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  • Royal College of Psychiatrists  (9)
  • 1
    Online Resource
    Online Resource
    Long-term sickness absence among patients with chronic fatigue syndrome
    Royal College of Psychiatrists ; 2011
    In:  British Journal of Psychiatry Vol. 199, No. 5 ( 2011-11), p. 430-431
    Details
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 199, No. 5 ( 2011-11), p. 430-431
    Abstract: Chronic fatigue syndrome is associated with high levels of occupational disability. Consecutive out-patients at a chronic fatigue syndrome treatment service were studied for associations between occupational status, symptom severity and cognitive and behavioural responses to symptoms. All patients had high symptom levels; however, those on long-term sickness absence had significantly more physical fatigue (β = 0.098, P 〈 0.05) and worse sleep (β = 0.075, P 〈 0.05). Patients with long-term sickness absence also demonstrated more embarrassment avoidance cognitions (β = 0.086, P 〈 0.05) and avoidance resting behavioural responses (β = 0.078, P 〈 0.05). Identifying and addressing avoidance behaviours and cognitions regarding embarrassment in interventions may enhance the chances of individuals returning to work.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    URL: Article
    DOI: 10.1192/bjp.bp.110.082974
    RVK:
    XA 10000
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2011
    detail.hit.zdb_id: 2021500-9
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  • 2
    Online Resource
    Online Resource
    Salivary cortisol response to awakening in chronic fatigue syndrome
    Royal College of Psychiatrists ; 2004
    In:  British Journal of Psychiatry Vol. 184, No. 2 ( 2004-02), p. 136-141
    Details
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 184, No. 2 ( 2004-02), p. 136-141
    Abstract: There is accumulating evidence of hypothalamic–pituitary–adrenal (HPA) axis disturbances in chronic fatigue syndrome (CFS). The salivary cortisol response to awakening has been described recently as a non-invasive test of the capacity of the HPA axis to respond to stress. The results of this test correlate closely with those of more invasive dynamic tests reported in the literature; furthermore, it can be undertaken in a naturalistic setting. Aims To assess the HPA axis using the salivary cortisol response to awakening in CFS. Method We measured salivary cortisol upon awakening and 10, 20, 30 and 60 min afterwards in 56 patients with CFS and 35 healthy volunteers. Results Patients had a lower cortisol response to awakening, measured by the area under the curve. Conclusions This naturalistic test of the HPA axis response to stress showed impaired HPA axis function in CFS.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    URL: Article
    DOI: 10.1192/bjp.184.2.136
    RVK:
    XA 10000
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2004
    detail.hit.zdb_id: 2021500-9
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  • 3
    Online Resource
    Online Resource
    Effects of education on attitudes to deliberate self-harm
    Royal College of Psychiatrists ; 1997
    In:  Psychiatric Bulletin Vol. 21, No. 6 ( 1997-06), p. 334-335
    Details
    In: Psychiatric Bulletin, Royal College of Psychiatrists, Vol. 21, No. 6 ( 1997-06), p. 334-335
    Abstract: Accident and emergency (A & E) staff completed a general knowledge and attitude questionnaire related to suicide and deliberate self-harm (DSH) before and after a teaching package. The results showed an increase in general knowledge while attitudes remained the same. Following the teaching package there was an increase in the number of patients who contacted the Specialist Service for DSH.
    Type of Medium: Online Resource
    ISSN: 0955-6036 , 1472-1473
    URL: Article
    DOI: 10.1192/pb.21.6.334
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 1997
    detail.hit.zdb_id: 2022148-4
    detail.hit.zdb_id: 2816886-0
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  • 4
    Online Resource
    Online Resource
    Controversy over exercise therapy for chronic fatigue syndrome: Continuing the debate
    Royal College of Psychiatrists ; 2017
    In:  BJPsych Advances Vol. 23, No. 5 ( 2017-09), p. 288-291
    Details
    In: BJPsych Advances, Royal College of Psychiatrists, Vol. 23, No. 5 ( 2017-09), p. 288-291
    Abstract: In a recent Round the Corner, Mitchell commented on a Cochrane Review of exercise therapy for chronic fatigue syndrome (CFS). One of the trials included in that review, and discussed by Mitchell, was the PACE trial. In this month's Round the Corner we are publishing a response we received from authors of the PACE trial (Chalder, White & Sharpe), together with Mitchell's reply. Ed.
    Type of Medium: Online Resource
    ISSN: 2056-4678 , 2056-4686
    URL: Article
    DOI: 10.1192/apt.23.5.288
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2017
    detail.hit.zdb_id: 2809290-9
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  • 5
    Online Resource
    Online Resource
    Chronic fatigue syndrome: Comparing outcomes in White British and Black and minority ethnic patients after cognitive–behavioural therapy
    Royal College of Psychiatrists ; 2016
    In:  British Journal of Psychiatry Vol. 209, No. 3 ( 2016-09), p. 251-256
    Details
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 209, No. 3 ( 2016-09), p. 251-256
    Abstract: Cognitive–behavioural therapy (CBT) is one of the most promising treatments for chronic fatigue syndrome (CFS). It is unclear whether CBT is effective for Black and minority ethnic (BME) groups. Aims To assess the effectiveness of CBT in BME patients compared with White British patients presenting to a specialist CFS service. Method Data from 67 (19.0%) BME participants and 285 (81.0%) White British participants referred to a specialist CFS service in the UK were collected at baseline and after CBT treatment. Results Pairwise comparisons revealed that both BME participants and White British participants significantly improved on measures of fatigue severity ( P 〈 0.001), physical functioning ( P 〈 0.001) and work/social adjustment ( P 〈 0.001). Independent samples t -tests showed that BME participants improved despite exhibiting significantly higher baseline damage beliefs ( P = 0.009), catastrophising ( P = 0.024), all-or-nothing behaviour ( P = 0.036) and avoidance/resting behaviour ( P = 0.001), compared with White British participants. Conclusions To our knowledge, this study is the first to indicate that CBT is effective for treating CFS in a group of patients from diverse BME backgrounds.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    URL: Article
    DOI: 10.1192/bjp.bp.115.169300
    RVK:
    XA 10000
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2016
    detail.hit.zdb_id: 2021500-9
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  • 6
    Online Resource
    Online Resource
    Commentary on: Randomised, double-blind, placebo-controlled trial of fluoxetine and graded exercise for chronic fatigue syndrome†
    Royal College of Psychiatrists ; 1998
    In:  British Journal of Psychiatry Vol. 172, No. 6 ( 1998-06), p. 491-492
    Details
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 172, No. 6 ( 1998-06), p. 491-492
    Abstract: A variety of treatments for chronic fatigue syndrome (CFS) have been proposed but few have been systematically evaluated. The publication of this well-designed, double-blind, randomised controlled trial is therefore a welcome contribution to the literature.
    Type of Medium: Online Resource
    ISSN: 0007-1250 , 1472-1465
    URL: Article
    DOI: 10.1192/bjp.172.6.491
    RVK:
    XA 10000
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 1998
    detail.hit.zdb_id: 2021500-9
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  • 7
    Online Resource
    Online Resource
    The planning, implementation and publication of a complex intervention trial for chronic fatigue syndrome: the PACE trial
    Royal College of Psychiatrists ; 2015
    In:  BJPsych Bulletin Vol. 39, No. 1 ( 2015-02), p. 24-27
    Details
    In: BJPsych Bulletin, Royal College of Psychiatrists, Vol. 39, No. 1 ( 2015-02), p. 24-27
    Abstract: The PACE trial was a four-arm trial of specialist medical care, compared with specialist medical care with a supplementary therapy: adaptive pacing therapy, cognitive–behavioural therapy or graded exercise therapy, for patients with chronic fatigue syndrome. The trial found that both cognitive–behavioural and graded exercise therapies were more effective than either of the other two treatments in reducing fatigue and improving physical disability. This paper describes the design, conduct and main results of the trial, along with a description of the challenges that had to be overcome in order to produce clear answers to the clinically important questions the trial posed.
    Type of Medium: Online Resource
    ISSN: 2056-4694 , 2056-4708
    URL: Article
    DOI: 10.1192/pb.bp.113.045005
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2015
    detail.hit.zdb_id: 2816886-0
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  • 8
    Online Resource
    Online Resource
    Horses for courses: choosing an evidence-based psychological therapy for your patient
    Royal College of Psychiatrists ; 2018
    In:  BJPsych Advances Vol. 24, No. 6 ( 2018-11), p. 402-411
    Details
    In: BJPsych Advances, Royal College of Psychiatrists, Vol. 24, No. 6 ( 2018-11), p. 402-411
    Abstract: Choosing an intervention for a patient experiencing distressing symptoms and/or suffering with a mental disorder is part of routine practice for clinicians. While there are now many effective pharmacological and psychological therapies for mental health problems, syndromes and persistent physical symptoms (e.g. chronic pain), choosing the ‘right’ therapy can sometimes be a challenge. This can certainly be the case when it comes to psychological therapies. There are many different approaches to choose from and many have not been subjected to rigorous study. In this article, we aim to help inform and guide the busy clinician in choosing a psychological therapy for their patient. We give a brief overview of the major psychotherapy modalities and consider which guidelines to refer to and which psychological therapies have been found to be most effective for the presenting problem(s) seen in clinic. Lastly, we discuss the limitations of the current guidelines in relation to comorbid presentations and consider how this can be best addressed. LEARNING OBJECTIVES • Develop knowledge regarding the major psychotherapy approaches • Be aware that there is no psychotherapy equivalence • Learn that there is good evidence that some approaches are more effective than others for specific problems and be better able to choose a psychological therapy DECLARATION OF INTEREST D. McC. works on research trials funded by the Guy's and St Thomas’ Charity. T. C. receives salary support from the National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London, and receives several grants for evaluating the efficacy of different cognitive–behavioural approaches. This article received no specific grant from any funding agency, or from the commercial or not-for-profit sectors. The views expressed in this article are those of the authors and not necessarily those of the NIHR or the NHS.
    Type of Medium: Online Resource
    ISSN: 2056-4678 , 2056-4686
    URL: Article
    DOI: 10.1192/bja.2018.30
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2018
    detail.hit.zdb_id: 2809290-9
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  • 9
    Online Resource
    Online Resource
    The prevalence, incidence, prognosis and risk factors for symptoms of depression and anxiety in a UK cohort during the COVID-19 pandemic
    Royal College of Psychiatrists ; 2022
    In:  BJPsych Open Vol. 8, No. 2 ( 2022-03)
    Details
    In: BJPsych Open, Royal College of Psychiatrists, Vol. 8, No. 2 ( 2022-03)
    Abstract: The COVID-19 pandemic has had profound consequences for population mental health. However, it is less clear for whom these effects are sustained. Aims To investigate the prevalence, incidence, prognosis and risk factors for symptoms of depression and anxiety in a UK cohort over three distinct periods in the pandemic in 2020. Method An online survey was completed by a UK community cohort at three points ( n = 3097 at baseline, n = 878 completed all surveys): April (baseline), July to September (time point 2) and November to December (time point 3). Participants completed validated measures of depression and anxiety on each occasion, and we prospectively explored the role of sociodemographic and psychological factors (loneliness, positive mood and perceived risk of and worry about COVID-19) as risk factors. Results Depression (Patient Health Questionnaire-9 means: baseline, 7.69; time point 2, 5.53; time point 3, 6.06) and anxiety scores (Generalised Anxiety Disorder-7 means: baseline, 6.59; time point 2, 4.60; time point 3, 4.98) were considerably greater than pre-pandemic population norms at all time points. Women reported greater depression and anxiety symptoms than men. Younger age, history of mental health disorder, more COVID-19-related negative life events, greater loneliness and lower positive mood at baseline were all significant predictors of poorer mental health at time point 3. Conclusions The negative impact of the COVID-19 pandemic on mental health has persisted to some degree. Younger people and individuals with prior mental health disorders are at greatest risk. Easing of restrictions and resumption of social interaction could mitigate the risk factors of loneliness and positive mood.
    Type of Medium: Online Resource
    ISSN: 2056-4724
    URL: Article
    DOI: 10.1192/bjo.2022.34
    Language: English
    Publisher: Royal College of Psychiatrists
    Publication Date: 2022
    detail.hit.zdb_id: 2829557-2
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