Gambling problems among patients in primary care: a cross-sectional study of general practices.

Background: Primary care is an important context for addressing health-related behaviours, and may provide a setting for identification of gambling problems.

Aim: To indicate the extent of gambling problems among patients attending general practices, and explore settings or patient groups that experience heightened vulnerability.

Design And Setting: Cross-sectional study of patients attending 11 general practices in Bristol, South West England.

Reducing the burden of chronic wounds: prevention and management of the diabetic foot in the context of clinical guidelines.

Objectives: Chronic wounds such as diabetic foot and venous leg ulcers are a major burden for health services. Our programme was developed to explore the psychological and behavioural factors that may influence both the incidence of chronic wounds and their progression. The present article focuses on two particular aspects of the programme: patient knowledge of diabetic foot ulceration and factors influencing foot-related behaviour in patients with and without foot ulcers; and patient and podiatrist perspectives of consultations for diabetic foot ulcers.

Patients' perspectives on foot complications in type 2 diabetes: a qualitative study.

Background: Foot ulceration is a major health problem for people with diabetes. To minimise the risk of ulceration, patients are advised to perform preventive foot self-care.

Aim: To explore beliefs about diabetic foot complications and everyday foot self-care practices among people with type 2 diabetes.

Emotion-related primary and secondary appraisals, adjustment and coping: associations in women awaiting breast disease diagnosis.

Objective: Different emotions are to some extent associated with different ways of coping. Cognitive processes involved in determining emotional reactions may influence coping (perhaps through directing attention or generating salient information). This study explored possible appraisal-coping associations by examining whether a set of appraisal components identified in emotion theory were also associated with coping.

An investigation into the relationship between salivary cortisol, stress, anxiety and depression.

This study examined the relationship between indices of self-reported emotional distress and absolute versus change in cortisol levels. Fifty-four women attending a diagnostic breast clinic completed scales measuring stress, anxiety and depression and provided five saliva samples over the course of a single day for the measurement of cortisol. No significant relationships were evident between absolute cortisol levels and the distress measures.