student profile: Ms Claire Mcaulay


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Thesis work

Thesis title: Bipolar Disorder and Eating-Disordered Cognitions and Behaviours

Supervisors: Stephen TOUYZ , Jonathan MOND, Timothy OUTHRED, Gin MALHI

Thesis abstract:

Bipolar Disorder (BD) is a complex, recurrent illness that affects 2-4% of the population. As well as impairing social and occupational functioning, BD confers a high risk of physical ill-health. People with BD have elevated rates of metabolic syndrome, cardiovascular disease, type 2 diabetes mellitus and obesity. Poor physical health also exacerbates the severity of their mood disorder. Lifestyle factors such as smoking and drinking also contribute heightened risk. Unfortunately, many medications for BD contribute to poor metabolic health, and typically must be taken life-long. Furthermore, up to 25% of those with bipolar disorder have a comorbid eating disorder, which can contribute to overweight/obesity.
Binge eating in BD is particularly worthy of attention, especially when considering pathways to improving physical health. Studies of this common comorbidity, however, have neglected to explore what mechanisms may underpin both illnesses.
This PhD aims to explore the relationship between Bipolar Disorder and eating disordered cognitions and behaviours (EDCB), with a specific focus on binge eating. A systematic review will explore the efficacy of lifestyle interventions in BD, and identify whether these have considered eating disorder symptoms in their exclusion criteria and study design. Study one will measure eating-disordered symptomatology, possible moderators, such as impulsivity and emotion regulation, and quality of life in a sample of people with BD. Study two will explore features of bipolarity in a population with a diagnosed eating disorder, considering similar psychological correlates. Studies three and four will duplicate these findings in a Dutch sample.
Study five will qualitatively explore the narratives of those with comorbid BD and eating-disordered symptoms, and particularly how this may impact on their physical and mental wellbeing, through semi-structured interviewing. Based on the results of studies one and two, a model of dysfunctional eating in BD will be developed with a view to informing a future clinical intervention that targets binge eating and other EDCB in Bipolar Disorder.

Selected publications

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Book Chapters

  • Outhred, T., McAulay, C., Gessler, D., Malhi, G. (2016). Monitoring for Metabolic Dysfunction and Cardiovascular Disease in Bipolar Disorder: A Shared Illness Process Approach. In Bernhard T. Baune, Phillip J. Tully (Eds.), Cardiovascular Diseases and Depression: Treatment and Prevention in Psychocardiology, (pp. 333-350). Switzerland: Springer. [More Information]

Journals

  • McAulay, C., Mond, J., Touyz, S. (2018). Early intervention for bipolar disorder in adolescents: A psychosocial perspective. Early Intervention in Psychiatry, 12(3), 286-291. [More Information]
  • Zwickert, K., Rieger, E., Swinbourne, J., Manns, C., McAulay, C., Gibson, A., Salis (nee Sainsbury), A., Caterson, I. (2016). High or low intensity text-messaging combined with group treatment equally promote weight loss maintenance in obese adults. Obesity Research & Clinical Practice, 10(6), 680-691. [More Information]
  • Malhi, G., McAulay, C., Gershon, S., Gessler, D., Fritz, K., Das, P., Outhred, T. (2016). The Lithium Battery: assessing the neurocognitive profile of lithium in bipolar disorder. Bipolar Disorders, 18(2), 102-115. [More Information]
  • Malhi, G., McAulay, C., Das, P., Fritz, K. (2015). Maintaining mood stability in bipolar disorder: a clinical perspective on pharmacotherapy. Evidence-Based Mental Health, 18(1), 1-6. [More Information]
  • Young, J., O’Halloran, A., McAulay, C., Pirotta, M., Forsdike, K., Stacey, I., Currow, D. (2015). Unconditional and conditional incentives differentially improved general practitioners' participation in an online survey: randomized controlled trial. Journal of Clinical Epidemiology, 68(6), 693-697. [More Information]
  • Varlow, M., Stacey, I., Dunlop, S., Young, J., Kite, J., Dessaix, A., McAulay, C. (2014). Self-reported participation and beliefs about bowel cancer screening in New South Wales, Australia. Health Promotion Journal of Australia, 25(2), 97-103. [More Information]

2018

  • McAulay, C., Mond, J., Touyz, S. (2018). Early intervention for bipolar disorder in adolescents: A psychosocial perspective. Early Intervention in Psychiatry, 12(3), 286-291. [More Information]

2016

  • Zwickert, K., Rieger, E., Swinbourne, J., Manns, C., McAulay, C., Gibson, A., Salis (nee Sainsbury), A., Caterson, I. (2016). High or low intensity text-messaging combined with group treatment equally promote weight loss maintenance in obese adults. Obesity Research & Clinical Practice, 10(6), 680-691. [More Information]
  • Outhred, T., McAulay, C., Gessler, D., Malhi, G. (2016). Monitoring for Metabolic Dysfunction and Cardiovascular Disease in Bipolar Disorder: A Shared Illness Process Approach. In Bernhard T. Baune, Phillip J. Tully (Eds.), Cardiovascular Diseases and Depression: Treatment and Prevention in Psychocardiology, (pp. 333-350). Switzerland: Springer. [More Information]
  • Malhi, G., McAulay, C., Gershon, S., Gessler, D., Fritz, K., Das, P., Outhred, T. (2016). The Lithium Battery: assessing the neurocognitive profile of lithium in bipolar disorder. Bipolar Disorders, 18(2), 102-115. [More Information]

2015

  • Malhi, G., McAulay, C., Das, P., Fritz, K. (2015). Maintaining mood stability in bipolar disorder: a clinical perspective on pharmacotherapy. Evidence-Based Mental Health, 18(1), 1-6. [More Information]
  • Young, J., O’Halloran, A., McAulay, C., Pirotta, M., Forsdike, K., Stacey, I., Currow, D. (2015). Unconditional and conditional incentives differentially improved general practitioners' participation in an online survey: randomized controlled trial. Journal of Clinical Epidemiology, 68(6), 693-697. [More Information]

2014

  • Varlow, M., Stacey, I., Dunlop, S., Young, J., Kite, J., Dessaix, A., McAulay, C. (2014). Self-reported participation and beliefs about bowel cancer screening in New South Wales, Australia. Health Promotion Journal of Australia, 25(2), 97-103. [More Information]

Note: This profile is for a student at the University of Sydney. Views presented here are not necessarily those of the University.