Publications by authors named "Elissa Myers"

Article Synopsis
  • Coordinated outcome measurement can greatly enhance mental health care effectiveness, particularly for eating disorders, which lack universal guidelines.
  • A set of recommended outcomes for eating disorders was developed by 24 international experts and focuses on four key domains: eating disorder behaviors, physical health, co-occurring mental health conditions, and quality of life.
  • Specific patient-reported measures are recommended for different age groups, including children, adolescents, and adults, with a variety of established questionnaires to assess these outcomes.
View Article and Find Full Text PDF

Background: Several unsuccessful attempts have been made to reach a cross-disciplinary consensus on issues fundamental to the field of eating disorders in the United States (U.S.).

View Article and Find Full Text PDF

Objective: To estimate one-year costs of eating disorders in the United States (U.S.) from a societal perspective, including the costs to the U.

View Article and Find Full Text PDF

Background: Sleep disturbance is increasingly recognized as a major problem for patients with schizophrenia but it is rarely the direct focus of treatment. The main recommended treatment for insomnia is cognitive behavioural therapy, which we have been evaluating for patients with current delusions and hallucinations in the context of non-affective psychosis.

Aims: In this article we describe the lessons we have learned about clinical presentations of sleep problems in schizophrenia and the adaptations to intervention that we recommend for patients with current delusions and hallucinations.

View Article and Find Full Text PDF

Background: Sleep disturbance occurs in most patients with delusions or hallucinations and should be treated as a clinical problem in its own right. However, cognitive behavioural therapy (CBT)-the best evidence-based treatment for insomnia-has not been tested in this patient population. We aimed to pilot procedures for a randomised trial testing CBT for sleep problems in patients with current psychotic experiences, and to provide a preliminary assessment of potential benefit.

View Article and Find Full Text PDF

Objectives: There is increasing recognition that sleep problems are common in patients with psychosis, that they exacerbate delusions and hallucinations and should be a treatment target. The aim of this study was to gain a patient perspective on the nature of sleep problems in psychosis and experience of treatment.

Design: A qualitative, semi-structured interview-based study to explore patient accounts of sleep problems and associated psychological treatment.

View Article and Find Full Text PDF

Background: Patients with psychosis frequently report difficulties getting or staying asleep (insomnia). Dissatisfaction with sleep is high. Insomnia should be treated in this group, but typically it is not even assessed.

View Article and Find Full Text PDF

Background And Objectives: Insomnia is a putative causal factor for persecutory thinking. Recent epidemiological studies show a strong association of insomnia and paranoia. The clinical implication is that reducing insomnia will reduce paranoid delusions.

View Article and Find Full Text PDF