Newsletter Issue 4

Centre for Psychiatry

1

Latest News in Environmental, Cultural and Health Systems Research

Effectiveness & Cost Effectiveness of Dialectical Behaviour Therapy

William Harvey Day Success

Newsletter Winter 2013 Unemployment differences appear to cause more mental health problems among Somalis in London than those in Minneapolis

PSI

The Brain in Pain

PSYCHIATRY STUDENT INTEREST GROUP

Issue 4 www.wolfson.qmul.ac.uk/psychiatry

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

2

From the Editor and Centre Lead’s desk Stephen Stansfeld

Welcome to our Winter edition of the Centre for Psychiatry Newsletter.

The chill winds of the recession still blow around us and the cost in terms of mental health of the population is likely to be high.

Unemployment, debt and financial problems are all related to higher rates of mental health problems.

At the same time, nationally, there is a crisis in recruiting new doctors into psychiatry. Professor Simon Wessely, in our last academic psychiatrists were a bit too apt to moan about their lot and not focussed sufficiently on treatment of common mental disorders, the depressive and anxiety disorders that are most frequent in the community. Despite this apparently negative environment there have been several recent positive developments. Thus it is with great pleasure I report the developments in the

in psychiatry as a career. As a

for the recent award of a WHO

forum which will increase interest Centre we continue to grow and

new staff are welcomed in many different areas. Despite the

difficult financial climate we are also recruiting grants on varied

topics and we are continuing to

publish strongly. A recent editorial in the British Journal of

narrowness of recent academic

psychiatry for being too focussed on biological pathways to the

detriment of the psychological, social and anthropological

traditions. In our Centre we make a virtue of this and strongly

support research into social,

psychological and anthropological aspects of mental illness. In

addition, we continue to champion the importance of public health

for mental illness and Kam Bhui

is chairing a series of workshops

Student Interest Group which brings together medical under-

CENTRE FOR PSYCHIATRY

I would like to congratulate

Psychiatry criticises the

half day of the year said that

graduates with an interest in

psychiatry. This is the type of

on skilling up professionals in public mental health.

NEWSLETTER WINTER 2013

Stefan Priebe and his colleagues collaborating centre to his Unit for Social & Community Psychiatry.

This is the only WHO collaborating centre in Europe to be working on mental health services research.

Our PhD students have been winning prizes all round – Farah Shiraz and Emmylou Rahtz won a poster prize on William Harvey Day against strong competition and Emmylou won a prize for the best presentation on ‘Emotional treatment needs in trauma and cancer patients’ at the Wolfson postgraduate presentation day.

I hope you all had a happy holiday and are all refreshed for the New Year.

Best wishes Stephen Stansfeld

3

CONTENTS 4

Effectiveness & Cost Effectiveness of Dialectical Behaviour Therapy Kirsten Barnicott

6

The Brain in Pain Julius Bourke

8

William Harvey Day Success Emmylou Rahtz and Farah Shiraz

10

Unemployment differences appear to cause more mental health problems among Somalis in London than those in Minneapolis Nasir Warfa and Ken Carswell

11

PSI Psychiatry Student Interest Group: Passionate about Psychiatary Ali Ajaz

12

New Staff

14

Upcoming events

15

Selected Publications CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

4

Effectiveness & Cost Effectiveness of Dialectical Behaviour Therapy

by Kirsten Barnicott

The results of a randomised

delivered by the Newham Service,

patients assigned to TAU. Both

Newham Dialectical behaviour

hour per week) and group skills

average of 8 self-harm episodes

controlled trial, conducted at

Therapy Service from March 2008 to May 2011, have just been

training (2 hours per week).

Eighty patients with borderline

published in the journal

Psychotherapy and Psychosomatics. Dialectical behaviour

personality disorder and self-

harming behaviour were randomly assigned to receive one year

therapy was developed in the

of dialectical behaviour therapy

1980s by Marsha Linehan for

patients with borderline personality disorder and recurrent self-harm.

It is primarily a behavioural treatment but also draws on elements of

Eastern philosophy and meditative practice. The original format, as CENTRE FOR PSYCHIATRY

consists of individual therapy (1

(DBT) or one year of ‘treatment as usual’ (TAU) i.e. any other

psychiatric treatment. The results showed that patients assigned

to DBT achieved a significantly greater reduction in self-harm over the treatment year than

NEWSLETTER WINTER 2013

groups began treatment with an per month. By the end of the

treatment year, patients assigned to DBT were self-harming on average 2 times per month

whereas patients assigned to TAU were self-harming on average 7

times per month - i.e. their rate of

self-harm had not changed much.

This effect was even stronger in the patients who completed the

full twelve months of DBT, who on average self-harmed only once per month by the end of the

5

Effectiveness & Cost Effectiveness if Dialectical Behaviour Therapy treatment year, and 68% of whom did not self-harm at all by the

end of treatment. However, many

patients dropped out of treatment

early, and DBT was not significantly better than TAU at improving other symptoms of BPD.

This is the 12th randomised controlled trial of DBT for BPD. Most

of the other trials have also shown that DBT was more effective than control treatments at reducing

self-harm; however, this is the first trial to demonstrate this finding

in an NHS context. An important feature of our trial was, because our control condition was simply

any other treatment available for BPD in the area, patients in the TAU condition received a wide variety of treatments, ranging

from weekly outpatient therapy

to seeing a psychiatrist every 3

months, or receiving brief periods of intensive inpatient treatment.

This meant that, on average, patients in the TAU condition

received fewer treatment hours than patients in the DBT

condition. We have often been

asked whether it would have been better to create a control condition where all patients received an

equivalent number of treatment hours to the patients receiving

DBT. However, the aim of the trial was not to compare DBT to an artificial treatment of equal

intensity, but rather to compare it to

what is ordinarily available for patients with BPD in the Newham area, so

that treatment commissioners would

Kirsten Barnicott have information on the effectiveness of DBT in relation to the real-world alternatives.

Why was DBT more effective than TAU at reducing self-harm, but not for improving other symptoms of borderline personality disorder? BPD is a complex disorder with many inter-related elements including affective instability, interpersonal difficulties and identity diffusion in addition to self-harming behaviour. The primary focus of DBT is on reducing self-harm, whereas other aspects of the disorder are less of a priority for treatment. This may explain why

patients’ achieved substantial reductions in self-harming behaviour but did not experience significant change in other aspects of BPD. It is likely therefore that, after completing DBT, patients with BPD will need other psychosocial treatments which target other aspects of BPD such as interpersonal functioning.

However, given the degree of distress and risk of serious injury associated with self-harming behaviour, the RCT findings indicate that DBT should be considered a useful and important first-line treatment option for patients with BPD and self-harm.

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

6

The Brain in Pain

by Julius Bourke Break a leg, crash your car, fall

people bellow from the bottom of

typical of the spurned love

moment that emergency

agony. In reality, the resusc area

medical drama than that of a

down the stairs and from the

medics are on scene, you may feel many things but pain will not be one of them. Casualty, Grays Anatomy, ER – whatever

your chosen medical-drama-poison may be, they all teach us that

where trauma is concerned there

is a lot of hysterical screaming as CENTRE FOR PSYCHIATRY

their lungs about their excruciating is more serene than the rest of

the emergency department. Why? Acute analgaesia and anaesthesia. In medicine, we are good at

this. With cocktails of opiates and ketamine, you need never en-

dure more than a fixed grin and a middle distance stare more

NEWSLETTER WINTER 2013

interest in your favoured

trauma victim.So why is it that over 20% of all European

households are affected by chronic pain? Why is it that nearly three quarters of these individuals think

that their management is so poor?

How is it that we are so good

with one and not the other? The

7

The Brain in Pain bottom line is simple: acute and

syndrome and those who ‘split’

particular interest. Neurochemi-

Yet currently their treatment is all

syndromic disorders. One of

dopaminergic and opioidergic

fact hosted by The Centre for

In a study funded by a strategic research grant from The Barts and The London Charity, we will be looking at these neuroanatomical and chemical correlates in individuals with fibromyalgia and non cardiac chest pain using sensory testing techniques that are able to characterize how individuals experience pain – on a more immediately sensory or a more immediately evaluative basis – and a novel form of neuroimaging whilst delivering the types of

chronic pain are not the same. together too similar.

Although exceptions exist, pain is

‘chronic’ after the normal healing time for the original injurious event has

passed – when there is no longer an identifiable explanation for the pain.

But not all individuals with the same ‘event’ will make the transition from

acute to chronic pain. Furthermore, there are disorders in which the

development of a chronic pain state is not associated with an identifiable initial event – there is pain

more purely without identifiable cause. The latter fall into the

category of the functional somatic syndromes (FSS) and include fibromyalgia, the functional

them off into more discrete

cally, these areas are bound by

the most cited of these was in

transmitter systems.

Psychiatry and ELFT some 9

years ago. This was ‘W on W’ –

White versus Wessely - and was subsequently published in The British Journal of Psychiatry.

Irrespective of whether one

chooses to lump or split, pain is

of importance to these disorders.

Not only is it the only symptom

that is common to all FSS but it is arguably the most important

insofar as that it is the most

disabling and carries with it a

significant risk of suicide: 15% of all suicide attempts are by individuals with chronic pain.

gastrointestinal disorders and

Chronic pain is less of a sensory

are common, costly, a source

with greater contributions from

chronic fatigue syndrome. These of significant disability and are the bread and butter of liaison psychiatry clinics. They are

bound by many similarities but

separated by differences, which

has led to a commonly editorialized debate between those who

‘lump’ them together as a single

phenomenon than acute pain, higher centres involved in the

application of cognitive, affective and motivationally salient

information. These predominantly mid and forebrain systems are

gated by the deep nuclei of the basal ganglia, with the ventral

striatum representing a point of

pain typical of these disorders.

This is an exciting venture and represents a new avenue of research for The Centre for Psychiatry that will additionally provide the potential for undergraduate teaching and experience in biological psychiatry as well as further clinical experience for higher trainees in the importance of liaison psychiatry in treating chronic pain. ….and we are always looking for healthy controls!

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

8

William Harvey Day Success

Farah and Emmylou presented a poster at William Harvey Day 2102 showing the results of an audit they conducted looking at psychological wellbeing and treatment needs in cancer and trauma patients.

From 230 posters, their poster was one of five to be awarded an outstanding poster prize.

This was their first academic poster they have produced since starting their PhDs. They were also presented with a cash prize of ÂŁ150.

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

9

William Harvey Day Success

Wolfson Institute of Preventive Medicine

Psychological wellbeing and treatment needs in cancer and trauma patients Emmylou Rahtz, Farah Shiraz, Iain Hutchison, Kamaldeep Bhui, Ania Korszun e.rahtz@qmul.ac.uk, f.shiraz@qmul.ac.uk, a.korszun@qmul.ac.uk

Aims

Results

To identify levels of: •psychological distress; •quality of life; •perceived emotional needs

a) Levels of psychological distress in oral and maxillofacial patients

Patients attending oral and maxillofacial clinics

40%

42% 37%

44%

43%

42%

Cancer Trauma

20% 12% 10%

Sample: 220 patients (124 head and neck cancer; 96 facial trauma) Age Gender

52%

0%

4%

13%

35%

18-35 35% 36-65 66+

Cancer

61% Trauma

39% 61%

Male Female

14% 86% Trauma

Cancer

Procedure: Audit of all oral and maxillofacial patients attending weekly outpatient surgery clinics:

Depression

Anxiety

Acute Stress

High scores classified as: Anxiety: ≥8 on Hospital Anxiety and Depression Scale (HADS); Depression: ≥8 on HADS2; Acute stress: ≥55 on Acute Stress Disorder Scale (ASDS)3. High scores are indicative of clinical disorder.

b) Mean score for overall quality of life, by level of depression Very good 5

•Head and neck cancer clinic - St Bartholomew's Hospital; newly diagnosed patients and those currently undergoing treatment; •Facial trauma clinic - Royal London Hospital; patients who had experienced traumatic injuries.

3.24 3

2.88

2

Cancer

Trauma

Measure: WHO Quality of Life (WHOQOL-BREF).

References: 1. Archer, J., Hutchison, I., & Korszun, A. (2008). Mood and malignancy: head and neck cancer and depression. Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 37(5), 255–70.

2. Bryant, R. A., Moulds, M. L., & Guthrie, R. M. (2000). Acute Stress Disorder Scale : A Self-Report Measure of Acute Stress Disorder.

Psychological Assessment, 12(1), 61–68.

3. Snaith, R. P. (2003). Health and Quality of Life Outcomes. Health and Quality of Life Outcomes, 4, 6–9.

4.Levine, E., Degutis, L., Pruzinsky, T., Shin, J., & Persing, J. a. (2005). Quality of Life and Facial Trauma. Annals of Plastic Surgery, 54(5), 502–510.

CENTRE FOR PSYCHIATRY

With thanks to Mr Simon Holmes and his clinical team for enabling data collection in their clinics.

High depression Low depression

24% 76%

•“If recommended by your treatment team, who would you be willing to see?”

•70% willing to see health professional about emotional needs; •80 % amongst those with high distress scores.

•Amongst those willing to see someone: Counsellor, Psychologist, Psychiatrist

47% 51% 41%

Nurse Patient support group / other patients

3.90

4

1

Yes No

Social worker

4.31

Very poor

Trauma 33%

67%

30%

Method

c) Treatment needs •“Have you approached anyone about your emotional needs?”

Cancer

50%

Patients being treated for head and neck cancer1 or following traumatic injury2 may go on to experience psychological distress and poor quality of life.

34% 30%

69%

Cancer Trauma

27% 25%

Clinical implications •There are high levels of psychological distress in this cohort; •Lower quality of life is associated with higher levels of psychological distress, however in cancer patients these differences are much smaller; •A high proportion of patients are willing to receive psychological treatment.

www.wolfson.qmul.ac.uk/psychiatry

NEWSLETTER WINTER 2013

10

Unemployment differences appear to cause more mental health problems among Somalis in London than those in Minneapolis A study led by Dr Nasir Warfa in our Centre has found that Somali immigrants to the UK and USA appear to integrate better and have fewer mental health problems if they are allowed to work and they receive practical support during the first few years of their time in the new country. These findings have been published in BioMed Central Public Health.

The study used a survey and focus groups to investigate the experiences of Somalis living in London (UK) and Minneapolis (USA). After adjusting for various factors such as age, sex and marital status, the researchers found that Somalis in London were six times more likely to suffer from major depression and four times more likely to have any psychological disorder than those who lived in Minneapolis.

Most of the 189 survey respondents and 47 focus group participants had a shared history of displacement and similar immigration experiences. Like the Olympic Gold medal athlete, Mo Farah, they came to the UK or USA because they were fleeing violence and human rights abuses in Somalia. However, 90 per cent were unemployed in London, compared to 26 per cent in Minneapolis; 98 per cent had obtained refugee status or citizenship in Minneapolis compared to 83 per cent in London.

CENTRE FOR PSYCHIATRY

Dr Nasir Warfa and study co-author Dr Ken Carswell

Dr Warfa said “that we found participants from London were more likely to have their immigration cases pending, experienced more problems of family separation and were more likely to be unemployed than Minneapolis participants. However, if they were in employment, then the risk of major depression was lower”.

Professor Kamaldeep Bhui, said: “We know that employment is a key public health intervention for psychological well-being of refugee populations. In Minneapolis, at present, refugees are supported when they arrive and are allowed to work. However, in London, they are not allowed to work until their immigration status has been processed and they have been given permission to stay in the country. Preventing an able and gifted population from working is not helpful and can be detrimental to the psychological

NEWSLETTER WINTER 2013

wellbeing of refugee communities, and thus their prospects of successful integration in the long term.”

Women appeared to have better mental health than men, as men suffered from loss of their masculine identity due to being unemployed. Stigmatised refugee identity and reversal of traditional gender roles were also among the significant psychological problems found among the London and Minneapolis Somalis.

“If Somali immigrants are supported for the first few years of their time in a new country, and are able to work, they will do better and live economically active lives, with fewer mental health problems,” added Dr Warfa. “Whereas if these support mechanisms are not in place, then it can end up costing more in the long term because of on-going health costs.”

PSI

11

PSYCHIATRY STUDENT INTEREST GROUP

Guest Speakers from our first event of this Autumn/ Winter term, ‘One Day in the Life of Psychiatry.’

Top left: Dr Caroline Methuen (event chair), centre: Dr Richard Latham, bottom right: Dr Dudley Manns, top right: Dr Helen Bruce PSI - the Psychiatry Student Interest group has now been active for the last two years, originally spearheaded by Professor Ania Korszun from the Centre for Psychiatry, with the aim of promoting the medical speciality of psychiatry and mental health awareness amongst the medical student population at Barts and The London (and further afield).

Several studies have shown that at the dawn of Freshers Fair, newbie medical students are at their peak of optimism about psychiatry as a future career.

But, unfortunately, this enthusiasm becomes eroded over the course of their years at medical school reaching its lowest ebb by the time students qualify and are ready to make their mark on the world. Why this happens is not entirely clear but PSI works to try to redress this balance and to restore enthusiasm for psychiatry and improving the lives of the many people who suffer with mental health disorders.

Passionate about Psychiatry “One Day in the Life of Psychiatry” PSI does not just preach to the converted (i.e. the minority of medical students who already know that they want to pursue surely the most interesting and stimulating specialty known to humanity!), but also to free the young minds of budding surgeons, cardiologists and the like, blinkered by the stigmatising views attached to psychiatry and people with mental health disorders.

To achieve this, PSI links with other medical and surgical specialties to organise joint events on the topics ranging from psycho-dermatology, to cancer and depression.

So far this term we have had two very successful events. The first was entitled ‘one day in the life of psychiatry’ where a number of inspirational speakers from different sub-specialties (see above), discussed their personal journeys, decisions for their career choice and, why they could not imagine doing any other job. The second event focused on how to overcome the stigma

by Dr Ali Ajaz

associated with psychiatry and stigmatisation of patients with mental health disorders. Students who attended showed so much energy and motivation that they have since begun organising a new student society “Mind in Medicine”. Organising regular and stimulating PSI events will play a key role in helping to develop this society. Speaking of which, our last event was held on 11th December at Charterhouse Square. We were delighted to host two behemoths from our own psychiatric realm in the guise of Drs Trevor Turner and Mark Salter, who guided us through a unique tour of Shakespeare’s Macbeth, entitled ‘Macbeth - Mad vs Bad.’ Please keep a look out for the posters and notices of forthcoming PSI events. You can sign up to our mailing list by sending an email to p.staples@qmul.ac.uk.

Your support is important in helping PSI to continue being a success!

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

12

New Staff In September 2012 I began a 2-year postdoctoral fellowship at QMUL, working on an NIHRfunded research project entitled “Chronic viral hepatitis in ethnic minorities”, which aims to develop strategies to improve access to treatment for viral hepatitis among ethnic minority and immigrant communities in the UK. My role within the project team will involve exploring perceptions of viral hepatitis and perceived barriers to hepatitis screening, through

Lorna Sweeney

Anthony Constantinou

Anthony is a postdoctoral Research Fellow at Barts and the London School of Medicine and Dentistry, and he is based at the School of Electronic Engineering and Computer

CENTRE FOR PSYCHIATRY

Science where he works in close collaboration with the Risk and Information Management (RIM) research group. Currently, his research focuses on the development of a Bayesian network (BN) model for risk assessment and risk management of offending behaviour in forensic psychiatry.

Anthony has experience in applying AI probabilistic methods for prediction, risk assessment and intelligent decision making in diverse areas including economic gambling, robotics, gaming and sports. During his Ph.D Anthony, along with Prof. Norman Fenton and Prof. Martin Neil, published the first academic research study

NEWSLETTER WINTER 2013

focus groups with ethnic minority and immigrant community members, and healthcare professionals.

The research project is led by Professor G. Foster, Professor T. Greenhalgh and Professor K. Bhui.

In 2011, I completed a PhD in Public Health (University College Dublin & St. Vincent’s University Hospital Dublin), which explored key factors in the response to psychological distress and suicide risk within young male social networks.

to demonstrate profitability that was consistent against published market odds over a long period of time, for Association Football match outcomes. The predictions were published online at www.pi-football.com prior to the start of each match, and the authors emphasised the importance of BNs in incorporating and assessing subjective information along with relevant historical data, whereby subjective information represents the factors that are important for prediction but which historical data fails to capture.

13

New Staff Adrian Mundt

Adrian Mundt is a psychiatrist and psychotherapist trained at the CharitéUniversitätsmedizin Berlin.

He holds a Marie Curie International Outgoing Fellowship at the Universidad de Chile for two years and at Queen Mary, University of London, for the third year. His research interests are mental health and service provision in underserved and disadvantaged populations. In Chile, he will conduct a mental health

survey in prison populations.

Throughout South America, he will compare indicators of institutionalized mental health care.

Rafael A. González-Rodríguez He wrote his doctoral thesis on cognitive and executive functioning indicators in individuals with Attention Deficit/ Hyperactivity Disorder (ADHD).

Rafael A González-Rodríguez has a Ph.D. in clinical psychology with a specialty in neuropsychology, from the only psychology program accredited by the American Psychological Association in Latin America.

After working full time as a clinician performing neuropsychological assessment of neurologically compromised populations he started a teaching and research post at the Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus (UPR-RCM).

After relocating to London in early 2012, Dr. González is currently a Post-doctoral Research Fellow in the Forensic Psychiatry Department, Centre for Psychiatry, Queen Mary University of London,

on the epidemiological component of a research programme funded by the NIHR “Improving Risk Management in mental Health Sciences” led by Professor Jeremy Coid. He is currently exploring the inter-relationship between ADHD, personality disorders and substance misuse and their association with violent acts in the English household population. Identifying violence risk associated to developmental psychopathology has significant valueby informing early interventions and targeting specific populations at risk for future violence.

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

14

Events 7th January, 2pm - 3pm The association between symptoms and quality of life in mood disorders

Centre for Psychiatry – Lunchtime Seminar TBC

Led by: Lauren Kelley

Contact: Neil Smith

Venue: Academic Unit Lecture Theatre

Venue: Room 106, Old Anatomy Building, Charterhouse Square

14th January, 2pm - 3pm

27th February, 2.00pm – 4.30pm

Measuring interactions in therapeutic groups

Cultural Consultation Club

Led by: Stavros Orfanos

Contact: Pat Staples

Venue: Academic Unit Lecture Theatre

Venue: TBA

21st January, 2pm – 3pm The EPOS Trial Led by: Domenico Scaringi Venue: Academic Unit Lecture Theatre

28th January, 2pm – 3pm Process research in Psychotherapy for BPD Led by: Kirsten Barnicott Venue: Academic Unit Lecture Theatre

30th January, 2.00pm – 4.30pm Cultural Consultation Club Contact: Pat Staples Venue: Room 106, Old Anatomy Building, Charterhouse Square

CENTRE FOR PSYCHIATRY

???? February, 2.00pm – 4.30pm

NEWSLETTER WINTER 2013

27th March, 2.00pm – 4.30pm Cultural Consultation Club Contact: Pat Staples Venue: TBA

29th May, 2.00pm – 4.30pm Cultural Consultation Club Contact: Pat Staples Venue: TBA

15

New StaffPublications Selected K BARNICOTT

Priebe, S., Bhatti, N., Barnicot, K., Bremner, S., Gaglia, A., Katsakou, C., Molosankwe, I., McCrone, P., & Zinkler, M. 2012, “Effectiveness and Cost-Effectiveness of Dialectical Behaviour Therapy for Self-Harming Patients with Personality Disorder: A Pragmatic Randomised Controlled Trial”, Psychother.Psychosom., vol. 81, no. 6, pp. 356-365.

K BHUI

Bhui, K. S., Lenguerrand, E., Maynard, M. J., Stansfeld, S. A., & Harding, S. 2012, “Does cultural integration explain a mental health advantage for adolescents?”, Int.J Epidemiol, vol. 41, no. 3, pp. 791-802.

C CLARK

Clark, C., Crombie, R., Head, J., van, K., I, van, K. E., & Stansfeld, S. A. 2012, “Does traffic-related air pollution explain associations of aircraft and road traffic noise exposure on children’s health and cognition? A secondary analysis of the United Kingdom sample from the RANCH project”, Am.J Epidemiol, vol. 176, no. 4, pp.

327-337.

Smith N R, Clark C, Fahy A E, Tharmaratnam V, Lewis D J, Thompson, C., Renton, A., Moore D G, Bhui K S, Taylor S J C, Eldridge S, Petticrew M, Greenhalgh T, Stansfeld S A, & Cummins S 2012, “The Olympic Regeneration in East London (ORiEL) study: protocol for a prospective controlled quasi-experiment to evaluate the impact of urban regeneration on young people and their families”, BMJ pp. 1-10.

J COID

N WARFA

A KORSZUN

P WHITE

Coid, J., Freestone, M., & Ullrich, S. 2012, “Subtypes of psychopathy in the British household population: findings from the national household survey of psychiatric morbidity”, Soc.Psychiatry Psychiatr Epidemiol, vol. 47, no. 6, pp.

879-891.

Archer, J. A., Hutchison, I. L., Dorudi, S., Stansfeld, S. A., & Korszun, A. 2012, “Interrelationship of depression, stress and inflammation in cancer patients: A preliminary study”, J Affect.Disord.

[Epub ahead of print]

R MCCABE

McCabe, R., Bullenkamp, J., Hansson, L., Lauber, C., Martinez-Leal, R., Rossler, W., Salize, H. J., Svensson, B., TorresGonzalez, F., van den, B. R., Wiersma, D., & Priebe, S. 2012, “The therapeutic relationship and adherence to antipsychotic medication in schizophrenia”, PLoS One, vol. 7, no. 4, p. e36080. [doi:10.1371/journal. pone.0036080]

Warfa, N., Curtis, S., Watters, C., Carswell, K., Ingleby, D., & Bhui, K. 2012, “Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study”, BMC.Public Health, vol. 12, no. 1, p. 749.

White, P. D., Rickards, H., & Zeman A Z J 2012, “Time to end the distinction between mental and neurological illnesses”, BMJ, vol.

344, p. e3454.

McCrone P, Sharpe M, Chalder T, Knapp M, Johnson AL, Goldsmith KA, White PD. Adaptive Pacing, Cognitive Behaviour Therapy, Graded Exercise, and Specialist Medical Care for Chronic Fatigue Syndrome: A Cost-Effectiveness Analysis. PLoS ONE 2012 7(7): e40808.

M SAVILL

Katsakou, C., Marougka, S., Barnicot, K., Savill, M., White, H., Lockwood, K., & Priebe, S. 2012, “Recovery in Borderline Personality Disorder (BPD): A Qualitative Study of Service Users’ Perspectives”, PLoS One, vol. 7, no. 5, p. e36517

CENTRE FOR PSYCHIATRY

NEWSLETTER WINTER 2013

16 For further information, please contact: Jane Archer Centre for Psychiatry Barts and The London School of Medicine and Dentistry Old Anatomy Building Charterhouse Square London EC1M 6BQ Tel: +44 (0)20 7882 2020 Fax: +44 (0)20 7882 5728 Email: j.archer@qmul.ac.uk

FOR PSYCHIATRY NEWSLETTER WINTER 2013 IssueCENTRE 4 www.wolfson.qmul.ac.uk/psychiatry