Mental illnesses are consistently underrecognized and undertreated, leading to underestimations o... more Mental illnesses are consistently underrecognized and undertreated, leading to underestimations of the societal burden of mental illness as a contributor to disability benefit expenditures. This study examined the extent of undertreatment before disability pensions for mental illness were awarded. Norwegian National Insurance Administration data were linked to data from the HUNT-2 study, a population-based health survey, and 403 persons awarded a disability pension for mental illness in the five years before the health survey were identified. The extent of help seeking for any mental illness before the pension was awarded was examined. Of the 403 adults who were pensioned out of the workforce for a disability involving mental illness, 128 (32%, 95% confidence interval=27%-36%) reported never having sought help for any mental health problem. Although self-report of receipt of treatment is a limitation of the study, the results suggest a potential for preventing permanent work-related disability through improved access to effective treatment.
To determine the body mass, cardiovascular and metabolic characteristics of young people presenti... more To determine the body mass, cardiovascular and metabolic characteristics of young people presenting for mental healthcare. Cross-sectional assessments of body mass, cardiovascular and metabolic risk factors. Two primary-care based sites in Sydney, Australia for young people in the early stages of mental disorders. A clinical sample of young people (12-30 years) with mental health problems. Daily smoking rates, body mass index (BMI), blood glucose and lipids, blood pressure (BP) and pulse rate. Of 1005 young people who had their BMI determined (62% female; 19.0±3.5 years), three quarters (739/1005) also had BP recordings and one-third (298/1005) had blood sampling. Clinically, 775 were assigned to one of three diagnostic categories (anxious-depression: n=541; mania-fatigue, n=104; developmental-psychotic n=130). The profile of BMI categories approximated that of the comparable segments of the Australian population. Older age, lower levels of social functioning and higher systolic BP ...
Internet psychological interventions are efficacious and may reduce traditional access barriers. ... more Internet psychological interventions are efficacious and may reduce traditional access barriers. No studies have evaluated whether any sampling bias exists in these trials that may limit the translation of the results of these trials into real-world application. We identified 7999 potentially eligible trial participants from a community-based health cohort study and invited them to participate in a randomized controlled trial of an online cognitive behavioural therapy programme for people with depression. We compared those who consented to being assessed for trial inclusion with nonconsenters on demographic, clinical and behavioural indicators captured in the health study. Any potentially biasing factors were then assessed for their association with depression outcome among trial participants to evaluate the existence of sampling bias. Of the 35 health survey variables explored, only 4 were independently associated with higher likelihood of consenting-female sex (odds ratio (OR) 1.1...
... PAIN ON WORK PERFORMANCE AND ABSENCE: A SYSTEMATIC REVIEW Final Report: June 2009 Gwenllian W... more ... PAIN ON WORK PERFORMANCE AND ABSENCE: A SYSTEMATIC REVIEW Final Report: June 2009 Gwenllian Wynne-Jones, Jemma Cowen, Jo Jordan, Danielle van der Windt, Nick Glozier, Chris J. Main Page 2. BOHRF Grant Number 251E07 1 ...
Mental illnesses are consistently underrecognized and undertreated, leading to underestimations o... more Mental illnesses are consistently underrecognized and undertreated, leading to underestimations of the societal burden of mental illness as a contributor to disability benefit expenditures. This study examined the extent of undertreatment before disability pensions for mental illness were awarded. Norwegian National Insurance Administration data were linked to data from the HUNT-2 study, a population-based health survey, and 403 persons awarded a disability pension for mental illness in the five years before the health survey were identified. The extent of help seeking for any mental illness before the pension was awarded was examined. Of the 403 adults who were pensioned out of the workforce for a disability involving mental illness, 128 (32%, 95% confidence interval=27%-36%) reported never having sought help for any mental health problem. Although self-report of receipt of treatment is a limitation of the study, the results suggest a potential for preventing permanent work-related disability through improved access to effective treatment.
To determine the body mass, cardiovascular and metabolic characteristics of young people presenti... more To determine the body mass, cardiovascular and metabolic characteristics of young people presenting for mental healthcare. Cross-sectional assessments of body mass, cardiovascular and metabolic risk factors. Two primary-care based sites in Sydney, Australia for young people in the early stages of mental disorders. A clinical sample of young people (12-30 years) with mental health problems. Daily smoking rates, body mass index (BMI), blood glucose and lipids, blood pressure (BP) and pulse rate. Of 1005 young people who had their BMI determined (62% female; 19.0±3.5 years), three quarters (739/1005) also had BP recordings and one-third (298/1005) had blood sampling. Clinically, 775 were assigned to one of three diagnostic categories (anxious-depression: n=541; mania-fatigue, n=104; developmental-psychotic n=130). The profile of BMI categories approximated that of the comparable segments of the Australian population. Older age, lower levels of social functioning and higher systolic BP ...
Internet psychological interventions are efficacious and may reduce traditional access barriers. ... more Internet psychological interventions are efficacious and may reduce traditional access barriers. No studies have evaluated whether any sampling bias exists in these trials that may limit the translation of the results of these trials into real-world application. We identified 7999 potentially eligible trial participants from a community-based health cohort study and invited them to participate in a randomized controlled trial of an online cognitive behavioural therapy programme for people with depression. We compared those who consented to being assessed for trial inclusion with nonconsenters on demographic, clinical and behavioural indicators captured in the health study. Any potentially biasing factors were then assessed for their association with depression outcome among trial participants to evaluate the existence of sampling bias. Of the 35 health survey variables explored, only 4 were independently associated with higher likelihood of consenting-female sex (odds ratio (OR) 1.1...
... PAIN ON WORK PERFORMANCE AND ABSENCE: A SYSTEMATIC REVIEW Final Report: June 2009 Gwenllian W... more ... PAIN ON WORK PERFORMANCE AND ABSENCE: A SYSTEMATIC REVIEW Final Report: June 2009 Gwenllian Wynne-Jones, Jemma Cowen, Jo Jordan, Danielle van der Windt, Nick Glozier, Chris J. Main Page 2. BOHRF Grant Number 251E07 1 ...
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