The aim of this study is to provide strong quantitative and qualitative evidence of the efficacy of the Electronic Personal Administration of Cognitive Therapy – ePACT – as a treatment of depression and anxiety in adults with chronic Spinal Cord Injury (SCI) living in the community.
Although there have been numerous trials of psychological interventions for patients with late-life depression, there continue to be major gaps in the literature. Few studies aim to treat depression in the context of ill health, despite the fact that many older adults have both depression and a chronic physical illness.
There has been a substantial increase in the use of temporary androgen suppression therapy (AST) as an adjuvant management of prostate cancer.
Most people with advanced cancer want information about their expected survival time; however, many oncologists struggle to provide this information in a way that conveys meaning without destroying hope.
Up to 70 per cent of breast cancer survivors report cognitive symptoms after chemotherapy and around 30 per cent have cognitive impairment on formal neuropsychological (NP) testing.
Cancer is 2.1 times more likely to be diagnosed in adolescents and young adults (AYAs) than during the first 15 years of life – and the incidence is growing. Cancer complicates a life stage where coping skills are in their infancy and this can seriously impact a young person’s long-term quality of life (QoL).
In 2004 there were approximately 655,000 cancer survivors in Australia who had been diagnosed with cancer during the previous 23 years. Research has shown that fear of cancer recurrence (FCR) is an almost ubiquitous experience for cancer survivors.
Adolescent and young adult (AYA) cancer services are in the early stages of development, both across Australia, and internationally.
The purpose of this project is to integrate depression management into Vision Australia services and evaluate the impact of this new model of care. The researchers anticipate that this new approach will lead to sustained improvements in clients’ quality of life.
Evidence-based recommendations report that 83 per cent of breast cancer patients should receive radiotherapy at some stage during their illness.
This study will be the first to-scale, in-depth account of gay men and prostate cancer anywhere in the world. It will provide a fine-grained account of their experiences, resilience and recovery of mental and sexual health to build an evidence base for future policy, program and resource development by medical and health services.
Head and neck cancer (HNC) patients undergo some of the most debilitating and disfiguring treatments among all cancers.
Prostate cancer is the most common cancer in Australian men. Side-effects including urinary, bowel and sexual dysfunction are common after treatment and persist over years, as do unmet supportive care needs.
In patients with damaged heart muscle (CHF patients), depression is common. It is more severe and doesn’t improve as easily as in other groups of cardiac patients. Depressed mood is rarely screened for, let alone treated, in this group of patients.
Many internet based interventions have been tested in RCTs but have never been widely implemented. The research team aim to develop a program model that demonstrates implementability and utility within mainstream health services that offer self-management support to consumers with chronic disease.
The aim of this study is to evaluate the effectiveness of a systematically introduced psychosocial intervention in cancer services to reduce depression and anxiety.
This project targets partners of men who have been diagnosed with prostate cancer. As prostate cancer affects men who are usually over the age of 65, this project will target partners in this age range also – namely older people. The term ‘partner’ refers to any person who is in an intimate or marital relationship with the man who has been diagnosed with prostate cancer.
Cancer is the leading cause of burden of disease in Australia, accounting for nearly one fifth of the total disease burden. The diagnosis and treatment of cancer is a major life stress that is followed by a range of well described psychological, social, physical and spiritual difficulties.
Cancer of the prostate (CaP) is the most common cancer diagnosis in Australia (excluding nonmelanocytic skin cancer), with more than 18,000 new cases diagnosed each year (AIHW, 2007).
Depression is a significant co-morbid condition which impacts adversely on the prognosis and management of cardiac disease.1 Local studies2-4 confirm that depression is highly prevalent in people with cardiac disease and is associated with adverse outcomes.
This research projects aims to evaluate the effect of telephone-administered Cognitive Behaviour Therapy (CBT) on outcomes for clients with diagnosed chronic obstructive pulmonary disease (COPD) who are referred to outpatient pulmonary rehabilitation clinics and assessed as having at least mild to moderate levels of depression and/or anxiety.
Studies have shown that co-morbid depression and anxiety in adolescents with Type 1 Diabetes (T1 D) is associated with poorer adjustment and metabolic control, and more frequent hospitalisation.
This research will establish whether depression in testicular cancer survivors is correlated with demographic characteristics and cancer-related factors. Improved understanding of the correlates of depression will lead to better design, focus and timing of interventions, thereby providing data for future studies.
The aims of this project are to investigate the complex relationships between the development of depression and cardiovascular disease (CVD) and determine the contributing effects of dietary intake.
The relationship between depression and cardiovascular disease (CVD) are complex with bidirectional pathways.1 Depression has been shown to have a relatively strong association with the development of cardiovascular disease as indexed by fatal coronary heart disease or myocardial infarction.
This project aimed to implement and evaluate the impact of a telephone-delivered counselling program (MoodCare) to improve mood, quality of life and lifestyle behaviours in depressed patients following a heart attack.
The aim of the project is to test the efficacy of the couple-focused intervention cognitive existential couple therapy (CECT) on the psychological and social adjustment of men with early stage prostate cancer and their partners.
Australia has the highest rate of melanoma in the world. Each year, more than 11,000 people are diagnosed with melanoma, costing the Australian community in excess of 30 million dollars and resulting in more than 1,850 deaths. Melanoma is also the most common cancer in young people aged 15 to 45 years.
Tai Chi has been used for chronic disease management in traditional Chinese medicine for more than 2,000 years and it is also claimed as a mind-body movement therapy.
Recent studies indicate that rural and regional Australians have a higher likelihood of suffering a mental disorder throughout their lifetime than people living in major cities (AIHW, 2010), although the reasons underlying this imbalance are yet to be well defined.
Culturally and linguistically diverse (CALD) people have been shown to have poorer cancer screening and mortality outcomes, and may have difficulties within the Australian health system due to language and knowledge barriers, differing beliefs, religion and social suffering.
Historically, ‘self-management’ has been understood in terms of a specific set of behaviours and capacities, including certain healthy lifestyle behaviours, actively managing one’s own relationship with health care providers, self-monitoring and initiation of contact with health service providers when necessary.
Depression is a debilitating and serious health concern in Australia and affects approximately one in three individuals with low vision1. Compared to normally sighted individuals of a similar age, rates of depression are estimated to be at least double in older adults with low vision2.
Radiotherapy is a common treatment for gynaecological cancer (GC) and has many distressing side-effects, including diarrhoea, abdominal cramps, bladder dysfunction, menopause, infertility and sexual dysfunction, which impact on psychosocial functioning and intimate relationships.
Head and neck cancer (HNC) patients undergo some of the most debilitating and disfiguring treatments among all cancers.
With increased survival rates for cancer, increased longevity, and the ageing of the population in Australia, the number of cancer survivors is growing. Research attests to significant unmet needs and psychological disturbance, not only for cancer survivors but also their support persons.
Chronic headache is extremely common and can be very debilitating. This statement is true for both the major types of primary headache – migraine and tension-type headache. Chronic headache is associated with very high direct and indirect costs to society.
Chronic kidney disease is a serious and growing health problem with an enormous impact on social and psychological functioning.
The prevalence of chronic medical conditions such as diabetes, chronic heart failure and chronic respiratory diseases is high, and is increasing in Australia and other Western countries. These chronic conditions have been found to be associated with increased rates of anxiety and depression.
Cardiovascular disease (CVD) is associated with physiological factors and lifestyle behaviours such as smoking, inappropriate alcohol consumption, unhealthy diet and physical inactivity.
Depression, diabetes and heart disease represent three of the leading disease burdens, with all three conditions identified as National Health Priority Areas. Coronary heart disease and diabetes frequently co-exist and the impact of depression on both has been shown to significantly worsen the conditions.
The availability of an online intervention may make it easier for people with spinal cord injury (SCI) to overcome problems of accessibility and stigma related to receiving psychological treatment for depression.
Heart disease remains one of the leading causes of death in older Australians. Whilst on its own heart disease can result in significant illness and impairment, when combined with depression, patients face an increased risk of death and a poorer overall prognosis (Bunker et al., 2003).
Previous research demonstrates that many patients with coronary heart disease (CHD) experience depressive symptoms during or after hospitalisation for an acute coronary event. Patients with depression tend to recover more slowly and have other complications after their cardiac event.
The I-CCAaN project (Improving Community Coordination, Access and Networks) involved developing and trialling an innovative intervention in General Practice for the identification and care of previously undiagnosed depression and anxiety in patients with chronic physical illness.
This study aimed to improve depression and anxiety screening in people with coronary heart disease (CHD) using a ward-based clinical pathway.
This project piloted a mindfulness group intervention ‘Living with Advanced Prostate Cancer’ for men with advanced prostate cancer.
Seventy-five percent of Australians have at least one chronic illness: approximately 50 per cent of these will experience depression (AIHW, 2006).
The authors investigated depression and anxiety in a sample of clients with chronic obstructive pulmonary disease (COPD) attending pulmonary rehabilitation clinics and patient support groups in Victoria.
This study assessed the mental health of family caregivers of palliative care patients in order to inform ways of maximising support for distressed caregivers. The project was conducted in two phases.
Clinical levels of depression and anxiety are diagnosed in approximately one-third of patients with cancer. This pilot study linked survivors of colorectal cancer with an existing telephone information and support service for depression and anxiety.
The relationship between cardiovascular disease (CVD) and depression is complex. Depression has been recognised as a common co-morbid condition with CVD and has been associated with poorer outcomes for patients with myocardial infarction, coronary artery bypass surgery and atherosclerosis.
This project aimed to improve the identification of depression in people with vision impairment and to develop care pathways.
Interpersonal communication is often impaired after a stroke. In particular, many people who have experienced a stroke find it hard to recognise and understand emotions in themselves and others.
Cardiovascular disease is the leading cause of death in Australia and imposes a substantial health and economic burden, which exceeds that for other diseases.
There is growing evidence to support strong links between Type 1 diabetes and poor psychological health, such as depression and anxiety. Preliminary evidence suggested that regional youth with Type 1 diabetes potentially face poorer mental health outcomes than their urban counterparts.
Up to 20 per cent of people experience severe depression after acute myocardial infarction (AMI), and milder depressive symptoms are even more common. Despite the strong evidence of an association, a causal linkage between depression and AMI is less certain.
Depression is common in people with chronic heart disease and is associated with poorer outcomes. Chronic disease combined with depression and/or social isolation requires complex interdisciplinary management systems involving primary, secondary and tertiary level care.
The incidence of post stroke depression (PSD) is approximately 25%. Psychological therapy studies for these patients have produced mixed, but largely negative results and demonstrate the difficulty of working with patients with limited emotional and cognitive resources.
Heart disease, diabetes, and depression represent three of the leading disease burdens in Australia with all three conditions being identified as National Health Priority Areas.
People commonly experience depression following a stroke, with implications for prognosis and recovery.
With improved life expectancy, and changes in diet and levels of physical activity, chronic diseases are increasing in prevalence; concurrently the incidence and prevalence of depression has also increased. These conditions are prevalent in Australia today, among older immigrants as well as Australian-born men and women.
Between 50% to 80% of people with depression initially come to their general practitioner (GP) with a physical symptom. These people are less likely to have their psychological condition detected and receive an accurate diagnosis of depression than those who report symptoms of depression. This is often seen in people with musculoskeletal pain.
The occurrence of post-stroke depression (PSD) is receiving increasing research attention. The shared care process, in which the specialist and general practitioner take concurrent responsibility for the care of the patient, is an approach that has been successfully applied to a variety of chronic medical conditions.
People with chronic physical conditions often have a high prevalence of mental health disorders, which can increase morbidity and healthcare costs. However, there are barriers to integrating non-pharmacological, evidence-based treatment for co-morbid chronic physical and mental illnesses.