders. Having greater understanding of factors that place a child at risk for disorder will allow intervention programs to more accurately target those children and families at greatest risk. Given the prevalence of anxiet ....Environmental and genetic risk factors for anxiety disorders in children. Anxiety disorders provide one of the largest sources of disability affecting Australian society. The results of this study will lead to critical advances in our understanding of the causes of anxiety disorders. Having greater understanding of factors that place a child at risk for disorder will allow intervention programs to more accurately target those children and families at greatest risk. Given the prevalence of anxiety disorders and the significant life interference associated with these disorders, improving intervention efforts will give rise to significant enhancement in the mental health of thousands of Australian children. Read moreRead less
Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-ki ....Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-kin will be interviewed to determine the context surrounding the deceased's death, and the abilities of health professionals to identify warning signs and to intervene prior to suicide. Given our ageing population, the outcomes will be significant in educating all health professionals to identify suicidal signs, and to prevent premature death in the elderly.Read moreRead less
The economic impact of chronic degenerative neurological disease on well-being. This study is designed to determine the financial impact of chronic progressive neurological illnesses on people with these disorders and their families. Due to the nature of these illnesses and the time of onset, financial strain is a major concern for people with these disorders. This research is central to the improvement of services to address the changes in financial situation associated with these disorders and ....The economic impact of chronic degenerative neurological disease on well-being. This study is designed to determine the financial impact of chronic progressive neurological illnesses on people with these disorders and their families. Due to the nature of these illnesses and the time of onset, financial strain is a major concern for people with these disorders. This research is central to the improvement of services to address the changes in financial situation associated with these disorders and its impact. The results will lead to an understanding of factors related to financial strain, and the development of services to address the well-being of this population.Read moreRead less
Continuity and change in the development of young children with autism. Autism is a severe condition affecting social interaction, communication, behaviour and interests. Parents of children with autism experience high levels of stress associated with the burden of caring. There is a high societal cost associated with the care of people with autism. Research shows outcome in autism is poor, but that early intervention may improve outcome. This project will identify specific early precursors of a ....Continuity and change in the development of young children with autism. Autism is a severe condition affecting social interaction, communication, behaviour and interests. Parents of children with autism experience high levels of stress associated with the burden of caring. There is a high societal cost associated with the care of people with autism. Research shows outcome in autism is poor, but that early intervention may improve outcome. This project will identify specific early precursors of autism which predict outcome. This will allow the development of targeted intervention to give children the best possible start in life and improve longterm outcome. Improvement to the outcome of people with autism will considerably reduce parental and family burden and cost to the community.Read moreRead less