20 results on '"Siobhan, O'Neill"'
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2. Decolonising Economics and Politics Curricula in UK Universities
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Simon Choat, Christina Wolf, and Siobhan O'Neill
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This article explores initiatives to decolonise the curriculum via two specific disciplines, namely Economics and Politics, both of which have tended to marginalise the study of race, empire, and colonialism and whose canonical thinkers are overwhelming white. By providing the first comparative analysis of decolonising initiatives in these disciplines, this article: investigates the extent to which Economics and Politics curricula in UK universities have been 'decolonised'; explores the factors which affect support for or resistance to decolonisation; and analyses the extent to which these factors share common roots in both disciplines. Our comparative method allows us to shed light on drivers of resistance that affect all disciplines alike and those that are rooted within specific disciplines. Using an audit of UK undergraduate courses and a survey of academics, we show that neither Politics nor Economics can plausibly claim to have made much progress in decolonising curricula. However, more progress has been made in Politics, and Politics staff are more informed about and less hostile to decolonising initiatives than Economics staff. We locate one of the reasons for this difference in the epistemological and ideological idiosyncrasies of the dominant neoclassical paradigm in Economics. We therefore argue that initiatives to decolonise the curriculum must take into account potential discipline-specific obstacles.
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- 2024
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3. Insights Derived From Text-Based Digital Media, in Relation to Mental Health and Suicide Prevention, Using Data Analysis and Machine Learning: Systematic Review
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Colm Sweeney, Edel Ennis, Maurice D Mulvenna, Raymond Bond, and Siobhan O'Neill
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Psychology ,BF1-990 - Abstract
BackgroundText-based digital media platforms have revolutionized communication and information sharing, providing valuable access to knowledge and understanding in the fields of mental health and suicide prevention. ObjectiveThis systematic review aimed to determine how machine learning and data analysis can be applied to text-based digital media data to understand mental health and aid suicide prevention. MethodsA systematic review of research papers from the following major electronic databases was conducted: Web of Science, MEDLINE, Embase (via MEDLINE), and PsycINFO (via MEDLINE). The database search was supplemented by a hand search using Google Scholar. ResultsOverall, 19 studies were included, with five major themes as to how data analysis and machine learning techniques could be applied: (1) as predictors of personal mental health, (2) to understand how personal mental health and suicidal behavior are communicated, (3) to detect mental disorders and suicidal risk, (4) to identify help seeking for mental health difficulties, and (5) to determine the efficacy of interventions to support mental well-being. ConclusionsOur findings show that data analysis and machine learning can be used to gain valuable insights, such as the following: web-based conversations relating to depression vary among different ethnic groups, teenagers engage in a web-based conversation about suicide more often than adults, and people seeking support in web-based mental health communities feel better after receiving online support. Digital tools and mental health apps are being used successfully to manage mental health, particularly through the COVID-19 epidemic, during which analysis has revealed that there was increased anxiety and depression, and web-based communities played a part in reducing isolation during the pandemic. Predictive analytics were also shown to have potential, and virtual reality shows promising results in the delivery of preventive or curative care. Future research efforts could center on optimizing algorithms to enhance the potential of text-based digital media analysis in mental health and suicide prevention. In addressing depression, a crucial step involves identifying the factors that contribute to happiness and using machine learning to forecast these sources of happiness. This could extend to understanding how various activities result in improved happiness across different socioeconomic groups. Using insights gathered from such data analysis and machine learning, there is an opportunity to craft digital interventions, such as chatbots, designed to provide support and address mental health challenges and suicide prevention.
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- 2024
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4. Coproduction of accessible digital mental health supports in partnership with young people from marginalised backgrounds: a scoping review protocol
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Siobhan O'Neill, Gary Donohoe, Carmen Kealy, Courtney Potts, Maurice D Mulvenna, and Margaret M Barry
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Medicine - Abstract
Introduction Despite the evidence supporting the value of digital supports for enhancing youth mental health services, there is a lack of guidance on how best to engage with young people in coproduction processes during the design and evaluation of these technologies. User input is crucial in digital mental health, especially for disadvantaged, vulnerable and marginalised young people as they are often excluded from coproduction. A scoping review of international literature written in English will explore the coproduction processes with marginalised young people in digital mental health supports, from mental health promotion to targeted interventions. The review is guided by the research question: what are the most appropriate coproduction processes for engaging young people, especially marginalised young people, in the different stages of designing and evaluating digital mental health supports? The review aims to map and summarise the evidence, inform the overall research project and address the knowledge gaps.Methods and analysis The scoping review uses Arksey and O’Malley’s framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols Extension for Scoping Reviews. From 22–24 October 2023, PubMed, Scopus, EBSCO, ASSIA, Web of Science, Ovid MEDLINE, Cochrane database, Embase, Google Scholar, ProQuest, OAIster and BASE will be systematically searched. Papers from 2021 onwards with a range of study designs and evidence that illustrate engagement with marginalised young people (aged 16–25) in the design, implementation and evaluation of digital technologies for young people’s mental health will be considered for inclusion. At least two reviewers will screen full texts and chart data. The results of this review will be summarised quantitatively through numerical counts of included literature and qualitatively through a narrative synthesis.Ethics and dissemination Ethical approval is not required. Results will be disseminated through publications in peer-reviewed journals.Trial registration number This scoping review protocol has been registered with the Open Science Framework (https://osf.io/9xhgv).
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- 2024
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5. Digital transformation of mental health services
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Raymond R. Bond, Maurice D. Mulvenna, Courtney Potts, Siobhan O’Neill, Edel Ennis, and John Torous
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Therapeutics. Psychotherapy ,RC475-489 - Abstract
Abstract This paper makes a case for digital mental health and provides insights into how digital technologies can enhance (but not replace) existing mental health services. We describe digital mental health by presenting a suite of digital technologies (from digital interventions to the application of artificial intelligence). We discuss the benefits of digital mental health, for example, a digital intervention can be an accessible stepping-stone to receiving support. The paper does, however, present less-discussed benefits with new concepts such as ‘poly-digital’, where many different apps/features (e.g. a sleep app, mood logging app and a mindfulness app, etc.) can each address different factors of wellbeing, perhaps resulting in an aggregation of marginal gains. Another benefit is that digital mental health offers the ability to collect high-resolution real-world client data and provide client monitoring outside of therapy sessions. These data can be collected using digital phenotyping and ecological momentary assessment techniques (i.e. repeated mood or scale measures via an app). This allows digital mental health tools and real-world data to inform therapists and enrich face-to-face sessions. This can be referred to as blended care/adjunctive therapy where service users can engage in ‘channel switching’ between digital and non-digital (face-to-face) interventions providing a more integrated service. This digital integration can be referred to as a kind of ‘digital glue’ that helps join up the in-person sessions with the real world. The paper presents the challenges, for example, the majority of mental health apps are maybe of inadequate quality and there is a lack of user retention. There are also ethical challenges, for example, with the perceived ‘over-promotion’ of screen-time and the perceived reduction in care when replacing humans with ‘computers’, and the trap of ‘technological solutionism’ whereby technology can be naively presumed to solve all problems. Finally, we argue for the need to take an evidence-based, systems thinking and co-production approach in the form of stakeholder-centred design when developing digital mental health services based on technologies. The main contribution of this paper is the integration of ideas from many different disciplines as well as the framework for blended care using ‘channel switching’ to showcase how digital data and technology can enrich physical services. Another contribution is the emergence of ‘poly-digital’ and a discussion on the challenges of digital mental health, specifically ‘digital ethics’.
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- 2023
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6. Encouraging AI Adoption by SMEs: Opportunities and Contributions by the ICT49 Project Cluster.
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Ourania I. Markaki, Aikaterini Papapostolou, Spiros Mouzakitis, Izabela Zrazinska, Urszula Sobek, Thomas Wilczek, Antonis Troumpoukis, Xenia Ziouvelou, Vangelis Karkaletsis, Alexandra Carrasco, Miriam García, Gabriele Röger, Andrea Micheli, Jaime Alessandro Codagnone, Miguel de Prado, and Siobhan O'Neill
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- 2023
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7. A Multilingual Digital Mental Health and Well-Being Chatbot (ChatPal): Pre-Post Multicenter Intervention Study
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Courtney Potts, Frida Lindström, Raymond Bond, Maurice Mulvenna, Frederick Booth, Edel Ennis, Karolina Parding, Catrine Kostenius, Thomas Broderick, Kyle Boyd, Anna-Kaisa Vartiainen, Heidi Nieminen, Con Burns, Andrea Bickerdike, Lauri Kuosmanen, Indika Dhanapala, Alex Vakaloudis, Brian Cahill, Marion MacInnes, Martin Malcolm, and Siobhan O'Neill
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Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundIn recent years, advances in technology have led to an influx of mental health apps, in particular the development of mental health and well-being chatbots, which have already shown promise in terms of their efficacy, availability, and accessibility. The ChatPal chatbot was developed to promote positive mental well-being among citizens living in rural areas. ChatPal is a multilingual chatbot, available in English, Scottish Gaelic, Swedish, and Finnish, containing psychoeducational content and exercises such as mindfulness and breathing, mood logging, gratitude, and thought diaries. ObjectiveThe primary objective of this study is to evaluate a multilingual mental health and well-being chatbot (ChatPal) to establish if it has an effect on mental well-being. Secondary objectives include investigating the characteristics of individuals that showed improvements in well-being along with those with worsening well-being and applying thematic analysis to user feedback. MethodsA pre-post intervention study was conducted where participants were recruited to use the intervention (ChatPal) for a 12-week period. Recruitment took place across 5 regions: Northern Ireland, Scotland, the Republic of Ireland, Sweden, and Finland. Outcome measures included the Short Warwick-Edinburgh Mental Well-Being Scale, the World Health Organization-Five Well-Being Index, and the Satisfaction with Life Scale, which were evaluated at baseline, midpoint, and end point. Written feedback was collected from participants and subjected to qualitative analysis to identify themes. ResultsA total of 348 people were recruited to the study (n=254, 73% female; n=94, 27% male) aged between 18 and 73 (mean 30) years. The well-being scores of participants improved from baseline to midpoint and from baseline to end point; however, improvement in scores was not statistically significant on the Short Warwick-Edinburgh Mental Well-Being Scale (P=.42), the World Health Organization-Five Well-Being Index (P=.52), or the Satisfaction With Life Scale (P=.81). Individuals that had improved well-being scores (n=16) interacted more with the chatbot and were significantly younger compared to those whose well-being declined over the study (P=.03). Three themes were identified from user feedback, including “positive experiences,” “mixed or neutral experiences,” and “negative experiences.” Positive experiences included enjoying exercises provided by the chatbot, while most of the mixed, neutral, or negative experiences mentioned liking the chatbot overall, but there were some barriers, such as technical or performance errors, that needed to be overcome. ConclusionsMarginal improvements in mental well-being were seen in those who used ChatPal, albeit nonsignificant. We propose that the chatbot could be used along with other service offerings to complement different digital or face-to-face services, although further research should be carried out to confirm the effectiveness of this approach. Nonetheless, this paper highlights the need for blended service offerings in mental health care.
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- 2023
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8. College Student Mental Health and Wellbeing Prior to and during the COVID-19 Pandemic
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Margaret McLafferty, Caoimhe Ward, Colum P. Walsh, Siobhan O’Neill, Anthony J. Bjourson, Rachel McHugh, Natasha Brown, Louise McBride, John Brady, and Elaine K. Murray
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college students ,mental health ,depression ,anxiety ,pandemic ,COVID-19 restrictions ,Education - Abstract
Student mental health was a growing concern globally prior to the onset of the COVID-19 pandemic. The aim of this study was to assess the impact of the pandemic and associated restrictions on the psychological wellbeing of college students. Baseline data were collected pre-pandemic in September 2019 among students attending a university in Northern Ireland and an Institute of Technology in the Republic of Ireland. Surveys were also conducted with this cohort during the pandemic, at the start of the academic years 2020 and 2021 (499 students fully completed all three waves). A follow-up survey was conducted at the end of their third year, in summer 2022 (n = 229). High levels of mental health problems were already present among students commencing college. The subsequent pandemic had a very negative impact on student’s academic experience and other aspects of life. Rates of depression (PHQ-9) increased significantly from the onset of the pandemic and remained high. Anxiety (GAD-7) initially decreased but then escalated at the end of college. The study highlights the importance of early intervention and makes recommendations for addressing the needs of students during times of stress. Additional supports may be required to deal with the long-lasting impact of the pandemic.
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- 2023
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9. Keypoint Changes for Fast Human Activity Recognition.
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Shane Reid, Sonya Coleman, Dermot Kerr, Philip J. Vance, and Siobhan O'Neill
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- 2023
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10. How Machine Learning Classification Accuracy Changes in a Happiness Dataset with Different Demographic Groups
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Colm Sweeney, Edel Ennis, Maurice Mulvenna, Raymond Bond, and Siobhan O’Neill
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machine learning ,classification ,positive psychology ,Electronic computers. Computer science ,QA75.5-76.95 - Abstract
This study aims to explore how machine learning classification accuracy changes with different demographic groups. The HappyDB is a dataset that contains over 100,000 happy statements, incorporating demographic information that includes marital status, gender, age, and parenthood status. Using the happiness category field, we test different types of machine learning classifiers to predict what category of happiness the statements belong to, for example, whether they indicate happiness relating to achievement or affection. The tests were initially conducted with three distinct classifiers and the best performing model was the convolutional neural network (CNN) model, which is a deep learning algorithm, achieving an F1 score of 0.897 when used with the complete dataset. This model was then used as the main classifier to further analyze the results and to establish any variety in performance when tested on different demographic groups. We analyzed the results to see if classification accuracy was improved for different demographic groups, and found that the accuracy of prediction within this dataset declined with age, with the exception of the single parent subgroup. The results also showed improved performance for the married and parent subgroups, and lower performances for the non-parent and un-married subgroups, even when investigating a balanced sample.
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- 2022
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11. Childhood adversities and suicidal thoughts and behaviors among first-year college students
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Ronny Bruffaerts, Nancy A. Sampson, Pim Cuijpers, Arthur D. P. Mak, Jennifer Greif Green, Chelsey R. Wilks, Corina Benjet, Philippe Mortier, David Daniel Ebert, Penelope Hasking, Matthew K. Nock, Patrick Mair, Glenn Kiekens, Ronald C. Kessler, Gemma Vilagut, Stephanie Pinder-Amaker, Jason Bantjes, Jordi Alonso, Randy P. Auerbach, Eirini Karyotaki, Dan J. Stein, Alan M. Zaslavsky, Siobhan O'Neill, Clinical Psychology, APH - Global Health, APH - Mental Health, World Health Organization (WHO) Collaborating Center, and Clinical, Neuro- & Developmental Psychology
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Health (social science) ,SDG 16 - Peace ,Social Psychology ,Epidemiology ,media_common.quotation_subject ,Neglect ,Suicidal ideation ,Population-attributable risk ,medicine ,Suicide attempt ,College students ,Psychological abuse ,media_common ,Multivariate models ,Response rate (survey) ,SDG 16 - Peace, Justice and Strong Institutions ,Justice and Strong Institutions ,Psychiatry and Mental health ,Physical abuse ,Sexual abuse ,Attributable risk ,Childhood adversity ,medicine.symptom ,Psychology ,Clinical psychology - Abstract
Purpose: To investigate the associations of childhood adversities (CAs) with lifetime onset and transitions across suicidal thoughts and behaviors (STB) among incoming college students. Methods: Web-based self-report surveys administered to 20,842 incoming college students from nine countries (response rate 45.6%) assessed lifetime suicidal ideation, plans and attempts along with seven CAs: parental psychopathology, three types of abuse (emotional, physical, sexual), neglect, bully victimization, and dating violence. Logistic regression estimated individual- and population-level associations using CA operationalizations for type, number, severity, and frequency. Results: Associations of CAs with lifetime ideation and the transition from ideation to plan were best explained by the exact number of CA types (OR range 1.32–52.30 for exactly two to seven CAs). Associations of CAs with a transition to attempts were best explained by the frequency of specific CA types (scaled 0–4). Attempts among ideators with a plan were significantly associated with all seven CAs (OR range 1.16–1.59) and associations remained significant in adjusted analyses with the frequency of sexual abuse (OR = 1.42), dating violence (OR = 1.29), physical abuse (OR = 1.17) and bully victimization (OR = 1.17). Attempts among ideators without plan were significantly associated with frequency of emotional abuse (OR = 1.29) and bully victimization (OR = 1.36), in both unadjusted and adjusted analyses. Population attributable risk simulations found 63% of ideation and 30–47% of STB transitions associated with CAs. Conclusion: Early-life adversities represent a potentially important driver in explaining lifetime STB among incoming college students. Comprehensive intervention strategies that prevent or reduce the negative effects of CAs may reduce subsequent onset of STB.
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- 2022
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12. A Prospective Audit of Inpatient Medical Oncology Consultation Patterns in a Tertiary Teaching Hospital in South Australia
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Dorothy M. K. Keefe, Michelle Kee, Nimit Singhal, Siobhan O’Neill, Christopher Hocking, and Rohit Joshi
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Clinical audit ,Oncology ,medicine.medical_specialty ,education.field_of_study ,Referral ,business.industry ,Population ,Audit ,Disease ,Malignancy ,medicine.disease ,Tertiary referral hospital ,Quality of life ,Family medicine ,Internal medicine ,Emergency medicine ,medicine ,General Materials Science ,education ,business - Abstract
Objectives: Given the expanding role of medical oncology practice, with increasing therapeutic options for those with advanced malignancy, we sought to document the population of patients receiving inpatient medical oncology consultation. The aim of the study was to document patterns of inpatient referral to medical oncology in order to better understand service needs. We looked to define the relative frequency of cancer types, stage and treatment recommendations. Design: A large prospective clinical audit was undertaken between January 2005 and January 2007. Settings: The audit was conducted at the Royal Adelaide Hospital, a major tertiary referral hospital. Participants: During the two year study period 1,173 consecutive inpatient referrals for medical oncology consultations were included in this analysis. Main Outcome Measures: Information was collected regarding patient demographics, referral unit, cancer diagnosis and stage, treatment recommendations and follow-up plans. Results: The most common referral units were General Medicine (19.8%) and Thoracic medicine (15%). The most common primary sites of cancer were lung (22.6%), colorectal (14.9%), primary brain tumours (9.6%) and head and neck (9.3%). The clear majority of patients had Stage 4 disease (80%) and were thus incurable in most cases. Chemotherapy was recommended in 43.7% of patients, chemo-radiation in 12.6% of patients, radiotherapy alone in 16.9% of patients and best supportive care in 24.1% of patients. Conclusions: This large prospective clinical audit defines the population of patients referred for inpatient medical oncology consultation at our tertiary hospital. Cancer patients are being cared for by a wide variety of non-cancer specialists. The majority of patients have advanced, non-curable disease but anticancer therapy is provided to most with the intention of prolonging survival and maintaining quality of life.
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- 2022
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13. Perceived helpfulness of treatment for social anxiety disorder: findings from the WHO World Mental Health Surveys
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Ronny, Bruffaerts, Meredith G, Harris, Alan E, Kazdin, Daniel V, Vigo, Nancy A, Sampson, Wai Tat, Chiu, Ali, Al-Hamzawi, Jordi, Alonso, Yasmin A, Altwaijri, Laura, Andrade, Corina, Benjet, Giovanni, de Girolamo, Silvia, Florescu, Josep Maria, Haro, Chi-Yi, Hu, Aimee, Karam, Elie G, Karam, Viviane, Kovess-Masfety, Sing, Lee, John J, McGrath, Fernando, Navarro-Mateu, Daisuke, Nishi, Siobhan, O'Neill, José, Posada-Villa, Kate M, Scott, Margreet Ten, Have, Yolanda, Torres, Bogdan, Wojtyniak, Miguel, Xavier, Zahari, Zarkov, and Ronald C, Kessler
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Adult ,Health (social science) ,Social Psychology ,Epidemiology ,Phobia, Social ,World Health Organization ,Anxiety Disorders ,Health Surveys ,Treatment ,Psychiatry and Mental health ,Surveys and Questionnaires ,Perceived helpfulness ,Humans ,Female ,Social anxiety disorder - Abstract
PURPOSE: To investigate the prevalence and predictors of perceived helpfulness of treatment in persons with a history of DSM-IV social anxiety disorder (SAD), using a worldwide population-based sample.METHODS: The World Health Organization World Mental Health Surveys is a coordinated series of community epidemiological surveys of non-institutionalized adults; 27 surveys in 24 countries (16 in high-income; 11 in low/middle-income countries; N = 117,856) included people with a lifetime history of treated SAD.RESULTS: In respondents with lifetime SAD, approximately one in five ever obtained treatment. Among these (n = 1322), cumulative probability of receiving treatment they regarded as helpful after seeing up to seven professionals was 92.2%. However, only 30.2% persisted this long, resulting in 65.1% ever receiving treatment perceived as helpful. Perceiving treatment as helpful was more common in female respondents, those currently married, more highly educated, and treated in non-formal health-care settings. Persistence in seeking treatment for SAD was higher among those with shorter delays in seeking treatment, in those receiving medication from a mental health specialist, and those with more than two lifetime anxiety disorders.CONCLUSIONS: The vast majority of individuals with SAD do not receive any treatment. Among those who do, the probability that people treated for SAD obtain treatment they consider helpful increases considerably if they persisted in help-seeking after earlier unhelpful treatments.
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- 2022
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14. Non-suicidal self-injury among first-year college students and its association with mental disorders: results from the World Mental Health International College Student (WMH-ICS) initiative
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Ronny Bruffaerts, Arthur D. P. Mak, Matthew K. Nock, Mark Boyes, Siobhan O'Neill, Jason Bantjes, David Daniel Ebert, Jordi Alonso, Wai Tat Chiu, Randy P. Auerbach, Laurence Claes, Nancy A. Sampson, Pim Cuijpers, Gemma Vilagut, Glenn Kiekens, Philippe Mortier, Ronald C. Kessler, Penelope Hasking, Corina Benjet, Dan J. Stein, World Mental Health International College Student (WMH-ICS) initiative, Clinical Psychology, APH - Global Health, APH - Mental Health, World Health Organization (WHO) Collaborating Center, and Clinical, Neuro- & Developmental Psychology
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050103 clinical psychology ,medicine.medical_specialty ,Generalized anxiety disorder ,Mental disorders ,Article ,03 medical and health sciences ,Emerging adulthood ,0302 clinical medicine ,Non-suicidal self-injury ,SDG 3 - Good Health and Well-being ,Epidemiology ,medicine ,Psychology ,0501 psychology and cognitive sciences ,Bipolar disorder ,College students ,Applied Psychology ,non-suicidal self-injury ,Panic disorder ,05 social sciences ,college students ,Odds ratio ,medicine.disease ,Mental health ,030227 psychiatry ,mental disorders ,Adolescence ,Psychiatry and Mental health ,Mood ,emerging adulthood ,Anxiety ,Human medicine ,medicine.symptom ,Clinical psychology - Abstract
BackgroundAlthough non-suicidal self-injury (NSSI) is an issue of major concern to colleges worldwide, we lack detailed information about the epidemiology of NSSI among college students. The objectives of this study were to present the first cross-national data on the prevalence of NSSI and NSSI disorder among first-year college students and its association with mental disorders.MethodsData come from a survey of the entering class in 24 colleges across nine countries participating in the World Mental Health International College Student (WMH-ICS) initiative assessed in web-based self-report surveys (20 842 first-year students). Using retrospective age-of-onset reports, we investigated time-ordered associations between NSSI and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-IV) mood (major depressive and bipolar disorder), anxiety (generalized anxiety and panic disorder), and substance use disorders (alcohol and drug use disorder).ResultsNSSI lifetime and 12-month prevalence were 17.7% and 8.4%. A positive screen of 12-month DSM-5 NSSI disorder was 2.3%. Of those with lifetime NSSI, 59.6% met the criteria for at least one mental disorder. Temporally primary lifetime mental disorders predicted subsequent onset of NSSI [median odds ratio (OR) 2.4], but these primary lifetime disorders did not consistently predict 12-month NSSI among respondents with lifetime NSSI. Conversely, even after controlling for pre-existing mental disorders, NSSI consistently predicted later onset of mental disorders (median OR 1.8) as well as 12-month persistence of mental disorders among students with a generalized anxiety disorder (OR 1.6) and bipolar disorder (OR 4.6).ConclusionsNSSI is common among first-year college students and is a behavioral marker of various common mental disorders.
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- 2023
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15. A multilingual digital mental health and wellbeing chatbot (ChatPal): pre-post multicenter intervention study (Preprint)
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Courtney Potts, Frida Lindström, Raymond Bond, Maurice Mulvenna, Frederick Booth, Edel Ennis, Karolina Parding, Catrine Kostenius, Thomas Broderick, Kyle Boyd, Anna-Kaisa Vartiainen, Heidi Nieminen, Con Burns, Andrea Bickerdike, Lauri Kuosmanen, Indika Dhanapala, Alex Vakaloudis, Brian Cahill, Marion Macinnes, Martin Malcolm, and Siobhan O'Neill
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Health Informatics - Published
- 2022
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16. Impact of the COVID-19 pandemic on psychotropic medication uptake: time-series analysis of a population-wide cohort
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Aideen Maguire, Lisa Kent, Siobhan O'Neill, Denise O'Hagan, and Dermot O'Reilly
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Cohort Studies ,Psychiatry and Mental health ,Psychotropic Drugs ,SDG 3 - Good Health and Well-being ,Research Design ,Communicable Disease Control ,Humans ,COVID-19 ,Pandemics ,Psychotropic Drugs/therapeutic use ,COVID-19/epidemiology - Abstract
BackgroundThe COVID-19 pandemic and associated lockdowns were predicted to have a major impact on mental health, however current studies have produced contradictory findings with limited longitudinal data.AimsNine years of linked, individual-level administrative data were used to examine changes in psychotropic medication uptake before and during the pandemic.MethodMedication data from a population-wide prescribing database were linked to demographic and socioeconomic indicators from healthcare registration records (n = 1 801 860). Monthly prescription uptake was split (pre-restrictions: January 2012 to February 2020 and during restrictions: March to October 2020). Auto regressive integrated moving average (ARIMA) models were trained in R taking into consideration trends and seasonal effects. Forecast (‘expected’) monthly values were compared with ‘actual’ values, stratified by demographic factors.ResultsOver the study period 38.5% of the study population were in receipt of ≥1 psychotropic medication. Uptake of these medications have been following a strong upward trend since January 2012. In March 2020 uptake of all medications increased beyond expected values, returning to expected trends from May 2020 for antidepressants, anxiolytics and antipsychotics. In the 8 months during restrictions uptake of hypnotic medication was 12% higher than expected among those 65 years.ConclusionsResults suggest an initial ‘stockpiling’ of medications in March 2020 before trends mostly returned to expected levels. The anticipated tsunami of mental ill health is not yet manifest in psychotropic medication uptake. There are indications of increased anxiety and sleep difficulties in some subgroups, although these conditions may resolve as we emerge from the pandemic without need for psychiatric intervention.
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- 2022
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17. Patterns and correlates of patient-reported helpfulness of treatment for common mental and substance use disorders in the WHO World Mental Health Surveys
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Ronald C, Kessler, Alan E, Kazdin, Sergio, Aguilar-Gaxiola, Ali, Al-Hamzawi, Jordi, Alonso, Yasmin A, Altwaijri, Laura H, Andrade, Corina, Benjet, Chrianna, Bharat, Guilherme, Borges, Ronny, Bruffaerts, Brendan, Bunting, José Miguel Caldas, de Almeida, Graça, Cardoso, Wai Tat, Chiu, Alfredo, Cía, Marius, Ciutan, Louisa, Degenhardt, Giovanni, de Girolamo, Peter, de Jonge, Ymkje Anna, de Vries, Silvia, Florescu, Oye, Gureje, Josep Maria, Haro, Meredith G, Harris, Chiyi, Hu, Aimee N, Karam, Elie G, Karam, Georges, Karam, Norito, Kawakami, Andrzej, Kiejna, Viviane, Kovess-Masfety, Sing, Lee, Victor, Makanjuola, John J, McGrath, Maria Elena, Medina-Mora, Jacek, Moskalewicz, Fernando, Navarro-Mateu, Andrew A, Nierenberg, Daisuke, Nishi, Akin, Ojagbemi, Bibilola D, Oladeji, Siobhan, O'Neill, José, Posada-Villa, Victor, Puac-Polanco, Charlene, Rapsey, Ayelet Meron, Ruscio, Nancy A, Sampson, Kate M, Scott, Tim, Slade, Juan Carlos, Stagnaro, Dan J, Stein, Hisateru, Tachimori, Margreet, Ten Have, Yolanda, Torres, Maria Carmen, Viana, Daniel V, Vigo, David R, Williams, Bogdan, Wojtyniak, Miguel, Xavier, Zahari, Zarkov, Hannah N, Ziobrowski, and Developmental Psychology
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Psychiatry and Mental health ,anxiety disorders ,substance use disorders ,precision psychiatry ,treatment adherence ,post-traumatic stress disorder ,Research Reports ,Helpfulness of treatment ,Pshychiatric Mental Health ,patient-centered care ,mood disorders ,professional help-seeking ,heterogeneity of treatment effects - Abstract
Patient-reported helpfulness of treatment is an important indicator of quality in patient-centered care. We examined its pathways and predictors among respondents to household surveys who reported ever receiving treatment for major depression, generalized anxiety disorder, social phobia, specific phobia, post-traumatic stress disorder, bipolar disorder, or alcohol use disorder. Data came from 30 community epidemiological surveys - 17 in high-income countries (HICs) and 13 in low- and middle-income countries (LMICs) - carried out as part of the World Health Organization (WHO)'s World Mental Health (WMH) Surveys. Respondents were asked whether treatment of each disorder was ever helpful and, if so, the number of professionals seen before receiving helpful treatment. Across all surveys and diagnostic categories, 26.1% of patients (N=10,035) reported being helped by the very first professional they saw. Persisting to a second professional after a first unhelpful treatment brought the cumulative probability of receiving helpful treatment to 51.2%. If patients persisted with up through eight professionals, the cumulative probability rose to 90.6%. However, only an estimated 22.8% of patients would have persisted in seeing these many professionals after repeatedly receiving treatments they considered not helpful. Although the proportion of individuals with disorders who sought treatment was higher and they were more persistent in HICs than LMICs, proportional helpfulness among treated cases was no different between HICs and LMICs. A wide range of predictors of perceived treatment helpfulness were found, some of them consistent across diagnostic categories and others unique to specific disorders. These results provide novel information about patient evaluations of treatment across diagnoses and countries varying in income level, and suggest that a critical issue in improving the quality of care for mental disorders should be fostering persistence in professional help-seeking if earlier treatments are not helpful.
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- 2022
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18. Improving the Pre-Admission Testing (PAT) Through Informatics Enhancement
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Regina Kozak, Siobhan O'Neill, Andrea Frank, Theresa Bress, Rick Howard, Jung Lee, Helen Leek, Mary Beth Coyne, Hillary T. Stamps, and Kristy O'Neill
- Subjects
Medical–Surgical Nursing - Published
- 2022
- Full Text
- View/download PDF
19. Herausforderungen und Erfolgsfaktoren.
- Author
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Katrin, Wißmann and Siobhan, O'Neill
- Subjects
LOCATION marketing ,EXPORT marketing ,INTERNATIONAL markets ,FOOD service ,GASTRONOMY ,COFFEE plantations - Abstract
Copyright of Food-Service is the property of dfv Mediengruppe and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
20. English Urban Commons : The Past, Present and Future of Green Spaces
- Author
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Christopher Rodgers, Rachel Hammersley, Alessandro Zambelli, Emma Cheatle, John Wedgwood Clarke, Sarah Collins, Olivia Dee, Siobhan O’Neill, Christopher Rodgers, Rachel Hammersley, Alessandro Zambelli, Emma Cheatle, John Wedgwood Clarke, Sarah Collins, Olivia Dee, and Siobhan O’Neill
- Subjects
- Commons--England, Commons--Great Britain, Sociology, Urban--Great Britain
- Abstract
This book presents a novel examination of urban commons which provides a robust base for education initiatives and future public policy guidance on the protection and use of urban commons as invaluable urban green spaces that offer a diverse cultural and ecological resource for future communities.This book's central argument is that only through a deep understanding of the past and a rigorous engagement with present users can we devise new futures or imaginaries of culture, well-being and diversity for the urban commons. It argues that understanding the genesis of, and interactions between, the different pressures on urban green space has important policy implications for the delivery of nature conservation, recreational access and other land use priorities. The stakeholders in today's urban commons, whether land users, policy makers or the public, are the inheritors of a complex cultural legacy and must negotiate diverse and sometimes conflicting objectives in their pursuit of a potentially unifying goal: a secure future for our urban commons. This book offers a unique and strongly interdisciplinary study of urban commons, one that brings together original historical investigation, contemporary legal scholarship, extensive oral history research with user groups and research examining the imagined futures for the urban common in modern society. It explores the complex social and political history of the urban common, as well as its legal and cultural status today, using four diverse case studies from within England as exemplars of the distinctively urban common. These are Town Moor in Newcastle, Mousehold Heath in Norwich, Clifton and Durdham Downs in Bristol and Valley Gardens in Brighton. This book concludes by looking forward and considering new tools and methods of negotiation, inclusivity and creativity to inform the future of these case studies, and of urban commons more widely.This book will be of great interest to students and scholars of the commons, green spaces, urban planning, environmental and urban geography, environmental studies and natural resource management.The Open Access version of this book, available at www.taylorfrancis.com, has been made available under a Creative Commons [Attribution-Non Commercial-No Derivatives (CC-BY-NC-ND)] 4.0 license.
- Published
- 2023
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