Christopher Hinds's research while affiliated with University of Oxford and other places

Publications (22)

Article
Full-text available
Background/aims: TrueColours ulcerative colitis (TCUC) is a comprehensive web-based program that functions through email, providing direct links to questionnaires. Several similar programs are available, however patient perspectives are unexplored. Methods: A pilot study was conducted to determine feasibility, usability and patient perceptions o...
Article
Full-text available
Background The discovery that voltage-gated calcium channel genes such as CACNA1C are part of the aetiology of psychiatric disorders has rekindled interest in the therapeutic potential of L-type calcium channel (LTCC) antagonists. These drugs, licensed to treat hypertension and angina, have previously been used in bipolar disorder, but without clea...
Article
Background: Faecal calprotectin (FCal) levels are used as a surrogate marker for mucosal inflammation, but thresholds for defining endoscopic or histological disease activity in ulcerative colitis (UC) remain unclear. Methods: Using validated indices, prospective measurements of FCal, symptoms (Simple Colitis Clinical Activity Index, SCCAI), end...
Article
Background Conventional follow-up for UC places demands on health services. Demand might be better managed by targeting appointments to those patients who need therapeutic decisions. The aim was to develop a model that would predict the likelihood of escalation of therapy at an appointment. Methods TrueColours UC is a comprehensive real-time web-b...
Article
Background Disease activity assessment is an essential part of management in UC, most accurately evaluated by endoscopy and biopsy. Most published cut-offs for faecal calprotectin (FCal) in UC are based on prediction of relapse, rather than prediction of endoscopic or histopathologic activity. Methods The TrueColours UC pilot collected daily sympt...
Article
Background TCUC is a comprehensive real-time web-based programme for UC patients. It monitors multiple parameters via electronic questionnaires: symptoms, quality of life (QoL), and outcomes (e.g. hospitalisation). Medications are entered and personalised treatment guidance formulated. This information, graphically displayed on a traffic light syst...
Article
Background The Simple Clinical Colitis Index (SCCAI) is a clinical index specific to ulcerative colitis (UC). The SCCAI is comprised of six descriptors: daytime bowel frequency, nocturnal bowel frequency, urgency, bleeding, general well-being and EIMs. Four out of a total of 19 points are allocated to EIMs: arthritis, uveitis, erythema nodosum (EN)...
Article
Background Access to daily disease activity measurements may allow more accurate phenotyping of the pattern of disease in UC. Clustering patients by the percentage of time spent in each disease category (remission, mild, moderate, severe) may provide a more objective classification of the pattern of disease. Methods TrueColours UC, a comprehensive...
Article
Full-text available
Background: Sleep difficulties might be a contributory causal factor in the occurrence of mental health problems. If this is true, improving sleep should benefit psychological health. We aimed to determine whether treating insomnia leads to a reduction in paranoia and hallucinations. Methods: We did this single-blind, randomised controlled trial...
Article
Full-text available
Objectives CEQUEL (Comparative Evaluation of QUEtiapine plus Lamotrigine combination versus quetiapine monotherapy [and folic acid versus placebo] in bipolar depression) was a double‐blind, randomized, placebo‐controlled, parallel group, 2×2 factorial trial that examined the effect of adding lamotrigine and/or folic acid (FA) to quetiapine in bipol...
Article
Full-text available
We describe the development and pilot testing of a novel, web-based, violence risk monitoring instrument for use in community patients with psychoses. We describe the development of the tool, including drawing on systematic reviews of the field, how item content was operationalized, the development of a user interface, and its subsequent piloting....
Article
Full-text available
Background: Depressive symptoms are a major cause of disability in bipolar disorder and there are few safe and effective treatments. The combination of lamotrigine plus quetiapine potentially offers improved outcomes for people with bipolar depression. We aimed to determine if combination therapy with quetiapine plus lamotrigine leads to greater i...
Article
Full-text available
Insomnia, defined as repeated difficulties getting or staying asleep, is common in the general population. Such sleep difficulties are a problem in their own right, but increasingly it is being recognised that they may also be a contributory factor in the development of a wide range of mental health problems. Our focus is upon the relationship betw...

Citations

... However, because people's real-time demand for face recognition is not very high, the MTCNN algorithm with a slow running speed but higher accuracy is selected to provide face recognition at the edge [15]. e MTCNN mode mainly uses three cascaded network systems, such as Proposal Network (P-Net), Refine Network (R-Net), and Output Network (O-Net) to achieve faster and more effective face data monitoring [16]. is mode also uses key techniques such as image pyramid, border recycling, and off-peak control [17]. ...
... 200,201 The effect of the rs1006737 genotype and its interaction with LTCC antagonism could be clarified by the Oxford study of Calcium channel Antagonism, Cognition, Mood instability and Sleep (OxCaMS), an exploratory experimental medicine study of the LTCC antagonist nicardipine given to participants with high mood instability. 202 To date, observational studies have reported contradictory associations between CCBs intake and mood disorders (see Supplementary material online, Table S1). In a longitudinal study based on a large hospital database of patients hospitalized for mood disorders, the use of CCBs and β blockers was associated with an increased risk of admission for mood disorders. ...
... Currently, there is robust evidence regarding the correlation between endoscopic disease activity and FC values in UC. Walsh et al. evaluated the association between FC and endoscopic disease activity assessed by the Ulcerative Colitis Endoscopic Index of Severity (UCEIS) score [23]. A strong correlation was identified (r = 0.741, 95% CI 0.289-0.922, ...
... This protein has become a focus of intense clinical as well as research interest. Recent data demonstrate that faecal calprotectin (FC) correlates with endoscopic activity in ulcerative colitis, and may predict histological healing [31]. In 109 patients with UC who presented for colonoscopy, FC correlated more closely than CRP or clinical activity index with endoscopic disease activity (Spearman's rank correlation coefficient r =0.834) [32]. ...
... Integration with existing structures of any e-health system is vital. It means that the data input from patients will be available to clinicians in real time, as in some proven applications (whch were also in the IDB context) (Calvert et al, 2013;Naghibi et al, 2014;Squires et al, 2016;Squires et al, 2017;Walsh et al, 2018). ...
... In terms of intervention, the present study provided compelling evidence on sleep disturbance as a transdiagnostic mediator and the corresponding moderate to large effect sizes underscore the importance of treating sleep disturbance to improve psychopathology in children/adolescents exposed to ACEs. Recent clinical trials have shown that cognitive behavioral therapy (CBT) for sleep disturbance is efficacious for adults suffering from depression (Cunningham & Shapiro, 2018), PTSD (Ho et al., 2016), and psychosis (Freeman et al., 2017). There is also growing evidence on the efficacy of thirdwave CBT for sleep disturbance (Rash et al., 2019). ...
... In the context of the BD, most of the studies assessing the possible effect of the FA administration focus on the depressive aspect of the disorder (e.g. Bedson et al. 2014;Rakofsky and Dunlop 2014;Geddes et al. 2016;Nierenberg et al. 2017;Sarris 2017;Tunbridge et al. 2017;Simon et al. 2018), all them indicating weak evidence to support the use of the drug in patients at this phase. In addition, at present, no paper was designed assessing the effect of FA, alone or combined with a mood stabilizer, in an animal model exclusively mimicking the BD manic phase. ...
... Such approaches fall into the category of ambulatory assessment 24 . Other researchers have developed smartphone apps for patient daily self-reports 25,26 , while still others have explored real-time self-report assessment repeatedly throughout the day using techniques known as ecological momentary assessment (EMA) 6 . In short, there are a plethora of different approaches being explored. ...
... 6 As a sequel to BALANCE, the combination therapy study CEQUEL published in The Lancet Psychiatry does not disappoint. 7 But to facilitate success, John Geddes and colleagues have drawn on many of the original "cast" and produced the study against a backdrop of real-world practice. Here, quetiapine is often given short-term to ameliorate acute symptoms, especially those associated with anxiety, and this allows other coprescribed drugs to gain traction. ...
... However, one risk factor that has not been identified in qualitative work but reported in the current study is 'recency of violence post-sentence'. Some of these clinical factors are contained in other risk assessment tools, such as FoxWeb [26] which is based around 10 modifiable factors, and has been recently validated [27]. As with FoVOx, FoxWeb is quick to complete, includes predictors that are reliably coded, and requires little training. ...