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  1. Article ; Online: Explaining caregiver burden in a large sample of UK dementia caregivers: The role of contextual factors, behavioural problems, psychological resilience, and anticipatory grief.

    Gilsenan, Jane / Gorman, Colin / Shevlin, Mark

    Aging & mental health

    2022  Volume 27, Issue 7, Page(s) 1274–1281

    Abstract: Objectives: Dementia caregiver burden is a significant public health concern, affecting both the wellbeing of caregivers and their care-recipients. This study investigated a range of variables associated with caregiver burden in a large sample of UK ... ...

    Abstract Objectives: Dementia caregiver burden is a significant public health concern, affecting both the wellbeing of caregivers and their care-recipients. This study investigated a range of variables associated with caregiver burden in a large sample of UK dementia caregivers. Clinical characteristics and novel psychological constructs were used - including anticipatory grief and psychological resilience. Anticipatory grief refers to the process of experiencing loss prior to the death of a significant person.
    Method: Caregivers of persons with dementia (
    Results: Findings illustrate that 71% of the sample experienced high levels of caregiver burden and around 95% met the criteria for clinically significant levels of burden. A regression model explained 49% of the variance in subjective caregiver burden; contextual factors (care-recipients living situation, frequency of caregiving), behavioural challenges in the care-recipient (memory-related problem behaviours), caregiver psychological resilience and caregiver anticipatory grief (heartfelt long & sadness, worry & felt isolation) were all significant variables. Caregiver anticipatory grief, followed by psychological resilience, had the strongest association with burden.
    Conclusion: Caregiver anticipatory grief and psychological resilience, have a significant interaction with the clinical presentation of the dementia sufferer in explaining subjective caregiver burden. More grief and resilience-focused interventions targeting both the practical and emotional challenges are imperative to reduce burden and thus to ensure caregiver wellbeing.
    Language English
    Publishing date 2022-07-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 1474804-6
    ISSN 1364-6915 ; 1360-7863
    ISSN (online) 1364-6915
    ISSN 1360-7863
    DOI 10.1080/13607863.2022.2102138
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  2. Article ; Online: Exploratory factor analysis of the caregiver grief inventory in a large UK sample of dementia carers.

    Gilsenan, Jane / Gorman, Colin / Shevlin, Mark

    Aging & mental health

    2020  Volume 26, Issue 2, Page(s) 320–327

    Abstract: Objectives: Anticipatory grief (AG) is the process of experiencing loss prior to the death of a significant person. Coping with this multifaceted experience in the context of dementia caregiving is a relatively novel, yet significant area in caregiving ... ...

    Abstract Objectives: Anticipatory grief (AG) is the process of experiencing loss prior to the death of a significant person. Coping with this multifaceted experience in the context of dementia caregiving is a relatively novel, yet significant area in caregiving literature. The Marwit-Meuser Caregiver Grief Inventory (MM-CGI) and its abbreviated MM-CGI-Short-Form (MM-CGI-SF) is the most widely used scale measuring AG. However, limited research has employed robust analytical strategies to assess its dimensional structure. This study employed contemporary factor analytical techniques to assess the dimensional structure of the MM-CGI/SF.
    Method: Caregivers of persons with dementia (
    Results: The best fitting model was the MM-CGI-SF three factor model (
    Conclusion: The MM-CGI-SF three factor model demonstrated adequate fit and utility, however, the
    MeSH term(s) Caregivers ; Dementia ; Factor Analysis, Statistical ; Grief ; Humans ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires ; United Kingdom
    Language English
    Publishing date 2020-11-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1474804-6
    ISSN 1364-6915 ; 1360-7863
    ISSN (online) 1364-6915
    ISSN 1360-7863
    DOI 10.1080/13607863.2020.1839856
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  3. Article: Use of Electronic Health Records to Develop and Implement a Silent Best Practice Alert Notification System for Patient Recruitment in Clinical Research: Quality Improvement Initiative.

    Devoe, Connor / Gabbidon, Harriett / Schussler, Nina / Cortese, Lauren / Caplan, Emily / Gorman, Colin / Jethwani, Kamal / Kvedar, Joseph / Agboola, Stephen

    JMIR medical informatics

    2019  Volume 7, Issue 2, Page(s) e10020

    Abstract: Background: Participant recruitment, especially for frail, elderly, hospitalized patients, remains one of the greatest challenges for many research groups. Traditional recruitment methods such as chart reviews are often inefficient, low-yielding, time ... ...

    Abstract Background: Participant recruitment, especially for frail, elderly, hospitalized patients, remains one of the greatest challenges for many research groups. Traditional recruitment methods such as chart reviews are often inefficient, low-yielding, time consuming, and expensive. Best Practice Alert (BPA) systems have previously been used to improve clinical care and inform provider decision making, but the system has not been widely used in the setting of clinical research.
    Objective: The primary objective of this quality-improvement initiative was to develop, implement, and refine a silent Best Practice Alert (sBPA) system that could maximize recruitment efficiency.
    Methods: The captured duration of the screening sessions for both methods combined with the allotted research coordinator hours in the Emerald-COPD (chronic obstructive pulmonary disease) study budget enabled research coordinators to estimate the cost-efficiency.
    Results: Prior to implementation, the sBPA system underwent three primary stages of development. Ultimately, the final iteration produced a system that provided similar results as the manual Epic Reporting Workbench method of screening. A total of 559 potential participants who met the basic prescreen criteria were identified through the two screening methods. Of those, 418 potential participants were identified by both methods simultaneously, 99 were identified only by the Epic Reporting Workbench Method, and 42 were identified only by the sBPA method. Of those identified by the Epic Reporting Workbench, only 12 (of 99, 12.12%) were considered eligible. Of those identified by the sBPA method, 30 (of 42, 71.43%) were considered eligible. Using a side-by-side comparison of the sBPA and the traditional Epic Reporting Workbench method of screening, the sBPA screening method was shown to be approximately four times faster than our previous screening method and estimated a projected 442.5 hours saved over the duration of the study. Additionally, since implementation, the sBPA system identified the equivalent of three additional potential participants per week.
    Conclusions: Automation of the recruitment process allowed us to identify potential participants in real time and find more potential participants who meet basic eligibility criteria. sBPA screening is a considerably faster method that allows for more efficient use of resources. This innovative and instrumental functionality can be modified to the needs of other research studies aiming to use the electronic medical records system for participant recruitment.
    Language English
    Publishing date 2019-04-26
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2798261-0
    ISSN 2291-9694
    ISSN 2291-9694
    DOI 10.2196/10020
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  4. Article ; Online: Preliminary Findings of a New Primary and Community Care Psychological Service in Northern Ireland: Low-Intensity Cognitive Behavioural Therapy for Common Mental Health Difficulties.

    McDevitt-Petrovic, Orla / Kirby, Karen / McBride, Orla / Shevlin, Mark / McAteer, Donal / Gorman, Colin / Murphy, Jamie

    Behavioural and cognitive psychotherapy

    2018  Volume 46, Issue 6, Page(s) 761–767

    Abstract: Background: The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this.!# ...

    Abstract Background: The prevalence of mental health difficulties in Northern Ireland (NI) is significantly higher than in England. In recent years, there have been extensive consultations, and subsequent recommendations made in NI in an effort to address this.
    Aims: The current study aims to evaluate the effectiveness of an 'Improving Access to Psychological Therapies' (IAPT) stepped care service model using low-intensity cognitive behavioural therapy (LI-CBT) in primary and community care settings.
    Method: A pilot intervention trial design utilized two standardized outcome measures (PHQ-9 and GAD-7) before treatment (at baseline), during treatment (in every session) and at discharge (at final session).
    Results: Preliminary reliable change outcomes for the pilot cohorts showed a recovery rate of 47.9%, improvement rate of 76.7% and deterioration rate of 6%.
    Conclusions: These findings suggest that the IAPT service model is clinically effective in the NI population. Data collection for the larger study was completed in December 2017. Future analyses will include follow-up data collected at 4 months post-treatment, and will also aim to identify individual and service level factors that potentially impact treatment effectiveness.
    MeSH term(s) Adolescent ; Adult ; Aged ; Cognitive Behavioral Therapy/methods ; Female ; Humans ; Male ; Mental Health/standards ; Mental Health Services/standards ; Middle Aged ; Northern Ireland ; Pilot Projects ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2018-06-13
    Publishing country United States
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1168441-0
    ISSN 1469-1833 ; 1352-4658 ; 0141-3473
    ISSN (online) 1469-1833
    ISSN 1352-4658 ; 0141-3473
    DOI 10.1017/S1352465818000322
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  5. Article ; Online: Prevalence of self-reported mental disorders in pregnancy and associations with adverse neonatal outcomes: a population-based cross-sectional study.

    Mongan, David / Lynch, Janine / Hanna, Donncha / Shannon, Ciaran / Hamilton, Shona / Potter, Claire / Gorman, Colin / McCambridge, Orlagh / Morrow, Rachel / Mulholland, Ciaran

    BMC pregnancy and childbirth

    2019  Volume 19, Issue 1, Page(s) 412

    Abstract: Background: Mental disorders in pregnancy are common causes of morbidity and mortality with associated risks of adverse neonatal outcomes. Our aims were to evaluate the prevalence of self-reported mental disorders in women presenting to maternity ... ...

    Abstract Background: Mental disorders in pregnancy are common causes of morbidity and mortality with associated risks of adverse neonatal outcomes. Our aims were to evaluate the prevalence of self-reported mental disorders in women presenting to maternity services and to determine the association between history of self-reported maternal mental disorder and adverse neonatal outcomes.
    Methods: Data on all singleton pregnancies known to maternity services in Northern Ireland over the period 2010 to 2015 were extracted from the Northern Ireland Maternity System (NIMATS), including frequency data for number of pregnancies where the mother reported a history of mental disorder. Odds ratios were derived from logistic regression analyses to determine the associations between self-reported maternal mental disorder and preterm birth, low infant birth weight and APGAR scores.
    Results: In total, 140,569 singleton pregnancies were registered using NIMATS over this period. In 18.9% of these pregnancies, the mother reported a history of at least one mental disorder. After adjustment for potential confounding factors, significant associations were demonstrated between self-reported maternal mental disorder and preterm birth (odds ratio [OR] 1.31, 95% confidence interval [CI] 1.25-1.37), low infant birth weight (OR 1.29, 95% CI 1.21-1.38) and APGAR score < 7 at 1 min (OR 1.14, 95% CI 1.10-1.19) and 5 min (OR 1.23, 95% CI 1.12 to 1.34).
    Conclusions: These findings emphasise the critical importance of routine enquiry regarding psychiatric history when women present to maternity services and the impact of maternal mental illnesses upon outcomes for their infants.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Female ; Humans ; Infant, Newborn ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Northern Ireland/epidemiology ; Pregnancy ; Pregnancy Complications/epidemiology ; Pregnancy Complications/psychology ; Pregnancy Outcome ; Premature Birth/epidemiology ; Prevalence ; Retrospective Studies ; Self Report ; Young Adult
    Language English
    Publishing date 2019-11-08
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2059869-5
    ISSN 1471-2393 ; 1471-2393
    ISSN (online) 1471-2393
    ISSN 1471-2393
    DOI 10.1186/s12884-019-2572-4
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  6. Article ; Online: Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: a pilot study.

    Pigeon, Wilfred R / Carr, Michelle / Gorman, Colin / Perlis, Michael L

    Journal of medicinal food

    2010  Volume 13, Issue 3, Page(s) 579–583

    Abstract: This study ascertained whether a proprietary tart cherry juice blend (CherryPharm, Inc., Geneva, NY, USA) associated with anecdotal reports of sleep enhancement improves subjective reports of insomnia compared to a placebo beverage. The pilot study used ... ...

    Abstract This study ascertained whether a proprietary tart cherry juice blend (CherryPharm, Inc., Geneva, NY, USA) associated with anecdotal reports of sleep enhancement improves subjective reports of insomnia compared to a placebo beverage. The pilot study used a randomized, double-blind, crossover design where each participant received both treatment and placebo for 2 weeks with an intervening 2-week washout period. Sleep continuity (sleep onset, wake after sleep onset, total sleep time, and sleep efficiency) was assessed by 2-week mean values from daily sleep diaries and disease severity by the Insomnia Severity Index in a cohort of 15 older adults with chronic insomnia who were otherwise healthy. The tart cherry juice beverage was associated with statistically significant pre- to post-treatment improvements on all sleep variables. When compared to placebo, the study beverage produced significant reductions in insomnia severity (minutes awake after sleep onset); no such improvements were observed for sleep latency, total sleep time, or sleep efficiency compared to placebo. Effect sizes were moderate and in some cases negligible. The results of this pilot study suggest that CherryPharm, a tart cherry juice blend, has modest beneficial effects on sleep in older adults with insomnia with effect sizes equal to or exceeding those observed in studies of valerian and in some, but not all, studies of melatonin, the two most studied natural products for insomnia. These effects, however, were considerably less than those for evidence-based treatments of insomnia: hypnotic agents and cognitive-behavioral therapies for insomnia.
    MeSH term(s) Aged ; Aged, 80 and over ; Beverages ; Cross-Over Studies ; Female ; Humans ; Male ; Pilot Projects ; Prunus/chemistry ; Sleep/drug effects ; Sleep Initiation and Maintenance Disorders/diet therapy ; Sleep Initiation and Maintenance Disorders/physiopathology
    Language English
    Publishing date 2010-04-30
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1427365-2
    ISSN 1557-7600 ; 1096-620X
    ISSN (online) 1557-7600
    ISSN 1096-620X
    DOI 10.1089/jmf.2009.0096
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  7. Article: Effects of a Tart Cherry Juice Beverage on the Sleep of Older Adults with Insomnia: A Pilot Study

    Pigeon, Wilfred R / Carr, Michelle / Gorman, Colin / Perlis, Michael L

    Journal of medicinal food. 2010 June, v. 13, no. 3

    2010  

    Keywords cherries ; fruit juices ; sleep ; elderly ; elderly nutrition ; dietary supplements ; oral administration ; oxidative stress ; functional foods
    Language English
    Dates of publication 2010-06
    Size p. 579-583.
    Document type Article
    ZDB-ID 1427365-2
    ISSN 1096-620X
    ISSN 1096-620X
    DOI 10.1089/jmf.2009.0096
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  8. Article ; Online: The Breast Size Satisfaction Survey (BSSS): Breast size dissatisfaction and its antecedents and outcomes in women from 40 nations.

    Swami, Viren / Tran, Ulrich S / Barron, David / Afhami, Reza / Aimé, Annie / Almenara, Carlos A / Alp Dal, Nursel / Amaral, Ana Carolina Soares / Andrianto, Sonny / Anjum, Gulnaz / Argyrides, Marios / Atari, Mohammad / Aziz, Mudassar / Banai, Benjamin / Borowiec, Joanna / Brewis, Alexandra / Cakir Kocak, Yeliz / Campos, Juliana Alvares Duarte Bonini / Carmona, Carmen /
    Chaleeraktrakoon, Trawin / Chen, Hong / Chobthamkit, Phatthanakit / Choompunuch, Bovornpot / Constantinos, Togas / Crumlish, Aine / Cruz, Julio Eduardo / Dalley, Simon E / Damayanti, Devi / Dare, Joanna / Donofrio, Stacey M / Draksler, Anja / Escasa-Dorne, Michelle / Fernandez, Elaine Frances / Ferreira, Maria Elisa Caputo / Frederick, David A / García, Antonio Alías / Geller, Shulamit / George, Alexias / Ghazieh, Louai / Goian, Cosmin / Gorman, Colin / Grano, Caterina / Handelzalts, Jonathan Eliahu / Horsburgh, Heather / Jackson, Todd / Javela Delgado, Lady Grey Javela / Jović, Marija / Jović, Marko / Kantanista, Adam / Kertechian, Sevag K / Kessels, Loes / Król-Zielińska, Magdalena / Kuan, Garry / Kueh, Yee Cheng / Kumar, Sanjay / Kvalem, Ingela Lundin / Lombardo, Caterina / Luis López Almada, Ernesto / Maïano, Christophe / Manjary, Mandar / Massar, Karlijn / Matera, Camilla / Mereiles, Juliana F Figueiras / Meskó, Norbert / Namatame, Hikari / Nerini, Amanda / Neto, Felix / Neto, Joana / Neves, Angela Nogueira / Ng, Siu-Kuen / Nithiya, Devi R / Omar, Salma Samir / Omori, Mika / Panasiti, Maria Serena / Pavela Banai, Irena / Pila, Eva / Pokrajac-Bulian, Alessandra / Postuvan, Vita / Prichard, Ivanka / Razmus, Magdalena / Sabiston, Catherine M / Sahlan, Reza N / Sarfo, Jacob Owusu / Sawamiya, Yoko / Stieger, Stefan / SturtzSreetharan, Cindi / Tee, Eugene / Ten Hoor, Gill A / Thongpibul, Kulvadee / Tipandjan, Arun / Tudorel, Otilia / Tylka, Tracy / Vally, Zahir / Vargas-Nieto, Juan Camilo / Vega, Luis Diego / Vidal-Mollón, Jose / Vintila, Mona / Williams, Deborah / Wutich, Amber / Yamamiya, Yuko / Zambrano, Danilo / Zanetti, Marcelo Callegari / Živčić-Bećirević, Ivanka / Voracek, Martin

    Body image

    2020  Volume 32, Page(s) 199–217

    Abstract: The Breast Size Satisfaction Survey (BSSS) was established to assess women's breast size dissatisfaction and breasted experiences from a cross-national perspective. A total of 18,541 women were recruited from 61 research sites across 40 nations and ... ...

    Abstract The Breast Size Satisfaction Survey (BSSS) was established to assess women's breast size dissatisfaction and breasted experiences from a cross-national perspective. A total of 18,541 women were recruited from 61 research sites across 40 nations and completed measures of current-ideal breast size discrepancy, as well as measures of theorised antecedents (personality, Western and local media exposure, and proxies of socioeconomic status) and outcomes (weight and appearance dissatisfaction, breast awareness, and psychological well-being). In the total dataset, 47.5 % of women wanted larger breasts than they currently had, 23.2 % wanted smaller breasts, and 29.3 % were satisfied with their current breast size. There were significant cross-national differences in mean ideal breast size and absolute breast size dissatisfaction, but effect sizes were small (η
    MeSH term(s) Adult ; Body Dissatisfaction/psychology ; Breast ; Female ; Global Health ; Humans ; Organ Size ; Personal Satisfaction
    Language English
    Publishing date 2020-02-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2211449-X
    ISSN 1873-6807 ; 1740-1445
    ISSN (online) 1873-6807
    ISSN 1740-1445
    DOI 10.1016/j.bodyim.2020.01.006
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