Simon Wessely
Dados Biográficos
| ID | 232099 |
|---|---|
| NOME | Simon Wessely |
| PRENOMES | Simon |
| SOBRENOME | Wessely |
| ASSINATURA | WESSELY S |
| AFILIAÇÕES | King's College London |
| ORCID | 0000-0002-6743-9929 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 62 |
| TOTAL DE CITAÇÕES | 194 |
| TOTAL COMO AUTOR | 62 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1992 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 10 |
You get looked at like you're failing
Staff in the National Health Service (NHS) are under considerable strain, exacerbated by the COVID-19 pandemic; whilst NHS Trusts provide a variety of health and wellbeing support services, there has been little research investigating staff perceptions of these services. We interviewed 48 healthcare workers from 18 NHS Trusts in England about their experiences of workplace health and wellbeing support during the pandemic. Reflexive thematic analy…
Mental health responses to the Covid-19 pandemic
Managing mental health challenges faced by healthcare workers during covid-19 pandemic
Neil Greenberg and colleagues set out measures that healthcare managers need to put in place to protect the mental health of healthcare staff having to make morally challenging decisions
The psychological effects of quarantining a city
Whether the epidemiological benefits of mandatory mass quarantine outweigh the psychological costs is a judgement that should not be made lightly
How to improve adherence with quarantine
OBJECTIVES: The December 2019 outbreak of coronavirus has once again thrown the vexed issue of quarantine into the spotlight, with many countries asking their citizens to 'self-isolate' if they have potentially come into contact with the infection. However, adhering to quarantine is difficult. Decisions on how to apply quarantine should be based on the best available evidence to increase the likelihood of people adhering to protocols. We conducte…
Mental health before and during the Covid-19 pandemic
Says who? The significance of sampling in mental health surveys during Covid-19
The psychological impact of quarantine and how to reduce it
Multidisciplinary research priorities for the Covid-19 pandemic
Hospital admissions for non-communicable disease in the UK military and associations with alcohol use and mental health
Military personnel with a mental health problem are more likely to have an inpatient hospital admission for NCDs compared to those without, evidencing the clear links between physical and mental health in this population
A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD
Combat Experiences and their Relationship to Post-Traumatic Stress Disorder Symptom Clusters in UK Military Personnel Deployed to Afghanistan
The association of post-traumatic stress disorder (PTSD) symptom clusters with combat and other operational experiences among United Kingdom Armed Forces (UK AF) personnel who deployed to Afghanistan in 2009 were examined. Previous studies suggest that the risk of developing PTSD rises as combat exposure levels increase. To date, no UK research has investigated how specific classes of combat and operational experiences relate to PTSD symptom clus…
Violent behavior among military reservists
Large numbers of British and American Reservists have been deployed to operations in Iraq and Afghanistan. Little is known about the impact of deployment and combat exposure on violent behavior in Reservists. The purpose of this study was to determine the prevalence of self-reported violent behavior among a representative sample of United Kingdom Reservists, the risk factors associated with violence and the impact of deployment and combat exposur…
Stigma as a Barrier to Seeking Health Care Among Military Personnel With Mental Health Problems
Approximately 60% of military personnel who experience mental health problems do not seek help, yet many of them could benefit from professional treatment. Across military studies, one of the most frequently reported barriers to help-seeking for mental health problems is concerns about stigma. It is, however, less clear how stigma influences mental health service utilization. This review will synthesize existing research on stigma, focusing on th…
Relationship Difficulties Among U.K. Military Personnel
Military work, especially operational deployments, may impact the romantic relationships of military personnel. Using a sub-sample (n=7581) of participants from a cohort study of UK military personnel (data collected between 2007 and 2009), the \nprevalence of relationship difficulties and associations with socio-demographic, military, and deployment-related characteristics was examined. The majority of participants did not report experiencing re…
Are the Armed Forces Understood and Supported by the Public? A View from the United Kingdom
Despite the importance of public opinion in supporting the military and their missions, little is known about how the UK public perceive their Armed Forces. This article reviews and evaluates available research and opinion poll data of public attitudes toward the UK military and situates the evidence within the civil-military gap literature. Current evidence suggests public regard for the UK Armed Forces is high despite low levels of support for …
Diagnosis and classification of disorders specifically associated with stress
The diagnostic concepts of post-traumatic stress disorder (PTSD) and other disorders specifically associated with stress have been intensively discussed among neuro- and social scientists, clinicians, epidemiologists, public health planners and humanitarian aid workers around the world. PTSD and adjustment disorder are among the most widely used diagnoses in mental health care worldwide. This paper describes proposals that aim to maximize clinica…
Assessing Perceptions AbouT Hazardous Substances (PATHS)
How people perceive the nature of a hazardous substance may determine how they respond when potentially exposed to it. We tested a new Perceptions AbouT Hazardous Substances (PATHS) questionnaire. In Study 1 ( N = 21), we assessed the face validity of items concerning perceptions about eight properties of a hazardous substance. In Study 2 ( N = 2030), we tested the factor structure, reliability and validity of the PATHS questionnaire across four …
Are You a Veteran?' Understanding of the Term 'Veteran' among UK Ex-Service Personnel
Different countries have varying definitions of the word 'veteran,' which in turn influence the benefits that ex-Service personnel receive. However, public opinion does not necessarily reflect official definitions. This article seeks to identify whether characteristics by which UK ex-Service personnel self-identify as veterans are aligned with official policy/public opinion, and which factors are associated with self-identification as a veteran. …
Life in and after the Armed Forces
This study focuses on the influence of structural aspects of social integration (social networks and social participation outside work) on mental health (common mental disorders (CMD), that is, depression and anxiety symptoms, post-traumatic stress disorder (PTSD) symptoms and alcohol misuse). This study examines differences in levels of social integration and associations between social integration and mental health among service leavers and per…
Self-harm and attempted suicide among UK Armed Forces personnel
AIMS: Little has been reported on self-harm among the UK Armed Forces, partly due to the difficulties in recording self-harm, within an often-difficult-to-reach population. This study assesses the lifetime prevalence of attempted suicide and self-harm within currently serving and ex-service personnel of the UK Armed Forces. METHODS: Telephone interviews were conducted with 821 personnel who had previously participated in the King's Centre for Mil…
Does anonymity increase the reporting of mental health symptoms
We found a significant effect on the reporting of sub-threshold and probable PTSD and certain stigmatizing beliefs (but not common mental disorders) when using an anonymous compared to identifiable questionnaire, with the anonymous questionnaire resulting in a higher prevalence of PTSD and increased reporting of three stigmatizing beliefs. This has implications for the conduct of mental health screening and research in the US and UK military
OP92 The Impact of Military Deployment, Combat Experiences and Post-Deployment Mental Health Problems on Violent Behaviour among UK Military Personnel
Background There is considerable media, political and public interest on both sides of the Atlantic in an alleged rise in violence among military personnel returned from conflicts in Iraq and Afghanistan. This study explores violence among a large sample of UK military personnel, a proportion of whom had been deployed to Iraq/Afghanistan. The aims were to estimate the prevalence of self-reported violence, examine the impact of deployment and comb…
OP91 Does Anonymity Increase the Reporting of Mental Health Symptoms
Background There is no doubt that the perceived stigma of having a mental disorder acts as a barrier to help seeking. It is possible that individuals may be reluctant to admit to symptoms suggestive of poor mental health when data can be linked to them, even if their personal details are only used to help them access care. This may be particularly relevant because individuals who have a mental health problem are more likely to experience barriers…
OP20 A Comparative Analysis of Deployment Associated Mental Health Issues in United States and United Kingdom Armed Forces
Background There are several differences in health outcomes between UK and US military personnel who have deployed to the recent conflicts in Iraq or Afghanistan. Rates of survey-based posttraumatic stress disorder (PTSD) tend to be higher in US personnel, whilst self-reported rates of alcohol use tend to be higher in UK personnel. To explore potential reasons why mental health prevalence rates differ in the two countries a comparative analysis o…
Are the Armed Forces Understood and Supported by the Public? A View from the United Kingdom
Despite the importance of public opinion in supporting the military and their missions, little is known about how the UK public perceive their Armed Forces. This article reviews and evaluates available research and opinion poll data of public attitudes toward the UK military and situates the evidence within the civil-military gap literature. Current evidence suggests public regard for the UK Armed Forces is high despite low levels of support for …
What's in a Name? Defining and Caring for 'Veterans
An important feature of civil-military relations is the way in which states recognize the sacrifices that the men and women of the armed forces give to their country and provide care and support for them and their families once they leave the military as veterans. Yet states differ not only in the levels and kinds of support provided for ex-service personnel but also in their very definition of what a veteran is. This article examines the case of…
The epidemiology of fatigue
Fatigue syndromes, though recognised for some time, have recently attracted a variety of new diagnostic labels, as well as both professional and media controversy. However, most of the arguments surround the interpretation of small hospital based case-control studies using highly selected groups of patients.' There is relative silence on population based studies, which perhaps contributes to the lack of concensus. This paper reviews the epidemiol…
Patients' perceptions of medical care in chronic fatigue syndrome
Twentieth-century Theories on Combat Motivation and Breakdown
All the combatant nations of the first world war struggled to deal with the problem of large-scale casualties that could not be ascribed to simple physical injury. After a brief flirtation with medical explanations (‘shell-shock’) these were soon realized to be psychological in nature, but not until the end of the war was there much consensus on whether these represented a psychological response to the stressors of industrial warfare, or alternat…
The prevalence and morbidity of chronic fatigue and chronic fatigue syndrome
OBJECTIVES: This study examined the prevalence and public health impact of chronic fatigue and chronic fatigue syndrome in primary care patients in England. METHODS: There were 2376 subjects, aged 18 through 45 years. Of 214 subjects who fulfilled criteria for chronic fatigue, 185 (86%) were interviewed in the case-control study. Measures included chronic fatigue, psychological morbidity, depression, anxiety, somatic symptoms, symptoms of chronic…
Laying Down Their Rifles
U.K. Reserve Forces, principally the Territorial Army (TA), have been increasingly used since the end of the cold war, but there have been some concerns about their mental health problems and also possible unwillingness to remain in service. This article reports on the retention issues of 191 TA personnel who deployed to Iraq from 2003 to 2006. Qualitative data were thematically analyzed from three complementary studies. The authors found that, i…
Health-related quality of life and the transformation of symptoms
This paper traces the development of health-related Quality of Life instruments over the last half century. It identifies the emergence of key components of quality of life measurement in other health status questionnaires between about 1950 and 1980 and their formalisation in Quality of Life instruments in the mid 1980s. The common developmental thread that linked these Quality of Life instruments and their precursors was the identification of '…
Public Panic and Morale
Following September 11 in the US and July 7 in the UK, the threat to civilians from terrorist attack has become real yet considerable disagreement exists about how people might respond. The effect of aerial bombing on the public's morale during the Second World War and the incidence of psychiatric casualties have been explored to provide reference points for the current terrorist threat. Systematic study of restricted government investigations an…
Neurasthenia and Chronic Fatigue
The symptoms that make up the construct of neuras thenia, including fatigue and exhaustion, are dimension ally distributed in the community. The decision to create a category called neurasthenia is an arbitrary one, influenced by issues of severity and morbidity. The prevalence and nature of the resulting concept are also substantially influenced by the decision on how to classify the close relationships among excessive fatigue, depression and an…
Are You a Veteran?' Understanding of the Term 'Veteran' among UK Ex-Service Personnel
Different countries have varying definitions of the word 'veteran,' which in turn influence the benefits that ex-Service personnel receive. However, public opinion does not necessarily reflect official definitions. This article seeks to identify whether characteristics by which UK ex-Service personnel self-identify as veterans are aligned with official policy/public opinion, and which factors are associated with self-identification as a veteran. …
Life in and after the Armed Forces
This study focuses on the influence of structural aspects of social integration (social networks and social participation outside work) on mental health (common mental disorders (CMD), that is, depression and anxiety symptoms, post-traumatic stress disorder (PTSD) symptoms and alcohol misuse). This study examines differences in levels of social integration and associations between social integration and mental health among service leavers and per…
You get looked at like you're failing
Staff in the National Health Service (NHS) are under considerable strain, exacerbated by the COVID-19 pandemic; whilst NHS Trusts provide a variety of health and wellbeing support services, there has been little research investigating staff perceptions of these services. We interviewed 48 healthcare workers from 18 NHS Trusts in England about their experiences of workplace health and wellbeing support during the pandemic. Reflexive thematic analy…
Relationship Difficulties Among U.K. Military Personnel
Military work, especially operational deployments, may impact the romantic relationships of military personnel. Using a sub-sample (n=7581) of participants from a cohort study of UK military personnel (data collected between 2007 and 2009), the \nprevalence of relationship difficulties and associations with socio-demographic, military, and deployment-related characteristics was examined. The majority of participants did not report experiencing re…
Unloading the trunk
Early accounts of Gulf War illness and the construction of narratives in UK service personnel
Violent behavior among military reservists
Large numbers of British and American Reservists have been deployed to operations in Iraq and Afghanistan. Little is known about the impact of deployment and combat exposure on violent behavior in Reservists. The purpose of this study was to determine the prevalence of self-reported violent behavior among a representative sample of United Kingdom Reservists, the risk factors associated with violence and the impact of deployment and combat exposur…
Psychiatry and the ‘Lessons of Vietnam’
(2004). Psychiatry and the ‘Lessons of Vietnam’: What Were They, and Are They Still Relevant? War & Society: Vol. 22, No. 1, pp. 89-103
British Prisoners-of-War
In contemporary culture, soldiers held as prisoners-of-war (POWs) or as hostages are considered at significant risk of mental illness, in particular post-traumatic stress disorder (PTSD). This assumption contrasts with the psychiatric orthodoxy of the First World War when it was concluded in both Britain and Germany that POWs were protected against 'war neurosis'. Although 'barbed wire disease' was identified during time of captivity, post-releas…
The origins of factitious disorder
Factitious disorder is the deliberate simulation of illness for the purpose of seeking the sick role. It is a 20th-century diagnosis, though the grounds for its introduction are uncertain. While previous authors have considered the social changes contributing to growth in the disorder, this article looks at some of the pressures on doctors that may have created the diagnostic need for a disorder between hysteria and malingering. The recent histor…
The epidemiology of fatigue
Fatigue syndromes, though recognised for some time, have recently attracted a variety of new diagnostic labels, as well as both professional and media controversy. However, most of the arguments surround the interpretation of small hospital based case-control studies using highly selected groups of patients.' There is relative silence on population based studies, which perhaps contributes to the lack of concensus. This paper reviews the epidemiol…
Development of a fatigue scale
Neurasthenia and Chronic Fatigue
The symptoms that make up the construct of neuras thenia, including fatigue and exhaustion, are dimension ally distributed in the community. The decision to create a category called neurasthenia is an arbitrary one, influenced by issues of severity and morbidity. The prevalence and nature of the resulting concept are also substantially influenced by the decision on how to classify the close relationships among excessive fatigue, depression and an…
Iatrogenic Factors and Chronic Pain
OBJECTIVE: Although it is accepted that the etiology of chronic pain is multifactorial, little attention has been given to the possible role of iatrogenesis. The aim of the present study is to identify possible iatrogenic factors in chronic pain patients. METHODS: We report a cross-sectional study of 125 patients attending specialist pain clinics in South London. Data were collected using semistructured checklists. Patients were interviewed with …
The prevalence and morbidity of chronic fatigue and chronic fatigue syndrome
OBJECTIVES: This study examined the prevalence and public health impact of chronic fatigue and chronic fatigue syndrome in primary care patients in England. METHODS: There were 2376 subjects, aged 18 through 45 years. Of 214 subjects who fulfilled criteria for chronic fatigue, 185 (86%) were interviewed in the case-control study. Measures included chronic fatigue, psychological morbidity, depression, anxiety, somatic symptoms, symptoms of chronic…
Functional somatic syndromes
Psychosocial and Developmental Antecedents of Chest Pain in Young Adults
OBJECTIVE: The objective of this study was to assess the relationships among chest pain, psychiatric disorder, and early experience of ill health. METHODS: The Medical Research Council National Survey of Health and Development is a population-based birth cohort study established in 1946 (N = 5362). During childhood, several informants (parents, teachers, and school physicians) were interviewed or completed questionnaires. Data were available on t…
Occupational risk factors for ill health in Gulf veterans of the United Kingdom
OBJECTIVES: To study the association between occupational factors specific to the Armed Forces (rank, functional roles, Service, regular or reservist status and deployment factors) and symptomatic health problems in Gulf veterans, after sociodemographic and lifestyle factors have been accounted for. DESIGN: A postal cross sectional survey of randomly selected UK Gulf veterans was conducted six to seven years after the Gulf conflict. Physical ill …
The Origins of British Military Psychiatry Before the First World War
(2001). The Origins of British Military Psychiatry Before the First World War. War & Society: Vol. 19, No. 2, pp. 91-108
Patients' perceptions of medical care in chronic fatigue syndrome
Essay Review
Psychiatry and the ‘Lessons of Vietnam’
(2004). Psychiatry and the ‘Lessons of Vietnam’: What Were They, and Are They Still Relevant? War & Society: Vol. 22, No. 1, pp. 89-103
Unloading the trunk
Unmet expectations in primary care and the agreement between doctor and patient
Background Questionnaires completed respectively by doctor and patient may give conflicting views of what actions the doctor took during a consultation in primary care. This disagreement will affect an assessment of whether patient expectations of care were met, and may itself be influenced by fulfilment of expectations. Objective To investigate how patient expectations, and patient and doctor reports of doctor's actions in a primary care setting…
Electromagnetic Hypersensitivity
The Placebo Response in the Treatment of Chronic Fatigue Syndrome
Urinary Cortisol and Cortisol Metabolite Excretion in Chronic Fatigue Syndrome
Objectives: Reduced basal hypothalamic–pituitary–adrenal (HPA) axis output in chronic fatigue syndrome (CFS) has been inferred from low cortisol levels in blood, saliva, and urine in some studies. Because > 95% of cortisol is metabolized before excretion, we assessed cortisol output by assay of both cortisol metabolites and free cortisol in 24-hour urine collections and also investigated sex differences in these between CFS and control groups. Me…
Public Panic and Morale
Following September 11 in the US and July 7 in the UK, the threat to civilians from terrorist attack has become real yet considerable disagreement exists about how people might respond. The effect of aerial bombing on the public's morale during the Second World War and the incidence of psychiatric casualties have been explored to provide reference points for the current terrorist threat. Systematic study of restricted government investigations an…
Uptake of screening for breast cancer in patients with mental health problems
Objectives: Mental illness is associated with physical illness and mortality from a variety of causes including cancer. There is little information on screening attendance among the mentally ill population. An audit was conducted of a breast screening service in inner London to determine uptake rates in women with mental illness. Design: Cross sectional data linkage study of the local screening register and patients of the local psychiatric units…
Twentieth-century Theories on Combat Motivation and Breakdown
All the combatant nations of the first world war struggled to deal with the problem of large-scale casualties that could not be ascribed to simple physical injury. After a brief flirtation with medical explanations (‘shell-shock’) these were soon realized to be psychological in nature, but not until the end of the war was there much consensus on whether these represented a psychological response to the stressors of industrial warfare, or alternat…
What's in a Name? Defining and Caring for 'Veterans
An important feature of civil-military relations is the way in which states recognize the sacrifices that the men and women of the armed forces give to their country and provide care and support for them and their families once they leave the military as veterans. Yet states differ not only in the levels and kinds of support provided for ex-service personnel but also in their very definition of what a veteran is. This article examines the case of…
The Association or Otherwise of the Functional Somatic Syndromes
Objective: To review the evidence for overlap in the phenomenology of the Functional Somatic Syndromes (FSS). The FSS show considerable comorbidity, leading some to suggest they may be aspects of the same disorder. Methods: We conducted a selective review of peer-reviewed articles on the co-occurrence of FSS symptoms and diagnoses. Results: Considerable evidence of overlap was found at the level of symptoms, diagnostic criteria, and clinical diag…
Imaging Repressed Memories in Motor Conversion Disorder
Objectives: Conversion disorders comprise neurologically unexplained symptoms with a presumed psychiatric cause, though a neuroscientific basis for this is lacking. The standard psychiatric model of conversion holds that events and processes that might explain the symptoms are, by hypothesis, either repressed or subconscious. This makes assessments based on subjective reports unreliable. We circumvent this by using a standardized method to quanti…
A Defence of the Randomized Controlled Trial in Mental Health
Health-related quality of life and the transformation of symptoms
This paper traces the development of health-related Quality of Life instruments over the last half century. It identifies the emergence of key components of quality of life measurement in other health status questionnaires between about 1950 and 1980 and their formalisation in Quality of Life instruments in the mid 1980s. The common developmental thread that linked these Quality of Life instruments and their precursors was the identification of '…
Medicine (44 obras) · Psychiatry (41 obras) · Psychology (38 obras) · Political science (23 obras) · Mental health (21 obras) · Posttraumatic Stress Disorder Research (17 obras) · Environmental health (14 obras) · Fibromyalgia and Chronic Fatigue Syndrome Research (13 obras) · Law (13 obras) · Military personnel (12 obras)