80 research outputs found
The experiences and needs of refugee and asylum seeking children in the UK : a literature review
Anxiety disorders and salivary cortisol levels in older adults: A population-based study
Context: The hypothalamic-pituitary-adrenal (HPA) axis is one of the body's main systems that controls response to stress. It acts through the hormone cortisol. While the dysregulation of cortisol has been associated with anxiety disorders, the evidence is inconsistent. Moreover, only a few small studies have assessed this relationship in older adults. Objective: To determine whether in adults aged 65 years and over there is a difference in daily cortisol pattern between those with and without an anxiety disorder. Methods: The study population comprised 1788 older adults from a population-based cohort. The Munich version of the Composite International Diagnostic Interview was used to diagnose anxiety disorders (generalized anxiety disorder, social phobia, specific phobia, agoraphobia and panic disorder). The cortisol awakening response and total cortisol secretion over the day were calculated from cortisol levels in four saliva samples taken over the course of one day (at awakening, 30. min after awakening, at 1700. h, at bedtime). Results: Older adults with an anxiety disorder (n=145, median duration since first symptoms 41 years) had a lower cortisol awakening response (p=0.02) than those without such a disorder (n=1643). This association was most prominent in those with generalized anxiety disorder (p=0.008), but was not associated with the extent of chronicity of anxiety disorders. Conclusion: Older adults from the general population with long-lasting anxiety disorders had a lower cortisol awakening response than those without. This is consistent with the notion that chronic anxiety may result in downregulation of HPA-axis activity. Longitudinal studies are needed to confirm this mechanism
Review of... Unaccompanied Asylum Seeking Children: the response of social work services. Jim Wade, Fiona Mitchell and Graeme Baylis
Review of... Unaccompanied Asylum Seeking Children: the response of social work services. Jim Wade, Fiona Mitchell and Graeme Baylis
Developing and Sustaining New Practice Learning Opportunities in Partnership with the Police and Probation Services in the West Midlands
Paper produced at part of NECF on-line conference, 17th June 2004:Settlement Not Segregation: Experiences of Young Refugees in Schools in the UK
Paper produced at part of NECF on-line conference, 17th June 2004:Settlement Not Segregation: Experiences of Young Refugees in Schools in the UK
Is it possible to develop and sustain non-traditional placements? An evaluation of the development of practice learning opportunities in partnership with the Police and Probation Services in the West Midlands
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