7 results on '"Steven Jones"'
Search Results
2. Technology-Mediated Interventions for Bipolar Disorder: What Works, and Where to Next?
- Author
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Steven Jones
- Subjects
Psychiatry and Mental health ,Biological Psychiatry - Published
- 2018
- Full Text
- View/download PDF
Catalog
3. Stability of self-esteem in bipolar disorder: comparisons among remitted bipolar patients, remitted unipolar patients and healthy controls
- Author
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Richard Morriss, Richard P. Bentall, Steven Jones, Rebecca Knowles, Julie Highfield, and Sara Tai
- Subjects
Adult ,Male ,medicine.medical_specialty ,Bipolar Disorder ,media_common.quotation_subject ,Affect (psychology) ,behavioral disciplines and activities ,Remission induction ,mental disorders ,medicine ,Humans ,Bipolar disorder ,Genetic risk ,Psychiatry ,Biological Psychiatry ,Depression (differential diagnoses) ,media_common ,Depressive Disorder ,Remission Induction ,Self-esteem ,Middle Aged ,medicine.disease ,Self Concept ,Psychiatry and Mental health ,Female ,medicine.symptom ,Psychology ,Mania ,Clinical psychology - Abstract
Objectives: Changes in beliefs about the self are a central feature of bipolar disorder, with grandiose self-belief common in mania and low self-esteem evident in periods of depression. We investigated whether unstable self-esteem is a characteristic of bipolar disorder in remission. Methods: We compared 18 patients with DSM-IV bipolar disorder in remission, 16 patients with unipolar disorder in remission, and 19 healthy controls. The primary measure was a diary kept for one week and completed twice each day, measuring self-esteem and positive and negative affect. We also administered Winters and Neale's (J Abnorm Psychol 1985; 94: 282–290) implicit measure of attributional style. Results: Whereas mean levels of self-esteem and affect were not abnormal in the remitted bipolar patients, the bipolar patients showed strong fluctuations in these processes. In common with the unipolar patients, they also showed a pessimistic attributional style on the Pragmatic Inference Task (PIT). Conclusions: Instability of self-esteem and affect is present in bipolar patients, even when their symptoms are in remission, and has previously been found in people at genetic risk of the disorder. It may be a marker of vulnerability to the disorder. more...
- Published
- 2007
- Full Text
- View/download PDF
4. Actigraphic assessment of circadian activity and sleep patterns in bipolar disorder
- Author
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Dougal Julian Hare, Steven Jones, and Kate Evershed
- Subjects
Adult ,Male ,medicine.medical_specialty ,Bipolar Disorder ,Cross-sectional study ,Psychological intervention ,Lithium Carbonate ,Prevalence ,medicine ,Humans ,Circadian rhythm ,Bipolar disorder ,Psychiatry ,Biological Psychiatry ,Sleep disorder ,Actigraphy ,medicine.disease ,Circadian Rhythm ,Electrophysiology ,Psychiatry and Mental health ,Sleep deprivation ,Cross-Sectional Studies ,Mood ,Sleep Deprivation ,Drug Therapy, Combination ,Female ,medicine.symptom ,Psychology ,Antipsychotic Agents ,Clinical psychology - Abstract
Objectives: Theoretical accounts and psychological interventions for bipolar disorder indicate that disruption of circadian rhythms is important, both in affective episodes and as a vulnerability factor in subsyndromal periods. This study aims at assessing both circadian activity and sleep patterns using actigraphy within a bipolar sample experiencing low levels of subsyndromal symptoms. It is hypothesized that such participants will display circadian activity disruption in spite of low levels of symptoms. Methods: This study employed a mixed design with cross-sectional assessment of mood and week-long (7-day) recording of actigraphy data. All clinical participants were psychiatric outpatients within a UK NHS Hospital. Nineteen bipolar patients and 19 age- and gender-matched controls wore an actigraph for 7 days to obtain sleep and circadian activity data. SCID was used to confirm DSM-IV diagnostic status. Self-report measures of mood were obtained from both groups. Results: Bipolar patients were found to have less stable and more variable circadian activity patterns than controls. Regression analysis indicated that variability alone was a significant independent predictor of diagnostic group. There was evidence from raw activity data that bipolar patients were also less active than controls. These differences were not associated with levels of subsyndromal symptoms. Bipolar patients did not differ from controls on any of the sleep indices used. Conclusions: Circadian activity disruption is apparent in bipolar patients even when not acutely ill. This finding is not associated with the presence of sleep disturbance. Should such patterns be replicated interventions to address both circadian instability and individual attributions for the effects of such instability are likely to be relevant to successful psychological interventions. more...
- Published
- 2005
- Full Text
- View/download PDF
5. Psychological therapies for bipolar disorder: the role of model-driven approaches to therapy integration
- Author
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William Sellwood, Steven Jones, and John McGovern
- Subjects
Family therapy ,Models of abnormality ,Bipolar Disorder ,Psychotherapist ,Cognitive Behavioral Therapy ,Delivery of Health Care, Integrated ,Psychological intervention ,Vulnerability ,Brain ,Social environment ,Social Environment ,medicine.disease ,Psychiatry and Mental health ,Interpersonal relationship ,Mood ,medicine ,Humans ,Family ,Interpersonal Relations ,Bipolar disorder ,Psychology ,Biological Psychiatry ,Clinical psychology - Abstract
Objectives: The psychological and social aspects of bipolar disorder are receiving increasing recognition. Recently, there have been promising developments in psychological interventions, but there is scope for further improvement of therapeutic outcomes. This paper argues for the use of more detailed psychological models of bipolar disorder to inform the further development of therapeutic approaches. Method: Evidence for psychological, family and social factors in bipolar disorder is reviewed. The efficacy of current individual and family interventions are discussed. A model, which has potential to synthesize group and individual approaches, is outlined. Results: Psychological, social and family factors have important influences on the onset, course and outcome of bipolar disorder. Interventions based on vulnerability stress models have proved effective. However, to enhance efficacy future developments need to be based on models that integrate current understandings of the multiple levels at which mood fluctuations occur. A particular recent model is discussed which leads to specific proposals for future intervention research. Conclusions: Psychological and family approaches to BD have much potential. They clearly have a role in conjunction with appropriate pharmacological treatment. If this potential is to be fully realized future developments need to be based on psychological models that can accommodate the complexity of this illness. more...
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- 2005
- Full Text
- View/download PDF
6. Early detection of bipolar disorder: a pilot familial high-risk study of parents with bipolar disorder and their adolescent children
- Author
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Sara Tai, Rebecca Knowles, Richard P. Bentall, Steven Jones, and Kate Evershed
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Adult ,Male ,Parents ,medicine.medical_specialty ,Activities of daily living ,Bipolar Disorder ,Adolescent ,media_common.quotation_subject ,Dysfunctional family ,Pilot Projects ,Affect (psychology) ,Risk Factors ,Activities of Daily Living ,medicine ,Humans ,Bipolar disorder ,Parent-Child Relations ,Psychiatry ,Biological Psychiatry ,media_common ,Demography ,Psychiatric Status Rating Scales ,Analysis of Variance ,Self-esteem ,Reproducibility of Results ,Cognition ,Actigraphy ,medicine.disease ,Self Concept ,Psychiatry and Mental health ,Mood ,Early Diagnosis ,Female ,Psychology ,Sleep - Abstract
Objectives: Disturbances in cognition, affect, sleep and activity have been identified in bipolar disorder (BD) but little is known about the possible role of these factors in the development of the condition. We studied these variables in a familial high-risk sample. Methods: Twenty-five children (13–19 years) of bipolar parents were compared with 22 similar aged children of age- and sex-matched healthy controls. Participants were assessed using Schedule for Affective Disorders and Schizophrenia-Lifetime version (SADS-L) and completed self-report measures of dysfunctional attitudes, behavioural inhibition/activation, social rhythms, coping styles and subjective experience of sleep. Children completed a 7-day recording of actigraphy (sleep and activity) and a 7-day diary measuring self-esteem, positive and negative affect and reactions to positive and negative events. Results: Fifty-six per cent of children of bipolar parents (CBP) reported mood symptoms compared to 9% of children of control parents (CC). The CBP group had coping styles and instability of self-esteem consistent with abnormal strategies for regulating affect. Both groups also differed on sleep measures. The majority of differences observed were between CBP with a current or past mood diagnosis and CC. BD parents reported dysfunctional coping styles and (to a lesser extent) disrupted activity patterns. Conclusions: A familial high-risk strategy for studying the role of psychological factors in BD is feasible and informative. This pilot study indicates that abnormal coping styles, instability of self-esteem and dysregulation of sleep may be early markers of bipolar illness. However, current findings need to be explored further in longitudinal studies to clarify which potential markers are truly predictive of BD. more...
- Published
- 2006
7. Cognitive behaviour therapy in the treatment of bipolar disorder
- Author
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Steven Jones
- Subjects
Psychiatry and Mental health ,Psychotherapist ,Bipolar Disorder ,Cognitive Behavioral Therapy ,Humans ,Psychology ,Biological Psychiatry ,Cognitive behaviour therapy ,Clinical psychology ,Treatment of bipolar disorder - Published
- 2002
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