ORCID Profile
0000-0002-1193-8681
Current Organisation
University of Manchester
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Publisher: Wiley
Date: 16-05-2022
DOI: 10.1111/BJC.12372
Abstract: This study aimed to investigate associations between proximity seeking, stress and paranoia in the context of daily life, and whether these relationships are moderated by trait attachment styles. Sixty non‐clinical participants completed 3423 assessments of state stress, proximity seeking and paranoia over a 6‐day period using an experience s ling method. Multilevel linear regression was performed to evaluate relationships between variables. The post‐hoc analysis showed antecedent events subjectively appraised as very unpleasant or very pleasant predicted greater levels of momentary proximity seeking at the subsequent timepoint. Greater stress predicted greater subsequent shifts or variability in proximity seeking. Changes in proximity seeking were not associated with momentary paranoia. However, for in iduals with an avoidant attachment style, greater shifts in proximity seeking resulted in greater subsequent reports of paranoia. These findings suggest that, in daily life, the attachment system may become active in response to stress. For those with an avoidant attachment style, an active attachment system may exacerbate paranoid thoughts possibly due to the activation of attachment‐related beliefs that one should be fearful of unavailable others and instead rely on one's autonomy to regulate affect. These findings highlight the need to consider attachment in the assessment and formulation of paranoia.
Publisher: Springer Science and Business Media LLC
Date: 04-06-2019
Publisher: JMIR Publications Inc.
Date: 19-12-2022
Abstract: sychosis is one of the most disabling mental health conditions and causes significant personal, social and economic burdens. Accurate and timely symptom monitoring is critical in offering prompt and time sensitive clinical services. Digital health is a promising solution for the barriers encountered by conventional symptom monitoring approaches, including accessibility, the ecological validity of assessments, and recall bias. However, to date, there is no digital health technology developed to support self-management for people with psychosis in China. e report the study protocol to evaluate the validity, feasibility, acceptability, usability, and safety of a symptom self-monitoring smartphone app (YouXin Chinese name 佑心) for people with psychosis in China. his is a non-randomised validity and feasibility study with a mixed-methods design. The study was approved by the University of Manchester and Beijing Anding Hospital Research Ethics Committee. YouXin is a smartphone app designed to facilitate symptom self-monitoring for people with psychosis. YouXin has two core functions, active monitoring of symptoms (i.e. smartphone survey) and passive monitoring of behavioural activity (i.e. passive data collection via embedded smartphone sensors). The development process of YouXin utilised a systematic co-production approach. A series of co-production consultation meetings were conducted by the principal researcher with service users and clinicians to maximise the usability and acceptability of the app for end users. Participants with psychosis aged 16 to 65 years were recruited from Beijing Anding Hospital, Beijing, China. All participants were invited to use the YouXin app to self-monitor symptoms for 4 weeks. At the end of the 4-weeks follow-up, We invited participants to take part in a qualitative interview to explore acceptability of the app and trial procedures post-intervention. ecruitment to the study was initiated in August 2022. Forty-seven participants were approached for the study from August to October, 2022 of these, 41 participants agreed to take part in the study. One of the 41 participants was excluded for not meeting the inclusion criteria leaving a total of 40 participants began the study. As of December 2022, 40 participants have completed the study, and the recruitment has been completed. his study is the first to develop and test a symptom self-monitoring app specifically designed for people with psychosis in China. If the study shows the feasibility of YouXin, a potential future direction is to integrate the app into clinical workflow to facilitate a digital mental healthcare for people with psychosis in China. The current study will inform the improvements in the app, trial procedures, and implementation strategies with this population. Moreover, the findings of this trial could lead to optimisation of Digital Health Technologies designed for people with psychosis in China. >
Publisher: SAGE Publications
Date: 2019
Abstract: Cognitive stimulation therapy (CST) is widely used with people with dementia, but there is no evidence of its efficacy in mild cognitive impairment or dementia in Parkinson’s disease (PD-MCI PDD) or dementia with Lewy bodies (DLB). We aimed to explore the impact of ‘CST-PD’, which is home-based, in idualized CST adapted for this population. In a single-blind, randomized controlled exploratory pilot trial (RCT), we randomized 76 participant–dyads [PD-MCI ( n = 15), PDD ( n = 40), DLB ( n = 21) and their care partners] to CST-PD or treatment as usual (TAU). CST-PD involves home-based cognitively stimulating and engaging activities delivered by a trained care partner. Exploratory outcomes at 12 weeks included cognition (Addenbrooke’s Cognitive Evaluation ACE-III), neuropsychiatric symptoms and function. In care partners, we assessed burden, stress and general health status. Relationship quality and quality of life were assessed in both dyad members. At 12 weeks, the ACE-III showed a nonstatistically significant improvement in the CST-PD group compared with the TAU group, although neuropsychiatric symptoms increased significantly in the former. In contrast, care partners’ quality of life ( d = 0.16) and relationship quality (‘satisfaction’, d = 0.01 ‘positive interaction’, d = 0.55) improved significantly in the CST-PD group, and care burden ( d = 0.16) and stress ( d = 0.05) were significantly lower. Qualitative findings in the CST-PD recipients revealed positive ‘in the moment’ responses to the intervention, supporting the quantitative results. In conclusion, care-partner-delivered CST-PD may improve a range of care-partner outcomes that are important in supporting home-based care. A full-scale follow-up RCT to evaluate clinical and cost effectiveness is warranted.
Publisher: JMIR Publications Inc.
Date: 12-09-2023
DOI: 10.2196/45170
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Lesley-Anne Carter.