Pamela J Meredith

Pamela J Meredith
University of the Sunshine Coast | USC · Discipline of Occupational Therapy

PhD BA(Hons) BSc BOccThy

About

131
Publications
42,168
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
2,973
Citations
Citations since 2016
68 Research Items
2188 Citations
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
20162017201820192020202120220100200300400
Introduction
Pam is Professor of Occupational Therapy at the University of the Sunshine Coast. Pam is registered as both an occupational therapist and psychologist, and completed her PhD in 2006 investigating the implications of insecure attachment for the experience of pain. Pam's main body of research relates to the implications and applications of attachment and sensory theories to support physical and mental health outcomes. Pam advises a large number of postgraduate students in related fields.
Additional affiliations
December 2006 - present
The University of Queensland
Position
  • Managing Director

Publications

Publications (131)
Article
Introduction A core tenet of occupational therapy is that engagement in meaningful activities is integral for a person’s health and wellbeing. Childhood adversity can have lifelong impacts on physical and mental health; however, the effects of childhood experiences are dependent on the presence of susceptibility factors, including sensory processin...
Article
Introduction Autonomic nervous system functioning is theorised to underpin individual differences in sensory processing, with a small amount of supporting evidence. Despite recognition of the need to measure the balance between sympathetic and parasympathetic activity, most studies have measured only one of these systems. This study investigated wh...
Article
Background/aim: Australian guidelines and policies recommend the use of sensory approaches in mental health care. Nevertheless, many Australian psychiatric units report difficulty sustaining these approaches. To inform efforts to close the gap between recommendations and practice, the aim of this study was to understand the patterns of use of sens...
Article
Aim: To explore the lived experiences of adolescents with fetal alcohol spectrum disorder (FASD) to understand: the ways in which their challenges influence daily functioning; and the personal assets and external resources that facilitate participation. Method: Semi-structured interviews were conducted with four adolescents (one identified as no...
Article
Background. Clinicians and researchers have observed that sensory processing and attachment difficulties frequently co-occur; however, little is known about which sensory processing and attachment patterns are interrelated across populations. Purpose. To review evidence of empirical relationships between sensory processing and attachment patterns a...
Article
Purpose: The primary aim was to compare adolescents with mental illness and non-clinical adolescents on vocabulary, social problem-solving, trust in parents, attachment and mentalisation. A secondary aim was to investigate whether adolescents’ language skills were associated with trust in parents. Method: Seventy-eight adolescents (16–18 years) par...
Article
Full-text available
Background Sensory over-responsiveness, identified through self-report and quantitative sensory testing, has been associated with compression garment non-adherence in a burn-injured cohort. This study sought expert consensus on the usefulness of, and recommendations for, sensory modulation strategies to improve compression garment adherence in sens...
Article
Positive perceptions of pregnancy are associated with better postpartum outcomes, including stronger relationship with baby. Although better self-reported emotional availability (EA-SR) is associated with greater attachment security with infants, research has not yet explored the relationship between prenatal maternal factors and EA-SR. The aim of...
Article
Full-text available
Identification of prenatal characteristics that predict later infant development may afford opportunities for early intervention, potentially optimizing childhood development outcomes. The aim of the present study was to examine the effects of selected prenatal factors (maternal–fetal attachment, maternal adult attachment, maternal well-being, and...
Article
Background While mental health care needs have increased during the global pandemic, access to care has been reduced. Easily accessible alternative interventions may supplement existing mental health services to meet the increased need of mental health care. Our review explored the evidence of two alternative interventions, religious/spiritual (R/S...
Article
This systematic review of randomized controlled trials investigated the effects of two religious/spiritual (R/S) practices (breathwork and chanting) on mental health outcomes (depression, anxiety, stress, and post-traumatic stress disorder (PTSD) symptoms). After registering with PROSPERO (CRD42020136645), a systematic search of four major database...
Article
Introduction Young adulthood is a period of rapid occupational role development. While the impact of a cancer diagnosis at this time is likely to be substantial, little research has addressed this topic. The aims of this study were to gain insights into the impact of cancer on occupational roles throughout the cancer disease trajectory, from diagno...
Article
Full-text available
Introduction Palliative Care Australia suggests current needs (emotional wellbeing, understanding of cancers impact on relationships, everyday activities, and life milestones) for adolescent and young adults in palliative care are unmet due to a lack of age-specific palliative care facilities in Australia. This includes the provision of occupationa...
Article
Full-text available
Accumulating evidence linking pain with both attachment and sensory processing variables introduces the possibility that attachment- and sensory-informed strategies may modify pain experiences. The aim of this study was to investigate this proposition using an experimentally induced pain procedure. Pain perceptions of individuals using either a sen...
Article
Rationale, aims and objectives Generalists manage a broad range of biomedical and biographical knowledge as part of each clinical encounter, often in multiple encounters over time. The sophistication of this broad integrative work is often misunderstood by those schooled in reductionist or constructivist approaches to evidence. There is a need to d...
Article
Objective There is emerging evidence that individual levels of sensory sensitivity may impact treatment outcomes for people recovering from burn injuries. For example, individuals with higher levels of sensory sensitivity were less adherent with compression garment wear, often used for scar management. The purpose of this study was to characterise...
Article
Full-text available
Purpose This paper aims to investigate infant sensory patterns and their associations with previous perinatal loss, maternal-foetal attachment and postnatal maternal sensory patterns. Design/methodology/approach In a prospective cohort study, women with and without perinatal loss ( N = 57) were recruited from an Australian public hospital. Partici...
Article
Full-text available
Although adolescents experiencing mental illness lack trust in others, potentially influencing their help-seeking behaviors, no broad review of trust in adolescents living with mental illness exists. This scoping review examines what can be learned about interpersonal trust from adolescents living with mental illness. More specifically, the aim of...
Article
Full-text available
Effective parent functioning is a key predictor of functional outcomes for children with persistent pain. It is therefore important to identify factors that support or limit functioning in parents of these children. Child and parent attachment and child sensory processing patterns have been identified as risk-factors for parent functioning in healt...
Article
Background: Substance use disorders (SUD) and trauma histories in adults have been linked with sensory processing patterns that are significantly different from the general population. Nevertheless, no studies have investigated sensory patterns, or the variables with which they are related, in youth with SUD. This study aimed to compare sensory pat...
Article
Introduction: Sex has been recognised as an activity of daily living, and sexuality as an important part of our identity, with implications for our self-esteem and quality of life. Although this brings sex and sexuality within the scope of occupational therapy practice, empirical and anecdotal information suggests that neither are routinely includ...
Article
Full-text available
Maternal–fetal attachment (MFA) describes the thoughts, feelings, and behaviors of a pregnant woman toward her unborn baby. With MFA increasingly seen as an important predecessor of future outcomes, understanding the factors associated with MFA may reveal targets for treatment, potentially optimizing outcomes for mothers and infants. The primary ai...
Article
Introduction Whilst it is recognised that cancer may present numerous challenges for the adolescent or young adult during treatment, experiences after this stage as the young person transitions to life without cancer have received little attention. The purpose of this study is to understand the implications of having survived cancer for the young p...
Article
Background Transdisciplinary research and generalist practice both face the task of integrating and discerning the value of knowledge across disciplinary and sectoral knowledge cultures. Transdisciplinarity and generalism also both offer philosophical and practical insights into the epistemology, ontology, axiology, and logic of seeing the ‘whole’....
Article
Background Increasingly, occupational therapists are working with women in the perinatal period, including supporting the developing mother-child relationship. Purpose To examine prenatal predictors of maternal-infant attachment (maternal-fetal attachment, sensory patterns, adult attachment, perinatal loss, and mental health) that may provide poss...
Article
Full-text available
Introduction A growing body of evidence has demonstrated the importance of mentalization for adolescents’ psychosocial functioning; however, further research is needed to understand links between mentalization and other socio-cognitive factors. The aim of this quantitative, cross-sectional study was to investigate the relationship between a teen’s...
Article
Objective Compression garments are well accepted as routine practice for scar management post-burn. In a recent systematic review, six main reasons for compression garment non-adherence were identified including sensory disturbances. To further understand the impact of sensory issues, the aim of the present study is to investigate associations betw...
Article
Background: Adolescence and young adulthood are periods of increased substance use, with insecurely attached individuals at greater risk of abusing substances. With recent evidence linking insecure attachment with sensory sensitivity, and evidence that both are linked with higher levels of distress, there is a need to consider these variables in re...
Article
Full-text available
Objective: The aim of this review was to explore the unique contribution of shame (negative evaluation of the self) and guilt (negative evaluation of behaviour) to postnatal psychological symptoms. Background: Although shame and guilt are related to psychological symptoms, the separate effect of each in postnatal psychological symptoms are not yet...
Article
Evidence suggests that children with fetal alcohol spectrum disorder (FASD) experience challenges across many areas of their daily lives and often require inter‐professional supports. Recent studies have emphasised the need for an integrated system of care for children with FASD, incorporating medical, allied health, and education services, to faci...
Article
Importance: Although attachment is associated with sensory modulation among children and adolescents and insecure attachment is associated with pain severity among adolescents, relationships among sensory modulation, attachment, and function have not previously been demonstrated in a clinical sample of children and adolescents with complex persist...
Article
Full-text available
Clinical guidelines and policies worldwide call for sensory modulation approaches to be incorporated into inpatient mental health care to assist in eliminating the use of restrictive practices. Although increasing evidence shows that these approaches reduce patient distress and the need for seclusion and restraint, sensory modulation approaches hav...
Article
Introduction: Cancer can disrupt participation in everyday activities, suggesting a place for occupational therapy; however, there is a need to articulate the nature, scope and available evidence supporting the occupational therapy role within cancer care. In this scoping review, we identify the breadth of practice and evidence for occupational th...
Article
Objective: Up to 40% of adult burn-injured patients are non-adherent with prescribed compression garment wear. The aim of this paper is to systematically review the literature to understand barriers to adherence with compression garment wear. Method: Papers were included if they: investigated adults who required compression garment wear for the...
Article
Full-text available
Socio-economic status (SES) and social supports have been strongly linked with both authoritarian and authoritative parenting styles among parents of children with Autism Spectrum Disorder (ASD) in Western countries. While Indonesia is one of the most heavily populated countries in the world, research focusing on factors associated with parenting s...
Article
Objectives: Attachment theory represents a dynamic model for understanding how pre-existing personality factors may contribute to the development of chronic pain and disability after whiplash injury. The aim of the present study is to investigate the impact of attachment insecurity on disability 6-months post-injury. It was hypothesized that: (1) l...
Article
Full-text available
Parenting styles vary in levels of both warmth and control, with evidence that type of parenting behavior is linked with social-emotional and other developmental outcomes for children. There are well-established associations between adult attachment and parenting styles. Given emerging evidence that people with different attachment patterns vary in...
Data
Supporting data file. Data of participants in the research study. (SAV)
Article
Statement of context: Recent empirical evidence demonstrates both insecure attachment and atypical sensory modulation patterns are associated with impaired function for children/adolescents with persistent pain. An integrating framework is required to translate this knowledge into clinical practice. Critical reflection on practice: Case studies dem...
Article
Objectives: Sensory modulation patterns contribute to altered pain perception and disengagement in activities; atypical sensory modulation patterns have been associated with higher pain sensitivity, catastrophizing, and reduced function. Objectives of this study were to ascertain whether: adolescents with persistent pain had atypical sensory modul...
Article
Background/aim Activity pacing is one of the most widely endorsed interventions used by occupational therapists to assist clients to manage chronic pain conditions. It targets two behaviours that are thought to be maladaptive: activity avoidance and overactivity (activity engagement that severely aggravates pain). However, in more recent years, the...
Article
Background/Aims: Emerging evidence suggests that people with mental illness report improved emotional regulation through the use of sensory approaches; however, incorporating sensory approaches into clinical practice requires training. While use of a sensory approaches e-learning training package has revealed short-term improvements in staff knowle...
Article
Objectives: The aims of this study were to investigate associations between attachment and the presence of persistent pain in women following treatment for breast cancer and to investigate the relationship between attachment, pain and quality of life (QOL) in women with persistent pain. Methods: Women (N=335) previously diagnosed with primary no...
Article
A small body of literature has considered associations between attachment theory and a range of chronic health conditions, with particular attention to mechanisms linking attachment insecurity and the development and management of these conditions. In this paper, two inceptive models are reviewed, followed by consideration of the emerging literatur...
Article
Beyond expert suggestions as to the appropriate subject matter for chronic pain assessments, little is known about the actual content of multidisciplinary pain centre (MPC) clinical assessments. The International Classification of Functioning, Disability and Health Low Back Pain Core Set (ICF LBP-CS) provides a universal language to support the con...
Article
This paper provides an introduction to epistemic trust for speech-language pathologists (SLPs). 'Epistemic trust' describes a specific form of trust that an individual places in others when learning about the world, particularly the social world. To date, the relevance of epistemic trust to SLP clinical practice has received little theoretical or e...
Article
Full-text available
There is evidence for different styles of parenting in different cultures. Authoritative parenting style has been found to be associated with optimum child outcomes in Western countries, while authoritarian parenting is preferred by Asian cultures. However, literature concerning parenting style and parent–child relationships in Indonesia is largely...
Article
Purpose It is difficult to replicate evidence-informed models of psychosocial and assertive care interventions in non-research settings, and means to determine workforce capability for psychosocial therapies have not been readily available. The purpose of this paper is to describe and provide a rationale for the Therapy Capability Framework (TCF)...
Article
Background: Emotionally available parent-child relationships are supportive of child health and development. When a child has cerebral palsy, a range of child and parent factors can potentially impact the parent-child relationship; however, little research has specifically addressed this question. The aim of this study is to investigate links betw...
Article
Introduction: Stress and burnout have been shown to be a concern among mental health professionals in several countries including Singapore, and can affect quality of care and staff turnover. The aim of this study was to examine the effectiveness of a mindfulness program in increasing mindfulness and compassion, and reducing stress and burnout, am...
Article
Background/aim: Occupational therapy programs must prepare graduates for work in mental health. However, this area of practice is complex and rapidly changing. This study explored the alignment between educational priorities identified by occupational therapists practising in mental health and level of coverage of these topics in occupational ther...
Article
Full-text available
Objectives Infant developmental outcomes may be influenced by a range of prenatal maternal characteristics. While there is some evidence to suggest that maternal-foetal attachment may be associated with infant developmental outcomes, there is a need to systematically review this evidence to guide future research and clinical practice. Methods Five...
Article
Objective: To investigate whether measures of activity limitations and participation restrictions with sound internal construct validity could be derived from patient ratings of the International Classification of Functioning, Disability and Health Low Back Pain Core Set (LBP-CS). Study design and setting: The LBP-CS Self-Report Checklist (LBP-C...
Article
Background: The International Classification of Functioning, Disability and Health (ICF) Low Back Pain Core Set (LBP-CS) has been proposed as a tool to facilitate the description and measurement of chronic low back pain (CLBP) related disability. Patient ratings of ICF categories may serve as a practical and effective method for acquiring patient...
Article
Full-text available
Background Following previous perinatal loss, women in a subsequent pregnancy may experience heightened emotions, such as anxiety and fear, with a range of longer-term implications. To support these women, the Mater Mothers’ Bereavement Support Service in Brisbane, Australia, developed a Pregnancy After Loss Clinic (PALC) as a specialised hospital-...
Article
This study examined executive function (EF) among preschoolers exposed to maltreatment, and tested whether caregiver practices related to emotion socialization (e.g., reactions to children's emotions; discussion of emotion) moderate the relationship between maltreatment and EF in this period. Participants were (n=107) children aged 4-5 years (M=4.7...
Article
The application of sensory modulation approaches in mental health settings is growing in recognition internationally. However, a number of barriers have been identified as limiting the implementation of the approach, including workplace culture and a lack of accessible and effective sensory approaches training. The aim of this project was to invest...
Article
Background: Cancer-related fatigue is reported as the most common and distressing symptom experienced by patients with cancer. It can exacerbate the experience of other symptoms, negatively affect mood, interfere with the ability to carry out everyday activities, and negatively impact on quality of life. Educational interventions may help people t...
Article
High levels of stress and burnout have been reported among mental health professionals worldwide, including Singapore, with concerning potential implications for the quality of patient care. Mindfulness has been associated with decreased stress and burnout; however, associations between mindfulness, stress, and burnout have not been examined in Sin...
Article
Cultural beliefs about parenting have an important influence on parenting behaviours, including considerations about appropriate ways to parent children with autism. Although Indonesia has one of the largest and most ethnically diverse populations in the world, little is known about cultural beliefs regarding children with autism within Indonesian...
Article
Objective: Chronic pain can significantly impair functioning of children and adolescents; however, evidence suggests that current psychological approaches have limited effect on functioning post treatment. The objective of this review is to present the current evidence for the personal and contextual factors that affect functioning and disability...
Article
The aim of this conceptual paper is to consider the available literature regarding associations between cultural values and parenting in Indonesian society. Research focusing on parenting in the Indonesian context is limited, although there are extensive studies regarding parenting and its implications for child development in Western cultures. Ind...
Chapter
From his first conceptualisation of attachment theory, Bowlby recognised the relationship between attachment and pain, and described pain as one of the triggers of the attachment system. Over the last 10 years, attachment theory has been investigated in relation to acute and experimental pain, various painful conditions, and outcomes from pain trea...
Article
Objective: To better understand the ways in which adult attachment, sensory processing, and distress may be interrelated in healthy adults. Method: A cross-sectional study design was used with a convenience sample of 116 healthy participants who completed questionnaires before participating in a cold pressor pain-inducement task. Results: Atta...
Article
With increasing concerns about the potential harm of long-term opioid therapy, there is a need for the development and implementation of alternative treatment strategies for patients with chronic pain who have been using opioids for a prolonged period of time. Based on the findings from a recent qualitative investigation that suggested there may be...
Article
Although adult attachment theory has been revealed as a useful theoretical framework for understanding a range of health parameters, the associations between adult attachment patterns and a range of oral health parameters have not yet been examined. The aim of this study was to examine potential associations between attachment insecurity and: (1) o...
Article
Our goal was to investigate the relationship between sensory processing styles and use of pain coping strategies in an experimental setting to understand individual differences in pain coping. A cross-sectional design was used with a convenience sample of 116 healthy adults. Measures of sensory processing style and mood state were collected before...
Article
Overactivity is a frequently used term in chronic pain literature. It refers to the phenomenon whereby individuals engage in activity in a way that significantly exacerbates pain, resulting in periods of incapacity. Overactivity, as a construct, has been derived solely from patients' self-reports, raising concerns about the legitimacy of the constr...
Article
Full-text available
Statement of context The effectiveness of early intervention for children with developmental disabilities is thought to be related to parental sensitivity and responsiveness. A brief relationship-focused occupational therapy intervention for Shelly, a young girl with cerebral palsy, and her mother, Jane, is described. Critical reflection on practi...