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2. Investigating how young people learn to live with inflammatory bowel disease

Author

Sargeant, Sally J. E.

Subjects
616.3
Abstract

Inflammatory Bowel Disease (IBD) is the medical term for two chronic conditions; ulcerative colitis and Crohn's disease. It affects approximately 180,000 people in the UK, and the incidence of Crohn's disease in children and young people has increased during the last 10 years. Research into IBD mainly concentrates on treatments and causes, with a smaller proportion of studies addressing psychosocial issues. Much of the existing research is disease focussed, and neglects to inform us of how young people live their daily lives with IBD. This research fills this gap, and takes the step of following a group of young people with IBD over an extended time. The first part of data collection was an interview study with adults aged between 20 and 25 years. All had a minimum of five years experience of IBD, and were diagnosed before age 18. The interviews used a life story format, and addressed concerns of the public and private nature of illness experience, perceptions of the body, relationships with family and friends, changing living space, and problems with disclosing illness. These outcomes raised questions about what it means to live "beyond" illness. The interview study informed the next part of data collection, an audio diary intervention study with a cohort of young people. This comprised six participants aged between 11 and 16 years at the time of recruitment into the study. All were diagnosed with IBD up to a maximum of 18 months prior to being approached to take part. They were each given a digital recorder and encouraged to record aspects of their lives that were of importance to them. These did not have to be disease related. The total period of the diary production lasted 48 weeks, Each participant was interviewed first, and then had a follow-up interview every six weeks in diary sets. This exercise was called an "unclosed diary", to reflect the emergent, flexible nature of documenting information usually disclosed in a private, autobiographical journal. Data was analysed in terms of how much IBD featured in individual lives and how participants positioned themselves in their accounts. The data from both studies revealed that IBD was not a catalyst for all decisions and events that shaped the lives of young participants. There are aspects of IBD experience that are aligned to existing literature, in terms of bodily perception and restricted living space through fear of faecal incontinence. However there are other stories of everyday activity that show that IBD is not a prominent force in a young person's life. Methodologically, this is a study that emphasises that living with a chronic illness like IBD involves a significant period of time when illness is absent. Living beyond illness is not limited to doing activities in spite of IBD, but is a concept that is dependent on how young people position themselves and how others position them.

Published
2006

6. Improving domestic violence screening practices in the emergency department: an Australian perspective

Author

Sweeny, Amy Lynn, Bourke, Caitlin, Torpie, Thomas Martin, Sargeant, Sally, Hughes, James, Watson, Julie, Conroy, Sheree, Carrasco, Angel, Tighe, Kym, Thornton, Neale Stuart, Cumner, Amber-Shea, Baird, Kathleen, Sweeny, Amy Lynn, Bourke, Caitlin, Torpie, Thomas Martin, Sargeant, Sally, Hughes, James, Watson, Julie, Conroy, Sheree, Carrasco, Angel, Tighe, Kym, Thornton, Neale Stuart, Cumner, Amber-Shea, and Baird, Kathleen

Abstract

Introduction Domestic violence (DV) is a major cause of morbidity worldwide. The ED is a location recommended for opportunistic screening. However, screening within EDs remains irregular. Objective To examine intrinsic and extrinsic barriers to routine screening in Australian EDs, while describing actions taken after identification of DV. Methods Emergency clinicians at nine public hospitals participated in an anonymous online survey. Factor analysis was performed to identify principal components around attitudes and beliefs towards screening. Results In total, 496 emergency clinicians participated. Universal screening was uncommon; less than 2% of respondents reported screening all adults or all women. Although willing, nearly half (45%) reported not knowing how to screen. High patient load and no single rooms were ‘very or severely limiting’ for 88% of respondents, respectively, while 24/7 social work and interpreter services, and online/written DV protocols were top enablers. Factor analysis identified four distinct intrinsic belief components: (1) screening is not futile and could be done in ED, (2) screening will not cause harm, (3) there is a duty to screen and (4) I am willing to screen. Conclusion This study describes a culture of Queensland ED clinicians that believe DV screening in ED is important and interventions are effective. Most ED clinicians are willing to screen. In this setting, availability of social work and interpreter services are important mitigating resources. Clinician education focusing on duty to screen, coupled with a built-in screening tool, and e-links to a local management protocol may improve the uptake of screening and subsequently increase detection.

Published
2022

7. Is dietary quality associated with depression? An analysis of the Australian Longitudinal Study on Women's Health data.

Author

Lee, Megan, Bradbury, Joanne, Yoxall, Jacqui, and Sargeant, Sally

Subjects
CHRONIC disease risk factors, PREVENTION of mental depression, CONFIDENCE intervals, EFFECT sizes (Statistics), DIET, REGRESSION analysis, RISK assessment, SURVEYS, COMPARATIVE studies, SOCIOECONOMIC factors, PSYCHOLOGY of women, MENTAL depression, MALNUTRITION, CENTER for Epidemiologic Studies Depression Scale, QUESTIONNAIRES, RESEARCH funding, DESCRIPTIVE statistics, ALCOHOL drinking, BODY mass index, SMOKING, NATURAL foods, DOSE-response relationship in biochemistry, LONGITUDINAL method, DISEASE complications
Abstract

Depression is a chronic and complex condition experienced by over 300 million people worldwide. While research on the impact of nutrition on chronic physical illness is well documented, there is growing interest in the role of dietary patterns for those experiencing symptoms of depression. This study aims to examine the association of diet quality (Dietary Questionnaire for Epidemiological Studies version 2) and depressive symptoms (Centre for Epidemiological Studies for Depression short form) of young Australian women over 6 years at two time points, 2003 (n 9081, Mean age = 27·6) and 2009 (n 8199, Mean age = 33·7) using secondary data from the Australian Longitudinal Study on Women's Health. A linear mixed-effects model found a small and significant inverse association of diet quality on depressive symptoms (β = −0·03, 95 % CI (−0·04, −0·02)) after adjusting for covarying factors such as BMI, social functioning, alcohol and smoking status. These findings suggest that the continuation of a healthy dietary pattern may be protective of depressive symptoms. Caution should be applied in interpreting these findings due to the small effect sizes. More longitudinal studies are needed to assess temporal relationships between dietary quality and depression. [ABSTRACT FROM AUTHOR]

Published
2023
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13. Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Author

Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, and Sithole, Jabulani

Subjects
Young offender, systematic review, self harm, anxiety disorder, Juvenile delinquent, mood disorder, interventions, attemptedsuicide
Abstract

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System.Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective.Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems.Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from threestudies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in youngoffenders.Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs arenow needed to bolster the evidence-base.

Published
2010

14. Two Worlds, One Life: Narrative Spaces of Identity Between Health and Illness

Author

Sargeant, Sally, Gross, Harriet, Middleton, David, Robinson, David, Fisher, Pamela, Yeadon-Lee, Tracey, Robinson, Sarah Jane, and Woodcock, Pete

Subjects
BF, R1, digestive system diseases
Abstract

This paper reports a component of a larger study about how adolescents adapt to chronic illness. The condition in question was Inflammatory Bowel Disease (IBD), a medical term for two conditions, ulcerative colitis and Crohn’s disease. Ulcerations appear on the bowel and digestive organs, which result in urgency to defecate, rectal bleeding, abdominal pain and loss of energy.

Published
2009

15. Public Conveniences, Private Matters: Retrospective Narration of Adolescent Daily Life with Inflammatory Bowel Disease

Author

Sargeant, Sally, Gross, Harriet, Middleton, David, Kelly, Nancy, Horrocks, Christine, Milnes, Kate, Roberts, Brian, and Robinson, David

Subjects
BF, R1
Abstract

This study specifically investigates the experiences of young people, and their\ud management of everyday living alongside the demands of Inflammatory Bowel\ud Disease (IBD). In life-story interviews, 20 adults aged 20-25 years, diagnosed\ud with IBD during adolescence related their experiences of growing up with\ud IBD, providing examples of adolescent life issues.\ud Participants presented many accounts introducing different perspectives of\ud living publicity and privately with a chronic illness. This paper examines\ud expressions of public and private experience that can be found within this\ud dataset. Three emergent issues are discussed: the public environment, the\ud nature of protection and of being protected, and the private self alongside the\ud external bodily self.\ud These accounts demonstrate a need for further longitudinal research to be\ud conducted into the experiences of young people and how they narrate their\ud experiences of everyday life with IBD prospectively, using diary methods and\ud further interviews.

Published
2005

17. Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Author

Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, Sithole, Jabulani, Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, and Sithole, Jabulani

Abstract

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System. Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective. Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems. Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from three studies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in young offenders. Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs are now needed to bolster the evidence-base.

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18. Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Author

Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, Sithole, Jabulani, Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, and Sithole, Jabulani

Abstract

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System. Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective. Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems. Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from three studies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in young offenders. Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs are now needed to bolster the evidence-base.

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19. Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Author

Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, Sithole, Jabulani, Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, and Sithole, Jabulani

Abstract

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System. Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective. Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems. Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from three studies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in young offenders. Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs are now needed to bolster the evidence-base.

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20. Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Author

Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, Sithole, Jabulani, Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, and Sithole, Jabulani

Abstract

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System. Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective. Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems. Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from three studies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in young offenders. Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs are now needed to bolster the evidence-base.

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21. Systematic review and meta-analysis of interventions relevant for young offenders with mood disorders, anxiety disorders, or self-harm

Author

Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, Sithole, Jabulani, Townsend, Ellen, Walker, Dawn-Marie, Sargeant, Sally, Vostanis, Panos, Hawton, Keith, Stocker, Olivia, and Sithole, Jabulani

Abstract

Background: Mood and anxiety disorders, and problems with self harm are significant and serious issues that are common in young people in the Criminal Justice System. Aims: To examine whether interventions relevant to young offenders with mood or anxiety disorders, or problems with self harm are effective. Method: Systematic review and meta-analysis of data from randomised controlled trials relevant to young offenders experiencing these problems. Results: An exhaustive search of the worldwide literature (published and unpublished)yielded 10 studies suitable for inclusion in this review. Meta-analysis of data from three studies (with a total population of 171 individuals) revealed that group-based Cognitive Behaviour Therapy (CBT) may help to reduce symptoms of depression in young offenders. Conclusions: These preliminary findings suggest that group-based CBT may be useful for young offenders with such mental health problems, but larger high quality RCTs are now needed to bolster the evidence-base.

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