Publications by authors named "Ruth Wells"

Experiencing gender-based violence (GBV) is associated with health conditions that are common indications for referral to exercise physiologists, physiotherapists and other allied health professionals (AHPs). The readiness of AHPs to identify and respond to GBV is currently unknown. This study aimed to determine the readiness of AHPs to respond to a person who had experienced GBV.

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Background: Local humanitarian workers in low and middle-income countries must often contend with potentially morally injurious situations, often with limited resources. This creates barriers to providing sustainable mental health and psychosocial support (MHPSS) to displaced individuals. Clinical supervision is an often neglected part of ensuring high-quality, sustainable care.

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Objective: Emergency service workers are at risk of experiencing poor mental health due to repeated exposure to potentially traumatic events. Promoting healthy lifestyle factors may help improve health outcomes and quality of life among this population. This study aimed to evaluate the efficacy of a 10-week physical activity (PA) and diet programme delivered via Facebook for sedentary emergency service workers and their support partners on levels of psychological distress.

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Background: This research examined the mental health of a cohort of asylum-seeking children, adolescents and their primary caregiver affected by insecure residency while living in the community, compared to refugees and immigrants.

Methods: The project investigated the prevalence of psychosocial problems among Iranian and Afghani asylum seeker, refugee and immigrant children and adolescents, and their caregivers who arrived in Australia from 2010. In total, =196 children and adolescents aged 5-18 years, and their primary caregiver were asked about family visa status, country of origin, level of education, parent symptoms of posttraumatic stress disorder (Harvard Trauma Questionnaire) and child wellbeing (Strengths and Difficulties Questionnaire).

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Issue Addressed: The COVID-19 pandemic and associated social distancing regulations have disproportionally impacted the health of older adults. Lifestyle interventions targeting physical activity, diet and fostering social connection may help to alleviate the potential negative health consequences. This study aimed to determine the feasibility and preliminary effectiveness of delivering an online group lifestyle intervention for older adults during the COVID-19 pandemic.

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Background: First responders (eg, police, firefighters, and paramedics) are at high risk of experiencing poor mental health. Physical activity interventions can help reduce symptoms and improve mental health in this group. More research is needed to evaluate accessible, low-cost methods of delivering programs.

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This paper outlines a research and dissemination protocol to be undertaken with specific groups of marginalised women in Australia. Women impacted by significant mental distress, disability, or refugee status are among society's most vulnerable and disenfranchised groups. They can experience significant social exclusion, marginalisation and stigma, associated with reduced help seeking, deprivation of dignity and human rights, and threats to health, well-being and quality of life.

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Objective: The aim of this paper was to cross-sectionally examine the association between physical health indicators and PTSD symptomatology.

Method: A cross-sectional study was conducted among inpatients of a service related trauma-focused ward. Physical and mental health indicators including sleep quality, fitness, physical activity, body mass index and PTSD symptomatology were assessed.

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Background: First responders (police, fire and ambulance officers) are at a significantly increased risk of experiencing poor mental health, including depression and post-traumatic stress disorder. These conditions are associated with high rates of cardiovascular disease, in part due to low levels of physical activity (PA) and high levels of sedentary behaviour. Using a person's social support system may be an effective solution to help increase PA levels to improve mental and physical health outcomes.

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The knowledge of Syrian psychosocial activists in displaced communities is an invaluable resource for developing an ecological understanding of community needs and attitudes. This may elucidate the structural challenges of displacement to be addressed in psychosocial interventions. During Phase 1 of the study, we employed the community readiness model-a tool to assess community climate, needs, and resources-to determine community capacity-building needs.

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Article Synopsis
  • Childhood adversity, such as various forms of abuse and family conflict, is a significant risk factor for developing schizophrenia and can impair cognitive function during childhood.
  • The Australian Schizophrenia Research Bank study found three cognitive groups among individuals with schizophrenia based on cognitive impairment levels, with the "compromised" group showing the worst outcomes.
  • The research indicates that individuals with schizophrenia experienced more childhood adversity compared to healthy controls, with specific factors like lack of parental involvement and family breakdown being particularly prevalent in those with greater cognitive impairment.
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Introduction: Syrian medical staff working in non-government controlled areas of Syria operate in situations that expose them to great personal danger, while they must often face the same challenges as the people they help. Supporting the wellbeing of these staff is crucial to the operation of health services for internally displaced Syrians given the large-scale destruction of healthcare infrastructure.

Methods: Findings from a staffcare programme designed by a grassroots Syrian psychosocial organisation in Southern Turkey and implemented in a medical nongovernment organisation in Idlib in Northern Syria are presented.

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Background: There is a need for ecological approaches to guide global mental health programmes that can appropriately address the personal, family, social and cultural needs of displaced populations. A transactional ecological model of adaptation to displacement was developed and applied to the case of Syrian refugees living in Jordan.

Methods: Syrian and Jordanian psychosocial workers ( = 29) supporting the Syrian refugee community in Jordan were interviewed in three waves (2013-2016).

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Article Synopsis
  • The study aims to explore how cognitive subgroups within patients with schizophrenia have different structural brain abnormalities to improve understanding of psychosis mechanisms.
  • Researchers analyzed brain scans from 220 patients and 168 healthy controls, categorizing patients into three cognitive groups based on IQ assessments.
  • Findings revealed that the subgroup with the most cognitive impairments showed significant brain volume and thickness reductions, supporting the idea of schizophrenia as a disorder with both neurodevelopmental and neurodegenerative aspects affecting cognition.*
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Article Synopsis
  • The study investigates the neuroanatomical differences among cognitive subgroups of schizophrenia based on IQ, aiming to confirm and extend previous findings in a new group of patients.
  • Researchers assessed 183 participants, including 96 patients with schizophrenia or schizoaffective disorder and 87 healthy controls, using MRI and various intelligence and symptom scales.
  • Results showed that IQ subgroups included 25 preserved, 33 moderately deteriorated, and 27 severely deteriorated patients, with significant negative symptoms in the severely deteriorated group, highlighting reduced inferior parietal volume in these patients.
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Background: Humanitarian organisations supporting Syrian refugees in Jordan have conducted needs assessments to direct resources appropriately.

Aims: To present a model of psychosocial concerns reported by Syrian refugees and a peer review of research practices.

Method: Academic and grey literature databases, the United Nations Syria Regional Response website, key humanitarian organisation websites and Google were searched for needs assessments with Syrian refugees in Jordan between February 2011 and June 2015.

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Background: Cognitive heterogeneity among people with schizophrenia has been defined on the basis of premorbid and current intelligence quotient (IQ) estimates. In a relatively large, community cohort, we aimed to independently replicate and extend cognitive subtyping work by determining the extent of symptom severity and functional deficits in each group.

Methods: A total of 635 healthy controls and 534 patients with a diagnosis of schizophrenia or schizoaffective disorder were recruited through the Australian Schizophrenia Research Bank.

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Background: Musical performance is a skilled activity performed under intense pressure, thus is often a profound source of anxiety. In other contexts, anxiety and its concomitant symptoms of sympathetic nervous system arousal have been successfully ameliorated with HRV biofeedback (HRV BF), a technique involving slow breathing which augments autonomic and emotional regulatory capacity.

Objective: This randomised-controlled study explored the impact of a single 30-minute session of HRV BF on anxiety in response to a highly stressful music performance.

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