Tiago Costa- Masters in Medicine
- Senior Research Fellow at Newcastle University
Tiago Costa
- Masters in Medicine
- Senior Research Fellow at Newcastle University
Senior Research Fellow in Psychiatry
About
25
Publications
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Introduction
Research Fellow in General Adult Psychiatry at Newcastle NIHR BRC.
Newcastle University and Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust.
Skills and Expertise
Current institution
Publications
Publications (25)
Neurotechnologies are increasingly becoming integrated with our everyday lives, our bodies and our mental states. As the popularity and impact of neurotechnology grows, so does our responsibility to ensure we understand its particular implications on its end users, as well as broader ethical and societal implications. There are many different terms...
Vagus nerve stimulation (VNS) is an established therapy for drug‐resistant epilepsy. However, there is a lack of reliable predictors of VNS response in clinical use. The identification of factors predictive of VNS response is important for patient selection and stratification as well as tailored stimulation programming. We conducted a narrative rev...
Objectives
Sjögren’s syndrome (SS) includes many extra-glandular symptoms such as fatigue, pain, sleepiness and depression, which impact on quality of life (QoL). These symptoms also influence each other and could be linked by autonomic nervous system (ANS) dysregulation. Our aim was to model the role of putative predictive variables, including dep...
Aims
Surgically implanted vagus nerve stimulation (VNS) is a recognised treatment for depression. The vagus nerve can also be stimulated non-invasively via its auricular branch, using transauricular vagus nerve stimulation (taVNS). Heart rate variability (HRV) is a putative biomarker of autonomic nervous system (ANS) engagement. We aimed to test th...
Background
Autonomic nervous system (ANS) dysregulation might be relevant to the pathophysiology of fatigue and cognitive impairment in depression and perhaps should be considered when making prescribing decisions.
Aims
To determine the relationship of self-reported ANS symptoms with fatigue, cognition and prescribed medication in people with a dia...
It has been argued that reconceptu-alizing treatment-resistant depression as difficult-to-treat depression (DTD) is of both semantic and clinical benefit. Whereas treatment-resistant depres-sion, by definition, most commonly focuses entirely on repeated pharmacological treatment trials, DTD takes a more holistic perspective, considering all treatme...
Aims
Psychiatric disorders are associated with fatigue and with impairment to a range of cognitive domains, including executive functioning, learning, memory and complex attention. Similar impairments are seen in autonomic nervous system (ANS) dysfunction. The aetipathogenic significance of this for psychiatric disorders is unknown. The main aim of...
Background
Major depressive disorder (MDD) is common and often has sub-optimal response to treatment. Difficult-to-treat depression (DTD) is a new concept that describes ‘depression that continues to cause significant burden despite usual treatment efforts’.
Aims
To identify patients with likely DTD in UK secondary care and examine demographic, di...
Introduction: Psychiatric trainees lack psychotherapy training. In 2018, the European Psychiatric Association (EPA) offered a Massive Open Online Course (MOOC), “Introduction to Cognitive Behavioural Therapy”. We will present an overview of the course participants and engagement metrics, and propose improvements for future courses. Methods: Non-ide...
Introduction: Psychiatric trainees lack psychotherapy training. In 2018, the European Psychiatric Association (EPA) offered a Massive Open Online Course (MOOC), "Introduction to Cognitive Behavioural Therapy". We will present an overview of the course participants and engagement metrics, and propose improvements for future courses. Methods: Non-ide...
The assessment of patients with mental health problems is often seen as different from assessment in other areas of medicine. However, it has much in common with any area of medicine in which taking a good history is vital. It should be conducted in a systematic way using good interview techniques. Clear knowledge and understanding of the signs of...
A better training in psychotherapy is needed for psychiatry trainees. Online Cognitive Behavioural Therapies (CBT) could be a good solution. Free and wide audience course like Massive Open Online course (MOOCs) increase dissemination and accessibility of the training. However, the engagement needs to be improved. A hybrid approach seems relevant wi...
Background: Police officers, as first responders to difficult situations with ready access to firearms, are frequently considered to be at increased suicide risk. Aims: We aimed to calculate the suicide rate for male officers of the Portuguese National Police (PSP) and compare it with the Portuguese general population. Method: Retrospective review...
A clinical audit and subsequent re-audit following feedback and discussion were conducted in a female inpatient unit in urban North East England. This completed the audit loop and highlighted areas for service improvement.
Biological, sociocultural, demographic and environmental factors are major contributors to the contemporary burden of oncological diseases. Although cancer’s current epidemiological landscape is fairly well known, its past occurrence and history seem more obscure. In order to test the hypothesis that paleopathological diagnosis is an adequate measu...
