Psychiatry Newsletter issue 1

Environment, Culture and Health Systems Research

issue 1 www.wolfson.qmul.ac.uk/psychiatry

Inside Issue 1: Editorial RELACHS Study Life as a PhD Student Seminars Publications

Winter Edition 2010

Centre for Psychiatry

Welcome Editorial In this first issue we would like to introduce the senior staff members of the Centre with a brief overview of our work. This covers diverse fields, but all within the theme of Environment, Culture and Health Systems research. Our Centre is dedicated to promoting excellence in Psychiatry through research and teaching and we are particularly committed to improving the health and wellbeing of our local population in the East End of London. In each of the coming issues we will be highlighting one of our specific areas of interest and this week we focus on the work of Stephen Stansfeld and his group on the RELACHS study, which identifies predictors of mental health in young people from the East End. An important part of the work of our Centre is carried out by the junior staff and PhD students and we will be featuring their projects in future issues. This month we hear from Jo Archer, our latest successful PhD student, who has completed a complex multidisciplinary project, involving many clinicians and scientists from different departments throughout Barts and The London, looking at the links between cancer, inflammation and depression. Jo was commended by her examiners for an excellent viva and her thesis was accepted with no changes required.

Education is a key role of the Centre – we are committed to inspiring our medical students, postgraduate clinical trainees and researchers and we will be highlighting this in our future Newsletter Education section. The Centre for Psychiatry works closely with NHS Trusts and with other college Institutes leading on the Brain and Behaviour curriculum in our medical school. This academic year we launched a brand new Brain and Behaviour 4th year clinical module that is receiving very good feedback from students. At the same time both of our MSc courses have gone from strength to strength, with students chosen from over 100 applicants.

The work of the Centre for Psychiatry interfaces with many people, disciplines and organisations and we welcome your comments and contributions.

We hope you enjoy the newsletter.

Congratulations Jo!

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Centre for Psychiatry Newsletter Winter Edition Issue 1

Ania Korszun Amarjit Sagoo Kamaldeep Bhui

www.wolfson.qmul.ac.uk/psychiatry

From the Centre Lead’s Desk: We started the academic year with many positive developments. We have always worked closely with the East London NHS Foundation Trust and we are delighted with the recent establishment of a joint office to manage research grants. We see this as a very positive development facilitating the growth of NIHR funded research as well as joint education initiatives within the Trust and the Medical School. For example, Dr Caroline Methuen who is a Consultant Psychiatrist

in the ELFT has just been appointed as a Senior Clinical Lecturer with a focus on undergraduate teaching.

Another very positive development is the expansion in the MSc in Transcultural Mental Healthcare and MSc in Psychological Therapies, with record numbers of students applying for the course this year. This mirrors our strong research programme in the health of ethnic minorities relevant to the needs of our population in East London.

An important part of our current mission is to build up our strength in junior staff and we are pleased to welcome Dr Julius Bourke as a new Lecturer working with Professor Peter White.

I hope you have an enjoyable New Year.

Professor Stephen Stansfeld

Who we are:

Dr Charlotte Clark

Dr Nasir Warfa Professor Kamaldeep Bhui

Dr Ruth Taylor

Professor Jeremy Coid

Professor Peter White

Dr Simone Ullrich

Professor Stephen Stansfeld*

Dr Rose McCabe

Professor Stefan Priebe

Professor Ania Korszun

Dr Constantinos Kallis

*Photo by Gary Schwartz

www.wolfson.qmul.ac.uk/psychiatry

Barts and The London School of Medicine and Dentistry

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Annual Research Day The Centre for Psychiatry’s Annual Research Day on September 20th made a great start to the year. The day began with Professor Stephen Stansfeld, the Centre Lead, laying out his vision for future research in the Centre. The Centre for Psychiatry now has two research groups in Environmental and Cultural Research and Health Systems Research replacing the previous unit based structure.

Professor Stephen Stansfeld said the ambition of the Centre is to be an international centre of excellence in psychiatric research of local, national and international importance, especially in the area of population, clinical and service research and to be placed among the top research active departments of psychiatry in the next Research Excellence Framework. He outlined the progress made in the last year emphasising the initiatives taken to increase the profile of the Centre both within the College and outside, the increasing number of internal collaborations on research and increasing undergraduate involvement with the development of the new Psychiatry Student Interest (PSI) Group. He welcomed the increasing expansion of the Centre in terms of the new Trust funded Senior Lecturer in Psychiatric Education and the Medical School funding for a new Lecturer working with Professor Peter White. In summary, there has been a greater collaboration and consolidation of talent within the Centre, a modest expansion of staff, which is continuing to increase and a greater research focus leading to higher levels of academic achievement.

Dr Nasir Warfa reviewed the evidence for the role of khat in mental health disorders. Khat (Catha edulis) is a plant whose twigs are chewed for its psychomotor stimulant effects, similar to those following amphetamine ingestion. Around 20 million people are reported to commonly use khat in East Africa and among immigrants living in Europe and North-America. Although khat has been used for recreational and cultural purpose, it is associated with various social and psychological problems, particularly psychosis. Despite, this association between khat use and psychosis, the current evidence for a causal link between khat use and mental illness is unsubstantiated. Dr Warfa’s historical overview of khat use in East Africa highlighted the treatment needs of khat users in Europe and elsewhere.

This was followed by various members of the Centre presenting their ongoing work in the Centre with plans for future research and opportunities for further collaboration.

Professor Jeremy Coid discussed ways of improving risk management in mental health services particularly in predicting violence.

Professor Coid is currently leading the NIHR Funded Programme: Risk assessment for Violence.

Dr Charlotte Clark who has been researching lifecourse predictors of mental health in midadulthood in the 1958 British birth cohort involving over 18,000 individuals followed from birth through childhood and adulthood to age 45. Analyses indicate stronger effects of early adulthood mental ill-health than childhood mental ill-health on mid-life mental ill-health, as well as effects of experiencing childhood adversities such as neglect, abuse, parental absence, and divorce. Social disadvantage in adulthood shows stronger associations on mid-life mental ill-health than childhood social disadvantage but adulthood social disadvantage is predicted by childhood mental ill-health.

Professor Stephen Stansfeld

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Dr Nasir Warfa Dr Cath Rothon reported on findings from a study examining the relationship between depression and physical activity (from the RELACHS study featured in the article

by Stephen Stansfeld in this issue). She presented evidence for an association between physical activity and depressive symptoms for both boys and girls at baseline, with a decrease in the odds of depressive symptoms of about 8% for each additional hour of exercise undertaken per week. This study provides evidence for an association between level of physical activity and decreased depressive symptoms in adolescents.

www.wolfson.qmul.ac.uk/psychiatry

Professor Stefan Priebe discussed complex novel interventions in patients with psychotic disorders. Professor Priebe’s group has several funded projects testing and developing such interventions, including the EPOS programme, which turns everyday encounters in community mental healthcare into a therapeutic intervention by improving the communication between clinicians and patients; the NESS trial, which will test the clinical and cost effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia; and the FIAT trial in which patients with problematic adherence to antipsychotic maintenance medication

Dr Cath Rothon

www.wolfson.qmul.ac.uk/psychiatry

are offered financial incentives to improve adherence; this somewhat controversial trial is in the phase of recruiting patients in many Trusts across England and Wales.

Professor Peter White summarised new findings since the last centre for psychiatry day in the area of chronic fatigue syndrome (CFS). The centre has greatly increased its collaborative research into this little understood condition, with two recent MRC funded projects completed and a third close to completion. He particularly reviewed findings from a study of ethnic differences in the prevalence of CFS, led by Professor Kam Bhui, and a study of childhood antecedents to the later development of CFS, led by Dr Charlotte Clark. The PACE trial of treatments (www.pacetrial.org) is now being analysed.

The commitment of patients to this important trial, the largest ever undertaken of CFS treatments, was shown by the high rate of trial follow-up. This has ensured the acquisition of high quality data that will provide clear answers as to how to treat the condition.

Professor Ania Korszun reviewed the links between cancer and depression and presented results from collaborative studies between the Centre for Psychiatry, Oral Surgery and the Cancer Institute. These studies show that although cancer patients have similar rates of depressive symptoms to the general population, those who have depression have greater levels of disability than cancer patients without depression.

Furthermore, depression and depressive symptoms are more strongly correlated with poorer quality of life than any other functional or physical symptom associated with the cancer. There is also evidence in the literature that cancer patients with depression have higher mortality rates. Professor Korszun emphasised the important contribution that undergraduate and postgraduate students have made to these projects, in particular Dr Jo Archer who’s work is featured in this issue.

Dr Rose McCabe presented her research on (1) how communication is affected by schizophrenia and (2) identifying effective communication to improve the experience of treatment and patient outcome in schizophrenia. A study on how communication may be affected by schizophrenia is investigating nonverbal interpersonal coordination using 3D motion capture technology as used in the film industry. Studies on effective communication include: how psychiatrists tend to design their questions to elicit a ‘no’ response when asking patients about suicide risk; the association between shared understanding in psychiatristpatient communication and treatment adherence; and a new intervention which will test the effect of communication skills training in a cluster randomised controlled trial to improve communication about psychosis in routine psychiatric care.

Many thanks to all those who attended for contributing to a stimulating discussion and leaving us with some thought-provoking ideas.

Barts and The London School of Medicine and Dentistry

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RELACHS Study RELACHS (Research with East London Adolescents Community Health Survey) is a longitudinal study of 11-14 year old school pupils (Years 7 & 9) from 28 secondary schools from Tower Hamlets, Newham and City and Hackney.

The research looks at risk and protective factors for adolescent mental and physical health and has involved a wide range of departments including Psychiatry, Child Health, Primary Care and Human Science and Medical Ethics at Queen Mary and the Department of Adolescent Medicine at Great Ormond Street Hospital. The data collection was first commissioned by the East London & City Health Authority and from the start, the study was informed by a Community Advisory Board including representatives of community organisations, local ethnic groups and health services.

Adolescent health is not only important on its own account, but also because many health behaviours such as smoking and drinking begin in adolescence. We wanted to look at protective factors as well as risk factors for both mental and physical illness in adolescents. We developed questionnaires which we gave to pupils in classrooms during the school day and we also measured their weight and height. We administered the questionnaire in English as most respondents were fluent in English but we also recruited multi-lingual research workers to help pupils.

The questionnaire covered a wide range of factors: mental health and long standing illness, smoking, alcohol use and drugs, bullying, self esteem, cultural identity, social support, perceptions of neighbourhood and aspirations. We were also lucky to be able to link the questionnaire results to key stage 3 and GCSE results. 2790 pupils took part with an overall response rate of 84%. In 2003 we followed up the pupils again and three quarters of the original participants took part.

In 2005 we followed up the younger pupils again.

Levels of psychological distress were similar in males to national data but levels were slightly higher in female pupils. Against our expectations, levels of psychological distress did not differ according to social deprivation.

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www.wolfson.qmul.ac.uk/psychiatry

However, risk of psychological distress did differ by ethnic group and we found lower rates of psychological distress in Bangladeshi pupils compared with White UK-born pupils.

Further investigation suggested that young Bangladeshi pupils may be particularly protected against the stressors that other young people are exposed to in East London.

There were more depressive symptoms in Greek, Turkish and Kurdish immigrants, which may be explained by the stress of recent migration increasing depressive symptoms.

We found lower levels of psychological distress among Asian and Black groups and families who had social support and no financial stress (reported in a paper by Jamie Fagg, from the Geography Department at Queen Mary). In contrast, we found higher levels of psychological distress among those with special educational needs, long standing illness and reconstituted families.

Another innovation was the possibility to link psychological distress to neighbourhood level measures of material deprivation, social fragmentation and crime. Intriguingly, contrary to expectations, these measures did not relate to psychological distress.

lower levels of psychological distress relative to those pupils who were not identified with either the host community or their community of origin. Understanding protective factors is important because of the scope for identifying positive features to improve both mental health and to guide interventions. Yasmin Khatib, in her PhD work, found that low family social support was associated with a higher risk of depressive symptoms at follow-up.

Emily Klineberg found that low social support was also associated with increased risk of

self-harm. Although many studies have shown that support from peers becomes increasingly relevant across adolescence, it is clear from our findings that family support is still key in early adolescence. Level of alcohol and drug use was relatively low compared to national data in our study but did predict increased risk of psychological distress in Charlotte Clark’s analysis of the data. Linking education and mental health has been a key focus for exploration in this data. Education, potentially, helps by developing coping skills and provides access to material resources and employment and perhaps also a broader perspective in dealing with adversity. Cath Rothon has found that mental ill-health, particularly conduct disorder, negatively influences achievement at GCSE. However, aspiration to remain in education and training is a strongly positive predictor of achievement at GCSE and greater parental involvement is also associated with more positive outcomes. Recently she has also published on findings that physical activity is associated with decreased levels of depressive symptoms.

The study continues to yield fascinating results relevant to young people’s public health in east London. We have also recently carried out a replication study in Cape Town schoolsmore on these results in a later edition.

Stephen Stansfeld

One significant area, led by Professor Kamaldeep Bhui, was the measurement of cultural identity classifying people into how much they are identified with either the host culture or their culture of origin.

We found that boys and Bangladeshi pupils who had friendships both amongst their own community and the majority community had

www.wolfson.qmul.ac.uk/psychiatry

Barts and The London School of Medicine and Dentistry

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My life as a PhD student

by Jo Archer

JO ARCHER PhD Jo completed her PhD project this year and we caught up with her to ask her about her work and experience as a PhD student.

Why did you choose QM? My undergraduate degree was in experimental psychology, which developed my interest in mental health and increased my curiosity about the relationship between the body and mind. I was lucky enough to be offered a PhD project investigating effects of depression in Head and Neck Cancer with my supervisors Professors Ania Korszun, Stephen Stansfeld and Iain Hutchison, funded by Saving Faces through the Barts Charitable Trust.

What was your project about?

The project focused on the relationship between depression and cancer, in particular how depression and stress affect quality of life and treatment outcome in cancer patients.

This suited my interests perfectly as it involved mental health and lots about the interaction of physical and psychological factors.

I recruited over 90 newly diagnosed cancer patients who completed a range of questionnaires asking about mood, quality of life, personality and childhood and current stress. Patients were also asked to give saliva and blood samples soon after their diagnosis and around the time of their treatment to look at levels of stress hormones and inflammation.

I can see in hindsight that this was a very ambitious project - the timing of blood collections are critical so I discovered new areas of London running to see patients to collect blood and then rushing back to The Royal London Hospital to process the samples within the magic one hour time limit.

The period just after receiving a cancer diagnosis is very difficult for patients and things move fast from diagnosis to surgery.

Despite this, over 60% of patients agreed

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Centre for Psychiatry Newsletter Winter Edition Issue 1

to take part in my study and I am extremely grateful for their individual efforts and impressed by their regard for research. I was surprised by how eager some patients were to help and I really enjoyed working so closely with them. Each patient had amazing stories to share and usually I would be offered at least a cup of tea – if not a dram of something stronger!

As well as working with patients from all walks of life, because of the interdisciplinary nature of the study, I was fortunate to get to collaborate with numerous clinicians and academics from many different fields.

The majority of the participants were head and neck cancer patients whom I recruited from the head and neck clinic at Bart’s. I found myself liaising with ENT and Maxillofacial surgeons and their entire multidisciplinary team, including the clinic manager Pat, the junior doctors, nurses, speech therapists and even the receptionists lent a hand. I am really thankful to Manny, the Macmillan nurse who was exceptionally helpful both with respect to recruitment and following up patients.

We chose patients with colorectal cancer as a comparison group and they were recruited from the colorectal clinic at The Royal London hospital with thanks to Professor Dorudi and his team from the Institute of Cell and Molecular Science – I am especially thankful to the Colorectal Clinic Coordinator, Asif, who always let me know about new patients and would introduce me and keep me in the loop with regards to their treatment.

In both cases I also learnt how clinics were run and they were certainly very different clinics! I was often with patients when they went down for surgery and as I waited for the blood sample and saw different preparatory procedures and I owe thanks to many a helpful anaesthetist.

When it came to analysing the data, I collaborated with researchers in Bristol for the stress hormone analyses. Fantastically, I was able to carry out the analyses for the inflammatory aspects of the study myself in a leading inflammation research centre on the same campus – The Cancer and Inflammation laboratory, headed by Professor Fran Balkwill.

Fran and her staff were exceptionally knowledgeable and always happy to share

www.wolfson.qmul.ac.uk/psychiatry

their expertise. I also attended many statistics courses including a leading 2 week intensive course at the London School of Hygiene and Tropical Medicine and have been well supported by other staff at the CfP and within the Wolfson institute.

What did you find?

Depression is a common disorder affecting about 15% of the population – we found that cancer patients who have a history of depression are 50 times more likely to experience a depressive episode following cancer diagnosis. The same factors that increase risk of depression in the general population, such as childhood trauma and recent stressful life events, are related to low mood and poorer quality of life in cancer patients. Most striking was our finding that depressive symptoms have a greater detrimental effect on patients’ quality of life

than any physical symptom or loss of function associated with the cancer. Interestingly, in the colorectal cancer patients, higher levels of inflammation before surgery were associated with a lower mood 3 months after treatment.

These results show that both psychosocial and inflammatory factors are important in mood and quality of life after cancer treatment.

Depression causes a lot of suffering in cancer patients and cancer patients with depression have a poorer treatment outcome.

So predicting which patients are at risk for depression is important and it could be as simple as asking all clinic patients whether they have previously suffered from depression.

The links between inflammation and mood are intriguing and a greater understanding of these could lead to development of antidepressant medications that target inflammatory pathways.

New appointments Centre for Psychiatry Dr Constantinos Kallis

Miss Ann Steele

Dr Kenneth Carswell

Mr Eoin Golden

Ms Ruth Schor

Ms Claudia Dougall

Senior Lecturer, Medical Statistics (replaced Min Yang) MSc Lecturer, August (replaced Robert White)

Research Assistant, 1 August

Dr John Owiti

Senior Nurse, Cultural Consultation Service, 31 August

Miss Holly Corlett

Resident Assistant, 1 September

Ms Sima Sandhu

Resident Assistant, 1 September

Mr Domenico Scaringi

Resident Assistant, 27 September Resident Assistant, 1 September

Resident Assistant, 1 September

Miss Sarah Watkins Resident Assistant, 23 September

Department Coffee afternoons Venue: Shield Café, Dawson Hall, Charterhouse Square campus Always at 3pm Meet us at the Shield Café for a coffee and a chat!

Tuesday 11 January Tuesday 25 January Tuesday 8 February Tuesday 22 February Tuesday 8 March Tuesday 22 March

Senior Lecturer, on secondment from ELFT

Dr Micol Ascoli

Clinical Research Fellow, on secondment from ELFT

Dr Julius Bourke

Dr Isabelle Pitrou

www.wolfson.qmul.ac.uk/psychiatry

I am pleased with the results of my study and that I can report significant findings but however they had turned out, I would definitely do it all again!

Dr Caroline Methuen

Resident Assistant, 1 September

Clinical Lecturer, Liaison Psychiatry, 1 October

Would you do it again?

Altogether this was perhaps more than I bargained for, but it has ultimately been very rewarding. I have had the opportunity to work with some amazing people, including the patients, the clinicians and many well respected academics working in psychiatry and other medical fields. Finally, on the rare occasions I was in the office, I found that, whilst my psychiatry colleagues work on very different projects, the environment has always been very friendly and mutually supportive – often just what I needed after a hectic day running around London.

Research Fellow, 6 December

Barts and The London School of Medicine and Dentistry

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Centre for Psychiatry Selected Publications K Bhui

C Kallis

Jones, L., Nolan, P., Bowers, L., Simpson, A., Whitting, R., Hackney, D., & Bhui, K. 2010, “Psychiatric wards: places of safety?”, Journal of Psychiatric and Mental Health Nursing, vol. 17, pp. 124-130.

Flouri, E. & Kallis, C. 2010, “Adverse life events and mental health in middle adolescence”, J Adolesc. [Epub ahead of print}

McGilloway, A., Hall, R. E., Lee, T., & Bhui, K. S. 2010, “A systematic review of personality disorder, race and ethnicity: prevalence, aetiology and treatment”, BMC Psychiatry, vol. 10, no. 1, p. 33.

Bhui, K. & Warfa, N. 2010, “Trauma, khat and common psychotic symptoms among Somali immigrants: A quantitative study”, J Ethnopharmacol. (In press)

C Clark Stansfeld, S. A., Clark, C., Rodgers, B., Caldwell, T., & Power, C. 2010, “Repeated exposure to socioeconomic disadvantage and health selection as life course pathways to mid-life depressive and anxiety disorders”, Soc Psychiatry Psychiatr Epidemiol. [Epub ahead of print] Clark, C., Caldwell, T., Power, C., & Stansfeld, S. A. 2010, “Does the influence of childhood adversity on psychopathology persist across the lifecourse? A 45-year prospective epidemiologic study”, Ann Epidemiol, vol. 20, no. 5, pp. 385-394.

J Coid Hu J, Yang M, Huang XQ & Coid, J. (2010) Forensic psychiatry assessments in Sichuan Province, People’s Republic of China, 1997 to 2006. Journal of Forensic Psychiatry and Psychology. DOI: http:// dx.doi.org/10.1080/14789941003642504 Coid J & Yang M. (2010) Violence and Delayed Social Independence among Young Adult Men. Journal of Social Psychiatry and Psychiatric Epidemiology.

45 (3): 301-308 Coid J & Yang M. (2010) The Impact of Psychopathy on Violence among the Household Population of Great Britain.

Journal of Social Psychiatry and Psychiatric Epidemiology. DOI: 10.1007/s00127-0100212-4

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Centre for Psychiatry Newsletter Winter Edition Issue 1

Flouri, E., Tzavidis, N., & Kallis, C. 2010, “Adverse life events, area socioeconomic disadvantage, and psychopathology and resilience in young children: the importance of risk factors’ accumulation and protective factors’ specificity”, Eur Child Adolesc Psychiatry, vol. 19, no. 6, pp. 535-546.

Flouri, E., Tzavidis, N., & Kallis, C. 2010, “Area and family effects on the psychopathology of the Millennium Cohort Study children and their older siblings”, J Child Psychol Psychiatry, vol. 51, no. 2, pp.

152-161.

A Korszun Young, E. & Korszun, A. 2010, “Sex, trauma, stress hormones and depression”, Mol Psychiatry, vol. 15, no. 1, pp. 23-28.

Hosang, G. M., Korszun, A., Jones, L., Jones, I., Gray, J. M., Gunasinghe, C. M., McGuffin, P., & Farmer, A. E. 2010, “Adverse life event reporting and worst illness episodes in unipolar and bipolar affective disorders: measuring environmental risk for genetic research”, Psychol Med pp. 1-9.On 14 Sep 2010, at 13:24, Amarjit Sagoo wrote: Lewis, C. M., Ng, M. Y., Butler, A. W., CohenWoods, S., Uher, R., Pirlo, K., Weale, M. E., Schosser, A., Paredes, U. M., Rivera, M., Craddock, N., Owen, M. J., Jones, L., Jones, I., Korszun, A., Aitchison, K. J., Shi, J., Quinn, J. P., Mackenzie, A., Vollenweider, P., Waeber, G., Heath, S., Lathrop, M., Muglia, P., Barnes, M. R., Whittaker, J. C., Tozzi, F., Holsboer, F., Preisig, M., Farmer, A. E., Breen, G., Craig, I. W., & McGuffin, P. 2010, “GenomeWide Association Study of Major Recurrent Depression in the U.K. Population”, Am J Psychiatry. [Epub ahead of print]

R McCabe Reininghaus, U., McCabe, R., Burns, T., Croudace, T., & Priebe, S. 2010, “Measuring patients’ views: a bifactor model of distinct patient-reported outcomes in psychosis”, Psychol Med pp. 1-13.

Dimic, S., Wildgrube, C., McCabe, R., Hassan, I., Barnes, T. R., & Priebe, S. 2010, “Non-Verbal Behaviour of Patients with Schizophrenia in Medical Consultations - A Comparison with Depressed Patients and Association with Symptom Levels”, Psychopathology, vol. 43, no. 4, pp. 216-222.

Priebe, S., Reininghaus, U., McCabe, R., Burns, T., Eklund, M., Hansson, L., Junghan, U., Kallert, T., van Nieuwenhuizen, C., Ruggeri, M., Slade, M., & Wang, D. 2010, “Factors influencing subjective quality of life in patients with schizophrenia and other mental disorders: a pooled analysis”, Schizophrenia Research. (In press)

S Priebe Priebe, S., Reininghaus, U., McCabe, R., Burns, T., Eklund, M., Hansson, L., Junghan, U., Kallert, T., van Nieuwenhuizen, C., Ruggeri, M., Slade, M., & Wang, D. 2010, “Factors influencing subjective quality of life in patients with schizophrenia and other mental disorders: a pooled analysis”, Schizophrenia Research. (In press) Priebe, S., Katsakou, C., Glockner, M., Dembinskas, A., Fiorillo, A., Karastergiou, A., Kiejna, A., Kjellin, L., Nawka, P., Onchev, G., Raboch, J., Schuetzwohl, M., Solomon, Z., Torres-Gonzalez, F., Wang, D., & Kallert, T. 2010, “Patients’ views of involuntary hospital admission after 1 and 3 months: prospective study in 11 European countries”, Br J Psychiatry, vol. 196, pp. 179-185.

Priebe, S., Bogic, M., Ajdukovic, D., Franciskovic, T., Galeazzi, G. M., Kucukalic, A., Lecic-Tosevski, D., Morina, N., Popovski, M., Wang, D., & Schutzwohl, M. 2010, “Mental disorders following war in the Balkans: a study in 5 countries”, Arch Gen Psychiatry, vol. 67, no. 5, pp. 518-528.

S A Stansfeld Stansfeld, S. A., Clark, C., Rodgers, B., Caldwell, T., & Power, C. 2010, “Repeated exposure to socioeconomic disadvantage and health selection as life course pathways to mid-life depressive and anxiety disorders”, Soc Psychiatry Psychiatr Epidemiol. [Epub ahead of print]

www.wolfson.qmul.ac.uk/psychiatry

Centre for Psychiatry Seminars For further information, please contact Lisa Kass (psychiatry@qmul.ac.uk)

All welcome!

Focus groups identifying improvements to the DIALOG procedure

An update of therapeutic processes in DBT for BPD

Led by: Eoin Golden Date: Monday 10 January, 2-3pm Venue: Academic Unit Lecture Theatre

Led by: Kristen Barnicot Date: Monday 21 February, 2-3pm Venue: Academic Unit Lecture Theatre

Meltzer, H., Bebbington, P., Brugha, T., Jenkins, R., McManus, S., & Stansfeld, S. 2010, “Job insecurity, socio-economic circumstances and depression”, Psychol Med, vol. 40, no. 8, pp. 1401-1407.

Mental health care of marginalised groups in Europe: Quantitative findings

Ethnic density and mental health

S Ullrich

Noise and mental health outcomes in young people

Rothon, C., Edwards, P., Bhui, K., Viner, R. M., Taylor, S., & Stansfeld, S. A. 2010, “Physical activity and depressive symptoms in adolescents: a prospective study”, BMC Med, vol. 8, no. 1, p. 32.

Ullrich, S., Yang, M., & Coid, J. 2010, “Dangerous and severe personality disorder: An investigation of the construct”, Int J Law Psychiatry, vol. 33, no. 2, pp.

84-88.

Ullrich, S. & Coid, J. 2010, “Antisocial personality disorder--stable and unstable subtypes”, J Pers.Disord, vol. 24, no. 2, pp. 171-187.

Coid, J. & Ullrich, S. 2010, “Antisocial personality disorder is on a continuum with psychopathy”, Compr.Psychiatry, vol. 51, no. 4, pp. 426-433.

N Warfa Bhui, K. & Warfa, N. 2010, “Trauma, khat and common psychotic symptoms among Somali immigrants: A quantitative study”, J Ethnopharmacol. (In press)

Led by: Aleksandra Matanov Date: Monday 17 January, 2-3pm Venue: Academic Unit Lecture Theatre

Led by: Rosanna Crombie (Centre for Psychiatry, Queen Mary, University of London) Date: Wednesday 19 January, 12.30pm Venue: Room G06, Old Anatomy Building

Non-verbal aspects of communication in schizophrenia Led by: Mary Lavelle Date: Monday 24 January, 2-3pm Venue: Academic Unit Lecture Theatre

Cultural Consultation Club Led by: Micol Ascoli Date: Wednesday 26 January, 2-5pm Venue: G06 Rotblat Building

Processes of self harm reduction and recovery from BPD Led by: Christina Katsakou Date: Monday 31 January, 2-3pm Venue: Academic Unit Lecture Theatre

Mental health service delivery for immigrants in Europe Led by: Neele Bjerre and Stefan Priebe Date: Monday 7 February, 2-3pm Venue: Academic Unit Lecture Theatre

Psychiatric patients as victims of physical violence Led by: Federico Fortugno Date: Monday 14 February, 2-3pm Venue: Academic Unit Lecture Theatre

Led by: Jayati Das-Munshi, Institute of Psychiatry, King’s College London Date: Wednesday 23 February, 12.30pm Venue: Room GO6, Old Anatomy Building

Cultural Consultation Club Led by: Walid Abdul-Hamid Date: Wednesday 23 February, 2-5pm Venue: G06 Rotblat Building

Mental health care of marginalised groups in Europe: Qualitative findings Led by: Ruth Schor Date: Monday 28 February, 2-3pm Venue: Academic Unit Lecture Theatre

An intervention to structure patient-clinician communication Led by: Domenico Scaringi Date: Monday 7 March, 2-3pm Venue: Academic Unit Lecture Theatre

Communication in psychiatric outpatient consultations Led by: Laura Thompson Date: Monday 14 March, 2-3pm Venue: Academic Unit Lecture Theatre

Patient reported outcomes of psychiatric treatment Led by: Ulrich Reininghaus Date: Monday 21 March, 2-3pm Venue: Academic Unit Lecture Theatre

Avoidance of psychotic symptoms in psychiatric consultations Led by: Teresa Federico Date: Monday 28 March, 2-3pm Venue: Academic Unit Lecture Theatre

Cultural Consultation Club Led by: Karin Johansson Blight and Ken Carswell Date: Wednesday 30 March, 2-5pm Venue: Dawson Hall, SAD Annexe

Full addresses: Lecture Theatre at the Academic Unit, Newham Centre for Mental Health, London E13 8SP. Room G06, Old Anatomy Building, Charterhouse Square, EC1M 6BQ

www.wolfson.qmul.ac.uk/psychiatry

Barts and The London School of Medicine and Dentistry

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For further information, please contact: Amarjit Sagoo Centre for Psychiatry Barts and The London School of Medicine and Dentistry Old Anatomy Building Charterhouse Square London EC1M 6BQ Tel: +44 (0)20 7882 2020 Fax: +44 (0)20 7882 5728 www.wolfson.qmul.ac.uk/psychiatry Pub6281