Emerging Severe Mental Illness In Young People: Clinical Staging, Neurobiology, Prediction & Intervention From Vulnerabi
Funder
National Health and Medical Research Council
Funding Amount
$6,229,421.00
Summary
Mental disorders, such as psychotic and severe mood disorders, are the largest cause of disability in Australia. However, there is still little known about illness onset, relapse and progression. We have developed a clinical staging model with transition points from symptomfree to subthreshold status, to threshold disorder to chronic disability. We will investigate neurobiological and psychosocial factors which increase the risk of progression through these stages and use this model as a basis f ....Mental disorders, such as psychotic and severe mood disorders, are the largest cause of disability in Australia. However, there is still little known about illness onset, relapse and progression. We have developed a clinical staging model with transition points from symptomfree to subthreshold status, to threshold disorder to chronic disability. We will investigate neurobiological and psychosocial factors which increase the risk of progression through these stages and use this model as a basis for examining the effectiveness of interventions, for example to prevent, delay or ameliorate onset and relapse, and promote vocational recovery. Thus major clinical and public health benefits and an understanding of factors that contribute to the onset and progression of illness will result.Read moreRead less
Theoretically Guided Improvement In The Treatment Of Social Phobia: A Randomised Controlled Trial.
Funder
National Health and Medical Research Council
Funding Amount
$302,830.00
Summary
Social phobia is a serious mental disorder that affects up to 13% of the population across their lifetime and causes marked life interference and costs to the community. Treatments for social phobia have been improving over the past decades and currently, there is good outcome with standard treatment packages. However, several authors have pointed out that treatment outcomes, while good, are far from perfect. We have recently developed a model of social anxiety that points out how people with so ....Social phobia is a serious mental disorder that affects up to 13% of the population across their lifetime and causes marked life interference and costs to the community. Treatments for social phobia have been improving over the past decades and currently, there is good outcome with standard treatment packages. However, several authors have pointed out that treatment outcomes, while good, are far from perfect. We have recently developed a model of social anxiety that points out how people with social phobia may be different to the average. Based on this model, we can make several predictions for potential improvements to current treatment packages. The current grant seeks to test these improvements. The proposal is to compare people with social phobia who receive a standard treatment package with those who receive this packaged plus the newly predicted components. It is predicted that the addition of these extra components will results in considerably greater improvements in both the short and long terms.Read moreRead less
Enhanced Treatment For Social Phobia Through The Incorporation Of Attentional Re-training.
Funder
National Health and Medical Research Council
Funding Amount
$465,162.00
Summary
Social phobia is a serious difficulty that can cause tremendous interference in an individual's life. Social phobia can interfere with an individual's social and romantic life, work and study aspirations, and even increase medical and other psychological problems. Psychological programs to help individuals manage their anxiety have been developed and shown to lead to relatively strong positive outcomes. Recent theoretical understanding has suggested that one maintaining factor in social phobia m ....Social phobia is a serious difficulty that can cause tremendous interference in an individual's life. Social phobia can interfere with an individual's social and romantic life, work and study aspirations, and even increase medical and other psychological problems. Psychological programs to help individuals manage their anxiety have been developed and shown to lead to relatively strong positive outcomes. Recent theoretical understanding has suggested that one maintaining factor in social phobia may be these people's tendency to focus onto negative information. In some exciting developments, several researchers have shown that simply training people with social phobia to focus their attention away from negative information, with no other treatment components, can produce a marked change in their fears. Therefore it makes sense that incorporating these methods into current standard treatment packages, may increase their effectiveness. The current study aims to compare the current best practice treatment package for social phobia with a combination of this package plus the recent attention re-training methods. It is expected that incorporating attention re-training into standard treatment with significantly improve its effects.Read moreRead less
Novel Epidemiological Methods To Infer The Causal Effects Of Risk Factors On Neuropsychiatric And Cardiovascular Disorders
Funder
National Health and Medical Research Council
Funding Amount
$182,003.00
Summary
Epidemiological studies, which associate risk factors and disease, are central in informing public health policy. Because causality is difficult to ascertain from these associations, public health interventions based on these findings are at some risk of failure. We propose to develop, extend and apply an innovative epidemiological approach, Mendelian randomization (MR) to resolve the causal relationship between risk factors and neuropsychiatric and cardiovascular disorders.
Evidence-based Mental Health Planning: Translating Evidence Into Policy And Services
Funder
National Health and Medical Research Council
Funding Amount
$2,442,370.00
Summary
The CRE will design a better mental health system for Australia. This service system will include the full range of prevention and treatment interventions using the best available scientific evidence. It will also describe how to ensure that the service system is implemented, by incorporating it into government policy. The work will be carried out across 5 of the best research centres in Australia with expertise in clinical medicine, epidemiology, service planning and implementation science.
An Investigation Of The Aetiology Of Eating Disorders: Interactions Between Genes And Environmental Risk Factors.
Funder
National Health and Medical Research Council
Funding Amount
$225,000.00
Summary
Eating disorders, along with substance abuse, carry the highest risk of premature death, from both natural and unnatural causes, out of 27 mental disorder categories. Eating disorders, including anorexia nervosa, bulimia nervosa, and binge-eating disorder, affect about 6% of Australian women. Despite increased levels of research into the aetiology of eating disorders over the last 20 years, little knowledge exists as to which risk factors cause women to attempt weight loss to the point of increa ....Eating disorders, along with substance abuse, carry the highest risk of premature death, from both natural and unnatural causes, out of 27 mental disorder categories. Eating disorders, including anorexia nervosa, bulimia nervosa, and binge-eating disorder, affect about 6% of Australian women. Despite increased levels of research into the aetiology of eating disorders over the last 20 years, little knowledge exists as to which risk factors cause women to attempt weight loss to the point of increasing their risk of premature mortality. A review of twin studies in eating disorders concludes that there is increasing evidence to suggest that genetic factors play a role in the development of eating disorders. In addition, a recent series of studies, examining risk factors before the age of eating disorder onset, have found the following events to specifically predict the development of an eating disorder as opposed to another psychiatric condition: negative self-evaluation, parental alcoholism, low parental contact and high parental expectations, critical comments about weight, shape or eating during childhood, and childhood obesity. To date, no studies have attempted to integrate the findings from twin studies with the findings from early risk factor studies. Specifically, the ways in which genes interact with the environment to increase the chances of genetic vulnerability to an eating disorder being expressed have not been examined. The proposed project seeks to investigate precisely these interactions between genes and the environment, by examining a large number of female twins, aged 29-37. An enhanced understanding of how genes interact with the environment to either increase the chances that a woman will develop an eating disorder, or alternatively to protect a woman from developing an eating disorder, will benefit our understanding of how to target prevention and treatment strategies.Read moreRead less