Publications by authors named "Sian Coker"

Background: A social recovery approach to youth mental health focuses on increasing the time spent in valuable and meaningful structured activities, with a view to preventing enduring mental health problems and social disability. In Malaysia, access to mental health care is particularly limited and little research has focused on identifying young people at risk of serious socially disabling mental health problems such as psychosis. We provide preliminary evidence for the feasibility and acceptability of core social recovery assessment tools in a Malaysian context, comparing the experiential process of engaging young Malaysian participants in social recovery assessments with prior accounts from a UK sample.

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Aim: Mental health problems are prevalent among young people in Malaysia yet access to specialist mental health care is extremely limited. More context-specific research is needed to understand the factors affecting help-seeking in youth, when mental health problems typically have first onset. We aimed to explore the attitudes of vulnerable young Malaysians regarding mental health problems including unusual psychological experiences, help-seeking and mental health treatment.

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Background And Objectives: The Threat Anticipation Model (Freeman, 2007) implicates social anxiety, jumping to conclusions (JTC) and belief inflexibility in persecutory delusions. We investigated whether Cognitive Bias Modification for Interpretation (CBM-I; Turner et al., 2011) improves social anxiety by targeting negative interpretation bias of ambiguous social information.

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Article Synopsis
  • A study examined whether treating insomnia with digital cognitive behavioral therapy (CBT) could reduce paranoia and hallucinations among university students.
  • The trial involved 3,755 participants, with results showing significant reductions in insomnia, paranoia, and hallucinations after 10 weeks of treatment.
  • Findings suggest that improving sleep can positively impact mental health by reducing psychotic symptoms, indicating a need for prioritizing sleep treatment in mental health care.
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Verbal information transfer, one of Rachman's three pathways to fear, may be one way in which vulnerability for anxiety may be transmitted from parents to children. A community sample of mothers and their preschool-aged children ( = 65) completed observational tasks relating to the child starting school. Mothers were asked to tell their child about social aspects of school; then children completed a brief play assessment involving ambiguous, school-based social scenarios.

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Article Synopsis
  • This study examines how social recovery progresses after a first episode of psychosis (FEP) in a sample of 764 individuals over one year.* ! -
  • Three distinct social recovery profiles were identified: 66% showed low stable recovery, 27% had moderate increasing recovery, and 7% experienced high decreasing recovery.* ! -
  • Factors like male gender, ethnic minority status, younger age at onset, more negative symptoms, and poor premorbid adjustment were linked to poorer social recovery outcomes.* !
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Background: Eating disorders in young people with type 1 diabetes mellitus confer additional health risks beyond those conferred by the disease itself. Risk factors for developing eating disorders are poorly understood.

Objective: The current study aimed to examine risk factors for eating disturbance in young people with type 1 diabetes mellitus.

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This is the first study to examine attentional control capacities in generalized anxiety disorder (GAD). GAD is characterized by uncontrollable worry. Individuals diagnosed with GAD and healthy participants (HPs) performed a random key-pressing task while thinking about a worrisome or a positive future event, to assess the extent to which attentional control resources are used by worry.

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Consultation is integral to maintaining competence for health professionals and involves a collaborative relationship between specialist and primary care services. Although consultation aims to support them in their work, existing literature exploring health visitors' experiences of consultation is limited. This study explored health visitors' experiences of consultation in relation to their clinical practice, their experience of their work and its impact on the wider service.

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Background: Traditional instruments that measure self-esteem may not relate directly to the schema construct as outlined in recent cognitive models. The Brief Core Schema Scales (BCSS) aim to provide a theoretically coherent self-report assessment of schemata concerning self and others in psychosis. The scales assess four dimensions of self and other evaluation: negative-self, positive-self, negative-other, positive-other.

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Objective: To determine if cues help young children discriminate among thoughts, feelings and behaviours.

Participants: Ninety-six children aged 4-7 years from three schools in Norwich, UK.

Design: Within each age band (4, 5, 6, 7), children were randomised to the cue or the no cue condition on a stratified basis ensuring that equal numbers of boys and girls from each school were in each of the eight cells (cue condition x age).

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