Evaluation of the three Community Rehabilitation Centres: Final Report

This report summarises the findings from the Evaluation of the three South Australian Community Rehabilitation Centres (CRCs) undertaken by the Australian Institute for Social Research in 2010-11

Participation in mammographic screenings in South Australia / Frida Cheok.

Includes bibliographical references (18 leaves).2 v. : ill., maps ; 30 cm.Examines the factors that predict attendence to mammography screening by comparing various groups of attenders and non-attenders.Thesis (Ph.D.) -- University of Adelaide, Dept. of Public Health, 199

Shame, guilt and social anxiety: the role of perspective-taking and alexithymia

This item is only available electronically.The relationship between shame-proneness and psychopathology is well established, while most research suggests that guilt-proneness may be unrelated to psychopathology. The present study expands previous research concerning relationships between shame, guilt and social anxiety, and examines relationships of these variables with perspective-taking and alexithymia. Most prior research has focused on internal shame (which includes shame-proneness), but this study also examined external shame, identified as an area requiring further research. Findings were consistent with the literature in associations between shame-proneness and social anxiety (positive) and between guilt-proneness and social anxiety (no association). External shame was positively associated with social anxiety, adding to the limited research suggesting similar psychopathology as shame-proneness. Perspective taking did not play a role in social anxiety. Key new findings were: positive associations between alexithymia and both shame-proneness and external shame; and, indirect effects for both shame-proneness and external shame on social anxiety through alexithymia. The current research can help develop additional intervention strategies for social anxiety, a common problem in society, by identifying and targeting the risk factors of shame and alexithymia that may impinge on successful outcomes.Thesis (B.Sc.(Hons)) -- University of Adelaide, School of Psychology, 201

Predictors of depression 12 months after cardiac hospitalization: the identifying depression as a comorbid condition study

The definitive version is available at www.blackwell-synergy.comObjective: To determine characteristics which predict depression at 12 months after cardiac hospitalization, and track the natural history of depression. Method: Depressive symptoms were monitored at baseline, 3 and 12 months in a cohort of 785 patients, using the self-report Center for Epidemiological Studies Depression Scale. Multinomial regression analyses of baseline clinical and demographic variables identified characteristics associated with depression at 12 months. Results: Three baseline variables predicted moderate to severe depression at 12 months: depression during index admission, past history of emotional health problems and current smoking. For those who were depressed during cardiac hospitalization, 51% remained depressed at both 3 and 12 months. Persistence was more evident in patients who had moderate to severe depressive symptoms when hospitalized. Mild depression was as likely to persist as to remit. Conclusions: Three clinically accessible characteristics at the time of cardiac hospitalization can assist in predicting depression at 12 months and may aid treatment decisions. Depressive symptoms persist in a substantial proportion of cardiac patients up to 12 months after hospitalization. Key words: depression, heart disease, inpatient, natural history, predictor.Geoff Schrader, Frida Cheok, Ann-Louise Hordacre and Julie Marke

Identification, course, and treatment of depression after admission for a cardiac condition: rationale and patient characteristics for the identifying depression as a comorbid condition (IDACC) project.

Copyright © 2003 Mosby, Inc. All rights reserved.Background Given the prevalence of cardiovascular disease and the high rates of depression among cardiac patients, there is a need to develop practical ways to identify this population and provide pragmatic general-practitioner–based interventions for managing depression as a comorbid condition. Method The Identifying Depression As a Comorbid Condition (IDACC) study employed a hybrid design, incorporating a randomized controlled trial nested within a prospective cohort study. IDACC screened for depression in patients hospitalized in South Australia for a range of cardiac conditions, with outcome measures monitored for 12 months after discharge. The subgroup identified as depressed was entered into the nested IDACC trial, which tests the hypothesis that identifying depression and offering an evidence-based intervention to general practitioners, incorporating multidisciplinary telephone case conferencing, will reduce levels of depression, improve quality of life, and reduce associated economic costs. Results At baseline, 46.3% of 1455 participants screened were classified as depression cases on the basis of their score on the Center for Epidemiological Studies Depression Scale (≥16) or the Hospital Anxiety and Depression Scale (≥8). Elevated scores were associated with being younger, female, divorced or separated, not employed, living alone, having a lower level of education, and having poorer health and quality of life. Nearly one fifth (19.4%) of participants had Center for Epidemiological Studies Depression Scale scores >27, which is indicative of major depression. Conclusions This project confirms, in an Australian setting, the high prevalence of depressive symptoms among hospitalized cardiac patients. Follow-up over 12 months will enhance understanding of the natural history of depression in cardiac patients, while the nested trial will inform on effectiveness of an intervention involving tailored advice and support to general practitioners.Frida Cheok, Geoffrey Schrader, David Banham, Julie Marker and Ann-Louise Hordacrehttp://www.elsevier.com/wps/find/journaldescription.cws_home/623272/description#descriptio