Enhancing The Treatment Of Anxiety: The Role Of Mental Imagery
Funder
National Health and Medical Research Council
Funding Amount
$246,491.00
Summary
This proposal will conduct the first pre-clinical study augmenting the effectiveness of cognitive behaviour therapy (CBT) in the treatment of anxiety disorders using mental imagery. There is an urgent need to develop means to increase the success rate of CBT. This study will utilise recent developments in cognitive neuroscience to show that mental imagery plays an important role in the mechanisms of CBT.
D-Cycloserine And Conditioning: Increasing The Effectiveness Of Exposure Therapy For Fear And Anxiety
Funder
National Health and Medical Research Council
Funding Amount
$400,750.00
Summary
The psychological, social, and financial costs of anxiety problems are among the highest burden-of-disease costs to the community. The most effective long-term psychological treatment for anxiety disorders is cognitive behaviour therapy (CBT), in particular exposure therapy. However only a small minority of individuals receive comprehensive treatment, and a portion of these individuals re-experience symptoms in the long-term. These difficulties are partially due to the cost of treatment and diff ....The psychological, social, and financial costs of anxiety problems are among the highest burden-of-disease costs to the community. The most effective long-term psychological treatment for anxiety disorders is cognitive behaviour therapy (CBT), in particular exposure therapy. However only a small minority of individuals receive comprehensive treatment, and a portion of these individuals re-experience symptoms in the long-term. These difficulties are partially due to the cost of treatment and difficulties with relapse. Recent research has shown that D-Cycloserine (DCS) facilitates extinction in animals and possibly in humans. DCS has the potential to offer a simple, brief, and cost-effective intervention that enhances treatment effects. In the United States the new NIMH director has set research into DCS and exposure to fear as a high priority that is likely to have a significant public health impact. This proposal provides an opportunity for Australian researchers to become involved in a rapidly expanding research field. The research team at UNSW have already established an international reputation in DCS applications, fear conditioning in humans, and clinical trials in humans. They are in a unique position internationally to investigate the means by which DCS exerts its effects and to conduct randomised clinical trials of DCS in recovery from fear in humans.The goal is to test DCS in facilitating exposure and extinction of fear. The research will directly lead to recommendations for clinical application and demonstrate whether the drug has the capability of significantly increasing the success of exposure therapy by reducing the time required for treatment, the rate of relapse, the financial cost of treatment, and the overall burden of anxiety to the community. The fear-conditioning studies will also inform our theoretical understanding of emotion processing and fear conditioning in humans, which in turn will allow clinical applications to be optimised.Read moreRead less
Exposure To Diesel Exhaust And Lung Cancer Risk In Australia
Funder
National Health and Medical Research Council
Funding Amount
$581,519.00
Summary
Exposure to diesel exhaust increases the risk of lung cancer. One in five Australians is exposed to diesel exhaust in the workplace. This project will provide an exposure-response relation between diesel exhaust and lung cancer based on Australia-specific data. We will also estimate the number of lung cancer cases due to diesel exhaust exposure in Australia. We will do this by studying all miners in WA in the last 15 years, by linking several databases that are available in WA.
Quantitiative Assessment Of Solar UV Exposure For Vitamin D Synthesis In Australian Adults
Funder
National Health and Medical Research Council
Funding Amount
$1,162,536.00
Summary
This research program will add significantly to our current scientific understanding of the dual health outcomes of UV exposure (Vitamin D and skin cancer) . This project is in line with Australia's R and D Priorities, in that it will result in direct and indirect social and economic benefits to Australia by applying the scientific knowledge gained through this research to develop public health initiatives to improve some of Australia's most significant and costly health problems.
The main purpose of this study is to understand how airborne fungi affect asthmatics who are allergic to them. Fungi or moulds release large numbers of spores into the air that are inhaled. In many cases fungal spores outnumber other particles that carry allergen, such as pollens or cat dander, by 100 to 1. This makes fungi the most common potential allergen in the environment. Fungi have been associated with respiratory diseases including fungal sinusitis, asthma, rhinitis, allergic alveolitis ....The main purpose of this study is to understand how airborne fungi affect asthmatics who are allergic to them. Fungi or moulds release large numbers of spores into the air that are inhaled. In many cases fungal spores outnumber other particles that carry allergen, such as pollens or cat dander, by 100 to 1. This makes fungi the most common potential allergen in the environment. Fungi have been associated with respiratory diseases including fungal sinusitis, asthma, rhinitis, allergic alveolitis and sick building syndrome. Largely due to their diversity and complexity, allergenic fungi have not been well studied and the ways in which individuals vary when inhaling spores is not known. Unlike other allergenic particles, it is unlikely that fungal spores release their allergen as soon as they are inhaled because we have shown in earlier in vitro studies that fungi continue to release allergen over time and this is likely to be the case when they are inhaled. Our laboratory has developed two new techniques that allow us to measure how many spores people inhale and whether they are allergic to them. This study will use these tools to detect and identify the important allergenic fungi involved in domestic and outdoor exposure of asthmatics, the degree of contribution to the total allergen load to which subjects are exposed and identify in what conditions fungi are the causal agents in location-specific symptoms. This study will also investigate allergen production of fungi in situ in the human nose, which will have application in allergic sinusitis and asthma amongst other respiratory diseases. We will investigate how readily allergenic spores germinate in the nose and under what conditions they release allergen.Read moreRead less
Thousands of chemicals are used in Australian workplaces. For many of these chemicals it is not known if they are harmful to people who work with them. Unless we can measure how much of a chemical a worker has been exposed to, we cannot determine if the chemical is harmful. While we can test what chemicals a worker is currently exposed to, it is more difficult to estimate how much chemical exposure they have had in the past. This project aims to improve the ways we estimate past chemical exposur ....Thousands of chemicals are used in Australian workplaces. For many of these chemicals it is not known if they are harmful to people who work with them. Unless we can measure how much of a chemical a worker has been exposed to, we cannot determine if the chemical is harmful. While we can test what chemicals a worker is currently exposed to, it is more difficult to estimate how much chemical exposure they have had in the past. This project aims to improve the ways we estimate past chemical exposure. We will build on existing best-practice methods to improve occupational exposure assessment. New computer technology will be used to develop an intelligent evolving database that can be used when asking people about jobs they have had in the past. Experts can examine the answers to the questions to decide whether the worker was exposed to particular chemicals. New methods of processing information, called artificial neural networks, will be used to automate some of these decisions.Read moreRead less
Using Applied Epidemiology To Respond To Foodborne Diseases And Contaminated Environments
Funder
National Health and Medical Research Council
Funding Amount
$476,728.00
Summary
During this Fellowship I will examine how to prevent foodborne diseases and how public health agencies respond to contaminated environments. To do this, I will harness the revolution in public health from genetic analysis of pathogens and the use of linked datasets to examine environmental health concerns.
The Early Life Origins Of Impaired Testicular Function: A Prospective Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$623,277.00
Summary
There is a widespread public perception that sperm counts are diminishing. This theory can only be tested by using a representative sample of young men, rather than biased populations (such as men presenting as sperm donors). We have the unique opportunity to test this theory, and to determine any early life events which may lead to reduced sperm counts, such as being growth restricted at birth, exposed to high levels of maternal oestrogens or smoking or being overweight in adolescence.