Only two-thirds of participants started treatment. Although there were significant group x time interactions for bingeing and vomiting, favouring the CD-ROM group at 3 months and the waiting-list group at 7 months, post hoc group comparisons at 3 and 7 months found no significant differences for bingeing or vomiting. CD-ROM-based delivery of this intervention, without support from a clinician, may not be the best way of exploiting its benefits.

Purpose -A psychometrically validated measure is needed to evaluate outcomes in carers of people with mental health problems, including dementia. This study aims to develop and validate the Carer well-being and support questionnaire (CWS).Design/methodology/approach -Development and evaluation of the measure was conducted in three phases. The authors deconstructed an existing questionnaire (CUES-C) to produce a long version measure. This was trialed with carers to reduce the number of items and a preliminary evaluation of the psychometric properties of the remaining items was undertaken. A second field test was conducted with the item-reduced questionnaire measure to evaluate acceptability, reliability and validity.Findings -The CWS well-being scale shows moderate acceptability and good reliability and validity. The CWS support scale shows moderate acceptability and good reliability; validity testing for the support scale is limited by the lack of appropriate validating measures.Practical implications -The CWS is a reliable, valid measure of carer well-being and support, reflecting important aspects of carers' lives.Originality/value -This paper provides researchers and practitioners with a tool that can be used to measure and address areas of support for carers. This is important in assessing the effectiveness of new interventions and approaches.

Social distractions were the barrier most highly rated as hindering effective study. Levels of perceived stress were high and were significantly associated with gender, a difficult journey to university and family responsibilities. Social distractions were significantly related to examination performance; students rating social distractions highly, performed less well.

Background: Adults with dental phobia have been reported to have poorer oral health and oral health related quality of life. The aim of this study is to explore the social and demographic correlates of oral health and oral health related quality of life (OH-QoL) of people with dental phobia compared to the non-phobic population in the United Kingdom using the data from Results: People with dental phobia are more likely to have one or more decayed (caries) teeth/missing teeth. Furthermore, their self-reported oral health related quality of life (OHQoL) is poorer. There were no differences in PUFA scores or periodontal disease.Conclusion: The impact of dental phobia on oral health appears to operate largely through the increased likelihood of the presence of caries, since there is an increased likelihood of the presence of teeth with active caries and missing teeth when other predictors of disease experience are controlled in the analysis. The reasons for this are unclear, though may relate either to both patient-related factors (delay in seeking treatment, preference for particular treatments) and decision making by dental professionals (seeking to minimise exposure to dental treatment).

No abstract