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Lau M, Kraus V, Schulze AF, Rausch TK, Krueger M, Goepel W. Corrigendum correcting the paper 'Observational study on the neonatal outcome during the COVID-19 pandemic in Germany'. Acta Paediatr 2024. [PMID: 38700949 DOI: 10.1111/apa.17265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2024] [Accepted: 04/23/2024] [Indexed: 05/05/2024]
Affiliation(s)
- M Lau
- Paediatrics, University Hospital of Schleswig-Holstein, University of Luebeck, Luebeck, Germany
| | - V Kraus
- School of Medicine of the Technical University of Munich, Munich, Germany
- Pediatric Neurology, School of Medicine and Munich Municipal Hospital Group, Technical University of Munich, Munich, Germany
| | | | - T K Rausch
- Institute of Medical Biometry and Statistics, University of Luebeck, Luebeck, Germany
| | - M Krueger
- Neonatology, Munich Municipal Hospital Group, Munich, Germany
| | - W Goepel
- Paediatrics, University Hospital of Schleswig-Holstein, University of Luebeck, Luebeck, Germany
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Xiao H, Chang M, Torres A, Flores G, Lau M. Preventing Teen Pregnancy: A Qualitative Study of the Perspectives of Parenting and Expecting Latino Adolescents. J Pediatr Adolesc Gynecol 2023; 36:532-540. [PMID: 37468034 DOI: 10.1016/j.jpag.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 06/26/2023] [Accepted: 07/13/2023] [Indexed: 07/21/2023]
Abstract
STUDY OBJECTIVE Latino youths in the United States experience disproportionately high rates of teen pregnancy. The aim of this study was to obtain expecting and parenting Latino adolescents' perspectives regarding factors contributing to teen pregnancy and pregnancy prevention. METHODS Expecting/parenting Latino adolescents were recruited from high schools with high proportions of Latino youths and teen pregnancy. Participants completed a questionnaire on sociodemographic and background characteristics. Focus groups were stratified by age and gender and audio recorded. Grounded theory was used to identify themes from the transcribed audio recordings. RESULTS Thirty-two expecting/parenting Latino adolescents (20 females, 12 males) 14-19 years old participated in four focus groups. Quantitative results revealed that two-thirds of participants at birth had adolescent mothers. Over three-quarters of participants reported that their pregnancies had occurred too soon. Qualitative themes for factors contributing to teen pregnancy included lack of contraceptive knowledge/access, belief of invincibility, influence within relationships, male decisions on contraceptive use, desire to belong among peers, lack of parental support for contraceptive use, lack of parental attention, rebellion, normalization of adolescent parenthood in Latino culture, and media. Themes for pregnancy prevention included time alone with physicians, parenting teens as mentors, reproductive health education, and community pregnancy-prevention programs. CONCLUSION Multiple factors contribute to teen pregnancy in Latino youth, including influences from Latino culture, family, peers, partners, and social determinants of health. Pregnancy prevention should incorporate interventions to address these aspects, including disseminating culturally sensitive education materials, providing parenting teens as peer mentors, encouraging time alone with health care providers, and addressing various social determinants of health.
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Affiliation(s)
- H Xiao
- University of Texas Southwestern Medical School, Dallas, Texas
| | - M Chang
- Los Angeles County & University of Southern California Medical Center, Los Angeles, California
| | - A Torres
- Universidad Autonoma de Guadalajara School of Medicine, Guadalajara, Mexico
| | - G Flores
- Department of Pediatrics, University of Miami Miller School of Medicine, and Holtz Children's Hospital, Jackson Health System, Miami, Florida
| | - M Lau
- Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, University of Texas Southwestern Medical Center, Children's Health System of Texas, Dallas, Texas.
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Lau M, Kraus V, Schulze AF, Rausch TK, Krüger M, Göpel W. Observational study on the neonatal outcome during the COVID-19 pandemic in Germany. Acta Paediatr 2023; 112:1892-1897. [PMID: 37306278 DOI: 10.1111/apa.16873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/24/2023] [Accepted: 06/09/2023] [Indexed: 06/13/2023]
Abstract
AIM We aimed to determine stillbirth, preterm birth, perinatal complications, and the developmental outcome of children born preterm during the COVID-19 pandemic in Germany. METHODS National data from the perinatal survey of preterm and term infants born in 2017-2020 between 22 March and 31 December were evaluated. Neurodevelopment of preterm infants at 2 years corrected age was tested with the Parent Report of Children's Abilities-Revised questionnaire and by clinical testing with Bayley scales, either before or during the COVID-19 pandemic. Statistical significance was calculated using a Pearson's chi-square-independence test and a linear regression model. RESULTS In 2020, there was an increase of stillbirths of 0.02% (p = 0.01) and a decrease in preterm births by 0.38% (p < 0.001). No changes were found in a representative subgroup of infants with regard to neurodevelopmental scores (mental developmental index and psychomotor developmental index) or in parent survey data (non-verbal cognition scale and language development scale). CONCLUSION Increasing rates of stillbirths and decreasing preterm births in Germany were observed. Existing networks might stabilise neurodevelopment of preterm infants during the COVID-19 pandemic.
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Affiliation(s)
- M Lau
- Department of Paediatrics, University Hospital of Schleswig-Holstein, University of Lübeck, Lübeck, Germany
| | - V Kraus
- Chair of Social Paediatrics, School of Medicine of the Technical University of Munich, Munich, Germany
- Pediatric Neurology, School of Medicine and Munich Municipal Hospital Group, Technical University of Munich, Munich, Germany
| | | | - T K Rausch
- Institute of Medical Biometry and Statistics, University of Lübeck, Lübeck, Germany
| | - M Krüger
- Neonatology, Munich Municipal Hospital Group, Munich, Germany
| | - W Göpel
- Department of Paediatrics, University Hospital of Schleswig-Holstein, University of Lübeck, Lübeck, Germany
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Churchill J, Sachdeva A, Jones C, Issa A, Fankhauser C, Hudson A, Tran A, Oliveira P, Johnson H, Lau M, Parnham A, Sangar V. P16 status is an independent predictor of overall survival in metastatic penile cancer in a large contemporary cohort. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00680-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Commisso M, Temcheff C, Orri M, Poirier M, Lau M, Côté S, Vitaro F, Turecki G, Tremblay R, Geoffroy MC. Childhood externalizing, internalizing and comorbid problems: distinguishing young adults who think about suicide from those who attempt suicide. Psychol Med 2023; 53:1030-1037. [PMID: 34183077 DOI: 10.1017/s0033291721002464] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND While childhood externalizing, internalizing and comorbid problems have been associated with suicidal risk, little is known about their specific associations with suicidal ideation and attempts. We examined associations between childhood externalizing, internalizing and comorbid problems and suicidal ideation (without attempts) and attempts by early adulthood, in males and females. METHOD Participants were from the Quebec Longitudinal Study of Kindergarten Children, a population-based study of kindergarteners in Quebec from 1986 to 1988 and followed-up until 2005. We captured the co-development of teacher-rated externalizing and internalizing problems at age 6-12 using multitrajectories. Using the Diagnostic Interview Schedule administered at age 15 and 22, we identified individuals (1) who never experienced suicidal ideation/attempts, (2) experienced suicidal ideation but never attempted suicide and (3) attempted suicide. RESULTS The identified profiles were no/low problems (45%), externalizing (29%), internalizing (11%) and comorbid problems (13%). After adjusting for socioeconomic and familial characteristics, children with externalizing (OR 2.00, CI 1.39-2.88), internalizing (OR 2.34, CI 1.51-3.64) and comorbid (OR 3.29, CI 2.05-5.29) problems were at higher risk of attempting suicide (v. non-suicidal) by age 22 than those with low/no problems. Females with comorbid problems were at higher risk of attempting suicide than females with one problem. Childhood problems were not associated with suicidal ideation. Externalizing (OR 2.01, CI 1.29-3.12) and comorbid problems (OR 2.28, CI 1.29-4.03) distinguished individuals who attempted suicide from those who thought about suicide without attempting. CONCLUSION Childhood externalizing problems alone or combined with internalizing problems were associated with suicide attempts, but not ideation (without attempts), suggesting that these problems confer a specific risk for suicide attempts.
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Affiliation(s)
- Melissa Commisso
- Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, Quebec, Canada
- Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec, Canada
| | - Caroline Temcheff
- Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec, Canada
| | - Massimiliano Orri
- Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, Quebec, Canada
- Bordeaux Population Health Research Centre, INSERM U1219, University of Bordeaux, France
| | - Martine Poirier
- Department of Education, University of Rimouski, Quebec, Canada
| | - Marianne Lau
- Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec, Canada
| | - Sylvana Côté
- Bordeaux Population Health Research Centre, INSERM U1219, University of Bordeaux, France
- Department of Social and Preventive Medicine, University of Montreal, Quebec, Canada
- CHU Ste-Justine Research Centre, Montreal, QC, Canada
- INSERM 1219 Bordeaux Population Health, France
| | - Frank Vitaro
- Department of Psychoeducation, University of Montreal
| | - Gustavo Turecki
- Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, Quebec, Canada
| | - Richard Tremblay
- CHU Ste-Justine Research Centre, Montreal, QC, Canada
- Department of Psychology, University of Montreal, Montreal, Quebec, Canada
| | - Marie-Claude Geoffroy
- Department of Psychiatry, McGill Group for Suicide Studies, Douglas Mental Health University Institute, Montreal, Quebec, Canada
- Department of Educational and Counselling Psychology, McGill University, Montreal, Quebec, Canada
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Adegboye O, Churchill J, Moorjani J, Johnson H, Capper S, Booker J, Parnham A, Lau M, Sangar V, Faivre-Finn C. Electronic patient-reported outcome measures (ePROMs) - ready for prime time in penile cancer care? Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00692-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Lee E, Antonelli L, Issa A, James C, Oliveria P, Lau M, Sangar V, Parnham A, Fankhauser C. Risk of local recurrence in men with Penile Intraepithelial Neoplasia (PeIN) in the surgical margin after penile sparing surgery. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02459-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Peters N, Scott J, Issa A, Fankhauser C, Lee E, Churchill J, Oliveria P, Tran A, Lau M, Parnham A, Sangar V, Graham D. 1311P Penile cancer in North-West England: A 5-year analysis of epidemiology, risk factors and outcomes in a supraregional centre. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Swinton M, Mariam N, Tan J, Afferi L, Lonati C, Moshini M, Lau M, Ramani V, Sangar V, Clarke N, Mistry H, Elumalai T, Hoskin P, Choudhury A. PD-0418 Resect or Preserve? Comparing treatment strategies in clinically node positive bladder cancer. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02853-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Lee E, Issa A, Oliveira P, Lau M, Sangar V, Parnham M, Fankhauser C. Diagnostic accuracy of dynamic sentinel lymph node biopsy for penile cancer in men with non-palpable and palpable inguinal lymph nodes. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00763-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fankhauser C, M. De Vries H, Roussel E, Jakobsen J, Issa A, Lee E, Schifano N, Alnajjar H, Castiglione F, Pedro O, Lau M, Parnham A, Maarten A, Watkin N, Muneer A, Ayres B, Brouwer O, Sangar V. Risk factors for inguinal lymph node metastases in men with T1G2 penile cancer: a multi centre collaborative study. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)03080-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Robert C, Davies M, Dummer R, Grob J, Hauschild A, Kirkwood J, Long G, Mandalà M, Nathan P, Banerjee H, Sahoo B, Lau M, Biette K, Boran A, Schadendorf D. 1075P Regression tree analysis to identify factors associated with relapse-free survival (RFS) in patients with resected stage III BRAF V600E/K–mutant melanoma. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Issa A, Syed K, Fankhauser C, Oliveira P, Parnham A, Lau M, Sangar V. Outcomes in men undergoing complex circumcision: An aid to consent and litigation. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01049-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Pozzi E, Cakir O, Castiglione F, Schifano N, Hadway P, Nigam R, Rees R, Albersen M, Parnham A, Lau M, Alnajjar H, Vijai S, Muneer A. Long term outcomes of Dynamic Sentinel Lymph Node Biopsy (DSNB) for clinically impalpable (cN0) penile cancer patients- an eUROGEN study. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01044-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Shaffer L, Bozkanat K, Lau M, Sharma P, Sathe M, Lopez X, Jain R. Gender-affirming hormone therapy in cystic fibrosis - A case of new Pseudomonas infection. Respir Med Case Rep 2021; 32:101353. [PMID: 33537203 PMCID: PMC7841348 DOI: 10.1016/j.rmcr.2021.101353] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 12/28/2020] [Accepted: 01/17/2021] [Indexed: 11/17/2022] Open
Abstract
Background Little is known about the impact of hormone therapy on transgender youth with Cystic Fibrosis (CF). This case report describes an 18-year-old affirmed female with CF who was treated with hormone therapy associated in timing with new growth of Pseudomonas aeruginosa in her sputum culture. Discussion We highlight important considerations, including the impact of gender-affirming hormone therapy on overall CF disease course. Evidence supports that females with CF have worse outcomes than males, which are partly attributed to estrogen effects. Pseudomonas aeruginosa is one of the most prevalent pathogens in people with CF. Here, we highlight a transfemale who grows Pseudomonas aeruginosa for the first time since her youth, nearly 1 year after starting estrogen therapy. This is consistent with previous literature of an association between high estrogen levels and Pseudomonas aeruginosa prevalence, but has never been evaluated in a transgender population. Conclusion Through this case, we demonstrate the need for additional research to understand the relationship between gender-affirmative hormone transition and CF care and management.
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Affiliation(s)
- L Shaffer
- University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - K Bozkanat
- Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - M Lau
- Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - P Sharma
- Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - M Sathe
- Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - X Lopez
- Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - R Jain
- Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA
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Elkjær HK, Lau M, Mortensen EL, Kristensen E, Poulsen S. Psychodynamic and systemic group treatment for women with a history of childhood sexual abuse: five-year follow-up of a randomized controlled trial. Eur J Psychotraumatol 2021; 12:1855887. [PMID: 33680345 PMCID: PMC7875047 DOI: 10.1080/20008198.2020.1855887] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Background: Childhood sexual abuse (CSA) is a significant trauma that may have lifelong impact. Due to the long-term negative personal and societal consequences of CSA, it is crucial to find treatments with enduring outcomes. Objective: The aim of this study was to determine the relative long-term efficacy of psychodynamic and systemic group therapy for adult women exposed to CSA. Method: A prospective randomized controlled trial was conducted with outcomes assessed at pre- and post-treatment, and 1 and 5 years post-treatment. All analyses were intention-to-treat. One hundred and six women with sequelae from childhood sexual abuse were treated with psychodynamic or systemic group therapy. Primary outcome was Global Severity Index (GSI) of SCL-90-R. Secondary outcomes included symptoms of PTSD and depression and psycho-social functioning. Results: Treatment was completed by 81% of participants; 64% completed the 1-year follow-up and 60% completed the 5-year follow-up. Completion rates did not differ between treatments. Significant reduction in symptoms measured on GSI and improvement of psychosocial functioning was found for both interventions at all measurement points after treatment (ES range = 0.68-1.19). However, different trajectories were observed: while outcome at end of treatment was significantly better in the systemic group, no differences in gains were observed at the 1- and 5-year follow-ups when controlling for baseline differences. Conclusions: The findings add to the evidence base for psychodynamic and systemic group therapy, but the result also underscores the importance of taking post-treatment trajectories into account in evidence-based research, in the continued efforts to improve treatment for this population.
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Affiliation(s)
- Henriette K Elkjær
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark.,Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Denmark
| | - Marianne Lau
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Denmark
| | - Erik L Mortensen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark.,Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark
| | - Ellids Kristensen
- Department of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.,Department of Sexological Research, Psychiatric Centre Copenhagen, Copenhagen, Denmark
| | - Stig Poulsen
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
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Fenger M, Lindschou J, Gluud C, Winkel P, Jørgensen L, Dybkjaer JH, Lau M. Internet-based therapy with FearFighter for anxiety disorders: a randomised clinical trial. Nord J Psychiatry 2020; 74:518-524. [PMID: 32401099 DOI: 10.1080/08039488.2020.1755363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Background: Internet-based cognitive behavioural self-help psychotherapy (ICBT) can be an important alternative or supplement to ordinary face-to-face therapy.Aim: To assess effectiveness of ICBT for adults with an anxiety disorder.Methods: Sixty-four participants were randomised to 9 weeks with the FearFighter ICBT program (n = 32) or no intervention (n = 32). Outcomes included complete remission, severity of symptoms and occurrence of adverse events.Results: No difference (p = 1.00) in remission between groups following 10 weeks of intervention nor at 37 weeks follow-up was found. There was significant reduction in the severity of symptoms (p < 0.05) at end of intervention of ICBT compared to the control group, while the reduction in symptoms at 37 weeks follow-up was equal for the two groups. Two participants in the ICBT group and none in the control group reported adverse events.Conclusion: We found no difference in remission, but a reduction of symptoms in the ICBT group compared with the control group at end of intervention. At six months follow-up the two groups showed the same level in the reduction of symptoms. Trial registration: Clinicaltrials.gov: NCT02499055. Registered 01 July 2015.
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Affiliation(s)
- Morten Fenger
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Gentofte, Denmark
| | - Jane Lindschou
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Christian Gluud
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Per Winkel
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Lise Jørgensen
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Gentofte, Denmark
| | | | - Marianne Lau
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Gentofte, Denmark
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Kirkwood J, Dummer R, Hauschild A, Santinami M, Atkinson V, Sileni VC, Larkin J, Nyakas M, Haydon A, Dutriaux C, Schachter J, Robert C, Mortier L, Banerjee H, Haas T, Tan M, Lau M, Schadendorf D, Long G, Mandala' M. 1100P Restricted mean survival time (RMST) and cure-rate modeling in estimating survival benefit with adjuvant dabrafenib (D) plus trametinib (T) treatment in melanoma. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Lau M. PS-7-4 Combined Labioplasty and Colpoperineoplasty (Surgical “Vaginal Rejuvenation”) Using Only Local Anesthesia. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Lau M, Pease L. PS-2-9 The SPLC Model in Studying Treatments for Female Sexual Interest/Arousal Disorders. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lugg-Widger F, Robling M, Lau M, Paranjothy S, Pell J, Sanders J, White J, Cannings-John R. Evaluation of the effectiveness of the Family Nurse Partnership home visiting programme in first time young mothers in Scotland: a protocol for a natural experiment. Int J Popul Data Sci 2020; 5:1154. [PMID: 32935057 PMCID: PMC7473263 DOI: 10.23889/ijpds.v5i1.1154] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction Individual, social and economic circumstances faced by young mothers (19 years or under) can challenge a successful start in life for their children. Intervening early might enhance life chances for both mother and child. The Family Nurse Partnership (FNP) is an intensive nurse-led home visiting programme developed in the US which aims to improve prenatal health behaviours, birth outcomes, child development and health outcomes, and maternal life course. Establishing evidence of effectiveness beyond the original US setting is important to understand where further adaptation is required within a country specific context. Objective This study will form one strand of the Scottish Government’s plan to evaluate the effectiveness of FNP as compared to usual care for mothers and their children in Scotland and will focus only on outcomes that can be identified using routine administrative data systems. Methods This study is a natural experiment with a case-cohort design using linked anonymised routine health, educational and social care data. Cases will be women enrolled as FNP Clients in ten NHS Health Boards in Scotland and Controls will be women who met FNP eligibility criteria but were pregnant at a time when the programme was not recruiting. Outcomes are mapped to the Scottish FNP logic model. All comparative analyses will be pre-specified, conducted on an intention to treat basis and will use multilevel regression models to compare outcomes between groups. Discussion The study protocol is based upon the specification of FNP commissioned by the Scottish Government. This study design is novel for the evaluation of the FNP/NFP programmes which are primarily evaluated with an RCT. Outcomes included within the study have been selected on the basis that they are outcomes FNP aims to influence and where there is routine data available to assess the outcome
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Affiliation(s)
- F Lugg-Widger
- Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS
| | - M Robling
- Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS.,Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), Cardiff University, Cardiff, CF10 3BD
| | - M Lau
- Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS
| | - S Paranjothy
- Division of Population Medicine, Cardiff University, Cardiff, CF14 4YS
| | - J Pell
- Institute for Health and Wellbeing, University of Glasgow, Glasgow, G12 8RZ
| | - J Sanders
- School of Healthcare Sciences, Cardiff University, Cardiff, CF14 4XN
| | - J White
- Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS.,Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), Cardiff University, Cardiff, CF10 3BD
| | - R Cannings-John
- Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS
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Tachibana F, Lau M. A CASE OF NON-IMMUNOLOGIC ANAPHYLAXIS TO N-ACETYLCYSTEINE IN A PATIENT WHO OVERDOSED ON ACETAMINOPHEN. Ann Allergy Asthma Immunol 2018. [DOI: 10.1016/j.anai.2018.09.264] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Nielsen SKK, Hageman I, Petersen A, Daniel SIF, Lau M, Winding C, Wolitzky-Taylor KB, Steele H, Vangkilde S. Do emotion regulation, attentional control, and attachment style predict response to cognitive behavioral therapy for anxiety disorders? – an investigation in clinical settings. Psychother Res 2018; 29:999-1009. [DOI: 10.1080/10503307.2018.1425933] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
| | - Ida Hageman
- Copenhagen University Hospital, Copenhagen, Denmark
| | - Anders Petersen
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | | | - Marianne Lau
- Mental Health Services, Capital Region of Denmark, Copenhagen, Denmark
| | - Clas Winding
- Mental Health Services, Capital Region of Denmark, Copenhagen, Denmark
| | - Kate B Wolitzky-Taylor
- Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California-Los Angeles, Los Angeles, CA, USA
| | - Howard Steele
- Psychology Department, New School of Social Research, New York, NY, USA
| | - Signe Vangkilde
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
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Abstract
Language is a powerful tool and essential for human communication. Despite this criticality, linguistic terms often produce different percepts across differing individuals. Such variations can, and do lead to miscommunication and confusion. To assess the qualitative degree of such ambiguity, we look to quantify how different probability terms were characterized based upon an individual’s personality and culture. Thus, we evaluated the probability ratings of 35 participants in the United States and 50 participant in Germany on sixty-four terms such as “always,” “certain,” “unusual” etc. Participants rated the likelihood of these descriptions on a 0-100 scale. Additionally, participants were asked to rate the strength of statements that included terms such as “safety,” “guarantee,” “health” etc. Results indicated that there is a wide range of these probability ratings between participants. Additionally, cultural differences were found: German participants score higher on low-probability ratings, whereas Americans score higher on high-probability ratings. The implications of these findings for communications between individuals and between humans and machines are discussed.
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Affiliation(s)
| | | | - M. Lau
- University of Central Florida
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Davidsen AH, Hoyt WT, Poulsen S, Waaddegaard M, Lau M. Eating disorder severity and functional impairment: moderating effects of illness duration in a clinical sample. Eat Weight Disord 2017; 22:499-507. [PMID: 27659175 DOI: 10.1007/s40519-016-0319-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Accepted: 09/07/2016] [Indexed: 12/24/2022] Open
Abstract
PURPOSE The aim was to examine duration of illness and body mass index as possible moderators of the relationship between eating disorder severity and functional impairment, as well as psychological distress as a possible mediator of this relationship. METHODS The study included 159 patients diagnosed with bulimia nervosa, binge eating disorder or eating disorder not otherwise specified. Regression analysis was applied to assess the effect of the hypothesized moderators and mediators. Eating disorder severity was measured with the Eating Disorder Examination Questionnaire, functional impairment was measured with the Sheehan Disability Scale, and psychological distress was measured with the Symptom Check List-90-R. Duration of illness and body mass index were assessed clinically. RESULTS Duration of illness significantly moderated the relationship between eating disorder severity and functional impairment; the relationship was strongest for patients with a shorter duration of illness. Psychological distress partly mediated the relationship between eating disorder severity and functional impairment. Duration of illness significantly moderated the relationship between psychological distress and functional impairment; the strongest relationship was seen for patients with a shorter duration of illness. Body mass index was not a significant moderator of the relationship between ED severity and functional impairment. CONCLUSIONS Overall, this study established a link between ED severity, psychological distress and functional impairment indicating that both eating disorder severity and psychological distress are more strongly related to impaired role functioning for patients with more recent onset of an eating disorder. More research in the complex relationship between ED severity and functional impairment is needed.
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Affiliation(s)
- Annika Helgadóttir Davidsen
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820, Gentofte, Denmark.
- Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353, Copenhagen K., Denmark.
| | - William T Hoyt
- Department of Counseling Psychology, School of Education, UW-Madison, Madison, USA
| | - Stig Poulsen
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Mette Waaddegaard
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820, Gentofte, Denmark
| | - Marianne Lau
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820, Gentofte, Denmark
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Lum T, Wong G, Tang J, Lau M, Kwok D. FRAILTY IN A COMMUNITY-DWELLING COHORT OF OLDER ADULTS AND THEIR PREFERENCE FOR AGEING-IN-PLACE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- T. Lum
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - G. Wong
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
- Department of Social Work and Social Administration, Pokfulam, Hong Kong
| | - J. Tang
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - M. Lau
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - D. Kwok
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
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Lou V, Lum T, Wong G, Luo H, Lau M, Chi I, Chen E. REDUCING DEPRESSIVE SYMPTOMS IN A LONG-TERM CARE FACILITY: APPLYING THE MDS ASSESSMENT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- V. Lou
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong,
- Department of Social Work & Social Adninistration, The University of Hong Kong, Hong Kong, Hong Kong,
| | - T. Lum
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong,
- Department of Social Work & Social Adninistration, The University of Hong Kong, Hong Kong, Hong Kong,
| | - G. Wong
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong,
- Department of Social Work & Social Adninistration, The University of Hong Kong, Hong Kong, Hong Kong,
| | - H. Luo
- Tsing Hua University, Beijing, China,
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong,
| | - M. Lau
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong,
| | - I. Chi
- University of Southern California, Los Angeles, California
| | - E. Chen
- Department of Social Work & Social Adninistration, The University of Hong Kong, Hong Kong, Hong Kong,
- Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong,
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Tang J, Choy J, Wong G, Lau M, Lum T. DISSECTING AN AGING-IN-PLACE SCHEME: ACTIVITIES CONTRIBUTING TO POSITIVE OUTCOMES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J. Tang
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - J. Choy
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - G. Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - M. Lau
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
| | - T. Lum
- Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam, Hong Kong,
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
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Lau M, Anemüller W, Tröger B, Fischer J, Busche A. Kongenitale ichthyosiforme Erythrodermie. Monatsschr Kinderheilkd 2017. [DOI: 10.1007/s00112-016-0140-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Davidsen AH, Poulsen S, Lindschou J, Winkel P, Tróndarson MF, Waaddegaard M, Lau M. Feedback in group psychotherapy for eating disorders: A randomized clinical trial. J Consult Clin Psychol 2017; 85:484-494. [PMID: 28333513 DOI: 10.1037/ccp0000173] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To investigate the effect of client feedback in group psychotherapy on attendance and treatment outcome for patients with eating disorders. METHOD We conducted a randomized clinical trial with central randomization stratified for diagnosis and treatment type according to a computer-generated allocation sequence concealed to the investigators. One-hundred and 59 adult participants, diagnosed with bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified according to DSM-IV, were included. Eighty participants were allocated to the experimental group, and 79 participants to the control group. Both groups received 20-25 weekly group psychotherapy sessions. In the experimental group, participants gave and received feedback about therapy progress and alliance, measured before and after each session using the Outcome Rating Scale and the Group Session Rating Scale. The primary outcome was rate of attendance to treatment sessions; the secondary outcome was severity of eating disorder symptoms measured with the Eating Disorder Examination interview. Exploratory outcomes were psychological distress measured with the Symptom Checklist-90-R and the Outcome Rating Scale, social functioning measured with the Sheehan Disability Scale, and episodes of self-harm and suicide measured with a modified version of the Self-Harm Inventory. RESULTS Feedback compared with control did not affect the rate of attendance (0.59 vs. 0.58; p = .96), the severity of symptoms (2.03 vs. 2.02; p = .46), or any of the exploratory outcomes (p values from 0.06 to 0.67). CONCLUSIONS Feedback neither increased attendance nor improved outcomes for outpatients in group psychotherapy for eating disorders. The results are discussed from different perspectives. (PsycINFO Database Record
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Affiliation(s)
| | - Stig Poulsen
- Department of Psychology, University of Copenhagen
| | - Jane Lindschou
- Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Copenhagen University Hospital
| | - Per Winkel
- Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Copenhagen University Hospital
| | | | - Mette Waaddegaard
- Mental Health Services, Stolpegaard Psychotherapy Centre, Capital Region of Denmark
| | - Marianne Lau
- Mental Health Services, Stolpegaard Psychotherapy Centre, Capital Region of Denmark
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Gaget V, Keulen A, Lau M, Monis P, Brookes J. DNA
extraction from benthic Cyanobacteria: comparative assessment and optimization. J Appl Microbiol 2016; 122:294-304. [DOI: 10.1111/jam.13332] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Revised: 10/16/2016] [Accepted: 10/20/2016] [Indexed: 11/30/2022]
Affiliation(s)
- V. Gaget
- Ecology and Environmental Sciences School of Biological Sciences University of Adelaide Adelaide SA Australia
| | - A. Keulen
- Ecology and Environmental Sciences School of Biological Sciences University of Adelaide Adelaide SA Australia
| | - M. Lau
- Australian Water Quality Centre South Australia Water Corporation Adelaide SA Australia
| | - P. Monis
- Ecology and Environmental Sciences School of Biological Sciences University of Adelaide Adelaide SA Australia
- Australian Water Quality Centre South Australia Water Corporation Adelaide SA Australia
| | - J.D. Brookes
- Ecology and Environmental Sciences School of Biological Sciences University of Adelaide Adelaide SA Australia
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Fenger M, Lindschou J, Gluud C, Winkel P, Jørgensen L, Kruse-Blinkenberg S, Lau M. Internet-based self-help therapy with FearFighter™ versus no intervention for anxiety disorders in adults: study protocol for a randomised controlled trial. Trials 2016; 17:525. [PMID: 27793181 PMCID: PMC5084324 DOI: 10.1186/s13063-016-1619-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Accepted: 09/24/2016] [Indexed: 11/15/2022] Open
Abstract
Background Internet-based self-help psychotherapy (IBT) could be an important alternative or supplement to ordinary face-to-face therapy. The findings of randomised controlled trials indicate that the effects of various IBT programmes for anxiety disorders seem better than no intervention and in some instances are equivalent to usual therapy. In Denmark, IBT is part of future treatment plans in mental health care services, but the verification level of the current clinical scientific knowledge is insufficient. The objective of this trial is feasibility assessment of benefits and harms of the Internet-based cognitive behavioural therapy (ICBT) programme FearFighter™ versus no intervention for anxiety disorders in adults. Methods and design We will conduct an investigator-initiated, feasibility randomised controlled trial. Sixty-four participants are expected to be recruited via an advertisement posted on the homepage of the Student Counselling Service in Denmark. The inclusion criterion for participation in the trial will be the presence of anxiety disorder as assessed with the Mini International Neuropsychiatric Interview. The exclusion criteria will be suicidal risk, an ongoing episode of bipolar disorder or psychosis, concurrent psychological treatment for the anxiety disorder, considered unable to attend the intervention as planned (due to vacation, work/study placement, sickness, or similar occurrences), or lack of informed consent. The intervention group will be offered nine sessions with the ICBT programme FearFighter™ and a weekly telephone contact to support compliance. The control group will receive no intervention. We define the feasibility outcomes as follows: the fraction of randomised participants out of the eligible people (the lower 95 % confidence interval (CI) ≥ 50 %); and the fraction of compliant participants (those receiving at least six out of nine sessions) in the intervention group (the lower 95 % CI ≥ 60 %). The exploratory clinical outcomes are the number of participants no longer meeting the diagnostic criteria for an anxiety disorder at the end of the trial and level of distress (Beck Anxiety Inventory, Symptom Checklist-90-R, WHO Well-Being Index, Sheehan Disability Scale); the number of severe adverse events; and the occurrence of any psychological treatment outside the trial. To prevent bias in design, and in the gathering and analysis of data throughout the trial, we will follow the SPIRIT 2013 statement which defines standard protocol items for clinical trials. Discussion Based on our findings, we will discuss the feasibility of a future randomised controlled trial examining the benefits and harms of FearFighter™ versus no intervention for anxiety disorders in adults. Trial registration ClinicalTrials.gov Identifier: NCT02499055, registered on 1 July 2015.
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Affiliation(s)
- Morten Fenger
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820, Gentofte, Denmark.
| | - Jane Lindschou
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, 2100, Copenhagen, Denmark
| | - Christian Gluud
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, 2100, Copenhagen, Denmark
| | - Per Winkel
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, 2100, Copenhagen, Denmark
| | - Lise Jørgensen
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820, Gentofte, Denmark
| | | | - Marianne Lau
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Stolpegaardsvej 20, 2820, Gentofte, Denmark
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Parissis H, Graham V, Lampridis S, Lau M, Hooks G, Mhandu PC. IABP: history-evolution-pathophysiology-indications: what we need to know. J Cardiothorac Surg 2016; 11:122. [PMID: 27487772 PMCID: PMC4972967 DOI: 10.1186/s13019-016-0513-0] [Citation(s) in RCA: 91] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Accepted: 07/27/2016] [Indexed: 11/18/2022] Open
Abstract
Treatment with the intraaortic balloon pump (IABP) is the most common form of mechanical support for the failing heart. Augmentation of diastolic pressure during balloon inflation contributes to the coronary circulation and the presystolic deflation of the balloon reduces the resistance to systolic output. Consequently, the myocardial work is reduced. The overall effect of the IABP therapy is an increase in the myocardial oxygen supply/demand ratio and thus in endocardial viability. This is an overall synopsis of what we need to know regarding IABP. Furthermore, this review article attempts to systematically delineate the pathophysiology linked with the hemodynamic consequences of IABP therapy. The authors also look at the future of the use of the balloon pump and conclude that the positive multi-systemic hemodynamic regulation during IABP treatment should further justify its use.
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Affiliation(s)
- H Parissis
- Cardiothoracics Department, Royal Victoria Hospital, Belfast, Northern Ireland
| | - V Graham
- Cardiothoracics Department, Royal Victoria Hospital, Belfast, Northern Ireland.
| | - S Lampridis
- Cardiothoracics Department, Royal Victoria Hospital, Belfast, Northern Ireland
| | - M Lau
- Cardiothoracics Department, Royal Victoria Hospital, Belfast, Northern Ireland
| | - G Hooks
- Cardiothoracics Department, Royal Victoria Hospital, Belfast, Northern Ireland
| | - P C Mhandu
- Cardiothoracics Department, Royal Victoria Hospital, Belfast, Northern Ireland
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Parry M, Cannistraci A, Ramani V, Lau M, Shanks J, Nonaka D, Clarke N, Dhomen N, Baena E, Marais R. Genomic analysis of multi-site fresh prostate samples. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61043-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Cannistraci A, Parry M, Smith M, Ramani V, Lau M, Shanks J, Daisuke N, Clarke N, Dhomen N, Baena E, Marais R. Prostate cancer: A personalised approach through the development of patient-derived xenografts. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61655-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Zia A, Lau M, Journeycake J, Sarode R, Marshall J, De Simone N, Wilson E, Winborn A, Kouides P. Developing a multidisciplinary Young Women's Blood Disorders Program: a single-centre approach with guidance for other centres. Haemophilia 2016; 22:199-207. [DOI: 10.1111/hae.12836] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2015] [Indexed: 11/29/2022]
Affiliation(s)
- A. Zia
- Department of Pediatrics; The University of Texas Southwestern Medical Center; Dallas TX USA
- Division of Hematology/Oncology; The University of Texas Southwestern Medical Center; Dallas TX USA
- Children's Medical Center; Dallas TX USA
| | - M. Lau
- Department of Pediatrics; The University of Texas Southwestern Medical Center; Dallas TX USA
- Children's Medical Center; Dallas TX USA
| | - J. Journeycake
- Department of Pediatrics; The University of Texas Southwestern Medical Center; Dallas TX USA
- Division of Hematology/Oncology; The University of Texas Southwestern Medical Center; Dallas TX USA
- Children's Medical Center; Dallas TX USA
| | - R. Sarode
- Department of Pathology; The University of Texas Southwestern Medical Center; Dallas TX USA
| | | | - N. De Simone
- Department of Pathology; The University of Texas Southwestern Medical Center; Dallas TX USA
| | - E. Wilson
- Department of Obstetrics and Gynecology; The University of Texas Southwestern Medical Center; Dallas TX USA
| | - A. Winborn
- Children's Medical Center; Dallas TX USA
| | - P. Kouides
- Mary M. Gooley Hemophilia Center; University of Rochester School of Medicine; Rochester NY USA
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Penny HA, Kurien M, Wong E, Ahmed R, Ejenavi E, Lau M, Romaya C, Gohar F, Dear KL, Kapur K, Hoeroldt B, Lobo AJ, Sanders DS. Changing trends in the UK management of upper GI bleeding: is there evidence of reduced UK training experience? Frontline Gastroenterol 2016; 7:67-72. [PMID: 28839837 PMCID: PMC5369461 DOI: 10.1136/flgastro-2014-100537] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Revised: 01/11/2015] [Accepted: 01/12/2015] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE The aim of this study was to evaluate UK trainee experience in endoscopy for acute upper gastrointestinal bleeding (AUGIB). METHODS Data was prospectively collected from all patients presenting to South Yorkshire Hospitals with AUGIB from September 2011 to December 2011 and compared with data from 1996. Concurrently, all gastroenterology trainees registered with the British Society of Gastroenterology were invited to respond to a web-based questionnaire regarding their experience in AUGIB management. RESULTS 77% (589/766) of the patient cohort underwent endoscopy for AUGIB; 15% (90/589) were performed by trainees. 7.2% (9/125) of the out of hours endoscopy case load was performed by trainees; all were low-risk or medium-risk cases (pre-endoscopy Rockall score ≤4). During the study period, dual therapy was delivered by a trainee on only four occasions. Comparison with the 1996 cohort demonstrated a marked reduction in the number of trainee performed endoscopies (76% vs 15%; p<0.001). Questionnaires were returned by 51% (245/478) of British Society of Gastroenterology trainees. 81% (198/245) thought that <10% of the gastroscopies they had performed involved therapeutic intervention. 23% (57/245) felt they would not be competent in AUGIB endoscopy by completion of specialty training. CONCLUSIONS This study demonstrates the decline over time in trainee experience in AUGIB endoscopy. It also highlights a lack of trainee exposure to more challenging cases, out of hours endoscopy and therapeutic procedures. Furthermore, trainees are concerned that a level of competency may not be attained during specialty training. We advocate reviewing UK endoscopic training provision for AUGIB to ensure that experienced endoscopists are produced to meet future service needs.
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Affiliation(s)
- H A Penny
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - M Kurien
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - E Wong
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - R Ahmed
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - E Ejenavi
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - M Lau
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - C Romaya
- British Society of Gastroenterology, London, UK
| | - F Gohar
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - K L Dear
- Department of Gastroenterology, Chesterfield Hospital, Chesterfield, UK
| | - K Kapur
- Department of Gastroenterology, Barnsley Hospital, Barnsley, UK
| | - B Hoeroldt
- Department of Gastroenterology, Rotherham Hospital, Rotherham, UK
| | - A J Lobo
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
| | - D S Sanders
- Academic Unit of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK
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Lim WY, Care R, Lau M, Chiruka S, Dawes PJD. Sinonasal Lymphoma Presenting as a Probable Sanctuary Site for Relapsed B Acute Lymphoblastic Leukaemia: A Case Report and Review of the Literature. Case Rep Hematol 2015; 2015:697957. [PMID: 26697242 PMCID: PMC4677179 DOI: 10.1155/2015/697957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 11/12/2015] [Accepted: 11/16/2015] [Indexed: 12/02/2022] Open
Abstract
Sinonasal lymphoma is a non-Hodgkin lymphoma (NHL) representing 1.5% of all lymphomas. It presents as an unremitting ulceration with progressive destruction of midline sinonasal and surrounding structures. Poor prognosis warrants early treatment although diagnosis is challenging and frequently delayed. It is usually primary in origin and to our knowledge the sinonasal region has never been reported as a sanctuary site in leukaemia/lymphoma relapse. We present a unique case of B-cell ALL (acute lymphoblastic leukaemia) with late relapse to the nasal septum as a sinonasal lymphoblastic lymphoma and with genetic support for this as a sanctuary site.
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Affiliation(s)
- W. Y. Lim
- Dunedin School of Medicine, University of Otago, Dunedin, New Zealand
| | - R. Care
- Department of ORL-HNS, Dunedin Hospital, Dunedin, New Zealand
| | - M. Lau
- Southern Community Laboratories, Dunedin, New Zealand
| | - S. Chiruka
- Department of Haematology, Dunedin Hospital, Dunedin, New Zealand
| | - P. J. D. Dawes
- Department of ORL-HNS, Dunedin Hospital, Dunedin, New Zealand
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Lau M, Platzer K, Tüshaus L, Kohl M, Stichtenoth G. Verzögerte Diagnose eines akuten Abdomens. Monatsschr Kinderheilkd 2015. [DOI: 10.1007/s00112-015-3427-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Shahgaldi K, Hegner T, Da Silva C, Fukuyama A, Takeuchi M, Uema A, Kado Y, Nagata Y, Hayashi A, Otani K, Fukuda S, Yoshitani H, Otsuji Y, Morhy S, Lianza A, Afonso T, Oliveira W, Tavares G, Rodrigues A, Vieira M, Warth A, Deutsch A, Fischer C, Tezynska-Oniszk I, Turska-Kmiec A, Kawalec W, Dangel J, Maruszewski B, Bokiniec R, Burczynski P, Borszewska-Kornacka K, Ziolkowska L, Zuk M, Troshina A, Dzhalilova D, Poteshkina N, Hamitov F, Warita S, Kawasaki M, Tanaka R, Yagasaki H, Minatoguchi S, Wanatabe T, Ono K, Noda T, Wanatabe S, Minatoguchi S, Angelis A, Ageli K, Vlachopoulos C, Felekos I, Ioakimidis N, Aznaouridis K, Vaina S, Abdelrasoul M, Tsiamis E, Stefanadis C, Cameli M, Sparla S, D'ascenzi F, Fineschi M, Favilli R, Pierli C, Henein M, Mondillo S, Lindqvist P, Tossavainen E, Gonzalez M, Soderberg S, Henein M, Holmgren A, Strachinaru M, Catez E, Jousten I, Pavel O, Janssen C, Morissens M, Chatzistamatiou E, Moustakas G, Memo G, Konstantinidis D, Mpampatzeva Vagena I, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Tsai WC, Sun YT, Lee WH, Yang LT, Liu YW, Lee CH, Li WT, Mizariene V, Bieseviciene M, Karaliute R, Verseckaite R, Vaskelyte J, Lesauskaite V, Chatzistamatiou E, Mpampatseva Vagena I, Manakos K, Moustakas G, Konstantinidis D, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Hristova K, Cornelissen G, Singh R, Shiue I, Coisne D, Madjalian AM, Tchepkou C, Raud Raynier P, Degand B, Christiaens L, Baldenhofer G, Spethmann S, Dreger H, Sanad W, Baumann G, Stangl K, Stangl V, Knebel F, Azzaz S, Kacem S, Ouali S, Risos L, Dedobbeleer C, Unger P, Sinem Cakal S, Elif Eroglu E, Baydar O, Beytullah Cakal B, Mehmet Vefik Yazicioglu M, Mustafa Bulut M, Cihan Dundar C, Kursat Tigen K, Birol Ozkan B, Ali Metin Esen A, Tournoux F, Chequer R, Sroussi M, Hyafil F, Rouzet F, Leguludec D, Baum P, Stoebe S, Pfeiffer D, Hagendorff A, Fang F, Lau M, Zhang Q, Luo X, Wang X, Chen L, Yu C, Zaborska B, Smarz K, Makowska E, Kulakowski P, Budaj A, Bengrid TM, Zhao Y, Henein MY, Caminiti G, D'antoni V, Cardaci V, Conti V, Volterrani M, Warita S, Kawasaki M, Yagasaki H, Minatoguchi S, Nagaya M, Ono K, Noda T, Watanabe S, Houle H, Minatoguchi S, Gillebert TC, Chirinos JA, Claessens TC, Raja MW, De Buyzere ML, Segers P, Rietzschel ER, Kim K, Cha J, Chung H, Kim J, Yoon Y, Lee B, Hong B, Rim S, Kwon H, Choi E, Pyankov V, Aljaroudi W, Matta S, Al-Shaar L, Habib R, Gharzuddin W, Arnaout S, Skouri H, Jaber W, Abchee A, Bouzas Mosquera A, Peteiro J, Broullon F, Constanso Conde I, Bescos Galego H, Martinez Ruiz D, Yanez Wonenburger J, Vazquez Rodriguez J, Alvarez Garcia N, Castro Beiras A, Gunyeli E, Oliveira Da Silva C, Shahgaldi K, Manouras A, Winter R, Meimoun P, Abouth S, Martis S, Boulanger J, Elmkies F, Zemir H, Detienne J, Luycx-Bore A, Clerc J, Rodriguez Palomares JF, Gutierrez L, Maldonado G, Garcia G, Galuppo V, Gruosso D, Teixido G, Gonzalez Alujas M, Evangelista A, Garcia Dorado D, Rechcinski T, Wierzbowska-Drabik K, Wejner-Mik P, Szymanska B, Jerczynska H, Lipiec P, Kasprzak J, El-Touny K, El-Fawal S, Loutfi M, El-Sharkawy E, Ashour S, Boniotti C, Carminati M, Fusini L, Andreini D, Pontone G, Pepi M, Caiani E, Oryshchyn N, Kramer B, Hermann S, Liu D, Hu K, Ertl G, Weidemann F, Ancona F, Miyazaki S, Slavich M, Figini F, Latib A, Chieffo A, Montorfano M, Alfieri O, Colombo A, Agricola E, Nogueira M, Branco L, Rosa S, Portugal G, Galrinho A, Abreu J, Cacela D, Patricio L, Fragata J, Cruz Ferreira R, Igual Munoz B, Erdociain Perales M, Maceira Gonzalez A, Estornell Erill Jordi J, Donate Bertolin L, Vazquez Sanchez Alejandro A, Miro Palau Vicente V, Cervera Zamora A, Piquer Gil M, Montero Argudo A, Girgis HYA, Illatopa V, Cordova F, Espinoza D, Ortega J, Khan U, Islam A, Majumder A, Girgis HYA, Bayat F, Naghshbandi E, Naghshbandi E, Samiei N, Samiei N, Malev E, Omelchenko M, Vasina L, Zemtsovsky E, Piatkowski R, Kochanowski J, Budnik M, Scislo P, Opolski G, Kochanowski J, Piatkowski R, Scislo P, Budnik M, Marchel M, Opolski G, Abid L, Ben Kahla S, Abid D, Charfeddine S, Maaloul I, Ben Jmaa M, Kammoun S, Hashimoto G, Suzuki M, Yoshikawa H, Otsuka T, Isekame Y, Yamashita H, Kawase I, Ozaki S, Nakamura M, Sugi K, Benvenuto E, Leggio S, Buccheri S, Bonura S, Deste W, Tamburino C, Monte IP, Gripari P, Fusini L, Muratori M, Tamborini G, Ghulam Ali S, Bottari V, Cefalu' C, Bartorelli A, Agrifoglio M, Pepi M, Zambon E, Iorio A, Di Nora C, Abate E, Lo Giudice F, Di Lenarda A, Agostoni P, Sinagra G, Timoteo AT, Galrinho A, Moura Branco L, Rio P, Aguiar Rosa S, Oliveira M, Silva Cunha P, Leal A, Cruz Ferreira R, Zemanek D, Tomasov P, Belehrad M, Kostalova J, Kara T, Veselka J, Hassanein M, El Tahan S, El Sharkawy E, Shehata H, Yoon Y, Choi H, Seo H, Lee S, Kim H, Youn T, Kim Y, Sohn D, Choi G, Mielczarek M, Huttin O, Voilliot D, Sellal J, Manenti V, Carillo S, Olivier A, Venner C, Juilliere Y, Selton-Suty C, Butz T, Faber L, Brand M, Piper C, Wiemer M, Noelke J, Sasko B, Langer C, Horstkotte D, Trappe H, Maysou L, Tessonnier L, Jacquier A, Serratrice J, Copel C, Stoppa A, Seguier J, Saby L, Verschueren A, Habib G, Petroni R, Bencivenga S, Di Mauro M, Acitelli A, Cicconetti M, Romano S, Petroni A, Penco M, Maceira Gonzalez AM, Cosin-Sales J, Igual B, Sancho-Tello R, Ruvira J, Mayans J, Choi J, Kim S, Almeida A, Azevedo O, Amado J, Picarra B, Lima R, Cruz I, Pereira V, Marques N, Chatzistamatiou E, Konstantinidis D, Manakos K, Mpampatseva Vagena I, Moustakas G, Memo G, Mitsakis O, Kasakogias A, Syros P, Kallikazaros I, Cho E, Kim J, Hwang B, Kim D, Jang S, Jeon H, Cho J, Chatzistamatiou E, Konstantinidis D, Memo G, Mpapatzeva Vagena I, Moustakas G, Manakos K, Traxanas K, Vergi N, Feretou A, Kallikazaros I, Jedrzejewska I, Konopka M, Krol W, Swiatowiec A, Dluzniewski M, Braksator W, Sefri Noventi S, Sugiri S, Uddin I, Herminingsih S, Arif Nugroho M, Boedijitno S, Caro Codon J, Blazquez Bermejo Z, Valbuena Lopez SC, Lopez Fernandez T, Rodriguez Fraga O, Torrente Regidor M, Pena Conde L, Moreno Yanguela M, Buno Soto A, Lopez-Sendon JL, Stevanovic A, Dekleva M, Kim M, Kim S, Kim Y, Shim J, Park S, Park S, Kim Y, Shim W, Kozakova M, Muscelli E, Morizzo C, Casolaro A, Paterni M, Palombo C, Bayat F, Nazmdeh M, Naghshbandi E, Nateghi S, Tomaszewski A, Kutarski A, Brzozowski W, Tomaszewski M, Nakano E, Harada T, Takagi Y, Yamada M, Takano M, Furukawa T, Akashi Y, Lindqvist G, Henein M, Backman C, Gustafsson S, Morner S, Marinov R, Hristova K, Geirgiev S, Pechilkov D, Kaneva A, Katova T, Pilosoff V, Pena Pena M, Mesa Rubio D, Ruiz Ortin M, Delgado Ortega M, Romo Penas E, Pardo Gonzalez L, Rodriguez Diego S, Hidalgo Lesmes F, Pan Alvarez-Ossorio M, Suarez De Lezo Cruz-Conde J, Gospodinova M, Sarafov S, Guergelcheva V, Vladimirova L, Tournev I, Denchev S, Mozenska O, Segiet A, Rabczenko D, Kosior D, Gao S, Eliasson M, Polte C, Lagerstrand K, Bech-Hanssen O, Morosin M, Piazza R, Leonelli V, Leiballi E, Pecoraro R, Cinello M, Dell' Angela L, Cassin M, Sinagra G, Nicolosi G, Savu O, Carstea N, Stoica E, Macarie C, Moldovan H, Iliescu V, Chioncel O, Moral S, Gruosso D, Galuppo V, Teixido G, Rodriguez-Palomares J, Gutierrez L, Evangelista A, Jansen Klomp WW, Peelen L, Spanjersberg A, Brandon Bravo Bruinsma G, Van 'T Hof A, Laveau F, Hammoudi N, Helft G, Barthelemy O, Michel P, Petroni T, Djebbar M, Boubrit L, Le Feuvre C, Isnard R, Bandera F, Generati G, Pellegrino M, Alfonzetti E, Labate V, Villani S, Gaeta M, Guazzi M, Gabriels C, Lancellotti P, Van De Bruaene A, Voilliot D, De Meester P, Buys R, Delcroix M, Budts W, Cruz I, Stuart B, Caldeira D, Morgado G, Almeida A, Lopes L, Fazendas P, Joao I, Cotrim C, Pereira H, Weissler Snir A, Greenberg G, Shapira Y, Weisenberg D, Monakier D, Nevzorov R, Sagie A, Vaturi M, Bando M, Yamada H, Saijo Y, Takagawa Y, Sawada N, Hotchi J, Hayashi S, Hirata Y, Nishio S, Sata M, Jackson T, Sammut E, Siarkos M, Lee L, Carr-White G, Rajani R, Kapetanakis S, Ciobotaru V, Yagasaki H, Kawasaki M, Tanaka R, Minatoguchi S, Sato N, Amano K, Warita S, Ono K, Noda T, Minatoguchi S, Breithardt OA, Razavi H, Nabutovsky Y, Ryu K, Gaspar T, Kosiuk J, John S, Prinzen F, Hindricks G, Piorkowski C, Nemchyna O, Tovstukha V, Chikovani A, Golikova I, Lutai M, Nemes A, Kalapos A, Domsik P, Lengyel C, Orosz A, Forster T, Nordenfur T, Babic A, Giesecke A, Bulatovic I, Ripsweden J, Samset E, Winter R, Larsson M, Blazquez Bermejo Z, Lopez Fernandez T, Caro Codon J, Valbuena S, Caro Codon J, Mori Junco R, Moreno Yanguela M, Lopez-Sendon J, Pinto-Teixeira P, Branco L, Galrinho A, Oliveira M, Cunha P, Silva T, Rio P, Feliciano J, Nogueira-Silva M, Ferreira R, Shkolnik E, Vasyuk Y, Nesvetov V, Shkolnik L, Varlan G, Bajraktari G, Ronn F, Ibrahimi P, Jashari F, Jensen S, Henein M, Kang MK, Mun HS, Choi S, Cho JR, Han S, Lee N, Cho IJ, Heo R, Chang H, Shin S, Shim C, Hong G, Chung N. Poster session 3: Thursday 4 December 2014, 14:00-18:00 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu253] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abstract
BACKGROUND Psychotherapeutic treatment for non-psychotic disorders is associated with significant reduction in patients' symptoms, and therefore it is believed that treatment improves health and decreases the need for additional healthcare. However, little is known about long-term changes in utilization of healthcare services. AIM To investigate long-term changes in utilization of public healthcare services for patients referred to psychotherapeutic treatment. METHODS A pre-post study with 761 consecutive patients and 15,220 matched individuals in a matched population reference group. Data from a comprehensive set of healthcare services were collected from central registries for 4 years prior to intake and for 4 years after completion of treatment. RESULTS Of the 761 patients, 216 did not show up for treatment and 545 completed treatment. Completer patients achieved a substantial reduction in symptoms (effect size, ES = 0.99). However, completer patients increased their use of all healthcare services by 296% (ES = 0.58) in the 4th year pre-post comparison, while the reference group increased usage by 99% (ES = 0.23). Completer patients had significantly higher increase in contacts with psychiatric hospitals (P < 0.008), contacts with primary care psychologists (P < 0.001), psychotropic medication (P < 0.001) and contacts with primary care physicians (P < 0.001) than the reference group at the 4th year pre-post comparison. CONCLUSION Over a long-term period, patients who completed psychotherapeutic treatment increased utilization of healthcare services. Studies are needed to clarify how and why psychotherapeutic treatment does not necessarily lead to a reduction in the utilization of healthcare services for the average patient and to evaluate other potential interventions for patients with mental problems and include efficiency studies in this evaluation.
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Affiliation(s)
- Morten Fenger
- Morten Fenger, Ph.D., M.S.Psych., Stolpegaard Psychotherapy Centre, Mental Health Services , Capital Region of Denmark
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Elkjaer H, Kristensen E, Mortensen EL, Poulsen S, Lau M. Analytic versus systemic group therapy for women with a history of child sexual abuse: 1-year follow-up of a randomized controlled trial. Psychol Psychother 2014; 87:191-208. [PMID: 24014477 DOI: 10.1111/papt.12011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2011] [Revised: 05/23/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVE This randomized prospective study examines durability of improvement in general symptomatology, psychosocial functioning and interpersonal problems, and compares the long-term efficacy of analytic and systemic group psychotherapy in women 1 year after completion of treatment for childhood sexual abuse. DESIGN AND METHODS Women (n = 106) randomly assigned to analytic or systemic psychotherapy completed the Symptom Checklist-90-R, Global Assessment of Functioning, Global Life Quality, Registration Chart Questionnaire, and Flashback Registration at pre-treatment, post-treatment, and at a 1-year follow-up. RESULTS Post-treatment gains were significant for both treatment modalities on all measures, but significantly larger after systemic therapy. Significant treatment response was maintained 1-year post-treatment, but different trajectories were observed: 1 year after treatment completion, improvements for analytic therapy were maintained, whereas they decreased after systemic therapy, resulting in no statistically significant difference in gains between the groups at the 1-year follow-up. Despite maintaining significant gains, more than half of the patients remained above cut-off for caseness concerning general symptomatology at post-treatment and at 1-year follow-up. CONCLUSION The findings stress the importance of long-term follow-up data in effect studies. Different trajectories were associated with the two treatments, but improvement in the two treatment groups did not differ significantly at the 1-year follow-up. Implications of the difference in trajectories for treatment planning are discussed. PRACTITIONER POINTS Both analytic and systemic group therapy proved efficient in improving general symptomatology, psychosocial functioning, and interpersonal problems in women with a history of CSA and gains were maintained at a 1-year follow-up. Despite maintaining statistically significant gains at the 1-year follow-up, 54% of the patients remained above the cut-off for caseness with respect to general symptomatology, which may indicate a need for further treatment. Different pre-post follow-up treatment trajectories were observed between the two treatment modalities. Thus, while systemic group therapy showed a significantly better outcome immediately after termination, gains in the systemic treatment group decreased during follow-up, while gains were maintained during follow-up in analytic group therapy.
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Affiliation(s)
- Henriette Elkjaer
- Stolpegaard Psychotherapy Centre, Mental Health Services, Capital Region of Denmark, Gentofte, Denmark; Department of Psychology, University of Copenhagen, Denmark
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Davidsen AH, Poulsen S, Waaddegaard M, Lindschou J, Lau M. Feedback versus no feedback in improving patient outcome in group psychotherapy for eating disorders (F-EAT): protocol for a randomized clinical trial. Trials 2014; 15:138. [PMID: 24754974 PMCID: PMC4005398 DOI: 10.1186/1745-6215-15-138] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2013] [Accepted: 04/01/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Continuous feedback on patient improvement and the therapeutic alliance may reduce the number of dropouts and increase patient outcome. There are, however, only three published randomized trials on the effect of feedback on the treatment of eating disorders, showing inconclusive results, and there are no randomized trials on the effect of feedback in group therapy. Accordingly the current randomized clinical trial, initiated in September 2012 at the outpatient clinic for eating disorders at Stolpegaard Psychotherapy Centre, aims to investigate the impact of continuous feedback on attendance and outcome in group psychotherapy. METHODS/DESIGN The hypothesis is that continuous feedback to both patient and therapist on treatment progress and alliance will increase attendance and treatment outcome. The trial is set up using a randomized design with a minimum of 128 patients allocated to either an experimental or control group at a ratio of 1:1. The experimental group will receive standard treatment (systemic and narrative group psychotherapy) with feedback intervention, whereas the control group will receive standard treatment only. The participants are diagnosed with bulimia nervosa, binge eating disorder, or an eating disorder not otherwise specified, according to the DSM-IV. In the experimental group feedback to the participants, based on the Outcome Rating Scale (ORS) and the Group Session Rating Scale (GSRS), is actively added to standard treatment. The ORS assesses areas of life functioning known to change as a result of therapeutic intervention. The GSRS assesses key dimensions of effective therapeutic relationships. In the control group, the patients fill out the Outcome Rating Scale only, and feedback is not provided.The primary outcome is the rate of attendance to treatment sessions. The secondary outcome is the severity of eating disorder symptoms. Exploratory outcomes are the level of psychological and social functioning, and suicide or self-harm. This is measured with the ORS, Symptom Check List, WHO-Five Wellbeing Index, Sheehan Disability Scale and a modified version of the Self-Harm Inventory. DISCUSSION If the results will confirm the hypothesis, this trial will support feedback as a way to improve group treatment attendance for outpatients with eating disorders. TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT01693237.
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Affiliation(s)
- Annika Helgadóttir Davidsen
- Stolpegaard Psychotherapy Centre, Stolpegaardsvej 20, Gentofte 2820, Denmark
- Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, Copenhagen K 1353, Denmark
| | - Stig Poulsen
- Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, Copenhagen K 1353, Denmark
| | - Mette Waaddegaard
- Stolpegaard Psychotherapy Centre, Stolpegaardsvej 20, Gentofte 2820, Denmark
| | - Jane Lindschou
- Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, Copenhagen, OE 2100, Denmark
| | - Marianne Lau
- Stolpegaard Psychotherapy Centre, Stolpegaardsvej 20, Gentofte 2820, Denmark
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Nyam KL, Lau M, Tan CP. Fibre from pumpkin (Cucurbita pepo L.) seeds and rinds: physico-chemical properties, antioxidant capacity and application as bakery product ingredients. Malays J Nutr 2013; 19:99-109. [PMID: 24800388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
INTRODUCTION The aims of this study were to determine the proximate composition, functional properties and antioxidant activity of pumpkin seeds and rind. Besides, the effects of dietary fibre in pumpkin seeds and rinds on bread qualities and properties were evaluated. METHODS Formulations for bread substituted with 0%, 5% and 10% pumpkin seed and rind, respectively were produced. Sensory evaluation of the prepared bread samples for such attributes as appearance, aroma, flavour, texture and overall acceptability was undertaken. The physical properties of the bread samples, including dough expansion, loaf volume, crumb colour and bread texture, were determined. Proximate analysis and determination of antioxidant activity of the bread samples were also conducted. RESULTS Crude fibre of the pumpkin seeds and pumpkin rinds was high at 31.48% and 14.83%, respectively. The total phenolic compound (TPC) and DPPH radical scavenging activity for the pumpkin rinds were 38.60 mg GAE/100 g dry weight and 69.38%, respectively, which were higher than those of pumpkin seeds. A 5% level of pumpkin rind bread gave the best overall acceptability and sensory attributes, followed by 5% pumpkin seed bread. Total dietary fibre, total phenolic compound and DPPH radical scavenging activity in breads substituted with 5% pumpkin seed and 5% pumpkin rind flour were higher than the values in control bread. CONCLUSION Pumpkin seeds and rinds can be used as dietary fibre sources in bakery.
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Sinclair E, Lau M. Establishing A Place for Advanced Practice in Palliative Radiation Therapy: Experiences of Two Urban Cancer Centres. J Med Imaging Radiat Sci 2013. [DOI: 10.1016/j.jmir.2012.12.046] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kristensen E, Lau M. 1485 – Evaluation of the effect of specialized group therapy on sexual problems in women with a history of child sexual abuse. Eur Psychiatry 2013. [DOI: 10.1016/s0924-9338(13)76510-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Fosker C, Wang L, Harris S, Lau M, Levin W, McLean M, Bezjak A, Rampersaud R, Wong R. Radiological Diagnosis of Malignant Spinal Cord Compression — A More Favorable Entity? Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Hong S, Lau M. M001 PREGNANCY DURING LONG DOWN REGULATED FRESH STIMULATION CYCLE, WITHOUT LUTEAL SUPPORT: A CASE REPORT AND REVIEW OF CURRENT LITERATURE. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61195-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Strasz N, Morozov V, Kreutzberger J, Lau M, Denner J. Immunisation with the membrane proximal external region of gp41 of HIV-1 grafted into the transmembrane envelope protein of a gammaretrovirus. Retrovirology 2012. [PMCID: PMC3441771 DOI: 10.1186/1742-4690-9-s2-p308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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