13 results on '"Royan L"'
Search Results
2. The role of psychology in end of life care.
- Author
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Kalus, C., Beloff, H., Brennan, J., McWilliams, E., Payne, Sheila, Royan, L., Russell, P., Kalus, C., Beloff, H., Brennan, J., McWilliams, E., Payne, Sheila, Royan, L., and Russell, P.
- Published
- 2008
3. Improved quality of life and cognitive stimulation therapy in dementia
- Author
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Woods, B., primary, Thorgrimsen, L., additional, Spector, A., additional, Royan, L., additional, and Orrell, M., additional
- Published
- 2006
- Full Text
- View/download PDF
4. Whose Quality of Life Is It Anyway?
- Author
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Thorgrimsen, L., primary, Selwood, A., additional, Spector, A., additional, Royan, L., additional, de Madariaga Lopez, M., additional, Woods, R. T., additional, and Orrell, M., additional
- Published
- 2003
- Full Text
- View/download PDF
5. Compassion focused therapy for people with dementia : a feasibility study
- Author
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Craig, Catriona, Spector, A., Royan, L., and Hiskey, S.
- Subjects
616.89 - Abstract
This three-part thesis reviews the effectiveness of Compassion Focused Therapy (CFT), and details the development and a trial of a CFT intervention for people with dementia and psychological distress. PART 1: Literature Review. A systematic literature review of 15 studies that evaluated the effectiveness CFT across clinical populations. Significant improvements in symptomatology and increased self-compassion were found following CFT, and the benefits were at least as effective as other psychological interventions, including CBT, mindfulness and treatment at usual. Further high-quality, adequately powered studies are required to assess its place as an evidence-based treatment. PART 2: Empirical Paper. A feasibility study evaluating the acceptability and impact of a CFT intervention developed for people with dementia and associated psychological distress. An adapted CFT intervention was developed to be delivered to people with dementia based on the relevant literature. A case-series of seven people with dementia was used to assess the intervention’s feasibility, and effectiveness on outcomes of self-compassion, mood, anxiety and quality of life. Improvements in self-compassion, mood and anxiety were seen. Six participants with dementia were able to engage in soothing rhythm breathing, and five were able to engage in discussion of self-criticism and developing self-compassion. Overall the intervention was experienced as helpful, and several participants and their carers described increased self-compassion in response to cognitive decline. PART 3: Critical Appraisal. A reflection and appraisal of the study, including the challenges encountered and lessons learnt.
- Published
- 2017
6. The mindfulness programme for people with dementia in care homes : a feasibility pilot study
- Author
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Churcher Clarke, A., Spector, A., Royan, L., and Stott, J.
- Subjects
616.8 - Abstract
Mindfulness-based interventions (MBIs) may be valuable for promoting the mental health and wellbeing of older adults and people with dementia (PWD). This thesis is concerned with this emerging field of research and is presented in three parts. Part I is a systematic literature review of the effectiveness of MBIs for (non-cognitively impaired) older adults. Eleven studies met the criteria for review. Overall, study quality was low. However, there is preliminary evidence that MBIs can provide a range of benefits for older adults, most promisingly so far, in terms of effects on mood and anxiety. Further carefully targeted research is required to extend these findings. Part II presents the findings from a pilot randomised controlled trial which investigated the feasibility and benefits of delivering an MBI (the Mindfulness Programme) for people with mild to moderate dementia in the context of UK care homes. The study evaluated effects on mood, anxiety, mindfulness, stress, quality of life and cognition. Part II forms one half of a joint D. Clin. Psy. project, which was undertaken together with Joanne Chan. Findings on mood, anxiety and mindfulness, are reported here. Part III is a critical appraisal, which considers the processes and challenges of conducting the research reported in Part II. It discusses reflections on experiences inherent to conducting research on MBIs and issues connected with undertaking this kind of research with PWD, including in the context of care homes.
- Published
- 2015
7. A mindfulness programme for people with dementia in care homes : a feasibility pilot study
- Author
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Chan, M. Y., Spector, A., and Royan, L.
- Subjects
616.8 - Abstract
Part 1 of the thesis is a literature review examining the effectiveness of mindfulness-based interventions (MBI) for people with acquired cognitive impairment, and whether any modifications were made for this population. The 11 included papers are presented according to the type of acquired cognitive impairment. The effectiveness of the MBIs is considered for each type of acquired cognitive impairment according to different outcomes. This is followed by a discussion of common themes of modification to the MBIs for this population. Part 2 is an empirical study which investigated the feasibility and the potential benefits of an adapted mindfulness programme for people with mild to moderate dementia in care homes using a randomised controlled design. The process of intervention development and outcomes for quality of life, stress and cognition are reported. This paper forms part of a joint research study conducted with Churcher Clarke (2015). She will assess the feasibility of the programme and report outcomes for anxiety, depression and mindfulness. Part 3 is a critical appraisal. It will reflect on the process of conducting the research, including: strengths of the study, my qualitative observations of participants and the care home staff, the main challenges encountered during study design, recruitment, intervention delivery and implementation, and the implications for future research.
- Published
- 2015
8. Establishing a clinical psychology team within the orthognathic service: A triad model of orthodontic, maxillofacial and psychological care.
- Author
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Casey C, Sharma PK, Ali N, Taylor N, Priestley C, Kingsley M, and Royan L
- Subjects
- Humans, Orthognathic Surgical Procedures, Psychology, Clinical
- Abstract
The importance of psychological support for orthognathic patients has taken an increasing precedence over recent years and is embedded in orthognathic commissioning guidelines. Furthermore, attention towards mental health-related conditions and their management is of prime importance and continues to be a key area of focus within healthcare settings. With this in mind, this paper aims to outline our experience of establishing a need for and subsequently securing funding to establish a clinical psychology service within an existing orthognathic service in the NHS. The information outlined may be of benefit to orthognathic teams seeking to secure such psychological support within their respective units.
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- 2021
- Full Text
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9. Compassion focused therapy for people with dementia: A feasibility study.
- Author
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Craig C, Hiskey S, Royan L, Poz R, and Spector A
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- Affect, Aged, Aged, 80 and over, Anxiety Disorders therapy, Depressive Disorder therapy, Feasibility Studies, Female, Humans, Male, Middle Aged, Quality of Life, Dementia therapy, Empathy, Psychotherapy, Group methods, Stress, Psychological prevention & control
- Abstract
Objectives: There is a lack of evidence-based psychological therapies for dementia and psychological distress. The study aimed to develop a compassion focused therapy intervention for people with dementia with depression and/or anxiety, and to assess its feasibility, acceptability, and utility., Methods: A mixed methods multiple case series (n = 7) was used to assess the intervention's feasibility and changes in self-compassion, mood, anxiety, and quality of life. Outcome measures were administered at pre-intervention, midpoint, and post-intervention. Data were analysed using reliable change and clinically significant change. Thematic analysis on post-therapy interviews and session rating forms was used to assess acceptability and perceived change from the intervention., Results: Over the course of the intervention, improvements in mood, anxiety, and self-compassion were seen, and three of six participants moved out of the clinical depression range. Six participants were able to engage in soothing rhythm breathing, and five in discussion of self-criticism and developing self-compassion. Several participants and their carers described increased self-compassion in response to cognitive decline., Conclusions: Compassion focused therapy can be adapted to be delivered to people with dementia and low mood, anxiety, or other distress. The intervention may improve self-compassion, mood, and anxiety. A larger pilot trial with a comparator group and follow-up is needed to evaluate the intervention's effectiveness for people with dementia., (© 2018 John Wiley & Sons Ltd.)
- Published
- 2018
- Full Text
- View/download PDF
10. A Mindfulness Program Manual for People With Dementia.
- Author
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Chan J, Churcher Clarke A, Royan L, Stott J, and Spector A
- Subjects
- Humans, Dementia rehabilitation, Manuals as Topic, Mindfulness methods, Program Development methods, Psychotherapy, Group methods, Stress, Psychological therapy
- Abstract
This article describes a 10-session group-based Mindfulness Program for people with mild to moderate dementia. It aims to equip people with dementia with skills to manage psychological distress, with support from carers. The Mindfulness Program was developed through reviews of existing literature, consultation with experts, and a focus group with people with dementia. In a randomized controlled feasibility and pilot trial with people with mild to moderate dementia in care homes, it was found to significantly increase quality of life. The manual presented here is designed to be administered flexibly to promote participants' personhood. The protocol is designed for use by therapists with experience in practicing mindfulness meditation.
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- 2017
- Full Text
- View/download PDF
11. De Clerambault's syndrome (erotomania) as a presenting feature of fronto-temporal dementia and motor neurone disease (FTD-MND).
- Author
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Olojugba C, de Silva R, Kartsounis LD, Royan L, and Carter J
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- Aged, Cerebrovascular Circulation physiology, Dementia physiopathology, Diagnosis, Differential, Female, Frontal Lobe blood supply, Frontal Lobe physiopathology, Humans, Motor Neuron Disease physiopathology, Neurocognitive Disorders physiopathology, Oximes, Radiopharmaceuticals, Temporal Lobe blood supply, Temporal Lobe physiopathology, Dementia complications, Dementia diagnosis, Frontal Lobe diagnostic imaging, Motor Neuron Disease complications, Motor Neuron Disease diagnosis, Neurocognitive Disorders complications, Neurocognitive Disorders diagnosis, Temporal Lobe diagnostic imaging, Tomography, Emission-Computed, Single-Photon
- Published
- 2007
- Full Text
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12. Improving website accessibility for people with early-stage dementia: a preliminary investigation.
- Author
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Freeman ED, Clare L, Savitch N, Royan L, Litherland R, and Lindsay M
- Subjects
- Aged, Humans, Information Services, Male, Middle Aged, Patient Education as Topic standards, Cognition, Dementia psychology, Internet standards, User-Computer Interface
- Abstract
This study, conducted collaboratively with five men who have a diagnosis of early-stage Alzheimer's disease (AD), is the first stage of a formative research project aimed at developing a new website for people with dementia. Recommendations derived from a literature review of the implications of dementia-related cognitive changes for website design were combined with general web accessibility guidelines to provide a basis for the initial design of a new website. This website was compared with an equivalent site, containing the same information but based on an existing design, in terms of accessibility, ease of use, and user satisfaction. Participants were very satisfied with both sites, but responses did indicate some specific areas where one site was preferred over another. Observational data highlighted significant strengths of the new site as well as some limitations, and resulted in clear recommendations for enhancing the design. In particular, the study suggested that limiting the size of web pages to the amount of information that can be displayed on a computer screen at any one time could reduce the level of difficulty encountered by the participants. The results also suggested the importance of reducing cognitive load through limiting the number of choices required at any one time, the very opposite of the ethos of much website design.
- Published
- 2005
- Full Text
- View/download PDF
13. Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: randomised controlled trial.
- Author
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Spector A, Thorgrimsen L, Woods B, Royan L, Davies S, Butterworth M, and Orrell M
- Subjects
- Aged, Aged, 80 and over, Cholinesterase Inhibitors therapeutic use, Cognition, Communication, Dementia drug therapy, Dementia psychology, Evidence-Based Medicine methods, Female, Follow-Up Studies, Humans, Male, Psychiatric Status Rating Scales, Quality of Life psychology, Sex Factors, Treatment Outcome, Cognitive Behavioral Therapy methods, Dementia therapy
- Abstract
Background: A recent Cochrane review of reality orientation therapy identified the need for large, well-designed, multi-centre trials., Aims: To test the hypothesis that cognitive stimulation therapy (CST) for older people with dementia would benefit cognition and quality of life., Method: A single-blind, multi-centre, randomised controlled trial recruited 201 older people with dementia. The main outcome measures were change in cognitive function and quality of life. An intention-to-treat analysis used analysis of covariance to control for potential variability in baseline measures., Results: One hundred and fifteen people were randomised within centres to the intervention group and 86 to the control group. At follow-up the intervention group had significantly improved relative to the control group on the Mini-Mental State Examination (P=0.044), the Alzheimer's Disease Assessment Scale - Cognition (ADAS-Cog) (P=0.014) and Quality of Life - Alzheimer's Disease scales (P=0.028). Using criteria of 4 points or more improvement on the ADAS-Cog the number needed to treat was 6 for the intervention group., Conclusion: The results compare favourably with trials of drugs for dementia. CST groups may have worthwhile benefits for many people with dementia.
- Published
- 2003
- Full Text
- View/download PDF
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