81 results match your criteria: "University of New South Wales at St. Vincent's Hospital[Affiliation]"

CBT for depression: a pilot RCT comparing mobile phone vs. computer.

BMC Psychiatry

February 2013

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, 394-404 Victoria Street, Darlinghurst, NSW, Australia.

Background: This paper reports the results of a pilot randomized controlled trial comparing the delivery modality (mobile phone/tablet or fixed computer) of a cognitive behavioural therapy intervention for the treatment of depression. The aim was to establish whether a previously validated computerized program (The Sadness Program) remained efficacious when delivered via a mobile application.

Method: 35 participants were recruited with Major Depression (80% female) and randomly allocated to access the program using a mobile app (on either a mobile phone or iPad) or a computer.

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Purpose: The study sought to evaluate the longer-term effects of a brief cognitive behavior therapy (CBT) intervention for patients with chronic subjective dizziness (CSD). In addition, it sought to identify predictors of longer-term disability in this group.

Materials And Methods: Forty-four patients with CSD referred by a neuro-otological clinic were followed-up six months after completing a brief treatment program based on the CBT model of panic disorder.

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Developing a short-form structured diagnostic interview for common mental disorders using signal detection theory.

Int J Methods Psychiatr Res

December 2012

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St. Vincent's Hospital, Sydney, Australia.

Diagnostic instruments must be relatively free from respondent burden and cost effective to administer whilst remaining faithful to the psychiatric nomenclature. It seems logical to develop short-form alternatives to rather lengthy and complicated diagnostic interviews to facilitate large scale data collection. The current study examines one method, signal detection theory, for developing a short-form interview based on the Composite International Diagnostic Interview version 3.

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Since 2009, the Clinical Research Unit for Anxiety and Depression (CRUfAD) has been providing primary care clinicians with internet cognitive behaviour therapy (iCBT) courses to prescribe to patients. Although these courses have demonstrated efficacy in research trials, adherence in primary care is less than half that of the research trials. The present studies pose three questions: first, do course non-completers drop out because of lack of efficacy? Second, can changes in delivery (e.

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Background: Health anxiety is associated with high distress, disability and increased health service utilisation. However, there are relatively few epidemiological studies examining the extent of health anxiety or the associated sociodemographic and health risk factors in the general population.

Aims: To provide epidemiological data on health anxiety in the Australian population.

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Changes in intolerance of uncertainty during cognitive behavior group therapy for social phobia.

J Behav Ther Exp Psychiatry

June 2012

Clinical Research Unit for Anxiety and Depression, University of New South Wales at St Vincent's Hospital, Level 4 O'Brien Centre, 394-404 Victoria Street, Darlinghurst, Sydney, New South Wales 2010, Australia.

Background And Objectives: Recent research suggests that intolerance of uncertainty (IU), most commonly associated with generalized anxiety disorder, also contributes to symptoms of social phobia. This study examines the relationship between IU and social anxiety symptoms across treatment.

Method: Changes in IU, social anxiety symptoms, and depression symptoms were examined following cognitive behavior group therapy (CBGT) for social phobia (N=32).

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Psychometric properties of the Repetitive Thinking Questionnaire in a clinical sample.

J Anxiety Disord

March 2012

Clinical Research Unit for Anxiety and Depression, University of New South Wales at St Vincent's Hospital, Level 4 O'Brien Centre, 394-404 Victoria Street, Darlinghurst, Sydney, New South Wales 2010, Australia.

Repetitive negative thinking (RNT) is thought to contribute to the maintenance of many emotional disorders. Although several measures of RNT are available, the items of most of these instruments index RNT that is specific to particular diagnostic groups (e.g.

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Background: Anxiety disorders share common vulnerabilities and symptoms. Disorder-specific treatment is efficacious, but few access evidence-based care. Administering transdiagnostic cognitive-behavioral therapy via the internet (iCBT) may increase access to evidence-based treatment, with a recent randomized controlled trial (RCT) providing preliminary support for this approach.

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Purpose: The aim of this study was to evaluate the effects of a brief cognitive behavior therapy (CBT) intervention on the physical symptoms, illness-related disability, and psychologic distress of patients with chronic subjective dizziness.

Materials And Methods: Forty-one patients with chronic subjective dizziness referred by a neurootologic clinic were randomly assigned to immediate treatment or a wait-list control. Three weekly treatment sessions based on the CBT model of panic disorder, adapted for patients with dizziness, were administered by a clinical psychologist.

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Randomized controlled trial of Internet cognitive behavioural treatment for social phobia with and without motivational enhancement strategies.

Aust N Z J Psychiatry

October 2010

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Level 4, O'Brien Centre, 390 Victoria Street, Darlinghurst, Sydney, NSW 2010, Australia.

Objective: The present study (Shyness 7) has two aims: Firstly, to replicate an earlier trial showing that a self-guided Internet treatment for social phobia is efficacious, and secondly, to examine whether the addition of self-guided motivational enhancement strategies improves completion rates and clinical outcomes.

Method: Randomized controlled trial (RCT) of self-guided Internet-based cognitive behavioural treatment (iCBT), or iCBT plus self-guided motivational enhancement strategies (iCBT+MS), was conducted. An intention-to-treat and last observation carried forward model was used for data analyses.

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The effect of the draft DSM-5 criteria for GAD on prevalence and severity.

Aust N Z J Psychiatry

September 2010

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Sydney, Australia.

Objective: Options for revising the DSM-IV Generalized Anxiety Disorder (GAD) diagnostic criteria have been made by the DSM-5 Anxiety, Obsessive-Compulsive, Post-traumatic and Dissociative Disorders Work Group. It has been proposed that renaming the disorder Generalized Worry Disorder, clarifying criterion A to emphasize the primacy of worry, reducing the duration required, altering the list of associated symptoms to reflect the concomitants of worry that are specific to GAD, and adding behavioural criteria could clarify the concept of chronic worry for clinicians and enhance the reliability of the diagnosis. The influence of the proposed changes on the prevalence and severity of cases is examined.

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Is internet treatment for depressive and anxiety disorders ready for prime time?

Med J Aust

June 2010

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Sydney, NSW, Australia.

Internet treatment programs for anxiety and depressive disorders are becoming available and offer cost-effective alternatives to face-to-face treatment with medication or cognitive behaviour therapy. The Clinical Research Unit for Anxiety and Depression at St Vincent's Hospital, Sydney, offers internet treatment courses at the VirtualClinic (http://www.virtualclinic.

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Measuring the level of diagnostic concordance and discordance between modules of the CIDI-Short Form and the CIDI-Auto 2.1.

Soc Psychiatry Psychiatr Epidemiol

August 2011

Clinical Research Unit for Anxiety and Depression, University of New South Wales at St. Vincent's Hospital, Level 4, O'Brien Centre, Cnr Victoria Street and Burton Street, Darlinghurst, NSW, 2010, Australia.

Purpose: The Composite International Diagnostic Interview-Short Form (CIDI-SF) is a short disorder-specific diagnostic interview for common mental disorders. Many researchers have been attracted to the CIDI-SF because of its brevity and cost effectiveness. As a result, the CIDI-SF has been used in multiple epidemiological studies and clinical trials.

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Background: Internet-based cognitive behavioural therapy (iCBT) for depression is effective when guided by a clinician, less so if unguided.

Question: Would guidance from a technician be as effective as guidance from a clinician?

Method: Randomized controlled non-inferiority trial comparing three groups: Clinician-assisted vs. technician-assisted vs.

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Telephone case management reduces both distress and psychiatric hospitalization.

Aust N Z J Psychiatry

September 2009

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, 299 Forbes Street, Darlinghurst, NSW 2010, Australia.

Objective: The aim of the present study was to improve the health care of people repeatedly admitted to private hospitals.

Method: An open trial in which frequent utilizers were offered telephone case management over a 12 month period, was conducted.

Results: An average of 24 phone calls were made to the 99 who remained in the programme for the 12 months.

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Internet-based course for the management of stress for junior high schools.

Aust N Z J Psychiatry

April 2009

Clinical Research Unit for Anxiety and Depression, World Health Organization Collaborating Centre, School of Psychiatry, University of New South Wales at St Vincent's Hospital, NSW, Australia.

Objective: To determine the feasibility and efficacy of a Web-based stress management programme for schools.

Method: A six-lesson Web-based programme was constructed in collaboration with the schools. It was implemented across Year 8 in six schools (464 students).

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Cognitive behavioral group therapy for social phobia with or without attention training: a controlled trial.

J Anxiety Disord

May 2009

Clinical Research Unit for Anxiety and Depression, University of New South Wales at St Vincent's Hospital, 299 Forbes Street, Darlinghurst, Sydney, 2010, Australia.

The Self-Regulatory Executive Function model [S-REF; Wells, A., & Matthews, G. (1996).

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Measurement and reporting of the duration of untreated psychosis.

Early Interv Psychiatry

November 2008

Clinical Research Unit for Anxiety Disorders, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Darlinghurst, New South Wales, Australia.

Aim: The aim of this study was to investigate the demographic, illness and methodological factors associated with mean and median duration of untreated psychosis (DUP).

Methods: A systematic review and meta-analysis of the published studies of DUP and an examination of available DUP distributions.

Results: DUP was longer in samples with a higher proportion of patients with schizophrenia and was shorter in samples that included affective psychosis.

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Objectives: It has been previously argued that the methodology used by the Composite International Diagnostic Interview version 2.1 to assess the substance-induced and general medical condition exclusion criteria are inadequate. As a result prevalence estimates generated from epidemiological studies using this interview may be underestimated.

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Reducing the burden of depression.

Can J Psychiatry

July 2008

Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Sydney, Australia.

Objective: To consider why the burden of depression persists.

Method: The epidemiology and disability associated with depression were reviewed to consider whether depression persists because: the causes are overwhelming, prevention is ineffective, the disease is difficult to detect or diagnose, the condition remits and recurs, treatments do not work, individuals do not seek treatment, or effective care is not provided when they do seek it.

Results: The first 5 possibilities were not considered significant reasons for the persistence of the burden.

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Perceived costs and benefits of behavioral change: reconsidering the value of ambivalence for psychotherapy outcomes.

J Clin Psychol

December 2007

University of New South Wales at St Vincent's Hospital, Clinical Research Unit for Anxiety and Depression, Darlinghurst, Sydney, NSW, Australia.

This study examined the measurement of ambivalence toward change, and the predictive utility of ambivalence in terms of psychotherapy outcomes. Ambivalent individuals were defined as those acknowledging both costs and benefits to change. Two competing hypotheses were tested.

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The descriptive epidemiology of internalizing and externalizing psychiatric dimensions.

Soc Psychiatry Psychiatr Epidemiol

July 2007

School of Psychiatry, University of New South Wales at St Vincent's Hospital, 299 Forbes Street, Darlinghurst (NSW), 2010 Australia.

Background: There is a growing recognition that comorbidity among individual mental disorders is best explained by the broad, psychiatric dimensions of internalization (sub-divided into distress and fear) and externalization. The aims of the current study were to examine the descriptive epidemiology of these psychiatric dimensions.

Methods: Continuous measures of distress, fear and externalization dimensions were obtained from principal components analysis of 11 common ICD-10 mental disorders in a large (N = 10,641) community sample.

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