Publications by authors named "Fiadhnait O'Keeffe"

Purpose: Neck dystonia (ND) is a hyperkinetic movement disorder affecting the head and neck regions. High prevalence rates of psychological distress have been reported in ND. The aim of this research was to explore people's experiences of distress, in order to understand the needs of this population further.

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Purpose: This study examined the relationships between sexual functioning, body image and mood in people with multiple sclerosis (MS).

Materials And Methods: 104 people with MS and 101 healthy controls (HCs) completed an online survey that assessed sexual functioning, body image, and psychological well-being variables. People with MS were compared to HCs across study variables.

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Emotional distress is highly prevalent in the years following an acquired brain injury (ABI). Yet, there is a lack of research examining the long-term psychological outcomes and potential influencing factors, among individuals with ABIs. In this study, we trace longitudinal changes in neuropsychological outcomes in 32 individuals with moderate-to-severe ABI who engaged in neurorehabilitation in a post-acute hospital.

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Background: Several reports suggest that cognitive reserve (CR) may protect against cognitive impairment in MS. Fatigue and depression are common in MS. Yet, their influence on engagement with activities that build CR is unclear.

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This systematic review and meta-analysis was conducted to evaluate the effectiveness of psychological therapies applied more than one year after an acquired brain injury (ABI) in reducing depressive symptoms. A systematic literature search of databases yielded 48 studies that evaluated a psychological intervention for people with an ABI, applied the intervention on average more than one year after the ABI, compared pre- and post-intervention validated measures of depression and were available in English. The intervention did not have to be implemented with the sole of aim of reducing depressive symptoms.

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Aim To determine the sensitivity and specificity of the psychometric measures of the A-B Neuropsychological Assessment Schedule (ABNAS) to aid screening of long COVID (LC). Methods The participants (N=235) were recruited from an online study of cognitive and psychological consequences of LC, involving individuals attending an LC service in an acute tertiary university hospital and a comparison sample of community controls.The ABNAS for LC, a patient-perceived assessment scale in relation to the challenges they had encountered from LC, was used to identify the specific psychometric measures implicated in LC.

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Experiences of loss and change following acquired brain injury (ABI) are frequent and multi-contextual, yet the long-term experiences of people with ABI are not well understood. This study explored the experiences of intrapersonal loss, grief and change in people with ABI, a decade after their injury. Twelve adults with ABI were interviewed 10-13 years post-injury.

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Background: People with young-onset Parkinson's disease (YOPD), a term for those diagnosed with Parkinson's disease (PD) under the age of 60, face unique challenges compared to those diagnosed with PD later in life. A better understanding of the lived experience of those with YOPD is essential to delivering bespoke rehabilitation and improving quality of life.

Purpose: To provide insight into the emotional and social lived experience of individuals with YOPD.

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Background: Long COVID, described as "the continuation or development of new symptoms 3 months after the initial SARS-CoV-2 infection", is estimated to affect at least 10-20 % of all cases of acute SARS-CoV-2 infection. Because of its novelty, information regarding the experience of Long COVID is still emerging.

Methods: This study examines psychological distress in two long COVID populations, and their experience of fatigue, cognitive failures, experiential avoidance, rumination, and perceived injustice.

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Aim: Autologous haematopoietic stem cell transplant (HSCT) is an effective treatment for people with highly-active relapsing multiple sclerosis (MS), who are not adequately responding to disease-modifying therapies. To date, research has predominantly focused on disease-specific outcome measures. There is a lack of research exploring patient experiences of this complex treatment.

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Neck dystonia is a neurological condition, characterised by involuntary movements of the neck muscles, causing twisted head positions and often pain and head tremor. Ten participants with neck dystonia were interviewed and the data was analysed using an Interpretative Phenomenological Analysis approach. Three themes were constructed: (1) dismissed by others for having an unfamiliar condition; (2) negotiating a new social identity; and (3) managing the stigma of a visible condition.

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Article Synopsis
  • - This review investigates cognitive and immune differences in individuals suffering from post-COVID syndrome, focusing on changes occurring twelve or more weeks after COVID-19 infection.
  • - Eleven studies were analyzed, revealing significant cognitive impairments, particularly in executive function, alongside increased inflammation markers in post-COVID patients compared to healthy controls.
  • - The findings suggest a link between elevated immune responses and cognitive deficits, indicating immune status may predict cognitive function after COVID-19 infection.
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Introduction: Cognitive changes are very frequently reported by people with post-COVID-19 syndrome (PCS), but there is limited understanding of the underpinning mechanisms leading to these difficulties. It is possible that cognitive difficulties are related to immune status and/or low mood. The aim of the present study was to examine the relationship between immune status and cognitive functioning in PCS, while considering whether depression symptoms also influence this association.

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Article Synopsis
  • Individuals with idiopathic adult-onset isolated cervical dystonia (CD) may struggle with cognitive functions, especially in social cognition and executive functioning, affecting their mood and daily activities.
  • A study assessed 37 CD patients using the Cambridge Neuropsychological Test Automated Battery (CANTAB) to evaluate their cognitive performance and found that their scores were significantly lower than normative data, particularly in problem-solving and emotion recognition.
  • The findings indicate that impaired social cognition and executive functioning are crucial issues for these individuals, suggesting that targeted clinical interventions could greatly benefit them.
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Background: People with MS (pwMS) commonly experience a range of hidden symptoms, including cognitive impairment, anxiety and depression, fatigue, pain, and sensory difficulties. These "invisible" symptoms can significantly impact wellbeing, relationships, employment and life goals. We developed a novel bespoke online group neuropsychological intervention combining psychoeducation and cognitive rehabilitation with an Acceptance and Commitment Therapy (ACT)-informed approach for pwMS in an acute tertiary hospital.

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Background: Autologous haematopoietic stem cell transplant (HSCT) is considered an effective treatment for highly active multiple sclerosis (MS). To date, most research has focused primarily on disease outcome measures, despite the significant impact of neuropsychological symptoms on MS patients' quality of life. The current systematic review aimed to examine whether HSCT for MS impacts neuropsychological outcome measures such as cognition, fatigue, mood, and quality of life.

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Objective: This systematic review and meta-ethnography aimed to examine how children, adults and families cope with Tourette's syndrome (TS).

Methods: A systematic search of four databases was completed in October 2022. Sixteen papers met the inclusion criteria and were synthesised using Noblit and Hare's (1988) meta-ethnographic approach.

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Purpose: To use a qualitative research approach to explore adults' experience of living with non-epileptic attack disorder.

Objective: The objective was to explore the experience of adults (18 years+) with a confirmed diagnosis of non-epileptic attack disorder (NEAD) across the trajectory of the disorder. The topics investigated included the onset of symptoms, the experience of non-epileptic attacks, the diagnostic process and living with NEAD.

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Background: Functional neurological disorder (FND) is a common and often disabling condition. Limited access to services for FND poses challenges both for patients and their health care providers. This survey explored the attitudes, experiences, support needs and training needs of health care professionals (HCPs) who provide care to individuals with FND in Ireland.

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Cervical dystonia (CD) is a movement disorder which causes sustained muscle contractions in the neck leading to abnormal postures and repetitive movements. As it is a highly visible condition, people with CD can experience stigma, which may lead to unhelpful coping strategies and increased psychological distress. This study investigated whether adaptive and maladaptive coping strategies mediate the relationship between stigma and psychological outcomes in people with CD.

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Introduction: Cervical dystonia (CD) presents as a motor disorder but has a number of non-motor features. Studies have demonstrated diverse changes in cognition in patients with CD. The rarity of this disorder, phenotypic heterogeneity, and, in particular, a lack of consistency in cognitive testing measures limits clear definition of cognitive changes in this disorder.

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Background: Cognitive reserve (CR) describes an individual's ability to adapt cognitive processes in response to brain atrophy, and has been reported to explain some of the discrepancy between brain atrophy and cognitive functioning outcomes in multiple sclerosis (MS). CR in MS is typically investigated by assessing an individual's pre- and/or post-diagnosis enrichment, which includes premorbid intellectual abilities, educational level, occupational attainment, and engagement in cognitively enriching leisure activities. Common MS symptoms (e.

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Social cognition has a broad theoretical definition, which includes the ability to mentalise, i.e., recognise and infer mental states to explain and predict another's behaviour.

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Article Synopsis
  • Cervical dystonia (CD), while a movement disorder, has been recognized to significantly affect social cognition and psychological well-being, impacting quality of life beyond motor symptoms.
  • A study compared 20 individuals with CD to 20 healthy controls, utilizing emotional recognition tasks and assessments for anxiety and depression.
  • Results showed that participants with CD struggled more with recognizing complex emotions and had higher levels of anxiety and depression, underscoring the importance of addressing both cognitive and psychological challenges in CD treatment.
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Background And Objectives: Patients with cervical dystonia (CD) demonstrate significant non-motor symptoms including sensory, psychiatric and cognitive features. It has been shown that the non-motor symptoms have a major influence on quality of life. Social cognition, particularly deficits in Theory of Mind (ToM), can affect the development of interpersonal relationships, understanding of social situations and can affect patient outcomes.

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