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Publications Archives - Page 5 of 6 - Psychosis Research Unit
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Loss of relational continuity of care in schizophrenia: associations with patient satisfaction and quality of care

Rahil Sanatinia, Violet Cowan, Kirsten Barnicot, Krysia Zalewska, David Shiers, Stephen J. Cooper, and Mike J. Crawford Full Article Abstract Background Users of mental health service are concerned about changes in clinicians providing their care, but little is known about their impact. Aims To examine associations between changes in staff, and patient satisfaction and quality of care. Method A national cross-sectional survey of 3379 people aged 18 or over treated in secondary care for schizophrenia or schizoaffective disorder. Results Nearly 41.9% reported at least one change in their key worker during the previous 12 months and 10.5% reported multiple changes. Those reporting multiple changes were less satisfied with their treatment and less likely to report having a care plan, knowing how to obtain help when in a crisis or to have...


Adherence to NICE guidance on lifestyle advice for people with schizophrenia: a survey

Lizzie Swaby, Daniel Hind, Rebecca Gossage-Worrall, David Shiers, Jonathan Mitchell, Richard I. G. Holt Full Article Abstract Aims and method The STEPWISE trial (STructured lifestyle Education for People WIth SchizophrEnia, schizoaffective disorder and first episode psychosis) is currently evaluating a lifestyle education programme in addition to usual care. However, it is difficult to define what constitutes ‘usual care’. We aimed to define ‘usual care’ for lifestyle management in people with schizophrenia, schizoaffective disorder and first-episode psychosis in STEPWISE study sites. Ten National Health Service (NHS) mental health trusts participated in a bespoke survey based on the National Institute for Health and Care Excellence (NICE) guidance. Results Eight trusts reported offering lifestyle education programmes and nine offered smoking cessation support. Reported recording of biomedical measures varied. Clinical implications Although recommended by...


Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas

Nancy H. Liu, 1 , 2 Gail L. Daumit, 3 Tarun Dua, 1 Ralph Aquila, 4 Fiona Charlson, 5 Pim Cuijpers, 6 Benjamin Druss, 7 Kenn Dudek, 4 Melvyn Freeman, 8 Chiyo Fujii, 9 Wolfgang Gaebel, 10 Ulrich Hegerl, 11 Itzhak Levav, 12 Thomas Munk Laursen, 13 Hong Ma, 14 Mario Maj, 15 Maria Elena Medina‐Mora, 16 Merete Nordentoft, 17 Dorairaj Prabhakaran, 18 Karen Pratt, 4 Martin Prince, 19 Thara Rangaswamy, 20 David Shiers, 21 Ezra Susser, 22 Graham Thornicroft, 19 Kristian Wahlbeck, 23 Abe Fekadu Wassie, 24 Harvey Whiteford, 5 and Shekhar Saxena 1 Full Article Abstract Excess mortality in persons with severe mental disorders (SMD) is a major public health challenge that warrants action. The number and scope of truly tested interventions in this area remain...


Thematic associations between personal goals and clinical and non-clinical voices (auditory verbal hallucinations)

Filippo Varese, Sara J. Tai, Lydia Pearson & Warren Mansell Full Article Abstract The content of voices is often self-referent, and related to concerns or salient aspects of voice-hearers’ lives. Based on a cybernetic theory of cognition and behaviour known as Perceptual Control Theory (PCT), this study examined whether the content of voices is thematically linked to the more fundamental construct of goals, i.e. internal representations of desired and undesired states. Twenty-two clinical and 18 non-clinical voice-hearers completed self-report measures of personal goals and clinical interviews to gather qualitative descriptions of voice content. Participants’ interview transcripts were systematically contrasted with their reported goals to code instances of thematic correspondence between voice content and personal goals. The analysis revealed that 33 of the 40 participants (82.5%) reported voices that thematically...


The Impact of Causal Explanations on Outcome in People Experiencing Psychosis: A Systematic Review

Lucy Carter, John Read,Melissa Pyle, Anthony P. Morrison Full Article Abstract Findings suggest that the way an individual understands their experiences has important consequences on subsequent health behaviour. One aspect of an individual's understanding is what they believe has caused their experiences. This has been associated with treatment outcome and attitudes towards mental health problems. The aim of this systematic review was to examine the impact of causal beliefs on treatment outcome and stigma in people experiencing psychosis. Three main databases were searched and 21 articles that investigated various aspects of treatment outcome, and stigma in relation to causal beliefs was included in the review. Overall, there were a small number of replicated findings which limits the interpretation of results. There is an indication that causal explanations...