Now showing 1 - 10 of 21
  • Publication
    Alcohol and youth mental health- The evidence base
    The My World Survey- Second Level (MWS-SL) assessed alcohol-related behaviours in 6,085 adolescents. Findings demonstrated a significant shift in the frequency, binge drinking and volume of alcohol consumed across the school year. Alcohol use in the Senior Cycle was a particular concern, with 35% outside the low risk category for alcohol behaviour. The MWS-SL found a strong relationship between alcohol use and mental health distress. Risky alcohol behaviour was associated with family conflict and other negative behaviours
      703
  • Publication
    Focusing on survivorship : improving our knowledge of life after cancer
    This article highlights the need to recognize that the post-treatment phase of the cancer journey requires attention and that there is a need to develop survivorship services. As a first step, cancer survivors need information so health providers need to improve their knowledge about life after cancer.
      240
  • Publication
    Factors related to well-being in Irish adolescents
    (Taylor & Francis (Routledge), 2005) ; ; ;
    294 Irish adolescents were profiled after being classified as having high, moderate or low subjective well - being on the basis of their scores on the Oxford Happiness Inventory, the Satisfaction With Life Scale and the General Hea lth Questionnaire – 12. Compared with the low well - being group, the high well - being group reported fewer family and personal stressful life events, more task - focused and less emotion - focused coping. They had greater personal strengths (adaptive problem - solv ing, self - esteem, and optimistic attributional style) and greater social resources (perceived social support and adaptive family functioning). The profile of the moderate well - being group fell between that of the high and low well - being groups. Gender di fferences favouring girls were found for optimism, perceived social support and family functioning. A structural equation model which explained the relationship among the variables in these profiles was developed in which increased personal strengths were associated with better subjective well - being and fewer stressful life events; and increased social resources were associated with better task - focused coping.
      510
  • Publication
    Reductions in Specific First Memories in Depression: Influences of Distraction, Referential Set and Cue Word Valence on First Memory Retrieval
    (Taylor & Francis (Routledge), 2005) ; ; ;
    This study examined the association between depression and autobiographical memory deficits. Sp e cifically, it evaluate d the impact of depression, complexity of a distraction task, self - or other - referential set and positive or negative cue - word valence on the retrieval of specific autobiographical memories . A sample of 24 depressed women and 24 matched controls completed the Autobiographical Memory T ask (AMT) before and after either a high - or low - complexity distraction task. Compared with the control group, the depressed group retrieved fewer specific first memories and had longer retrieval latencies for these. In the self - referential condition this pattern was more pronounced than in the other - referential condition. This suggests that depression is associated with a particular vulnerability in recalling specific self - referential memories. Distraction task complexity and cue - word valence did not affect AMT performance.
      281
  • Publication
    Profiles of resilient survivors of institutional abuse in Ireland
    In a group of 247 survivors of institutional abuse in Ireland, 45 cases (18%) did not meet the diagnostic criteria for common DSM IV axis I or II disorders. This resilient group was compared with a poorly adjusted group of 119 participants who met the criteria for 1-3 DSM IV axis I or II diagnoses, and a very poorly adjusted group of 83 participants who had 4 or more disorders. Compared with the very poorly adjusted group, the resilient group was older and of higher socio-economic status; had suffered less sexual and emotional institutional abuse; experienced less traumatization and re-enactment of institutional abuse; had fewer trauma symptoms and life problems; had a higher quality of life and global level of functioning; engaged in less avoidant coping; and more resilient survivors had a secure adult attachment style. The resilient group differed from the poorly adjusted group on a subset of these variables. The results of this study require replication in other contexts. Therapeutic interventions with survivors should focus on facilitating the use of non-avoidant coping strategies and the development of a secure adult attachment style.
      336
  • Publication
    Family and marital profiles of couples in which one partner has depression or anxiety
    Twenty-nine couples in which one partner was depressed, 21 couples in which one partner had an anxiety disorder, and 26 nondistressed control couples were compared on measures of (1) quality of life, stress, and social support; (2) family functioning; (3) marital functioning; and (4) relationship attributions. The depressed group had significant difficulties in all four domains. In contrast, the control group showed minimal difficulties. The profile of the anxious group occupied an intermediate position between those of the other two groups, with some difficulties in all four domains, although these were less severe and pervasive than those of the depressed group..
      498Scopus© Citations 17
  • Publication
    Profiles of Irish survivors of institutional abuse with different adult attachment styles
    Two hundred and forty seven survivors of institutional abuse in Ireland were classified with the Experiences in Close Relationships Inventory as having fearful (44%), preoccupied (13%), dismissive (27%) or secure (17%) adult attachment styles. The group with the secure adult attachment style had the most positive profile, while the most negative profile occurred for the fearful group in terms of DSM IV diagnoses and scores on the Trauma Symptom Inventory, the Global Assessment of Functioning Scale, the World Health Organization Quality of Life 100 scale, and the Kansas Marital Satisfaction Scale. The profile of the preoccupied group was more similar to that of the fearful group. The profile of the dismissive group was more similar to that of the secure group
      567Scopus© Citations 10
  • Publication
    Profiles of adult survivors of severe sexual, physical and emotional institutional abuse in Ireland
    Adult survivors of institutional abuse were interviewed with a comprehensive assessment protocol which included the Childhood Trauma Questionnaire, the Institutional Child Abuse Processes and Coping Inventory, the Structured Clinical Interviews for Disorders of the Diagnostic and Statistical Manual of Mental Disorders IV axis I disorders and personality disorders, the Trauma Symptoms Inventory, a Life Problems Checklist, the Experiences in Close Relationships Inventory and the Kansas Marital Satisfaction Scale. Profiles were identified for subgroups that described severe sexual (N = 60), physical (N = 102), or emotional (N = 85) abuse as their worst forms of maltreatment. Survivors of severe sexual abuse had the most abnormal profile, which was characterised by higher rates of all forms of child maltreatment and higher rates of post-traumatic stress disorder, alcohol and substance abuse, antisocial personality disorder, trauma symptoms and life problems. Survivors of severe emotional abuse were better adjusted than the other two groups. The profile of survivors of severe physical abuse occupied an intermediate position between the other two groups. A thorough assessment of abuse history and current functioning should be conducted when providing services to adult survivors of institutional abuse, since this may have important implications for the intensity of services required. Survivors of severe sexual abuse may require more intensive services.
      952Scopus© Citations 30
  • Publication
    Differential outcomes to a pain management programme based on coping style
    The study objectives were to investigate whether a heterogeneous sample of Irish chronic pain patients could be classified into subgroups using the Multidimensional Pain Inventory to profile the subgroups’ experiences of pain and distress, and to compare their responses to a multidisciplinary pain management programme. Ninety chronic pain patients completed the Multidimensional Pain Inventory (MPI), the McGill Pain Questionnaire (MPQ), and the Hospital Anxiety and Depression Scale (HADS) before and after a multidisciplinary pain management programme and at 6–23 months follow-up. Eighty-eight percent of patients were classified as Dysfunctional (DYS), Interpersonally Distressed (ID), or Adaptive Coper (AC) on the basis of their responses to the MPI. The proportions of patients classified into the three MPI groups were similar to those found in previous studies: 21% were AC, 20% were ID, and 47% were DYS. The three groups differed significantly in their levels of pre-treatment pain and distress. Compared with the AC group, the DYS group had greater pain and both the DYS and ID groups had greater distress. For measures of pain intensity and interference, from pre- to post-treatment, the DYS group improved significantly more than the AC group, but for pain intensity, the DYS group had relapsed at follow-up and the AC group’s interference scores had significantly improved. All patients who participated in the programme showed significant improvement in depression and the sense of control they had over their lives; this improvement was partially maintained at follow-up; and participants expressed a high level of satisfaction with all aspects of the programme. In conclusion, Irish chronic pain patients are not a homogeneous group and may be classified into subgroups based on psychological factors. Treatment response may be related to subgroup membership. Future research should evaluate whether tailoring treatments to patient characteristics will improve treatment outcome.
      384Scopus© Citations 1
  • Publication
    Child sex abuse and the Irish criminal justice system
    The aims of this study were to develop scales to assess experiences of sexually abused children in the Irish criminal justice system (CJS); identify aspects of the CJS which children experience as negative; compare the perceptions of children, parents and professionals of sexually abused children's experiences of the CJS; and determine correlations between perceptions of children's CJS experiences and current psychological adjustment. Forty-three children, 101 parents, 32 mental health professionals, 27 police officers and 21 lawyers completed parallel versions of the Criminal Justice System Questionnaire (CJSQ) which assessed satisfaction with aspects of the CJS relevant to sexually abused children, specifically: Gardaí (police), medical examination, Director of Public Prosecutions, waiting for court, court professionals, court context and the CJS. Fifteen scales were developed by conducting principal component analyses. Children gave negative ratings on nine of these, and on seven children, parents and professionals differed in their perceptions of how children experienced the CJS with mental health professionals viewing the impact of the CJS as more problematic than parents and children. Scores of children and parents on CJSQ scales correlated with indices of current psychological adjustment. These results point to the importance of making the Irish CJS more child-friendly and for evaluating these reforms with the CJSQ. Copyright © 2011 John Wiley & Sons, Ltd.
      375Scopus© Citations 8