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
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
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.
Fighting Mental Disorders: Using Mental Imagery To Disarm Symptoms And Enhance Treatment.
Funder
National Health and Medical Research Council
Funding Amount
$415,218.00
Summary
This proposal will conduct the first pre-clinical and clinical research utilising mental imagery to disarm symptoms and enhance treatment of multiple mental disorders by controlling the strength of mental imagery. This fellowship represents the first attempt to alleviate symptoms by developing a cognitive-neuroscience method to control the strength of traumatic imagery and to show a causative means of enhancing imagery strength to boost the success rate of cognitive therapy involving imagery.
Evolution and development of a lateralised brain: A behavioural ecology perspective. Little research on fish behavioural ecology is conducted in Australia despite our imperilled, unique aquatic ecosystems. Studies examining cerebral lateralisation using our native species as model organisms will help determine how animals classify and process information, providing a novel method of examining how native fishes respond to invasive predators and competitors. Increased understanding of lateralised ....Evolution and development of a lateralised brain: A behavioural ecology perspective. Little research on fish behavioural ecology is conducted in Australia despite our imperilled, unique aquatic ecosystems. Studies examining cerebral lateralisation using our native species as model organisms will help determine how animals classify and process information, providing a novel method of examining how native fishes respond to invasive predators and competitors. Increased understanding of lateralised cognitive function will shed light on its selective advantage as a fundamental aspect of brain function in all animals including humans. This multidisciplinary proposal will facilitate international collaborations, see the return of a home-grown scientist and ensure that Australia remains a world leader in scientific research.Read moreRead less
A Novel, Technology-based Program Targeting Physical, Cognitive And Mental Well-being To Maximise Fall Prevention In Older People: An Evidence-based Multifactorial Approach
Funder
National Health and Medical Research Council
Funding Amount
$1,475,781.00
Summary
Accidental falling among older people is a significant public health challenge worldwide. This study addresses a key gap in the translation of available evidence to prevent falls in older people more effectively. The proposed trial will provide the first-ever evidence about the cost and effectiveness of a tailored multifactorial fall prevention program using technology and self-management principles.