Peter H Silverstone
Biographic Data
| ID | 7122355 |
|---|---|
| NAME | Peter H Silverstone |
| GIVEN NAMES | Peter H |
| FAMILY NAME | Silverstone |
| SIGNATURE | SILVERSTONE P H |
| AFFILIATIONS | University of Alberta |
| ORCID | 0000-0001-5176-7074 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 23 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 0 |
The prevalence and risk factors of sleep disturbances among mental health patients following hospital discharge
Background Sleep disturbances significantly impact psychological wellbeing, particularly during the critical transition when patients are discharged from psychiatric units. Despite extensive research on sleep and mental health, limited attention has been given to this transitional period. Aim This study examined the prevalence and risk factors of sleep disturbances among patients preparing for discharge from psychiatric units in Alberta, Canada. …
Resilience, personal recovery, and quality of life for psychiatric in-patients prior to hospital discharge
Results suggest that women, younger adults, Indigenous peoples, and individuals with depression struggle more with adapting to post-discharge life. Policymakers should implement programs that focus on supporting resilience in these vulnerable groups
Predictors of poor quality of life for patients discharged from acute psychiatric care in Alberta
This study's results highlight the complex interplay of demographic, socioeconomic, and mental health factors that influence various health-related problems. These findings underscore the importance of targeted, holistic health interventions that address physical and mental health needs
Depression, anxiety, and poor well-being at discharge from psychiatric hospitals
Mental health assessment at discharge is a critical step in the recovery and transition of care. There is still a need for further research to identify the underlying causes and robust predictors of mental health symptoms in patients about to be discharged and to provide appropriate interventions and supportive resources both before and following discharge. Future research utilizing these findings may help identify key opportunities to improve ou…
Child and youth mental health and wellbeing before and after returning to in-person learning in secondary schools in the context of Covid-19
Background As children reintegrate with in-person classroom learning after COVID-19, health and education institutions should remain mindful of students’ mental health. There is a paucity of data on changes in students’ mental health before, during and after their return to in-person classroom learning. Methods We collected and analyzed data on self-reported wellbeing, general mental health, perceived stress, and help-seeking attitudes from grade…
Examining the Effectiveness, Acceptability, and Feasibility of Virtually Delivered Trauma-Focused Domestic Violence and Sexual Violence Interventions
The COVID-19 pandemic has forced a rapid shift to virtual delivery of treatment and care to individuals affected by domestic violence and sexual violence. A rapid evidence assessment (REA) was undertaken to examine the effectiveness, feasibility and acceptability of trauma-focused virtual interventions for persons affected by domestic violence and sexual violence. The findings from this review will provide guidance for service providers and organ…
Perspectives on delivering safe and equitable trauma-focused intimate partner violence interventions via virtual means
The findings from this qualitative research identified key determining factors for delivering safe, equitable, and accessible virtually delivered intervention for a diverse range of populations. To ensure virtual interventions are safe and equitable it is necessary for service providers to acknowledge and attend to underlying systemic and institutional barriers including discrimination and social exclusion. There is also a need for a collaborativ…
Nurturing Spiritual Resilience to Promote Post-disaster Community Recovery
The 2016 Alberta wildfire, the largest insured natural disaster in Canada, led to a mass evacuation of residents of Fort McMurray, a small city in northern Alberta. The wildfire resulted in significant damages to housing and community infrastructure. The entire community was displaced for several weeks. Post-disaster, community members experienced individual and collective trauma, and other negative mental health impacts in response to the signif…
Social-Ecological Factors Associated With Higher Levels of Resilience in Children and Youth After Disaster
Children and youth are among the most vulnerable to the devastating effects of disaster due to the physical, cognitive, and social factors related to their developmental life stage. Yet children and youth also have the capacity to be resilient and act as powerful catalysts for change in their own lives and wider communities following disaster. Specific factors that contribute to resilience in children and youth, however, remain relatively unexplo…
Mental Health Symptoms Unexpectedly Increased in Students Aged 11–19 Years During the 3.5 Years After the 2016 Fort McMurray Wildfire
In Fort McMurray, Alberta, Canada, the wildfire of May 2016 forced the population of 88,000 to rapidly evacuate in a traumatic and chaotic manner. Ten percentage of the homes in the city were destroyed, and many more structures were damaged. Since youth are particularly vulnerable to negative effects of natural disasters, we examined possible long-term psychological impacts. To assess this, we partnered with Fort McMurray Public and Catholic Scho…
Collective Trauma and Mental Health in Adolescents
In the wake of the massive Canadian wildfire of May 2016 in the area of Fort McMurray Alberta, we observed increased rates of mental health problems, particularly post-traumatic stress disorder (PTSD), in school-aged adolescents (ages 11-19). Surprisingly, we did not see these rates decline over the 3.5-year follow-up period. Additionally, our research suggested that the impact of this mass incident resulted in other unanticipated effects, includ…
Model of Post-traumatic Growth in Newly Traumatized vs. Retraumatized Adolescents
Background: In our analysis of adolescents affected by the 2016 Fort McMurray wildfire, we observed many negative mental health effects in individuals with a prior history of psychological trauma. Elevated rates of depression and markers of post-traumatic stress disorder (PTSD) were observed, consistent with the hypothesis that prior trauma may reduce sensitivity thresholds for later psychopathology (stress sensitization). Surprisingly, levels of…
Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff
Knowledge of key factors for MDD, GAD and PTSD may be helpful for policy makers when formulating population level social and clinical programs, to mitigate the mental health effects of future natural disasters
Significant PTSD and Other Mental Health Effects Present 18 Months After the Fort Mcmurray Wildfire
Background: The May 2016 wildfire in Fort McMurray, Alberta, Canada forced evacuation of the population of 88,000 individuals and destroyed 10% of the homes. Youth are particularly impacted by disaster. Methods: Eighteen months after the wildfire, Fort McMurray Public and Catholic Schools surveyed 3,252 of the 4,407 students in Grades 7-12 to determine possible long-term psychological impacts. The survey included validated measurement scales for …
Mental Health Effects in Primary Care Patients 18 Months After a Major Wildfire in Fort McMurray
Objectives: To assess prevalence of likely posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD) in patients attending the only out-of-hours primary care clinic in Fort McMurray some 18 months following a major fire. Methods: A quantitative cross-sectional survey was used to collect data through self-administered paper-based questionnaires to determine likely PTSD, MDD, and GAD using the PTS…
Long-term Results from the Empowering a Multimodal Pathway Toward Healthy Youth Program, a Multimodal School-Based Approach, Show Marked Reductions in Suicidality, Depression, and Anxiety in 6,227 Stu…
Here, we report on findings from a 15-month follow-up of a school-based program called Empowering a Multimodal Pathway Toward Healthy Youth (EMPATHY). This was primarily intended to reduce suicidal thinking in pre-teens, adolescents, and youth students aged 11-18 in middle schools (Grades 6-8) and high SCHOOLS (Grades 9-12). It also aimed to reduce depression and anxiety. The EMPATHY multimodal program consisted of repeated data collection, ident…
Depression Outcomes in Adults Attending Family Practice Were Not Improved by Screening, Stepped-Care, or Online CBT during a 12-Week Study when Compared to Controls in a Randomized Trial
There is uncertainty regarding possible benefits of screening for depression in family practice, as well as the most effective treatment approach when depression is identified. Here, we examined whether screening patients for depression in primary care, and then treating them with different modalities, was better than treatment-as-usual (TAU) alone. Screening was carried out for depression using the 9-item Patient Health Questionnaire (PHQ-9), wi…
How to Improve Interactions between Police and the Mentally Ill
There have been repeated instances of police forces having violent, sometimes fatal, interactions with individuals with mental illness. Police forces are frequently first responders to those with mental illness. Despite this, training police in how to best interact with individuals who have a mental illness has been poorly studied. The present article reviews the literature examining mental illness training programs delivered to law-enforcement o…
A Novel Training Program for Police Officers that Improves Interactions with Mentally Ill Individuals and is Cost-Effective
Police and law enforcement providers frequently come into contact with individuals who have psychiatric disorders, sometimes with tragic results. Repeated studies suggest that greater understanding of psychiatric conditions by police officers would be beneficial. Here we present a novel approach to training police officers to improve their interactions with those who might have a mental illness. This approach involved developing a carefully scrip…
How Much Child Sexual Abuse is “Below the Surface,” and Can We Help Adults Identify it Early
Child sexual abuse (CSA) occurs frequently in society to children aged between 2 and 17. It is significantly more common in girls than boys, with the peak age for CSA occurring when girls are aged 13-17. Many children experience multiple episodes of CSA, as well as having high rates of other victimizations (such as physical assaults). One of the problems for current research in CSA is different definitions of what this means, and no recent review…
Quetiapine and Buspirone Both Elevate Cortical Levels of Noradrenaline and Dopamine In vivo, but Do Not have Synergistic Effects
Decreased cognitive ability is a significant problem in schizophrenia, and it has been proposed that augmentation of antipsychotics with 5HT(1A) receptor agonists may improve cognitive performance. Clinical studies have been mixed but there have been no studies specifically examining the effects of combining the atypical antipsychotic quetiapine with the 5HT(1A) receptor partial agonist, buspirone on monoamine release. This is of interest given p…
Low Self-Esteem in Eating Disordered Patients in the Absence of Depression
Low Self-Esteem in Eating Disordered Patients in the Absence of Depression
Both low self-esteem and depression are well recognised as occurring in patients with eating disorders. 43 patients with eating disorders were studied to assess whether this low self-esteem occurred as part of an affective disorder or was independent of this. The patients, 23 with anorexia nervosa and 20 with bulimia nervosa, were assessed for low self-esteem, using the Rosenberg Self-esteem Questionnaire, and for depression, using the Hospital A…
No prominent works on this page.
Low Self-Esteem in Eating Disordered Patients in the Absence of Depression
Low Self-Esteem in Eating Disordered Patients in the Absence of Depression
Both low self-esteem and depression are well recognised as occurring in patients with eating disorders. 43 patients with eating disorders were studied to assess whether this low self-esteem occurred as part of an affective disorder or was independent of this. The patients, 23 with anorexia nervosa and 20 with bulimia nervosa, were assessed for low self-esteem, using the Rosenberg Self-esteem Questionnaire, and for depression, using the Hospital A…
Quetiapine and Buspirone Both Elevate Cortical Levels of Noradrenaline and Dopamine In vivo, but Do Not have Synergistic Effects
Decreased cognitive ability is a significant problem in schizophrenia, and it has been proposed that augmentation of antipsychotics with 5HT(1A) receptor agonists may improve cognitive performance. Clinical studies have been mixed but there have been no studies specifically examining the effects of combining the atypical antipsychotic quetiapine with the 5HT(1A) receptor partial agonist, buspirone on monoamine release. This is of interest given p…
A Novel Training Program for Police Officers that Improves Interactions with Mentally Ill Individuals and is Cost-Effective
Police and law enforcement providers frequently come into contact with individuals who have psychiatric disorders, sometimes with tragic results. Repeated studies suggest that greater understanding of psychiatric conditions by police officers would be beneficial. Here we present a novel approach to training police officers to improve their interactions with those who might have a mental illness. This approach involved developing a carefully scrip…
How Much Child Sexual Abuse is “Below the Surface,” and Can We Help Adults Identify it Early
Child sexual abuse (CSA) occurs frequently in society to children aged between 2 and 17. It is significantly more common in girls than boys, with the peak age for CSA occurring when girls are aged 13-17. Many children experience multiple episodes of CSA, as well as having high rates of other victimizations (such as physical assaults). One of the problems for current research in CSA is different definitions of what this means, and no recent review…
How to Improve Interactions between Police and the Mentally Ill
There have been repeated instances of police forces having violent, sometimes fatal, interactions with individuals with mental illness. Police forces are frequently first responders to those with mental illness. Despite this, training police in how to best interact with individuals who have a mental illness has been poorly studied. The present article reviews the literature examining mental illness training programs delivered to law-enforcement o…
Long-term Results from the Empowering a Multimodal Pathway Toward Healthy Youth Program, a Multimodal School-Based Approach, Show Marked Reductions in Suicidality, Depression, and Anxiety in 6,227 Stu…
Here, we report on findings from a 15-month follow-up of a school-based program called Empowering a Multimodal Pathway Toward Healthy Youth (EMPATHY). This was primarily intended to reduce suicidal thinking in pre-teens, adolescents, and youth students aged 11-18 in middle schools (Grades 6-8) and high SCHOOLS (Grades 9-12). It also aimed to reduce depression and anxiety. The EMPATHY multimodal program consisted of repeated data collection, ident…
Depression Outcomes in Adults Attending Family Practice Were Not Improved by Screening, Stepped-Care, or Online CBT during a 12-Week Study when Compared to Controls in a Randomized Trial
There is uncertainty regarding possible benefits of screening for depression in family practice, as well as the most effective treatment approach when depression is identified. Here, we examined whether screening patients for depression in primary care, and then treating them with different modalities, was better than treatment-as-usual (TAU) alone. Screening was carried out for depression using the 9-item Patient Health Questionnaire (PHQ-9), wi…
Significant PTSD and Other Mental Health Effects Present 18 Months After the Fort Mcmurray Wildfire
Background: The May 2016 wildfire in Fort McMurray, Alberta, Canada forced evacuation of the population of 88,000 individuals and destroyed 10% of the homes. Youth are particularly impacted by disaster. Methods: Eighteen months after the wildfire, Fort McMurray Public and Catholic Schools surveyed 3,252 of the 4,407 students in Grades 7-12 to determine possible long-term psychological impacts. The survey included validated measurement scales for …
Mental Health Effects in Primary Care Patients 18 Months After a Major Wildfire in Fort McMurray
Objectives: To assess prevalence of likely posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and generalized anxiety disorder (GAD) in patients attending the only out-of-hours primary care clinic in Fort McMurray some 18 months following a major fire. Methods: A quantitative cross-sectional survey was used to collect data through self-administered paper-based questionnaires to determine likely PTSD, MDD, and GAD using the PTS…
Long-Term Mental Health Effects of a Devastating Wildfire Are Amplified by Socio-Demographic and Clinical Antecedents in Elementary and High School Staff
Knowledge of key factors for MDD, GAD and PTSD may be helpful for policy makers when formulating population level social and clinical programs, to mitigate the mental health effects of future natural disasters
Nurturing Spiritual Resilience to Promote Post-disaster Community Recovery
The 2016 Alberta wildfire, the largest insured natural disaster in Canada, led to a mass evacuation of residents of Fort McMurray, a small city in northern Alberta. The wildfire resulted in significant damages to housing and community infrastructure. The entire community was displaced for several weeks. Post-disaster, community members experienced individual and collective trauma, and other negative mental health impacts in response to the signif…
Social-Ecological Factors Associated With Higher Levels of Resilience in Children and Youth After Disaster
Children and youth are among the most vulnerable to the devastating effects of disaster due to the physical, cognitive, and social factors related to their developmental life stage. Yet children and youth also have the capacity to be resilient and act as powerful catalysts for change in their own lives and wider communities following disaster. Specific factors that contribute to resilience in children and youth, however, remain relatively unexplo…
Mental Health Symptoms Unexpectedly Increased in Students Aged 11–19 Years During the 3.5 Years After the 2016 Fort McMurray Wildfire
In Fort McMurray, Alberta, Canada, the wildfire of May 2016 forced the population of 88,000 to rapidly evacuate in a traumatic and chaotic manner. Ten percentage of the homes in the city were destroyed, and many more structures were damaged. Since youth are particularly vulnerable to negative effects of natural disasters, we examined possible long-term psychological impacts. To assess this, we partnered with Fort McMurray Public and Catholic Scho…
Collective Trauma and Mental Health in Adolescents
In the wake of the massive Canadian wildfire of May 2016 in the area of Fort McMurray Alberta, we observed increased rates of mental health problems, particularly post-traumatic stress disorder (PTSD), in school-aged adolescents (ages 11-19). Surprisingly, we did not see these rates decline over the 3.5-year follow-up period. Additionally, our research suggested that the impact of this mass incident resulted in other unanticipated effects, includ…
Model of Post-traumatic Growth in Newly Traumatized vs. Retraumatized Adolescents
Background: In our analysis of adolescents affected by the 2016 Fort McMurray wildfire, we observed many negative mental health effects in individuals with a prior history of psychological trauma. Elevated rates of depression and markers of post-traumatic stress disorder (PTSD) were observed, consistent with the hypothesis that prior trauma may reduce sensitivity thresholds for later psychopathology (stress sensitization). Surprisingly, levels of…
Perspectives on delivering safe and equitable trauma-focused intimate partner violence interventions via virtual means
The findings from this qualitative research identified key determining factors for delivering safe, equitable, and accessible virtually delivered intervention for a diverse range of populations. To ensure virtual interventions are safe and equitable it is necessary for service providers to acknowledge and attend to underlying systemic and institutional barriers including discrimination and social exclusion. There is also a need for a collaborativ…
Child and youth mental health and wellbeing before and after returning to in-person learning in secondary schools in the context of Covid-19
Background As children reintegrate with in-person classroom learning after COVID-19, health and education institutions should remain mindful of students’ mental health. There is a paucity of data on changes in students’ mental health before, during and after their return to in-person classroom learning. Methods We collected and analyzed data on self-reported wellbeing, general mental health, perceived stress, and help-seeking attitudes from grade…
Examining the Effectiveness, Acceptability, and Feasibility of Virtually Delivered Trauma-Focused Domestic Violence and Sexual Violence Interventions
The COVID-19 pandemic has forced a rapid shift to virtual delivery of treatment and care to individuals affected by domestic violence and sexual violence. A rapid evidence assessment (REA) was undertaken to examine the effectiveness, feasibility and acceptability of trauma-focused virtual interventions for persons affected by domestic violence and sexual violence. The findings from this review will provide guidance for service providers and organ…
Depression, anxiety, and poor well-being at discharge from psychiatric hospitals
Mental health assessment at discharge is a critical step in the recovery and transition of care. There is still a need for further research to identify the underlying causes and robust predictors of mental health symptoms in patients about to be discharged and to provide appropriate interventions and supportive resources both before and following discharge. Future research utilizing these findings may help identify key opportunities to improve ou…
The prevalence and risk factors of sleep disturbances among mental health patients following hospital discharge
Background Sleep disturbances significantly impact psychological wellbeing, particularly during the critical transition when patients are discharged from psychiatric units. Despite extensive research on sleep and mental health, limited attention has been given to this transitional period. Aim This study examined the prevalence and risk factors of sleep disturbances among patients preparing for discharge from psychiatric units in Alberta, Canada. …
Resilience, personal recovery, and quality of life for psychiatric in-patients prior to hospital discharge
Results suggest that women, younger adults, Indigenous peoples, and individuals with depression struggle more with adapting to post-discharge life. Policymakers should implement programs that focus on supporting resilience in these vulnerable groups
Predictors of poor quality of life for patients discharged from acute psychiatric care in Alberta
This study's results highlight the complex interplay of demographic, socioeconomic, and mental health factors that influence various health-related problems. These findings underscore the importance of targeted, holistic health interventions that address physical and mental health needs
Psychiatry (21 works) · Medicine (20 works) · Psychology (18 works) · Clinical Psychology (14 works) · Mental health (13 works) · Clinical Psychology (12 works) · Depression (economics (11 works) · Anxiety (10 works) · Environmental health (8 works) · Poison control (7 works)