Available data suggested that preoperative psychological prehabilitation may have a role for cancer patients undergoing surgery. Further evidence is needed to evaluate its role.

The presence of disordered eating behaviours is greater in populations with GI disorders than in populations of healthy controls, but the direction of the relationship is not clear. Implications for further research are discussed.

Background Staff in intellectual disability services can experience high levels of violence, which may lead to burnout. Staff burnout may result in poorer quality services. Previous research has suggested that factors such as fear of violence, self-efficacy and staff support moderate the impact of violence on burnout. Aims The research explores the relationship between levels of violence, with fear of violence, self-efficacy, staff support and burnout. Method A survey exploring levels of violence, fear of violence, burnout, self-efficacy and staff support was completed by 44 care staff in a medium-secure setting with a high incidence of violence, and 38 care staff in community settings with a low incidence of violence. Results Medium-secure staff reported significantly lower fear of violence and higher self-efficacy compared with community staff. Increased burnout significantly correlated with increased perceived exposure to physical violence and reduced staff support. Self-efficacy demonstrated a significant moderator relationship with levels of violence and burnout. Higher threats of violence significantly correlated with lower fear of violence. Conclusion Services which are organized to manage violence may be better placed to support staff experiencing violence. Fear of violence may decrease with exposure to violence, perhaps due to increased self-efficacy. Training and support for staff may increase self-efficacy, thus reducing burnout. Longitudinal research is needed to increase understanding of the relationship between violence and burnout.

Gluten-free living entails a substantial restriction of food choice. The losses and changes entailed impact on the personal and social identities of those living with coeliac disease, and on the behaviour of others towards them. Psychosocial interventions focussed on facilitating coping and adjustment may benefit those experiencing difficulties.

Coeliac Disease (CD) is an incurable autoimmune condition managed by a therapeutic gluten-free diet for life. European studies suggest that the chronicity of CD, the limitations imposed by the need to follow a permanent restrictive diet and the risk of other associated serious diseases can have a negative impact on health-related quality of life (HRQoL) and psychological well-being. However, studies concerning the psychosocial effects of CD in the UK population are scarce. This cross-sectional survey (N=288) explores the illness perceptions and self-efficacy beliefs of adults with CD in the UK and reports their subjective levels of HRQoL and psychological well-being. Results showed that HRQoL and psychological well-being were reduced with levels being comparable to those found in previous related studies. Participants with weak beliefs in the serious consequences of CD and reduced emotional reactions to the condition had a greater likelihood of having enhanced HRQoL, improved psychological well-being and increased self-efficacy. Strong beliefs in personal control over the condition and a greater perceived understanding of CD were also associated with increased self-efficacy.The results suggest that perceived self-efficacy and illness perceptions could play an important role in informing psychological interventions for individuals with CD.