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Julie McCormack

Publications and source records attributed to Julie McCormack.

3 recordsLinked to original sources

Non-eating disorders psychopathology in children and adolescents with eating disorders: implications for malnutrition and symptom severity.

OBJECTIVES: To compare the general psychopathology in an eating disorders (ED) and a child mental health outpatient sample and investigate the implications of comorbidity on psychological and physical measures of ED severity. METHODS: One hundred thirty-six children and adolescents with a DSM-IV ED diagnosis were compared with age- and gender-matched controls. Measures included the Eating Disorders Examination and the Child Behavior Checklist. RESULTS: The ED group had lower general and externalizing psychopathology scores and no difference in internalizing (anxiety-depression) symptoms. Of the anorexia nervosa group, 49% experienced comorbid psychopathology. This group had significantly higher ED psychopathology, longer duration of illness, and more gastrointestinal symptoms, but no difference in malnutrition status. Eating disorders not otherwise specified (EDNos) group measures were less influenced by comorbidity status. CONCLUSIONS: Anxiety-depressive symptoms are very common in children and adolescents with EDs. Comorbidity status influences illness severity, especially in the anorexia nervosa group. The management implications of these findings are discussed.

Adolescent↗

Better outcomes--a case study.

It is estimated that mental health problems will affect more than 20% of the Australian adult population in their lifetime. The 2001 Australian Commonwealth budget provided dollars 120.4 million over 4 years to improve the quality of care provided through general practice to Australians with a mental health illness. The Better Outcomes in Mental Health Care (BOMHC) initiative--which forms part of the National Mental Health Strategy--began in 2001 and aimed to improve the quality of care provided through general practice to patients with a mental health problem. This article reviews the uptake of education and training initiatives of the BOMHC initiative and good uptake by general practitioners across Australia. Well over 3600 GPs have completed the first 'level' of training associated with the initiative, representing 16.5% of the GP population. Access by consumers to mental health trained and registered GPs also significantly improved, with one in four practices employing a GP registered with the BOMHC initiative.

Australia↗

Sexual offenders' perceptions of their early interpersonal relationships: an attachment perspective.

The present study examined the perceptions of early interpersonal experiences of sexual offenders (child molesters and rapists) and two criminal comparison groups. A grounded theory approach was applied to a comprehensive list of responses provided by the participants to questions about their early interpersonal experiences. The raw data was collapsed into 14 basic categories by grouping together responses of similar meanings. The categories were responsiveness, consistency, acceptance, boundaries, emotional regulation, autonomy, self-evaluation, developmental trauma, sexual abuse and deviation, physical abuse, loss, conflict, safety, and positive mediating interactions. In the second part of the study, the four groups were compared using the categories and the differences noted. All four groups experienced significantly negative early interpersonal experiences.

Adult↗