Review
Medicine, General & Internal
Ting Yu, Jing-wen Ren, Cong Wang, Shan-shan Liu, Wei Cun, Yan Jiang
Summary: Remote interventions for informal caregivers of patients who had a stroke do not show significant superiority over traditional interventions according to current evidence.
Article
Rehabilitation
Alessia Saverino, Raphael Sonabend, Sancho Wong, Christopher Symeon
Summary: The study aimed to improve patient selection for SRSs and establish transparent, fair prognostic criteria. Important predictive variables included age, co-morbidities burden, pre-morbid cognitive difficulties or dementia, and function level at admission.
EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
(2022)
Article
Rehabilitation
Janet K. Freburger, Aileen Chou, Tracey Euloth, Beth Matcho, Andrew Bilderback
Summary: This study found an inverse relationship between the number of physical and occupational therapist visits received in acute care hospital and the risk of hospital readmission or death for stroke patients. The effects differed by time to the event, discharge location, and mobility limitations on admission.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Public, Environmental & Occupational Health
Kaori Yamaguchi, Yasuhiro Nakanishi, Viroj Tangcharoensathien, Makoto Kono, Yuichi Nishioka, Tatsuya Noda, Tomoaki Imamura, Manabu Akahane
Summary: This paper describes the integration of rehabilitation into the Japanese health system and the use of large health databases to improve rehabilitation services. Rehabilitation in Japan is mainly targeted towards the ageing population, covering acute and post-acute rehabilitation as well as long-term care rehabilitation. Analyzing health databases can enhance the management of rehabilitation care services, increase scientific knowledge, and guide rehabilitation policy and practice.
BULLETIN OF THE WORLD HEALTH ORGANIZATION
(2022)
Article
Medicine, General & Internal
Yasuhiro Morii, Kagari Abiko, Tomoki Ishikawa, Kensuke Fujiwara, Keiko Konomura, Katsuhiko Ogasawara
Summary: This study examined regional differences in the supply/utilisation balance and provision of rehabilitation services in Japan, with the aim of assisting policymakers in providing more uniform and efficient services and allocating resources optimally.
Article
Medicine, General & Internal
Lisa Kidd, Julie Duncan Millar, Helen Mason, Terry Quinn, Katie Gallacher, Fiona Jones, Rebecca J. Fisher, Therese Lebedis, Mark Barber, Katrina Brennan, Mark Smith
Summary: This study aims to explore the mechanisms and outcomes of supported self-management in stroke rehabilitation in the community, as well as its implementation in different contexts. The study uses a mixed method approach, including realist synthesis, scoping and mapping of current community rehabilitation settings, and Q-methodology to develop initial program theories. Realist-informed interviews and focus groups will be conducted to test and refine the program theories and explanatory model.
Article
Medicine, General & Internal
En-Chi Chiu, Fang-Chi Chi, Pei-Tsen Chen
Summary: The study found that people with stroke who underwent a 6-week home-reablement program showed potential for improving their motor function, ADL/instrumental ADL, emotion, memory, and activity participation.
Article
Medicine, General & Internal
Ruby Lipson-Smith, Luis Pflaumer, Marie Elf, Sarah-May Blaschke, Aaron Davis, Marcus White, Heidi Zeeman, Julie Bernhardt
Summary: This study aimed to identify, appraise, and synthesise existing design evidence for inpatient stroke rehabilitation facilities. Results suggest that attractive and accessible communal areas are important for patient activity and well-being, highlighting the need for further targeted research in this area.
Article
Rehabilitation
Mi Jung Lee, Carole A. Tucker, Steve R. Fisher, Md Ibrahim Tahashilder, Kevin T. Prichard, Yong-Fang Kuo
Summary: The study examines the characteristics and features associated with initial rehabilitation utilization, particularly outpatient rehabilitation, after total knee arthroplasty (TKA). The findings show an increasing use of initial outpatient rehabilitation, but the overall rate remains low, raising questions about limited access to outpatient rehabilitation for certain patient demographics and clinical groups.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Rehabilitation
H. N. Locke, V. Randriamarotsiresy, M. A. Chamberlain, R. J. O'Connor
Summary: Participants in Madagascar experienced delays in seeking treatment and accessing healthcare facilities mainly due to cognitive, structural, and financial barriers. Addressing the acceptability of services and improving accessibility should be a priority to prevent increased mortality and disability, as well as financial burden. These findings can guide future development of trauma and rehabilitation pathways in Madagascar.
DISABILITY AND REHABILITATION
(2021)
Article
Cardiac & Cardiovascular Systems
Kaiz S. Asif, Fadar O. Otite, Shashvat M. Desai, Nabeel Herial, Violiza Inoa, Fawaz Al-Mufti, Ashutosh P. Jadhav, Adam A. Dmytriw, Alicia Castonguay, Priyank Khandelwal, Jennifer Potter-Vig, Viktor Szeder, Tanzila Kulman, Victor Urrutia, Hesham Masoud, Gabor Toth, Kaustubh Limaye, Sushanth Aroor, Waleed Brinjikji, Ansaar Rai, Jeyaraj Pandian, Mehari Gebreyohanns, Thomas Leung, Ossama Mansour, Andrew M. Demchuk, Vikram Huded, Sheila Martins, Osama Zaidat, Xiaochuan Huo, Bruce Campbell, P. N. Sylaja, Zhongrong Miao, Jeffrey Saver, Santiago Ortega-Gutierrez, Dileep R. Yavagal
Summary: Despite the well-established benefit of mechanical thrombectomy for stroke, access to this treatment is limited globally. A survey conducted in multiple countries revealed significant disparities in mechanical thrombectomy access, with income level and availability of operators and centers being important determinants.
Article
Urban Studies
Carmen Guida, Gerardo Carpentieri
Summary: The Covid-19 pandemic has highlighted the importance of age-friendly approaches in urban planning to ensure equal accessibility to essential services for the elderly.
Article
Rehabilitation
Kent P. Simmonds, Zhehui Luo, Mathew Reeves
Summary: The study showed significant racial/ethnic disparities in poststroke function, with Black and Hispanic patients having lower FIM scores compared to White patients. These disparities varied by stroke subtype, with the most prominent differences observed between Black and White patients. Age was a major confounding factor for Black-White disparities, especially for patients with hemorrhagic stroke.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Geriatrics & Gerontology
Marten Segerdahl, Per-Olof Hansson, Carina M. Samuelsson, Carina U. Persson
Summary: This study found that four out of five stroke survivors (79%) reported impaired HRQoL five years after stroke, with pain/discomfort being the main issue. Higher age and longer hospital stay during the index stroke were associated with impaired HRQoL.
Review
Medicine, General & Internal
Stella McLaughlin, Lexy Staniland, Sarah J. Egan, Jessica Wheadon, Caitlin Munro, David Preece, Yulia Furlong, Nahal Mavaddat, Alexander Thompson, Suzanne Robinson, Wai Chen, Bronwyn Myers
Summary: The demand for adolescent mental health services has increased significantly in recent years, leading to excessive wait times and poor mental health outcomes. It is important to understand whether and how interventions to reduce wait times impact mental health outcomes in order to guide mental health policymakers and service planners.
Article
Psychiatry
Simon M. Rice, Ben McKechnie, Susan Cotton, Abi Brooker, Vita Pilkington, Belinsha Youzchalveen, Lianne Schmaal, Christopher G. Davey
Summary: This study found that patients with severe and complex youth depression often have comorbidities, exposure to traumatic events, and high rates of suicidal ideation. The data highlights the clinical needs of these patients in terms of mental health treatment and education.
EARLY INTERVENTION IN PSYCHIATRY
(2022)
Article
Psychiatry
Sue M. Cotton, Kate M. Filia, Martin Lambert, Michael Berk, Aswin Ratheesh, Benno G. Schimmelmann, Craig Macneil, Melissa Hasty, Patrick D. McGorry, Philippe Conus
Summary: The study found that NEET status in young people with bipolar disorder and psychotic features is associated with premorbid decline, substance use, and forensic issues. NEET status can change during treatment, suggesting a need to further explore the effectiveness of vocational intervention programs specifically for BD.
EARLY INTERVENTION IN PSYCHIATRY
(2022)
Article
Psychiatry
Sue Cotton, Kate Filia, Amity Watson, Andrew J. Mackinnon, Leanne Hides, John F. M. Gleeson, Michael Berk, Philippe Conus, Martin Lambert, Benno Schimmelmann, Helen Herrman, Victoria Rayner, Aswin Ratheesh, Patrick D. McGorry
Summary: This study aims to provide a comprehensive evaluation of the long-term trajectory of psychotic disorders after treatment for first episode psychosis in a specialist early intervention service.
EARLY INTERVENTION IN PSYCHIATRY
(2022)
Article
Psychiatry
K. Filia, J. Menssink, C. X. Gao, D. Rickwood, M. Hamilton, S. E. Hetrick, A. G. Parker, H. Herrman, I. Hickie, S. Sharmin, P. D. McGorry, S. M. Cotton
Summary: This study examines the importance of social inclusion in enhancing mental healthcare for young people. It found that some young people may experience social exclusion across multiple domains and report more mental health problems. The co-occurrence of mental ill-health and social exclusion emphasizes the significance of integrated mental healthcare.
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
(2022)
Article
Psychiatry
Trees T. Juurlink, Jennifer K. Betts, Katie Nicol, Femke Lamers, Aartjan T. F. Beekman, Sue M. Cotton, Andrew M. Chanen
Summary: This study investigated the predictors of vocational disengagement (NEET) in young people with borderline personality disorder (BPD). The results showed that not achieving educational milestones, instability in identity, and emptiness predicted NEET status, while instability in interpersonal relationships and identity predicted Unstable NEET status. Therefore, specific vocational interventions that focus on interpersonal functioning, emptiness, and identity disturbance are needed to improve functioning in youth with BPD, especially when educational milestones are not achieved.
JOURNAL OF PERSONALITY DISORDERS
(2022)
Article
Psychiatry
Sue M. Cotton, Jennifer K. Betts, Dina Eleftheriadis, Kate Filia, Mirra Seigerman, Victoria K. Rayner, Ben McKechnie, Carol Anne Hulbert, Louise McCutcheon, Martina Jovev, Sarah Bendall, Emma Burke, Catharine McNab, Sumudu Mallawaarachchi, Mario Alvarez-Jimenez, Andrew M. Chanen, John F. M. Gleeson
Summary: Caregivers of individuals with severe mental illness often have negative caregiving experiences, which are associated with higher levels of expressed emotion. The study compared experiences of caregivers of young people with first-episode psychosis and those with borderline personality disorder, finding that caregivers of the latter had higher levels of negative experiences and expressed emotion, with different mechanisms underlying their associations.
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
(2022)
Review
Clinical Neurology
Anna L. Wrobel, Anuradhi Jayasinghe, Samantha E. Russell, Wolfgang Marx, Luis Alameda, Olivia M. Dean, Sue M. Cotton, Michael Berk, Alyna Turner
Summary: The review examined the impact of childhood trauma on the treatment outcomes of pharmacological and/or psychological interventions for individuals with bipolar disorder. The findings suggested that childhood trauma may be associated with greater improvement in global functioning but not necessarily with treatment response. The overall quality of the evidence was deemed low, highlighting the need for further research to explore the role of childhood trauma in the treatment of bipolar disorder.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Health Care Sciences & Services
Z. Liao, K. Allott, J. F. Anderson, E. Killackey, S. M. Cotton
Summary: This study identified three distinct subgroups of young people with first episode psychosis based on their quality of life profiles. One subgroup had good quality of life across all domains, another had poor quality of life particularly in Psychological and Social relationships domains, while the third 'intermediate' group had comparatively low Psychological quality of life. Depression, semantic verbal fluency, social inclusion, and social/occupational functioning were associated with group membership.
QUALITY OF LIFE RESEARCH
(2022)
Article
Psychiatry
Laura S. van Velzen, Yara J. Toenders, Akhil Kottaram, Belinsha Youzchalveen, Vita Pilkington, Sue M. Cotton, Abi Brooker, Ben McKechnie, Simon Rice, Lianne Schmaal
Summary: Prediction of suicide attempts during mental health care for young people is moderately accurate, and individual risk factors for suicidal behavior during care can be identified.
CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION
(2023)
Article
Psychiatry
Kieran M. O'Gorman, Lianne Schmaal, Aswin Ratheesh, George Habib, Orania Tokatlidis, Jennifer Jackson-Simpson, Sue M. Cotton, Simon M. Rice
Summary: This study investigated the clinical characteristics of tertiary students and non-students attending a specialist clinic for severe mood disorders. The results showed that compared to non-students, tertiary students reported more severe depressive symptomatology, were more likely to experience suicidal ideation at intake and during treatment, and were more likely to be living separately from their family of origin but less likely to have experienced parental separation. Furthermore, 21.73% of tertiary students dropped out or deferred study during care.
AUSTRALASIAN PSYCHIATRY
(2023)
Article
Psychiatry
Andrew Thompson, Joanna Fitzsimons, Eoin Killackey, Susannah Ahern, Paul Amminger, Mario Alvarez-Jimenez, Michael Berk, Sue Cotton, John McNeil, Patrick McGorry, Barnaby Nelson, Brian O'Donoghue, Aswin Ratheesh, Debra Rickwood, Alison Yung, Stephen Wood
Summary: The field of early psychosis has expanded rapidly over the past few decades with a strong evidence base. However, there is a need for early psychosis services to consistently provide higher quality care. The establishment of the Australian Early Psychosis Collaborative Consortium (AEPCC) aims to address this through the implementation of a clinical research infrastructure.
AUSTRALASIAN PSYCHIATRY
(2023)
Article
Psychiatry
Sue M. Cotton, Kate M. Filia, Matthew P. Hamilton, Caroline X. Gao, Jana M. Menssink, Nic Telford, Patrick McGorry, Debra Rickwood
Summary: This research program in Australia aims to address the lack of routine outcome measures and understanding of complexity and heterogeneity in youth mental health service research. The study identifies better routine outcome measures designed for young people aged 12-25, taking into account their developmental nuances and being meaningful to both young people and service providers. These measures, alongside new tools for assessing complexity and heterogeneity, will help service providers meet the needs of young people with mental health problems.
AUSTRALASIAN PSYCHIATRY
(2023)
Article
Psychiatry
John Gleeson, Ashleigh Lin, Peter Koval, Liza Hopkins, Paul Denborough, Reeva Lederman, Helen Herrman, Sarah Bendall, Dina Eleftheriadis, Sue Cotton, Yael Perry, Michael Kaess, Mario Alvarez-Jimenez
Summary: This study evaluated the effectiveness of a web-based intervention for family carers of youth recovering from early psychosis. The intervention did not show significant effects in reducing perceived stress, but the frequency of use was associated with reductions in stress and improvements in social support. Further improvements are needed in problem-solving, communication, and self-care outcomes.
JMIR MENTAL HEALTH
(2023)
Article
Neurosciences
Samantha E. Russell, Anna L. Wrobel, Melanie M. Ashton, Alyna Turner, Mohammadreza Mohebbi, Michael Berk, Sue Cotton, Seetal Dodd, Chee H. Ng, Gin S. Malhi, Olivia M. Dean
Summary: This study aimed to investigate the impact of post-traumatic stress disorder on treatment outcomes in patients with bipolar disorder. The results showed no significant differences in symptoms and functioning between patients with bipolar disorder alone and those with comorbid bipolar disorder and post-traumatic stress disorder.
CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE
(2023)
Article
Substance Abuse
Sue M. Cotton, Sonia Sharmin, Caroline X. Gao, Ellie Brown, Jana M. Menssink, Debra Rickwood, Gillinder Bedi, Ian Hickie, Sarah E. Hetrick, Alexandra G. Parker, Helen Herrman, Nic Telford, Patrick D. McGorry, Kate M. Filia
Summary: This study aimed to investigate the rates and correlates of tobacco use in Australian youth with mental illness at their first presentation to primary mental health services. The results showed that nearly a quarter of young people with mental illness had used tobacco in the past 3 months. Age, gender, relationship status, and poorer functioning were predictors of tobacco use in adolescents, whereas living in a regional location and not studying were predictors in young adults. Having a diagnosed mental illness other than depression and/or anxiety predicted tobacco use in both age groups.
NICOTINE & TOBACCO RESEARCH
(2023)
