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1. Dog ownership, physical activity, loneliness and mental health: a comparison of older adult and younger adult companion animal owners

Author

Kirrily Zablan, Glenn Melvin, and Alexa Hayley

Subjects
Companion animals, Pet ownership, Physical activity, Dog walking, Mental health, Loneliness, Psychology, BF1-990
Abstract

Abstract Background and aim Dog ownership has been suggested as an intervention to increase physical activity and improve mental health, but few studies have investigated the relationships between dog ownership, physical activity, and mental health outcomes together. This study aimed to (1) investigate whether dog ownership, CA-related physical activity, and non-CA-related physical activity were explanatory variables for the relationships between CA ownership, depression, and anxiety via loneliness and (2) examine whether the relationships between these variables differed for older adult CA owners compared to younger adult CA owners. Method Participants were Australian CA owners from the community (N = 588, 76.3% female) aged 18–84 years (M = 55.34, SD = 14.90). A cross-sectional design and online/phone survey methodology were used. Results Path analysis showed that dog owners (compared to owners of other CA types) engaged in higher levels of both CA-related and non-CA-related physical activity, but only non-CA-related physical activity was associated with mental health outcomes. Multigroup moderation analysis showed that older adult and younger adult CA owners experienced similar moderate levels of loneliness, while in younger adults this moderate loneliness was associated with higher levels of depression and anxiety as compared to older adults. Conclusion Our findings indicate people who choose to own dogs over other CA types engage in more active lifestyles, but it is the physical activity they perform independently of their dog that is associated with less loneliness and greater mental health. Members of the public should not be universally encouraged by health or other professionals to own a dog to support their mental health based on a belief that dog ownership leads to beneficial physical activity.

Published
2024
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2. Adapting a coach-assisted web-based intervention for parents of adolescents who refuse school: qualitative study with users of the Partners in Parenting Plus programme

Author

Anna Smout, Glenn Melvin, Anthony Jorm, and Marie B. H. Yap

Subjects
School refusal, parenting, digital health, adolescent, internalising disorders, Psychiatry, RC435-571
Abstract

Background School refusal is a heterogenous problem which typically emerges in adolescence and co-occurs with internalising disorders. A substantial proportion of adolescents do not respond to existing treatment modalities; thus, novel, effective intervention options are needed. Partners in Parenting Plus (PiP+) is a coach-assisted, web-based intervention designed to empower parents to respond to adolescent internalising disorders. Aims To conduct a process evaluation of PiP+ and identify programme adaptations required to meet the needs of parents of adolescents who refuse school. Method Semi-structured interviews were conducted with 14 Australian mothers who had: (a) received the PiP+ programme (not tailored for school refusal) during a prior research trial; and (b) reported that their adolescent was refusing school during their participation in PiP+. Inductive thematic analysis was used to analyse interview transcripts. Results Participants were 41–53 years old (M = 47.8) and parenting adolescent children aged 14–17 years (M = 14.9). Three themes illustrated how PiP+ features met or could better meet the needs of parents of adolescents who were refusing school: (a) feeling heard, supported and respected; (b) relevance to me and my context; and (c) seeing positive changes. Participants had favourable views of PiP+, especially coached components. Participants requested programme enhancements to better meet the needs of parents of neurodiverse adolescents and discussed the impact of cumulative help-seeking ‘failures’ on self-efficacy and locus of control. Conclusions PiP+ was highly acceptable to the majority of parents navigating the issue of school refusal. This has implications for the enhancement of coach-assisted parenting interventions and the context-specific adaptation of PiP+ for school refusal.

Published
2024
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3. The feasibility of using smartphone apps to manage self-harm and suicidal acts in adolescents admitted to an inpatient mental health ward

Author

Frank Muscara, Olivia Ng, Louise Crossley, Sinh Lu, Lauren Kalisch, Glenn Melvin, Sam Gronow, Chidambaram Prakash, and Vicki Anderson

Subjects
Computer applications to medicine. Medical informatics, R858-859.7
Abstract

Objective The aim of this study is to assess the feasibility (uptake, retention and adherence) and acceptability of a combination of smartphone apps to deliver a digitized safety plan, BeyondNow, and personalized management strategies, BlueIce , with adolescents discharged from a mental health inpatient ward following self-harm, suicidal ideation and/or behavior. Methods Participants in this pre-post pilot study included 20 adolescents between 13–18 years, presenting with self-harming or suicidal behaviors in an inpatient psychiatric ward at a tertiary pediatric hospital. Participants were familiarized with the apps and completed baseline measures prior to discharge. They used the apps for six weeks before completing the follow-up survey, which measured feasibility and acceptability of the apps, as well as suicide resilience. Results Seventeen participants completed the pilot. Most of the sample accessed both apps at least once, three accessed the BeyondNow safety plan five times or more, and six used the BlueIce toolbox five times or more. A total of 73.5% of the sample that experienced a crisis used at least one of the apps at least once. Forty seven percent felt that the apps would not keep them safe when in crisis, although almost all of the sample rated both apps as easy to use (94% for BeyondNow, and 82% for BlueIce). Medium to large effect sizes were also found with regard to improvements in suicide resilience. Conclusion Both apps were found to be feasible and acceptable in this population, and easy to use, although no conclusions can be drawn regarding the clinical efficacy of the apps.

Published
2020
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4. Study Protocol for the COVID-19 Pandemic Adjustment Survey (CPAS): A Longitudinal Study of Australian Parents of a Child 0–18 Years

Author

Elizabeth M. Westrupp, Gery Karantzas, Jacqui A. Macdonald, Lisa Olive, George Youssef, Christopher J. Greenwood, Emma Sciberras, Matthew Fuller-Tyszkiewicz, Subhadra Evans, Antonina Mikocka-Walus, Mathew Ling, Robert Cummins, Delyse Hutchinson, Glenn Melvin, Julian W. Fernando, Samantha Teague, Amanda G. Wood, John W. Toumbourou, Tomer Berkowitz, Jake Linardon, Peter G. Enticott, Mark A. Stokes, Jane McGillivray, and Craig A. Olsson

Subjects
COVID-19 pandemic, mental health, parenting, mother, father, child mental health, Psychiatry, RC435-571
Abstract

BackgroundThe COVID-19 pandemic presents significant risks to the mental health and wellbeing of Australian families. Employment and economic uncertainty, chronic stress, anxiety, and social isolation are likely to have negative impacts on parent mental health, couple and family relationships, as well as child health and development.ObjectiveThis study aims to: (1) provide timely information on the mental health impacts of the emerging COVID-19 crisis in a close to representative sample of Australian parents and children (0–18 years), (2) identify adults and families most at risk of poor mental health outcomes, and (3) identify factors to target through clinical and public health intervention to reduce risk. Specifically, this study will investigate the extent to which the COVID-19 pandemic is associated with increased risk for parents’ mental health, lower well-being, loneliness, and alcohol use; parent-parent and parent-child relationships (both verbal and physical); and child and adolescent mental health problems.MethodsThe study aims to recruit a close to representative sample of at least 2,000 adults aged 18 years and over living in Australia who are parents of a child 0–4 years (early childhood, N = 400), 5–12 years (primary school N = 800), and 13–18 years (secondary school, N = 800). The design will be a longitudinal cohort study using an online recruitment methodology. Participants will be invited to complete an online baseline self-report survey (20 min) followed by a series of shorter online surveys (10 min) scheduled every 2 weeks for the duration of the COVID-19 pandemic (i.e., estimated to be 14 surveys over 6 months).ResultsThe study will employ post stratification weights to address differences between the final sample and the national population in geographic communities across Australia. Associations will be analyzed using multilevel modeling with time-variant and time-invariant predictors of change in trajectory over the testing period.ConclusionsThis study will provide timely information on the mental health impacts of the COVID-19 crisis on parents and children in Australia; identify communities, parents, families, and children most at risk of poor outcomes; and identify potential factors to address in clinical and public health interventions to reduce risk.

Published
2020
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5. Longitudinal Associations between COVID-19 Stress and the Mental Health of Children with ADHD

Author

Ainsley Summerton, Susannah T. Bellows, Elizabeth M. Westrupp, Mark A. Stokes, David Coghill, Mark A. Bellgrove, Delyse Hutchinson, Stephen P. Becker, Glenn Melvin, Jon Quach, Daryl Efron, Argyris Stringaris, Christel M. Middeldorp, Tobias Banaschewski, and Emma Sciberras

Abstract

Objective: To investigate the longitudinal associations between COVID-19 induced stress (related to COVID-19 restrictions/changes), attention-deficit/hyperactivity disorder (ADHD) symptoms, oppositional symptoms, and mental health outcomes (negative affect, anxiety, depression, and irritability) in children with ADHD during the COVID-19 pandemic. Method: Parents of 140 Australian children with ADHD (aged 5-17 years) completed an online survey in May 2020 during stay-at-home restrictions and 12-months later. Results: Baseline COVID-19 stress was associated with increased total ADHD symptom severity ([beta] = 0.21, p = 0.007) and hyperactivity/impulsivity symptoms ([beta] = 0.23, p = 0.002) at 12-months, after accounting for covariates (i.e., child age, gender, ADHD medication, socio-economic status, and baseline symptoms). Despite some indication of associations between baseline COVID-19 stress and 12-month oppositional symptoms and negative affect, these were attenuated when adjusting for baseline symptoms. Conclusions: The study provides initial evidence of the medium-term impacts of pandemic-related stress for children with ADHD.

Published
2023
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12. A Critical Review of Multimodal-multisensor Analytics for Anxiety Assessment

Author

Hashini Senaratne, Sharon Oviatt, Kirsten Ellis, and Glenn Melvin

Subjects
Health Information Management, Biomedical Engineering, Medicine (miscellaneous), Health Informatics, Software, Computer Science Applications, Information Systems
Abstract

Recently, interest has grown in the assessment of anxiety that leverages human physiological and behavioral data to address the drawbacks of current subjective clinical assessments. Complex experiences of anxiety vary on multiple characteristics, including triggers, responses, duration and severity, and impact differently on the risk of anxiety disorders. This article reviews the past decade of studies that objectively analyzed various anxiety characteristics related to five common anxiety disorders in adults utilizing features of cardiac, electrodermal, blood pressure, respiratory, vocal, posture, movement, and eye metrics. Its originality lies in the synthesis and interpretation of consistently discovered heterogeneous predictors of anxiety and multimodal-multisensor analytics based on them. We reveal that few anxiety characteristics have been evaluated using multimodal-multisensor metrics, and many of the identified predictive features are confounded. As such, objective anxiety assessments are not yet complete or precise. That said, few multimodal-multisensor systems evaluated indicate an approximately 11.73% performance gain compared to unimodal systems, highlighting a promising powerful tool. We suggest six high-priority future directions to address the current gaps and limitations in infrastructure, basic knowledge, and application areas. Action in these directions will expedite the discovery of rich, accurate, continuous, and objective assessments and their use in impactful end-user applications.

Published
2022

15. Covid-19 Lockdown and Non-Suicidal Self-Injury: A Mixed Methods Analysis of NSSI During Australia's National Lockdown

Author

Ruth Tatnell, Sonia Terhaag, and Glenn Melvin

Subjects
Psychiatry and Mental health, Clinical Psychology
Abstract

The Covid-19 global pandemic has meant large parts of the world's population have been isolated from others for often months at a time due to lockdown measures to stop the spread. The effects of isolation can be damaging and increase risk of self-injury (NSSI) and suicide. We examined the effects of the first Australian national lockdown on NSSI urges and behavior.We asked 345 people with current or past lived experience of NSSI both quantitative and qualitative questions about how their urges and behavior changed during lockdown and assessed how changes were related to demographic variables including work and living conditions.Women, socially disadvantaged and unemployed people were at greater risk of increased NSSI urges and behavior. Social connection was important, with both quantitative and qualitative responses indicating that for some, decreased social anxiety and social pressures was related to a reduction in NSSI, whereas for others the lack of social connection and engagement was associated with worsening urges and behaviors.Lockdown had mixed impacts on people with lived experience of NSSI, with most reporting no change or a decrease to urges and behavior, however, for socially disadvantaged people in particular, lockdown lead to worsening urges and behavior and even relapse. Future research might examine these effects longitudinally and with greater focus on intersectionality.HighlightsIdentified NSSI risk/protective factors, and an understanding of lived experienceLockdowns have mixed impacts, some people decreased, some increased NSSISocial connection plays an important role in NSSI engagement and reduction.

Published
2023

16. Staff perspectives on the effects of seclusion in adolescent psychiatric inpatient care

Author

Miriam K. Yurtbasi, Glenn Melvin, Christine Pavlou, and Michael Gordon

Subjects
Pshychiatric Mental Health
Abstract

Nurses are at the forefront of seclusion in adolescent psychiatric units. Understanding nurses and other staff perspectives on the effects of seclusion is critical in the ongoing effort to minimize and eliminate seclusion. The aim of this study was to gain a better understanding of staff attitudes, experiences, and beliefs about the effects of seclusion on both themselves and patients. Thirty-one staff members (including 20 nurses) completed the Attitudes to Seclusion Survey and 24 participated in semi-structured interviews to explore their beliefs and experiences of seclusion use in adolescent psychiatric inpatient care. Analysis of the questionnaire showed overwhelming agreement in the negative impacts of seclusion on patients, while there was uncertainty around the positive impacts of seclusion. Using a combination of the intuitive approach and thematic analysis, five themes were identified from interviews with staff, three unique to nurses: (i) staff were reluctant to use seclusion but felt it was necessary, (ii) nurses felt under-resourcing led to increased chances of seclusion, (iii) staff believed seclusion negatively impacted the patients, (iv) nurses felt their relationships with patients were negatively impacted, and (v) seclusion also had a negative effect on nurses. Clinical recommendations included a systematic and structured approach to debriefing to repair ruptures in the therapeutic relationship; staffing to be based on the acuity of the unit rather than occupancy; alternatives to seclusion that meet the needs of service providers and consumers. Future research should compare staff and patient perspectives, include multiple sites, and greater participation of non-nursing staff.

Published
2022

17. The Impacts of a Clown Doctor Program on an Adolescent Psychiatric Unit: A Mixed Methods Investigation

Author

Glenn Melvin, Jovell Ling Hofmann, Christine Pavlou, Sinh Lu, Stephanie Verstandig, Ashleigh Taylor, Deandra Desilva, Lauren Cameron, and Subhadra Evans

Subjects
Psychiatry and Mental health, Pediatrics, Perinatology and Child Health, Developmental and Educational Psychology
Abstract

Inpatient psychiatric care is often required to manage adolescents with severe mental health problems. As the ward can be a confronting and challenging environment, this study explored the influence of clown doctors on adolescents. Seventy-seven adolescents (13–18 years) from Monash Health Stepping Stones Adolescent Unit and 11 clown doctors from The Humour Foundation participated in the study. Bespoke surveys were developed by the research team to collect quantitative self-report data and qualitative responses. Descriptive statistics and thematic analysis suggested that adolescents experienced high levels of fun as well as positive mood and feelings during a clown doctor session. Clown doctor programs show promise within an inpatient unit with opportunities for further development being identified. With considerations of the findings, future clown doctor training could include tailoring sessions to the developmental needs of adolescents and developing strategies on how to interact with adolescents who have a mental health disorder.

Published
2022

18. Psychological distress in siblings of people with mental illness: A systematic review and meta-analysis

Author

Anuradhi Jayasinghe, Anna Wrobel, Kate Filia, Linda K Byrne, Glenn Melvin, Lesley Berk, Michael Berk, and Sue Cotton

Subjects
Psychiatry and Mental health, General Medicine
Abstract

Objective: The objective of this study was to characterise the prevalence and/or severity of psychological distress (namely, depression and anxiety symptoms) in siblings of people with mental illness (MI) and to examine correlates of distress in siblings of people with MI. Method: Studies comparing distress in individuals with and without a sibling with MI were eligible. Studies reporting on correlates of distress in siblings were also eligible. A search of MEDLINE Complete, PsycINFO and Embase was conducted up until 17 March 2022. Results: Fifteen studies comprising 2304 siblings and 2263 comparison individuals were included. Meta-analyses indicated individuals with a sibling with MI experience significantly greater depressive symptoms (Hedges’s g = 0.53, 95% CI = [0.32, 0.73], siblings n = 1962, comparison individuals n = 2248) and anxiety symptoms (Hedges’s g = 0.40, 95% CI = [0.19, 0.61], siblings n = 653, comparison individuals n = 533) than those without. The sibling relationship, siblings’ locus of control, interpersonal functioning and their appraisal of the impacts of MI were identified as important and potentially modifiable correlates. Conclusion: Individuals with a sibling with MI experience greater depressive and anxiety symptoms than those without and would likely benefit from support. Future studies are required to elucidate the mechanisms underlying distress in siblings.

Published
2022

20. Integration of hatha yoga and evidence-based psychological treatments for common mental disorders: An evidence map

Author

Melissa O'Shea, Hannah Capon, Subhadra Evans, Jyotsna Agrawal, Glenn Melvin, Jennifer O'Brien, and Shane McIver

Subjects
Stress Disorders, Post-Traumatic, Clinical Psychology, Meditation, Arts and Humanities (miscellaneous), Mental Disorders, Yoga, Humans, Anxiety, Anxiety Disorders
Abstract

Interest in the use of yoga to enhance engagement with and augment the benefits of psychological treatment has grown. However, a systematic approach to reviewing existing research examining the use of yoga with psychological treatment is lacking.This mapping review identified and synthesised research trialling yoga as an integrated or adjunct therapy with evidence-based psychological interventions for the treatment of anxiety, depression, PTSD, and eating disorders.Overall, the review identified ten published and three unpublished studies, representing either single group or small quasi-experimental research designs.Limited but promising findings were shown for yoga with CBT for anxiety and depression, and the integration of yoga within intensive treatment models for PTSD.Future research is encouraged to focus on controlled trials that enable examination of the component effect of yoga when applied with evidence-based psychological treatment and acceptability and feasibility data to further knowledge regarding a role for yoga in clinical practice.

Published
2021

21. Modifiable Parent Factors Associated with Child and Adolescent School Refusal: A Systematic Review

Author

Meena Chockalingam, Kayan Skinner, Glenn Melvin, and Marie B. H. Yap

Subjects
Psychiatry and Mental health, Pediatrics, Perinatology and Child Health, Developmental and Educational Psychology
Abstract

School refusal is a complex problem that refers to difficulty attending/remaining at school due to emotional distress about attendance. Despite its occurrence being associated with negative outcomes, many are unresponsive to the current treatment options. While parent factors have a key role to play in school refusal, they are not adequately addressed in existing treatments. Further research is needed to consolidate understanding and implement new treatments. Employing the PRISMA method, this review aims to identify modifiable parent factors associated with child and/or adolescent school refusal. Eight studies met inclusion criteria from which nine factors were identified. Factors found to be associated with school refusal included: parent psychopathology, family functioning and maternal overprotection (communication subdomain). Other factors such as maternal overprotection (affection, assistance and travel subdomains) and parental self-efficacy had weak or inconsistent results warranting further investigation. Overall, findings call for action in this field that has sparse and dated literature.

Published
2021

22. Improving Mental Health in Pregnancy for Refugee Women: Protocol for the Implementation and Evaluation of a Screening Program in Melbourne, Australia (Preprint)

Author

Jacqueline Anne Boyle, Suzanne Willey, Rebecca Blackmore, Christine East, Jacqueline McBride, Kylie Gray, Glenn Melvin, Rebecca Fradkin, Natahl Ball, Nicole Highet, and Melanie Gibson-Helm

Abstract

BACKGROUND Identifying mental health disorders in migrant and refugee women during pregnancy provides an opportunity for interventions that may benefit women and their families. Evidence suggests that perinatal mental health disorders impact mother-infant attachment at critical times, which can affect child development. Postnatal depression resulting in suicide is one of the leading causes of maternal mortality postpartum. Routine screening of perinatal mental health is recommended to improve the identification of depression and anxiety and to facilitate early management. However, screening is poorly implemented into routine practice. This study is the first to investigate routine screening for perinatal mental health in a maternity setting designed for refugee women. This study will determine whether symptoms of depression and anxiety are more likely to be detected by the screening program compared with routine care and will evaluate the screening program’s feasibility and acceptability to women and health care providers (HCPs). OBJECTIVE The objectives of this study are (1) to assess if refugee women are more likely to screen risk-positive for depression and anxiety than nonrefugee women, using the Edinburgh Postnatal Depression Scale (EPDS); (2) to assess if screening in pregnancy using the EPDS enables better detection of symptoms of depression and anxiety in refugee women than current routine care; (3) to determine if a screening program for perinatal mental health in a maternity setting designed for refugee women is acceptable to women; and (4) to evaluate the feasibility and acceptability of the perinatal mental health screening program from the perspective of HCPs (including the barriers and enablers to implementation). METHODS This study uses an internationally recommended screening measure, the EPDS, and a locally developed psychosocial questionnaire, both administered in early pregnancy and again in the third trimester. These measures have been translated into the most common languages used by the women attending the clinic and are administered via an electronic platform (iCOPE). This platform automatically calculates the EPDS score and generates reports for the HCP and woman. A total of 119 refugee women and 155 nonrefugee women have been recruited to evaluate the screening program’s ability to detect depression and anxiety symptoms and will be compared with 34 refugee women receiving routine care. A subsample of women will participate in a qualitative assessment of the screening program’s acceptability and feasibility. Health service staff have been recruited to evaluate the integration of screening into maternity care. RESULTS The recruitment is complete, and data collection and analysis are underway. CONCLUSIONS It is anticipated that screening will increase the identification and management of depression and anxiety symptoms in pregnancy. New information will be generated on how to implement such a program in feasible and acceptable ways that will improve health outcomes for refugee women. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/13271

Published
2019

23. Selective serotonin re-uptake inhibitors--a review of the side effects in adolescents

Author

Michael, Gordon and Glenn, Melvin

Subjects
Adolescent, Vomiting, Mental Disorders, Sleep Initiation and Maintenance Disorders, Headache, Humans, Nausea, Suicide, Attempted, Selective Serotonin Reuptake Inhibitors, Abdominal Pain, Suicidal Ideation
Abstract

Selective serotonin re-uptake inhibitors (SSRIs) are prescribed by general practitioners (GPs) for adolescents. GPs' prescribing patterns for SSRIs changed following warnings issued by United Kingdom and United States drug advisory bodies on the use of antidepressants in children and adolescents in 2003 and 2004, respectively. Recent studies shed further light on the safety profile of SSRIs with adolescents.To provide a narrative review of the physical and psychiatric side effects of SSRIs as reported by adolescents. To provide GPs with practical advice regarding the prevalence and nature of side effects of SSRIs when prescribed for adolescents.The research literature suggests that adolescents taking SSRIs are at a small, but increased, risk of suicidal thoughts and behaviours. The prescribing GP needs to be aware of a number of potential side effects and interactions. Monitoring for common physical side effects and possible emerging suicidal ideas and behaviours, especially early in treatment, is recommended.

Published
2013

25. When should GPs prescribe SSRIs for adolescent depression?

Author

Leanne, Rowe, Bruce, Tonge, and Glenn, Melvin

Subjects
Adolescent, Adolescent Behavior, Depression, Practice Guidelines as Topic, Drug Evaluation, Humans, Family Practice, Risk Assessment, Selective Serotonin Reuptake Inhibitors
Abstract

Depression is a common disorder, increasing in prevalence in all ages. Research on the effective treatment of adolescent depression is lacking. Concern is growing about the recent increase in general practitioner prescribing of antidepressants and reports that selective serotonin reuptake inhibitors (SSRIs) may precipitate suicidal behaviour in adolescents.This article discusses the importance of recognising and treating adolescent depression, methodological issues in research and recommendations for SSRI prescribing by Australian GPs.The lack of access to the mental health services and harmful effects of untreated adolescent depression are a cause for concern. On the balance of current information, the only SSRI Australian GPs may prescribe for the treatment of depression in adolescents is fluoxetine, and then only where cognitive behavioural therapy has failed or the depression is life threatening. The key to successful antidepressant drug treatment in adolescents is frequent review to monitor response, compliance and side effects.

Published
2005

26. Poster

Author

Olivera Aleksic, Milica Pejovic-Milovancevic, Smiljka Popovic-Deusic, Biljana Pirgic, Ivana Sojic, Christoph Correll, Umesh Parikh, Vladimir Olshanskiy, Bhrigu Chopra, John M. Kane, Anil K. Malhotra, Sonja Sieslack, Gottfried Maria Barth, Gunther Klosinski, Sheila Sadigorsky, Sefi Kronenberg, Amos Frisch, Nicola Williams, Bruce Tonge, Neville King, Glenn Melvin, Amanda Dudley, Michael Gordon, Ester Klimkeit, Simon Hatch, John Breddy, Heleen DeCory, Sara Cameron, Mary Solanto, Maria Serra-Pinheiro, Isabella Sousa, Paulo Mattos, Fernanda Gomes, Giuseppe Pastura, Desna Milinkovic, Oliver Bilke, Sibille Kühnel, Bernhard Winterfeld, John Campo, James Perel, David Axelson, Jeff Bridge, Boris Birmaher, Neal Ryan, David Brent, Edmund J. S. Sonuga-Barke, Dorothea Y. Sanchez, Mani Pavuluri, David B. Henry, Julie A. Carbray, Gwendolyn Sampson, Michael W. Naylor, Philip G. Janicak, Stefan Gebhardt, Frank Theisen, Michael Haberhausen, Monika Heinzel-Gutenbrunner, Peter Wehmeier, Jürgen-Christian Krieg, Wolfgang Kühnau, Jörg Schmidtke, Helmut Remschmidt, Johannes Hebebrand, Hans-Willi Clement, Christian Fleischhaker, Klaus Hennighausen, Eberhard Schulz, Reiner Frank, Belda Karamete, Gunnel Löndahl, Peik Gustafsson, Anneli Parnegdrd, Giancarlo Rigon, Simona Chiodo, Alessandra Mancaruso, Daniele Giovanni Poggioli, Stefano Costa, Pedro Pires, Isabel Brito, Isabel Carvalho, Sara Almeida, Paula Zaragoza, Yury Shevchenko, Vasilisa Korneeva, Miodrag Stankovic, Aneta Lakic, Vesna Milovanovic, Sandra Stankovic, Bernard Hobrücker, Filip Caby, Jean Chambry, Stéphane Laudrin, Catherine Graindorge, Arata Oiji, Yukiko Morioka, Ami Murata, Madoka Sato, Yume Hashizume, Katarina Müller, Willigis Werner, Matthias Martin, Eva Mattejat, Myriam Olivieri, Annalisa Simoncini, Sonia Marchegiani, Marco Lazzorotto Muratori, Gabriele Borsetti, Shewikar Farrag, Riccardo Coltrinari, Doa Habib, Daniel Fung, Nelson Lee, Susanne Ohmann, C. Popow, M. Lanzenberger, H. Herzog, S. Schuch, S. Miksch, Fatemeh Abdollahy, S. Khani, B. Shabankhani, Joao Guerra, Claudia Fontes, Vania Martins, Ana Teles, Corina Rodrigues, Zulmira Correia, Gereon Becht-Jördens, Catherine McElearney, Michael Fitzgerald Henry Marsh, Alexander Naumann, Dirk Holst, Annette Engbarth, Tiberiu Mircea, Ashima Nehra, Savita Malhotra, Subho Chakrabarti, Shashi Kiran, Srinath Shoba, Allan Hvolby, Jan Ib Jorgensen, Marco Medeiros, Ariete Correia, Maria Gabilondo, Pedro Caldeira da Silva, Augusto Carreira, Jae-Won Yang, Yeoung-Rang Kim, Sung-Do David Hong, Sang-Sin Lee, Seong-Hu Lim, Jeoung-Hwan Park, Vera Trbic, Danica Boskovic, Jan Pauschardt, Fritz Mattejat, Kurt Quaschner, Erika Lischka, Mechthild Bauer, Franka Petzke, Britta Wehrmann, Sigita Lesinskiene, Laura Paskauskaite, Luisa Garcia-Giralda Bueno, Juana Montiel Gonzales, Javier Gallego Cumbres, Francisco Gutierrez Asensio, Susanne Denoix, Franz Kimmig, Marc Weinhardt, Peter Greven, Stefan Buchmann, Nurgül Atas, Ute Jonkanski, Bodo Pisarsky, Silvia Treuter, Josep Cornellà, Alex Llusent, Lara Condesso, António Trigueiros, Klaus Schütz, Michael Tarren-Sweeney, Philip Hazell, Luigi Mazzone, Diego Mugno, Liliana Ruta, Valentina Genitori D’Arrigo, Perrotta Concetta Simona, Teresa Mattina, Domenico Mazzone, Ralf Nordbeck, Wolfgang Gierow, Frank Haessler, Johannes Buchmann, Lucia Bliznakova, Yvonne Grimmer, H. J. Roth, Christine Jennen-Steinmetz, Martin H. Schmidt, Katja Becker, Andrea G. Ludolph, Alexander Storch, Tobias Boeckers, Joachim Kirsch, Jörg M. Fegert, Oksana Drevitska, Carlo Cianchetti, Simona Corona, Maria Foscoliano, Daniela Contu, Giuseppina Sannio Fancello, Anna Costa, Mara Roello, Angela Romano, Anna Fabrizi, Andrea Pelliccia, Maria Matricardi, Nickola Matthias, Timo Lesnick, Matthias Gass, Linyan Su, Jishui Zhang, Dazing Wu, Xuerong Luo, Ignazio Ardizzone, Paola D’Oto, Francesca Priskich, Elvira Rigillo, Nadia Tomassetti, Francesca Vagnoni, Beate Sabisch, Anja Hahne, Lisa Glass, Angela D. Friederici, Waldemar von Suchodoletz, Carlo Di Brina, Andrea Pagnacco, Flavia Capozzi, Roberta Penge, Fabio Bocci, Laura Cantonetti, Alessandra De Carlo, Barbara Scanferla, Teresa Sebastiani, Cristina Vagnoni, Xueping Gao, Yasong Du, Fabio Lorenzetti, Michael von Aster, Martin Schweiter, Karin Kucian, Thomas Loenneker, Thomas Dietrich, Ernst Martin-Fiori, Hesham Abuhegaz, Hashem Bahary, Dae-Hwan Lee, Bong-Seog Kim, Seong-Ill Jeon, Sun-Lu Chung, Maria Conceicao Taborda da Simoes, Maria Luz Vale da Dias, Ulf Engqvist, Per-Anders Rydelius, Maria Dores das Formosinho, Ana Monica Pinto, Luiza Nobre Lima, Tobias Edbom, Jan-Olov Larsson, Paul Lichtenstein, Bernardo Perez, Macarena Marin, Su-Jin Yang, Helen Lee, Kyung-Sun Noh, Ferdinand Keller, Lutz Goldbeck, Ghizlane Benjelloun, Dirk Dhossche, Sara Stanfill, Akiko Takahara, Minemitsu Kusu, Sumiko Watanabe, Tatsuya Matsui, Kengo Ikeda, Hiroe Matsuda, Hiie Allik, Hans Smedje, Sadaaki Shirataki, Bonko Murakami, Rawheya Ahmad Mohamed, Fiona Dunbar, Sarah Shea, Mariko Atsumi, Hideo Matsumoto, Akitoshi Ooya, Seiji Koishi, Yutaka Aoki, Youichi Enseki, Yuri Nakamura, Kostas Francis, Vassilis Kazaridis, Panagiota Kirillidou, Sofia Koukouvinou, Sobharani Paliwal, Parkview Clinic, William Whitehouse, Margo Edwards, Ayliffe Edwards, Sunita Pandit, Judith Powell, Mehdi Tehrani-Doost, Mitra Sepasi, Javad Alaghband-Rad, Reza Rad Goodarzi, Masaki Kodaira, Andrea Viertler, Katja Elpel, Olaf Reis, Melda Ayse Akçakn, Gulsen Erden, Efser Kerimoglu, Eric Lemonnier, Toshio Munesue, Kouhei Mutoh, Kazunori Shimoda, Hideo Nakatani, Yoshifumi Koshino, Isabell Germerott, Eman Galal Sadek, A. 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Liliana Iorio, Mercedes Becciu, Bung-Nyun Kim, Jeong In-Hyoung, Dong-Hyun Ahn, Boong-Nyun Kim, Yun-O Shin, Kang-E Hong, Michal Hrdlicka, Jiri Neuwirth, Vladimir Komarek, Marketa Havlovicova, Zdenek Sedlacek, Marek Blatny, Tomas Urbanek, Masataka Ohta, Yukiko Kano, Yoko Nagai, Anne Wintgens, Jean-Yves Hayez, Seoung-Hu Lim, Ji-Hye Ha, Hee-Jung Byun, Ji-Hae Kim, Rebecca Lee, Eric Fombonne, Eric Taylor, Füsun Çuhadaroôlu Çetin, Deborah James, Maria Lawlor, Nick Sofroniou, Kiyoko Kamibeppu, Lori Sato, Yasutaka Hoshi, Jezdimir Zdravkovic, Petar Kostic, Khalid Murafi, Michael Ries, Rainer Georg Siefen, Martin Jelinek, Helena Klimusova, Jaroslava Blizkovska, C. Burke, B. Doody, Carole Müller Nix, Ayala Nicole, Markus Wilken, Marguerite Dunitz-Scheer, Alexandra Krasnovsky, Anastasia Dressler, Valentina Perelli, Francesca Tinelli, Valentina Rafanelli, Stefania Bargagna, Gerhard Libal, Paul Plener, Jórg M. 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Gollwitzer, Keun-Ah Cheon, Young-Hoon Ryu, Jae-won Kim, Alceu Gomes Correia Filho, Luis Augusto Rohde, Tatiana Silva, Rafael Bodanese, Michael Aman, W. Boudewijn Gunning, Manfred Laucht, Mahha El-Faddagh, Martin Schmidt, Jakob Nützel, Juliane Ball, Cornelia Elben, Halina Kadziela-Olech, Taewon Park, Myung Ho Im, Daehee Kang, Hee Jeong Yoo, David Michelson, Shuyu Zhang, Dustin Ruff, Peter Feldman, Niels Bilenberg, Jurgen Jensen, Azar Moradi, Vahed Alaey, Christopher Kratochvil, Timothy Wilens, Laurence Greenhill, Douglas Gelowitz, Leon Patrice Celestin, Smadar Celestin-Westreich, Somnath Banerjee, M. Chandola, S. Venables, Hideki Negoro, Junzo Lida, Hidemi Iwasaka, Masanori Kyo, Tatsushi Nagano, Kanae Kishino, Toshihumi Kishimoto, Bong-Suk Kim, Jun-Won Hwang, Masanori Kyoh, Lida Junzo, Negoro Hideki, Nagano Tatsushi, Kishino Kanae, Iwasaka Hidemi, Kishimoto Toshifumi, Rael Strous, Simion Kertzman, Z. Ben Nachum, Moshe Kotler, Roni Hegesh, David Coghill, Quentin Spender, Joanne Barton, Chris Hollis, Cammy Yuen, Irina Cleemput, Lieven Annemens, Susanne Eschmann, Karl Christoph Käppler, Maycoln M. L. Teodoro, Eva Stieger, Anouk Mugier, Stephanie Stüttler, Cord Alexander Heise, Henrik Uebel, Charlotte Hanisch, Kerstin Konrad, Ralph Radach, Dagmar Horn, Noa Tsujii, Akira Okada, Noriko Kuriki, Junko Matsuo, Kazushi Hanada, Takeshi Kusube, Kazuhiko Hitomi, Marcelo Schmitz, Daniel Denardin, Tatiana da Silva, Thiago Pianca, Tatiana Roman, Mara Hutz, Asma Bouden, Ines Dengezli, Mohamed Halayem, Oscar Herreros, Francisco Sanchez, Belen Rubio, Ramon Gracia, Simone Henrike Weber, Alex Wolters, Albert J. Allen, Roger Kurlan, Donald Gilbert, David Dunn, F. Randy Sallee, Christine Thomason, Virginia Sutton, Denai Milton, Dorthe Petersen, Solvejg Kristensen, Jörg Kinkelbur, Juliane Hellwig, Martin Hellwig, Eckert Rüther, Olayinka Omigbodun, O. Esan, K. Bakare, B. O. Yusufi, F. Nuhu, A. 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Hong, Ehsan Syed, Sobia Haqqi, Michail Semago, Sigita Girdzijauskiene, Dainius Puras, Grazina Gintiliene, Dovile Cerniauskaite, Christiane Bormann-Kischkel, Rosemarie Schmoetzer, Diana Frischholz, Martin Linder, Catharina Ganseforth, Daniela Rödder, Angela Kribs, Frank Pillekamp, Alexander von Gontard, Bernhard Roth, Tjhin Wiguna, Cristina Maria Ribeiro Marques, Teresa Goldschmidt, Teresa Cepeda, Ayse Arman, Refika Ersu, Dilsad Save, Goksin Karaman, Koray Karabekiroglu, Bulent Karadag, Meral Berkem, Lene Ruge Moller, Parathasarathy Biswas, Anil Malhotra, Nitin Gupta, Tord Ivarsson, Oeystein Litlere, Per Svalander, Yelena Yelikova, Petar Nastasic, Snezana Filipovic, Roza Panoski, Goran Lazetic, Nataliya Zvereva, Monika Strauss, A. Graf, R. Zollinger, Tanja Brückl, Michael Höfler, Lena Schwenden, Hans-Ulrich Wittchen, Roselind Lieb, Angelika Schweitzer, Jane Edwards, Monika Schlögelhofer, Paul G. Amminger, Maria Giuseppina Ledda, A. Zuddas, T. Piroddi, M. Abis, A. Mereu, Fabian Härtling, Ralf Tepest, Tanja Goncharova, David E. D. Linden, Peter Falkei, Kai Vogeley, Fritz Poustka, Miriam Spinner, Julian Dobranowski, Duncan MacCrimmon, Jim Gibson, Susan Fawcett, Margarita Criollo, Brigitte Ramsauer, Nina Janke, Danica Boskovic Djukic, Fabiola Napoli, Raffaella Valente, Valeria Neri, Mauro Ferrara, Carla D’Agostini Costa, Christian Veronesi, Sergio Melogno, Achille Gigliotti, Bruna Mazzoncini, Antonio Fonseca, Eva Maid, Erika Hohm, Claudia Mehler-Wex, J. Catharina Duvigneau, Romana T. Hartl, Dorit Ben-Shachar, Harvey Kranzier, Sanjiv Kumra, Ginny Gerbino-Rosen, David Roofeh, Courtney De Thomas, Carolyn Dombrowski, Marjorie McMeniman, Hsueh-Ling Chang, Sue-Huei Chen, Keh-Chiang Yu, Michael Kölch, Reinhild Bücheler, Christoph H. Gleiter, Stephanie P. Bohne, Frank M. 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Friedrich Dragana, Macesic Petrovic, Monique Nesa, David Hay, Clare Roberts, Mairead McCoy, Harriet Salbach, Uta Klopfer, Swantje Hagen, Bürger Arne, Ulrike Lehmkuhl, Bradley Smith, Judith Sinzig, Martin Hohmann, Takayo Mukai, Pia Enebrink, Niklas Ldngström, Henrik Andershed, Louis Richer, Lise Lachance, Claude Dubé, Serge Saintonge, Matti Virkkunen, Jyrki Liesivuori, Risto Bloigu, Jari Tiihonen, Alasdair Vance, Chidambaram Prakash, Magali Reyes-Harde, Krisztina Csaba, Marielle Eerdekens, Roza Olah, Ilse Augustyns, Ulrike Hellmann, Astrid Matei, Ji Hyun Ha, In Hee Cho, Mee Gyeong Kim, Sook Kyeong Yune, In Kyoon Lyoo, Bruce Barbro, Guilherme Polanczyk, Zineb Iraqi, Nadia Kadri, Driss Moussaoui, Kamal Raddaoui, Karl Titze, Susanne Wollenweber, Verena Nell, Andreas Wiefel, Margarita Forcada Guex, Basaran Sezer, Farshid Shamsaei, Fatemeh Cheraghi, Oytun Hasturk, Mehmet Okan, Naoko Sato, Aya Sato, Eleonora Camillo, Viviana Porcari, Maria Patrizia Salatiello, Sabrina Chifari, Valentina Dell’Oglio, Militello Rosanna, Carmela Scrò, Lisette Hart-Kerkhoffs, A. Ph. van Wijk, L. M. C. Jansen, Robert Vermeiren, Theodore Doreleijers, Shi Ji Zhang, Reija Latva, Liisa Lehtonen, Raili Salmelin, Emmanouel Tsalamanios, Gerasimos Kolaitis, Elena Paliokosta, Stauroula Diareine, Sofia Anasontzi, Alkis Tsiantis, Irini Limbinaki, John Tsiantis, Leontina Dreana-Ianciu, Miriana Vrajitoriu, Laura Lebedeva, Yasemen Taner, Betul Bakkaloglu, Füsun Çuhadaroâlu Çetin, Cengiz Ozbesler, Mihriban Erturk, Sandra Sebre, Audrey Keller, Ayala Borghini, Blaise Pierrehumbert, François Ansermet, Adrian Furnham, Peter Noack, Bruce Kirkcaldy, Michaela Felber, Stefan Puig, James Swain, James Leckman, Linda Mayes, Ruth Feldman, Robert Constable, Robert Schultz, Evgeny Koren, Umaporn Trangkasombat, Michael Karle, Marina Belianchikova, Galina Scoblo, Valentin Fadeev, Lyne Jaunin, Francois Ansermet, Tatsuo Ujiie, Kenji Nomura, Yasuko Sasaki, Vaska Stancheva-Popkostadinova, Meglena Achkova, Emine Kilic, Gönül Erdogan, Rami Gaber, Areej Qasqas, Martin Aßhauer, Hubertus Adam, Lynne Jones, Linda Rachidi, Kawtar Halty, Omar Battas, Agnes Leor, Shmuel Tyano, Schaul Shreiber, Nan Hosogane, Kyoto Watanabe, Makiko Okuyama, Young-Shin Kim, Bennett Leventhal, Yun-Joo Koh, W. Thomas Boyce, Sonja Liptai, Marianne Clauß, Petra Heuer, Abdul Nasser Kaadan, Samuel Menahem, Frances Salo-Thompson, Bizhan Shabankhani, Christoph Hoeger, Seong-Shim Jeong, Jeong-Hwan Park, Eduardo Szaniecki, Lise Roll-Pettersson, Patrick Ehnis, Maria Trosse, Piedade Van Rebelo, Eva Heimdahl Mattson, Giulietta Cucchiaro, Mariadonatella Cocuzza, Giada Morales, Nataliya Bobrova, Fernando Asbahr, Renato Ramos, André Costa, Roberto Sassi, Maaike Nauta, Sonila Tomori, Valbona Alikaj, A. Como, Lisa Snider, Marjorie Garvey, Dirce Zanetta, Helio Elkis, Susan Swedo, Pinar Vural, Kai Wang, Yan Zhu, Osman Sabuncuoglu, Viktoryia Krasavina, Nina Pykhtareva, Bianca Venuti, Naohiko Tachi, Naomi Kodoi, Naoko Sakamoto, Michiko Watanabe, Motiko Goto, Frank Geller, J. Reinlein, Nikolaus Barth, F. Hahn, Anke Hinney, Monika Robatzek, Rosa Calvo, Lazaro Luisa, Lucrezia Cirigliano, Loredana Lucarelli, Uwe Ratz, Thomas Stegemann, Ulla Breuer, Susanne von Widdern, Leonie Fricke, Alexander Mitschke, Alfred Wiater, Gerd Lehmkuhl, Kyoichi Honda, Muhmmad Lafta, Secil Oktem Kurultak, S. Tomori, and E. Petrela

Published
2004

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