Integrating Treatment For Alcohol Use Problems And Comorbid PTSD
Funder
National Health and Medical Research Council
Funding Amount
$658,073.00
Summary
Comorbid alcohol use problems and posttraumatic stress disorder (PTSD) are common mental health problems that cause disability and distress. Despite this, there are few randomized controlled trials of interventions. The proposed study is the first Australian randomised controlled trial in this field to address the question of whether treating PTSD and alcohol use problems is superior to treating alcohol use problems alone. The study compares the relative efficacy of a manual guided treatment for ....Comorbid alcohol use problems and posttraumatic stress disorder (PTSD) are common mental health problems that cause disability and distress. Despite this, there are few randomized controlled trials of interventions. The proposed study is the first Australian randomised controlled trial in this field to address the question of whether treating PTSD and alcohol use problems is superior to treating alcohol use problems alone. The study compares the relative efficacy of a manual guided treatment for alcohol use disorder alone with a simultaneous treatment for alcohol use and PTSD. This study improves on the methodological limitations described in the two existing studies reported in the published literature. Two-hundred and sixty four participants will be recruited from mutiple sites (media, GPs, specialist clinics) and treated in the community at two sites in Sydney. Participants will be eligible if they consume harmful levels of alcohol (NHMRC risky or high risk levels) and have a concurrent diagnosis of PTSD based on recognised diagnostic criteria. Treatment will consist of 16 sessions of manual guided individual psychological therapy that has been found to be very efficacious with each problem alone. The efficacy of treatment will be determined on the basis of reductions in harmful drinking (above NHMRC low risk levels) and in symptoms of PTSD. Participants will be followed up by an independent, blind, clinician three and six months after treatment completion. The findings of this study have the potential to provide valuable information regarding the treatment needs of people with these complex presentations to clinicians and policy developers alike.Read moreRead less
Panic Disorder: Neurobiology And Mechanisms Of Cardiac Risk
Funder
National Health and Medical Research Council
Funding Amount
$456,657.00
Summary
Some people are subject to episodes of recurring, often inexplicable anxiety which are very unpleasant and accompanied by physical symptoms such as sweating, palpitations, tremor and a sensation of suffocation. Recurring attacks over a period of months, or years, forms the basis for the diagnostic of panic disorder. It has until recently been felt that although panic disorder was distressing and disabling, it did not constitute a risk of life. Sufferers often fear that they have heart disease, b ....Some people are subject to episodes of recurring, often inexplicable anxiety which are very unpleasant and accompanied by physical symptoms such as sweating, palpitations, tremor and a sensation of suffocation. Recurring attacks over a period of months, or years, forms the basis for the diagnostic of panic disorder. It has until recently been felt that although panic disorder was distressing and disabling, it did not constitute a risk of life. Sufferers often fear that they have heart disease, because of the nature of their symptoms, but have been reassured that this is not the case. Recent epidemiological studies, however, indicate that there is an increased risk in patients with panic disorder. Our hypotheses in this research project are as follow: That some specific genes predispose to the development of panic disorder - through actions on the nervous system and blood vessels That drug treatment (selective serotonin uptake blockers) and psychological treatment (cognitive behaviour therapy, CBT) reduce cardiac risk in panic disorder We will test these hypothesis using state of the art clinical scientific methods. Panic disorder has an important cardiological dimension which needs to be better understood for cardiac protection to be achieved in panic disorder patients.Read moreRead less
Working Out For The Thin Blue Line: Evaluating Exercise To Improve Physical And Mental Health Of Police Officers With Posttraumatic Stress Disorder
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
Through their occupation, Police Officers are at high risk of experiencing posttraumatic stress disorder (PTSD). This fellowship aims to investigate the impact of structured exercise in order to reduce the severity of symptoms, promote recovery and improve overall physical health. A clinical trial will be conducted using exercise in addition to routine treatment as usual, among NSW Police Officers diagnosed with PTSD.
Step Up: A Technology-enhanced Stepped Psychological Intervention For Strengthening Adaptive Capacity And Treating Post-traumatic Comorbidities In Refugees
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
There is a major translational gap in rolling out psychotherapeutic treatments into readily accessible public health interventions for refugees. This project examines the feasibility and effectiveness of a technology-enhanced stepped psychological intervention designed to build resilience (Step 1) and manage traumatic stress symptoms and related comorbidities in traumatized refugees to ensure they have an enhanced capacity to adapt to the new environment post trauma.
Improving The Resilience, Health And Wellbeing Of Australian Firefighters: A Study Of The Metropolitan Fire Service Of South Australia
Funder
National Health and Medical Research Council
Funding Amount
$354,727.00
Summary
Firefighters play a critical role in protecting the safety of the community. Understanding their health is essential to planning and managing personnel. Firefighters are at risk of physical and mental injury and documenting consequences, in the setting of an ageing workforce, are needed for planning and career management. This study of the health of the Metropolitan Fire Service will be used to optimise the longevity of the careers of firefighters and the capacity of the service.
Identifying Specific Risk Factors For Intimate Partner Violence Amongst Women Refugees During And After Pregnancy: Associations With Mental Health And Capacity For Resettlement.
Funder
National Health and Medical Research Council
Funding Amount
$829,242.00
Summary
Intimate Partner Violence (IPV) has been identified as a public health epidemic of critical concern to Australia and to societies worldwide. There is a growing consensus that there are specific psychosocial factors including past exposure to trauma that may place women from refugee background at risk of IPV, particularly during settlement. Pregnancy is a particular period of vulnerability for all women, and there is evidence that the risk of IPV increases during pregnancy.
Intergenerational Transmission Of PTSD Vulnerability: Does PTSD In A Parent Increase The Risk Of Mental Health Disorders In Their Offspring?
Funder
National Health and Medical Research Council
Funding Amount
$742,136.00
Summary
Post Traumatic Stress Disorder (PTSD) occurs after exposure to trauma; more than 1 million Australians suffer from it. By comparing offspring of Vietnam veteran fathers with PTSD with offspring of veteran fathers with no PSTD, this study will test whether there are ripple effects of PTSD in families of Vietnam veterans, whether they are at higher risk of mental health disorders, and whether their mothers can protect them from psychological disorders.