Publications by authors named "Lisa Dell"

Article Synopsis
  • Military service is largely male-dominated, leading to research predominantly focusing on male soldiers, but findings suggest that female military members experience similar or higher rates of mental health issues like PTSD.
  • A longitudinal study of nearly 8,500 Australian Defence Force members tracked changes in mental health symptoms over five years, measuring factors like trauma exposure, resilience, and relationship satisfaction.
  • The study found that while lifetime trauma exposure was a key predictor of mental health disorders for both sexes, self-reported resilience served as a significant protective factor for females, whereas being in a significant relationship helped protect males from subthreshold mental disorders.
View Article and Find Full Text PDF

Police members can be exposed to morally transgressive events with potential for lasting psychosocial and spiritual harm. Through interviews with police members and police chaplains across Australia and New Zealand, this qualitative study explores the current role that police chaplains play in supporting members exposed to morally transgressive events. The availability of chaplains across police services and the close alignment between the support they offer, and the support sought by police, indicates they have an important role.

View Article and Find Full Text PDF

This case study presents a mother who continued tandem breastfeeding throughout the acute admission of her critically ill newborn. Her younger child, the subject of this case report was admitted to our hospital with septic shock and progressing bullous scalp lesions. The infant had streptococcal toxic shock syndrome and necrotizing fasciitis of the scalp due to streptococcus pyogenes.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigated whether massed prolonged exposure (MPE) therapy is as effective as standard prolonged exposure (SPE) in treating PTSD over the long term, specifically at 12 months post-treatment.
  • - Conducted as a randomised controlled trial with 138 military participants, results showed that both treatment approaches significantly reduced PTSD symptoms and improved other mental health aspects like depression and anxiety, with MPE proving to be non-inferior to SPE.
  • - Findings support the use of massed therapy protocols for PTSD, indicating that MPE can achieve sustained treatment benefits and aid in reducing common comorbid symptoms associated with PTSD.
View Article and Find Full Text PDF

Introduction: A range of evidence-based treatments are available for PTSD. However, many veterans with PTSD do not engage in these treatments. Concurrently, various novel PTSD treatments with little or no evidence based are increasingly popular among veterans.

View Article and Find Full Text PDF

Background: Evidence suggests posttraumatic stress disorder (PTSD) involves an interplay between psychological manifestations and biological systems. Biological markers of PTSD could assist in identifying individuals with underlying dysregulation and increased risk; however, accurate and reliable biomarkers are yet to be identified.

Methods: A systematic review following the PRISMA guidelines was conducted.

View Article and Find Full Text PDF

Potentially morally injurious events (PMIEs) entail acts of commission (e.g., cruelty, proscribed or prescribed violence) or omission (e.

View Article and Find Full Text PDF

Background: A short, effective therapy for posttraumatic stress disorder (PTSD) could decrease barriers to implementation and uptake, reduce dropout, and ameliorate distressing symptoms in military personnel and veterans. This non-inferiority RCT evaluated the efficacy of 2-week massed prolonged exposure (MPE) therapy compared to standard 10-week prolonged exposure (SPE), the current gold standard treatment, in reducing PTSD severity in both active serving and veterans in a real-world health service system.

Methods: This single-blinded multi-site non-inferiority RCT took place in 12 health clinics across Australia.

View Article and Find Full Text PDF

The aim of this research was to describe the evidence examining the approaches taken by mental health providers (MHPs) and chaplains to address symptoms related to moral injury (MI) or exposure to potentially morally injurious events (PMIEs). This research also considers the implications for a holistic approach to address symptoms related to MI that combines mental health and chaplaincy work. A scoping review of literature was conducted using Medline, PsycINFO, Embase, Central Register of Controlled Trials, Proquest, Philosphers Index, CINAHL, SocINDEX, Academic Search Complete, Web of Science and Scopus databases using search terms related to MI and chaplaincy approaches or psychological approaches to MI.

View Article and Find Full Text PDF

Background: The mental health impact of the initial years of military service is an under-researched area. This study is the first to explore mental health trajectories and associated predictors in military members across the first 3-4 years of their career to provide evidence to inform early interventions.

Methods: This prospective cohort study surveyed Australian Defence personnel ( = 5329) at four time-points across their early military career.

View Article and Find Full Text PDF

This research examined the nature of social interaction profiles in the initial two-years of military service, profile association to early vulnerability to psychological distress, and the association between supervisor interaction qualities in the likelihood of profile membership. Data were collected as part of a larger longitudinal study. Participants who completed key variables at either 3-12 months post-enlistment ( = 5,233; 85.

View Article and Find Full Text PDF

Objective: Anger is a salient feature of posttraumatic mental health which is linked to posttraumatic stress disorder (PTSD) and may have implications for treatment. However, the nature of associations involving anger and PTSD remains unclear. The aim of the present study was to examine bidirectional influences involving anger and International Classification of Diseases (ICD)-11 PTSD symptom clusters over time among treatment-seeking veterans.

View Article and Find Full Text PDF

Posttraumatic stress disorder (PTSD) can be a severe problem, affecting veterans and military personnel at higher rates than the general community. First-line treatment for PTSD, prolonged exposure (PE), is typically delivered weekly for 10-12 weeks, however this duration can pose a barrier to accessing and completing the treatment, particularly for current serving military. This paper presents the RESTORE trial protocol, the first randomized controlled trial of massed PE therapy outside of the United States and by an independent research group.

View Article and Find Full Text PDF

Purpose: There is increasing concern regarding the mental health impact of first responder work, with some reports suggesting ambulance personnel may be at particularly high risk. Through this systematic review and meta-analysis we aimed to determine the prevalence of mental health conditions among ambulance personnel worldwide.

Methods: A systematic search and screening process was conducted to identify studies for inclusion in the review.

View Article and Find Full Text PDF

Background: Insomnia and related sleep disturbances commonly occur in veterans, with prevalence rates as high as 90% reported in some studies. Military-specific factors such as sleep disturbances during military training and deployment, as well as a higher prevalence of post-traumatic stress disorder (PTSD), which is known to poorly impact sleep, may contribute to higher insomnia rates in veterans. Although evidence-based guidelines for the treatment of insomnia exist, the unique nature of veterans sleep problems means they may differ in their response to treatment.

View Article and Find Full Text PDF

Although there is an abundance of novel interventions for the treatment of posttraumatic stress disorder (PTSD), often their efficacy remains unknown. This systematic review assessed the evidence for 15 new or novel interventions for the treatment of PTSD. Studies that investigated changes to PTSD symptoms following the delivery of any 1 of the 15 interventions of interest were identified through systematic literature searches.

View Article and Find Full Text PDF

Rationale, Aims And Objectives: Within the field of evidence-based practice, policy makers, health care professionals and consumers require timely reviews to inform decisions on efficacious health care and treatments. Rapid evidence assessment (REA), also known as rapid review, has emerged in recent years as a literature review methodology that fulfils this need. It highlights what is known in a clinical area to the target audience in a relatively short time frame.

View Article and Find Full Text PDF

Objective: To assess, from a health sector perspective, the incremental cost-effectiveness of three treatment recommendations in the most recent Australian Clinical Practice Guidelines for posttraumatic stress disorder (PTSD). The interventions assessed are trauma-focused cognitive behavioural therapy (TF-CBT) and selective serotonin reuptake inhibitors (SSRIs) for the treatment of PTSD in adults and TF-CBT in children, compared to current practice in Australia.

Method: Economic modelling, using existing databases and published information, was used to assess cost-effectiveness.

View Article and Find Full Text PDF

Objective: The increasing number of veterans with complex health conditions accessing rehabilitation leads to the need for an outcome measure that identifies success in areas beyond return to work. The current study was designed to assess the feasibility of goal attainment scaling as a routine measure of outcomes of rehabilitation.

Methods: Fifteen organisations contracted by the Australian Department of Veterans' Affairs to work with veterans were invited to trial goal attainment scaling.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Warning

Message: fopen(/var/lib/php/sessions/ci_session7d68user00c5i4u3prnkpk95nc5gqepb): Failed to open stream: No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 177

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once

A PHP Error was encountered

Severity: Warning

Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)

Filename: Session/Session.php

Line Number: 137

Backtrace:

File: /var/www/html/index.php
Line: 316
Function: require_once