Carol A Keane

Carol A Keane
Central Queensland University · Department of Psychology

PhD Clinical Psychology

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14
Publications
871
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156
Citations

Publications

Publications (14)
Article
Background Unhealthy lifestyle behaviours contribute to the poor health of people attending alcohol and other drug (AOD) treatment. Healthy Recovery is an 8-session group-based intervention that targets smoking, diet and physical inactivity as part of an integrated healthy lifestyle approach. The current study aimed to examine the effectiveness of...
Article
Introduction and Aims The collection of routine outcome measurement (ROM) data provides an opportunity for service providers to conduct benchmarking to inform quality assurance practices. To conduct comparative benchmarking, it is important that services have access to comparative data. This paper aims to establish effectiveness indicators for ROM...
Article
Full-text available
Translation and application of current complex trauma knowledge for high-risk groups such as the homeless is needed. Existing research in this area has been limited by lack of a cohesive theoretical framework that captures the dynamic and heterogeneous nature of complex trauma within the context of ecological vulnerability (e.g. homelessness). This...
Article
Objective: It is common for people attending alcohol and other substance dependence treatment to present with multiple unhealthy lifestyle behaviors such as high rates of smoking, physical inactivity, and poor diet. Healthy lifestyle interventions are increasing in importance in the general population, but have been underexamined within alcohol and...
Article
Aim This study examined the short‐term effects of a brief crisis intervention on optimism of acutely suicidal soldiers. Methods U.S. Soldiers (N = 97) presenting for an emergency mental health appointment in a military emergency department or behavioural health clinic were randomly assigned to treatment as usual standard crisis response plan, or e...
Article
Childhood maltreatment and interpersonal trauma experience is an important factor underpinning the apparent perpetuation of the cycle of social disadvantage experienced by homeless adults. This paper aimed to examine longitudinal patterns of psychological distress in a sample of 1,504 socially disadvantaged adult participants from the Journeys Home...
Article
Aim: This study examined the short-term effects of a brief crisis intervention on optimism of acutely suicidal soldiers. Methods: U.S. Soldiers (N = 97) presenting for an emergency mental health appointment in a military emergency department or behavioural health clinic were randomly assigned to treatment as usual standard crisis response plan, or...
Article
Introduction: Nicotine Replacement Therapy (NRT) is recommended as a frontline smoking cessation tool for people attending mental health and substance dependence treatment services. Previous research suggests that NRT is underutilized in these settings. To improve the use of NRT amongst people attending residential treatment for substance use disor...
Article
Objective The aim of this paper was to investigate whether distinct sleep quality subtypes predicted health-related quality of life in a non-clinical sample of children. Methods This paper utilised data from two waves of the Longitudinal Study of Australian Children, a cohort study which follows a representative of children in Australia. This pape...
Article
Background: The injection of amphetamine is becoming increasingly common. However, there has been a lack of research examining people who inject amphetamine as the primary drug of use, limiting the potential to ensure services address the unique needs of this group. The current study used latent class analysis to identify classes of polydrug use a...
Article
Traumatic childhood experiences predict many adverse outcomes in adulthood including Complex-PTSD. Understanding complex trauma within socially disadvantaged populations has important implications for policy development and intervention implementation. This paper examined the nature of complex trauma experienced by disadvantaged individuals using a...
Article
Background: There is a growing body of research linking sedentary behavior with increased risk of chronic disease and all-cause mortality. It is increasingly recommended that service providers address the multiple behavioral risk factors associated with these chronic diseases as part of routine substance abuse treatment. Objectives: The study ob...
Article
Full-text available
Cardiovascular disease and cancer are leading causes of mortality for people with a history of alcohol or other substance use disorders. These chronic diseases share the same four primary behavioural risk factors i.e. excessive alcohol use, smoking, low intake of fruit and vegetables and physical inactivity. In addition to addressing problematic al...
Article
Introduction and AimsThis paper examined whether recall of childhood trauma was associated with adult alcohol consumption in a sample of Australians with low housing security. The secondary aim was to examine whether risky alcohol consumption predicted subsequent housing instability. Sociodemographic factors were examined as potential moderators of...

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Project (1)
Project
Men have greater physical and mental health disparities, higher rates of suicide and self-harm, increased rates of risk-taking, social withdrawal, and antisocial behaviours such as physical violence. Much of the research into men’s health and well-being highlights significant gender based differences in health outcomes and treatment-seeking for mental health concerns. Additionally, research into mental health treatment seeking suggests men are often ambivalent to seeking treatment for mental health concerns, drop out of services prematurely, and often delay or defer help-seeking. Many researchers have identified structural barriers to help-seeking including lack of available services, affordability, confidentiality, and attitudinal barriers such as minimisation of problems, a loss of autonomy, and , as well as strength, stoicism, and shame. A long-standing hypothesis theorises that masculinity itself is a barrier to men’s help-seeking. The suggestion is that, in the therapeutic setting, masculinity is harmful because men are not sufficiently able to access the emotional vulnerability required for traditional therapeutic interventions. However, a deficit-focused narrative of masculinity as a pathology is not without critics who suggest this creates widespread invisibility of men who do not fit the caricature of traditional "toxic" masculinity. Furthermore, that such narrow definitions of masculinity are being used to inform the creation of male-friendly therapies which does not sufficiently capture the experience of the multiple masculinities that exist between men, and within different contexts for individual men. The Australian Men's Health Strategy 2020-2030 identify several populations of concern when it comes to significant mental health and suicide related disparities. These include Indigenous men, men who identify as sexual or gender diverse, younger men, and those from regional and rural areas in Australia. To date, scant empirical research exists that focus specifically on these populations of concern. However, other theories suggest that unitary measures of masculinity are insufficient to capture the within-group differences within an increasingly diverse male populations. Several researchers have highlighted the socialisation and experiences of men as a unique population limit the utility of sex-based comparisons between men and women. Instead, researchers should focus on experiences of masculinity for the increasingly diverse population of Australian men. To investigate the role that masculinity plays in rural, regional, and remote men’s attitudes toward seeking help for mental health concerns, this project asks: Do traditionally gendered concepts of masculinity influence attitudes toward mental health help-seeking in men from rural, regional, and remote Australia.