Julia A Gledhill

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To determine whether paediatric intensive care unit (PICU) admission is associated with greater psychiatric morbidity in children and parents as compared with general paediatric ward admissions. Retrospective cohort study. Paediatric intensive care unit and two general paediatric wards of a London teaching hospital. Children aged 5–18 years discharged from(More)
OBJECTIVE To test the hypothesis that younger children in a school year are at greater risk of emotional and behavioural problems. DESIGN Cross sectional survey. SETTING Community sample from England, Scotland, and Wales. PARTICIPANTS 10 438 British 5-15 year olds. MAIN OUTCOME MEASURES Total symptom scores on psychopathology questionnaires(More)
OBJECTIVE To ascertain and compare psychological morbidity following first- and second-trimester termination for fetal anomaly. METHODS This was a cohort study of 30 women aged 20-40 years in a north London teaching hospital, 14 of whom had had a first-trimester termination and 16 a second-trimester termination for fetal anomaly. The main outcome measures(More)
To compare the experiences of parents and children during inpatient admission to either a paediatric intensive care unit (PICU) or a general paediatric ward (GPW) with a specific focus on identifying factors which may influence psychological outcome. Semi-structured qualitative interviews of 20 parents whose children had been admitted to hospital. Cases(More)
BACKGROUND Depressive disorders are common in adolescent general practice attenders. METHOD Adolescent attenders were screened/interviewed for depressive disorders, general practitioners (GPs) completed a checklist indicating recognition of psychopathology prior to and following GP training in the identification/management of adolescent depression. (More)
OBJECTIVE To assess short-term changes in child and parent psychiatric status following meningococcal disease. DESIGN Prospective cohort study; 3-month follow-up using parent, teacher, and child questionnaires. SETTING Hospital admissions to three pediatric intensive care units and 19 general pediatric wards. PATIENTS Sixty children aged 3-6 yrs, 60(More)
Although depression is common amongst adolescents attending general practice, little is known about factors which influence consultation. This study aims to identify factors that contribute to GP attendance in adolescents with high levels of mood symptoms. Case–control study of 13 to 17-year-olds attending (cases, N = 156) and not attending (controls, N =(More)
Depressive disorder is common amongst adolescents attending primary care, but little is known about its time course. To determine the 6-month outcome of depressive disorder in adolescent primary care attendees with regard to the time to recovery from (1) the date of index GP consultation and (2) the date of depressive episode onset, and to identify risk(More)
Depressed mood in young people is common, with a prevalence of up to 20% among teenagers consulting their GP. Depression during the teenage years is associated with functional impairment and health risk behaviours; episodes can be severe and prolonged, often not resolving over 18 months. Adolescent depression is a chronic and relapsing condition with a high(More)