Physical Activity For Young People With Depression: A Cluster Randomised Controlled Trial To Test The Effectiveness Of Incorporating A Brief Intervention Into Routine Clinical Care
Funder
National Health and Medical Research Council
Funding Amount
$1,678,739.00
Summary
Depression and physical activity in young people are linked: lack of physical activity is a risk-factor for depression and physical activity can improve symptoms of depression. Physical activity is not routinely provided as an intervention, despite its potential to improve immediate treatment outcomes and prevent poor physical health. This study will evaluate an intervention that aims to include a brief physical activity intervention in routine clinical care for young people with depression.
The Efficacy Of An Intervention For PTSD Among Illicit Drug Users
Funder
National Health and Medical Research Council
Funding Amount
$580,219.00
Summary
The high prevalence of PTSD among people with illicit drug use disorders (IDUD) has been clearly recognised in both the Australian and international literature. In Australia, 33% of those with opioid use disorders and 24% of those with amphetamine use disorders have comorbid PTSD. The prevalence among people with alcohol use disorders on the other hand, is comparably low (5%). Despite the high prevalence of PTSD among people with IDUD, research on treatment responses to this significant problem ....The high prevalence of PTSD among people with illicit drug use disorders (IDUD) has been clearly recognised in both the Australian and international literature. In Australia, 33% of those with opioid use disorders and 24% of those with amphetamine use disorders have comorbid PTSD. The prevalence among people with alcohol use disorders on the other hand, is comparably low (5%). Despite the high prevalence of PTSD among people with IDUD, research on treatment responses to this significant problem is sparse. Individuals with this comorbidity present a significant challenge to substance abuse treatment providers as they present with a poorer clinical profile, and have poorer treatment outcomes, including higher readmission rates. Consequently, they are a costly burden to the health care system. The costs of this comorbidity to individual sufferers and society may be reduced substantially by the implementation of an integrated treatment that addresses both disorders concurrently. There is however, little research to guide how best to treat comorbid IDUD and PTSD. Although a small number of interventions have been developed and trialled, none have been evaluated in an Australian setting. One intervention which has shown promise in the United States is Concurrent Treatment of PTSD and Substance Use Disorder (CTPSD). Preliminary research has shown that CTPSD can be used safely and is effective in the treatment of PTSD among individuals with cocaine dependence. Completers of the program have demonstrated significant reductions in all PTSD symptom clusters and cocaine use from baseline to end of treatment which were maintained at 6 month follow-up. Significant reductions in depressive symptoms were also observed. Despite these promising results, CTPSD is yet to undergo a randomised controlled trial. The proposed study is a randomised controlled trial of the efficacy of CTPSD in the Australian setting.Read moreRead less
An Integrated Model Of Environmental, Neurodevelopmental, And Epigenetic Resistance And Responsiveness To Early Intervention In Childhood Psychopathology.
Funder
National Health and Medical Research Council
Funding Amount
$846,110.00
Summary
The foundations of mental health problems are present early in life. This project will map stability and change in a sample of children with common mental health problems receiving an intervention targeting the quality of the home environment. It will produce a road map of how the child’s strengths and vulnerabilities are affected by treatment, protect against future mental health problems, and suggest new intervention targets for children who fail to benefit from existing treatments.
Mapping The Specific Pathways To Early-onset Mental Health Disorders
Funder
National Health and Medical Research Council
Funding Amount
$1,287,730.00
Summary
The foundations of mental health versus disorder are laid early. Individual differences in vulnerability can be identified early in the child's emotionality, social attention, impulsivity, and quality of parenting. This study examines how these systems emerge to coalesce into the major forms of psychopathology in the first 5 years of life.The results will identify critical variables in the early prevention of psychiatric disorders.
The Aetiology Of Alcohol Use Disorders In Adulthood: A Generational Perspective
Funder
National Health and Medical Research Council
Funding Amount
$630,927.00
Summary
This study aims to investigate the causes of alcohol problems in adult Australians. We will follow-up participants from a birth cohort study who are now in their thirties. We will assess long term outcomes from in-utero exposure to alcohol and biological, developmental and genetic predictors of alcohol disorders in adulthood. This study also aims to study genetic factors which may be important in the development of alcohol abuse and dependence.
Overcoming Barriers To Improved Physical Health In People With Severe Mental Illness
Funder
National Health and Medical Research Council
Funding Amount
$864,658.00
Summary
People with severe mental illness have high rates of cardiometabolic disease and reduced life-expectancy. Public intervention campaigns have had little impact on component risks (obesity, smoking, physical inactivity, poor nutrition). This study will determine factors associated with changes in cardiometabolic profiles in people with severe mental illness; examine impediments to risk modification; and develop targeted interventions for implementation within mental health services.
Does Antipsychotic Dose Reduction Lead To Better Functional Recovery In First Episode Psychosis: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$2,371,552.00
Summary
Can a person with a first episode of psychosis, once remitted, reduce their dosage of medication and still achieve better outcomes in functioning, physical health and brain volume, than if they had stayed on traditional maintenance doses of medication? This study will examine if using a dose reduction strategy in conjunction with an evidence based suite of psychosocial interventions leads to better social and vocational recovery and improved physical health and brain volume.
Rates Of Psychosis Onset In A High Risk Population
Funder
National Health and Medical Research Council
Funding Amount
$310,359.00
Summary
Older studies of people at risk of schizophrenia found that about 35% of them developed psychosis within 1 year. However the risk has decreased lately to as low as 10%. They may still become psychotic but take longer to do so, or they may not develop psychosis at all. We need to study this so that those not “at risk” are not needlessly treated. We will follow up “at risk” people and determine their 6 year outcome. We will do scans to see if there are any brain changes associated with psychosis.
BAN-Dep: A Trial To Decrease The Prevalence Of Depression In Australian Nursing Homes
Funder
National Health and Medical Research Council
Funding Amount
$876,381.00
Summary
Depression is common among residents of aged care facilities, although symptoms are often not detected or treated. The Professional Education to Aged Care (PEAC) is a beyondblue e-learning platform designed to enhance knowledge about depression and anxiety in residential care. This trial aims to test whether the addition of a behavioural activation component is more efficacious than the PEAC alone in reducing the frequency of depressive symptoms among nursing home residents.