Barbara G. Monroe

Learn More
BACKGROUND Cognitive behaviour therapy (CBT) has been shown to reduce psychological morbidity in people with cancer, but no randomized controlled trial (RCT) exists in palliative care. We aimed to determine whether home care nurses could be taught to deliver basic cognitive behavioural techniques and so reduce symptoms of anxiety and depression. METHOD(More)
This cross-sectional survey aimed to determine the prevalence and remission of depression in patients receiving palliative care and to ascertain the predictive value of somatic symptoms in making the diagnosis. Three hundred consecutive patients were interviewed within one week of their initial assessment by a specialist nurse at a palliative care service(More)
BACKGROUND Prospective studies of depression in palliative care are rare. Two studies that examine depression prospectively in patients with advanced disease have not looked at predictors of remission. AIMS to explore prospective predictors of non-remission of depression in palliative care. DESIGN AND PARTICIPANTS The study design comprised two data(More)
Ependymal junctions in both the ventro-lateral wall and infundibular floor of the 3rd ventricle were examined in adult, young, neonatal, and fetal rats in freeze-fracture preparations. During late fetal and early postnatal life, tight junctions developed in both ventro-lateral and floor ependyma with, first, the appearance of an area of waffle-like or(More)
OBJECTIVE To evaluate the level of psychological services available to patients and staff in hospices. DESIGN Questionnaire analysis. SETTING Hospices in the UK and Republic of Ireland. PARTICIPANTS 224 hospices. MAIN OUTCOME MEASURES The availability of professional psychological support for those with advanced disease. RESULTS Responses were(More)
OBJECTIVES The Primary Care Evaluation of Mental Disorders Patient Health Questionnaire (PRIME-MD PHQ-9) is a common screening tool designed to facilitate detection of depression according to DSM-IV criteria. However, the factor structure of the PHQ-9 within the palliative care population has not been evaluated. METHODS 300 participants completed the(More)
BACKGROUND in community studies the prevalence of depression is higher in women than men; however, in palliative care settings this relationship is usually less strong, absent or reversed. AIM to identify reasons for excess depression among men receiving palliative care. DESIGN cross-sectional study. SETTING/PARTICIPANTS we interviewed 300 patients(More)