I am a clinical psychologist by training, with 15 years experience in providing psychological treatment for patients with chronic illness, particularly rheumatoid arthritis and chronic pain. My research interest is primarily involved with understanding th
Selective Attention And Fear Avoidance In The Maintenance And Management Of Pain Associated With Rheumatoid Arthritis
Funder
National Health and Medical Research Council
Funding Amount
$195,660.00
Summary
Despite advances in the treatment of RA, the condition continues to have a chronic course for the majority of patients. Research has established that the way in which people think about pain and illness influences their responses to symptoms. In turn, these factors can impinge on quality of life and disability. For people with chronic pain problems, those who are fearful of pain and concentrate on symptoms have a poorer outcome in the long-term. In RA, striking a balance between rest and exercis ....Despite advances in the treatment of RA, the condition continues to have a chronic course for the majority of patients. Research has established that the way in which people think about pain and illness influences their responses to symptoms. In turn, these factors can impinge on quality of life and disability. For people with chronic pain problems, those who are fearful of pain and concentrate on symptoms have a poorer outcome in the long-term. In RA, striking a balance between rest and exercise is thought to be crucial. As such, ignoring the pain can lead to overactivity and subsequent joint damage and may be as unhelpful as underactivity. This project aims to investigate the relationship between people's fear of pain and the degree to which they attend to pain. It is suggested that those with very high or very low levels of fear towards the pain will either over-attend or under-attend to pain in comparison to healthy controls and patients with a moderate level of fear. Optimum levels of fear avoidance are expected to be associated with less disability and improved joint function. These findings have implications for the management of RA. Psychological treatments for patients with RA have been found to be effective in reducing pain, disability and improving mood. Treatments usually focus on a combination of changing people's attitudes and behaviours. However, whether strategies that aim to change attitudes or those targeting behaviour are more successful or have specific treatment effects is unknown. The present project will compare a treatment targeting behaviours associated with RA and encouraging a balanace between rest and exercise, with a treatment targeting patient's beliefs about the illness. It is expected that the treatments will have specific effects, which may better allow tailoring of psychological management to patient's individual needs.Read moreRead less
A Randomised Controlled Trial Of Internet-based Therapy For Panic Disorder.
Funder
National Health and Medical Research Council
Funding Amount
$202,575.00
Summary
Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increase ....Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increased risk of suicide. Over time people with PD appear to have an increased risk of heart problems. They also have substantial financial burdens through multiple attendances at doctors' rooms and through restricted employment opportunities. Only just over one in four people with an anxiety disorder consults a health professional for their problems, with most going to their GP. It has been estimated that less than 10% of these people seek the services of a mental health specialist such as a clinical psychologist or psychiatrist. Therefore because of blocks to do with access, cost or embarrassment, many people with mental health problems do not seek face-to-face specialised mental health treatment. People in rural and regional Australia are particularly disadvantaged by limited access to these specialists. We have developed an internet-based treatment program on panic and anxiety for people in the community, and particularly in regional Australia. Early evaluation of this program has found it is more effective than other types of therapist-assisted self-help treatment. The aim of this research project is to compare it to best-practice face-to-face psychological and pharmacological treatment for PD. If the effectiveness of our internet-based treatment is comparable to best-practice face-to-face treatment, its availability will assist the many Australians who suffer from debilitating panic but who are unable to access specialised mental health assistance.Read moreRead less
A Randomized Controlled Trial Of Three Treatments For Anorexia Nervosa In Adults
Funder
National Health and Medical Research Council
Funding Amount
$606,447.00
Summary
This study will be the first to evaluate three promising new treatments for anorexia nervosa (AN) and anorexic type eating disorders in adults. The first treatment is a new therapy called Enhanced Cognitive Behaviour Therapy. The second treatment, the Maudsley Cognitive Motivational Therapy, was designed specifically to treat AN and the third treatment is called non-specific supportive clinical management. The study will be in the form of a multi-centre randomised treatment trial.
A Multisite Randomised Controlled Trial Of The Adolescent Cannabis Check-up
Funder
National Health and Medical Research Council
Funding Amount
$211,250.00
Summary
Recent Australian surveys cannabis use is more common than tobacco use among 14-19 year old (24.6% vs. 20.2%). More than 200,000 14-19 year olds have used cannabis in the last month and 7.1% report daily use. The population prevalence of cannabis dependence increases throughout adolescence, with a rate of 30% among those who use cannabis more than five times per year. Although experimentation is a normal part of adolescent development, regular cannabis use by young people exposes them to the neg ....Recent Australian surveys cannabis use is more common than tobacco use among 14-19 year old (24.6% vs. 20.2%). More than 200,000 14-19 year olds have used cannabis in the last month and 7.1% report daily use. The population prevalence of cannabis dependence increases throughout adolescence, with a rate of 30% among those who use cannabis more than five times per year. Although experimentation is a normal part of adolescent development, regular cannabis use by young people exposes them to the negative effects of cannabis at a time of rapid development and transitions in life roles. There have been no studies reported of interventions suitable for adolescents with cannabis problems who are not seeking treatment but are causing great concern for their families, schools and communities. The Adolescent Cannabis Check-up (ACCU) fills this serious gap by providing adolescents with an opportunity to objectively assess their cannabis use and develop strategies for change in a non-judgemental environment. The ACCU is a 2 session intervention: assessment and a follow-up session of personalised feed-back and brief skills-based therapy. Recruitment may be either direct or via a concerned family member. This novel approach provides parents with telephone coaching, and supporting booklets, on techniques to encourage their young person to participate. A feasibility study of 80 families has found more than 50% were able to do so. That study of 55 adolescents found a significant reduction in levels of cannabis use and an abstinence rate of 24.2% 3 months following participation in the ACCU. This project wll involve a multi-site RCT to compare the impact of the ACCU with a delayed treatment control group, on levels of cannabis use, dependence, and cannabis-related problems. This project would fill a gap in treatment service models and involve families in an initiative to assist young people to develop motivation and skills to abstain from problematic cannabis use.Read moreRead less
Eating As Treatment (EAT): A Stepped Wedge, Randomised Control Trial Of A Health Behaviour Change Intervention Provided By Dietitians To Improve Nutrition In Head And Neck Cancer Patients Undergoing Radiotherapy
Funder
National Health and Medical Research Council
Funding Amount
$1,156,299.00
Summary
Maintaining nutrition in Head and Neck Cancer (HNC) patients is challenging. Radiotherapy and the burden of the cancer make it difficult for HNC patients to maintain sufficient nutrition. HNC patients also have higher levels of mental illness and substance dependence including alcohol misuse. This trial aims to build on promising pilot data to evaluate for the first time a dietitian delivered health behaviour intervention (Eating As Treatment) to improve nutritional status among HNC patients.
Combined Electroacupuncture And Cognitive Behavioural Therapy For Tension-type Headache: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$302,068.00
Summary
Tension-type headache (TTH) affects many and the direct and indirect costs are significant. Medications are either not effective long-term or have side-effects. Acupuncture and Cognitive behavioural therapy (CBT) are effective and safe treatments. The combination of acupuncture and CBT could provide a better outcome. We will undertake a rigorous clinical study to evaluate this. This is the first examination of the combination, and will be of significant value to patients and to clinicians.