Julian N. Trollor
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View article: Temporal relationships between incarceration and mental disorders among justice-involved adolescents: A population-based cohort study
Temporal relationships between incarceration and mental disorders among justice-involved adolescents: A population-based cohort study Open
Objectives To determine bidirectional relationships between incarceration and mental disorders. We hypothesized that (1) pre-existing mental disorders would be associated with increased incarceration risk, and (2) incarceration would be as…
View article: Imprisonment and mortality among adults with neurodevelopmental disabilities in New South Wales, Australia, 2001–2015: a data-linkage cohort study
Imprisonment and mortality among adults with neurodevelopmental disabilities in New South Wales, Australia, 2001–2015: a data-linkage cohort study Open
Objectives (1) Examine the associations between imprisonment history and mortality among adults with neurodevelopmental disabilities and (2) examine the associations between receipt of disability services and post-release mortality among a…
View article: Predictors of mental illness onset in adolescents and adults with intellectual disability: A retrospective cohort study in New South Wales, Australia
Predictors of mental illness onset in adolescents and adults with intellectual disability: A retrospective cohort study in New South Wales, Australia Open
Background: People with intellectual disability are disproportionately affected by mental illness, including serious mental illness. While the prevalence of mental illness in this population is well-documented, the factors associated with …
View article: Co‐Producing Patient‐Reported Experience Measures With People With Intellectual Disability to Improve Healthcare Quality and Outcomes: The ‘Listen to Me’ Project Protocol
Co‐Producing Patient‐Reported Experience Measures With People With Intellectual Disability to Improve Healthcare Quality and Outcomes: The ‘Listen to Me’ Project Protocol Open
Introduction Intellectual disability, defined by significant limitations in both intellectual functioning and adaptive behaviour with onset during the developmental period, affects an estimated 2% (108 million) of people worldwide. People …
View article: Mental health and psychosocial functioning outcomes from a single-arm trial of a self-guided web-based transdiagnostic mental health program for people with intellectual disability. (Preprint)
Mental health and psychosocial functioning outcomes from a single-arm trial of a self-guided web-based transdiagnostic mental health program for people with intellectual disability. (Preprint) Open
BACKGROUND People with intellectual disability experience rates of mental illness up to three times higher than the general population, yet face significant barriers to care, including limited clinician expertise, diagnostic overshadowing…
View article: Advancing care priorities for health and quality of life among older adults in the autism and/or intellectual disabilities communities: proceedings of an international Think Tank
Advancing care priorities for health and quality of life among older adults in the autism and/or intellectual disabilities communities: proceedings of an international Think Tank Open
As the number of older autistic adults and adults with intellectual disabilities grows, expanding capacity to meet their needs is crucial. On November 23-25, 2023, a Think Tank on aging in autism and/or intellectual disabilities was conven…
View article: Genetics of monozygotic twins reveals the impact of environmental sensitivity on psychiatric and neurodevelopmental phenotypes
Genetics of monozygotic twins reveals the impact of environmental sensitivity on psychiatric and neurodevelopmental phenotypes Open
Individual sensitivity to environmental exposures may be genetically influenced. This genotype-by-environment interplay implies differences in phenotypic variance across genotypes, but these variants have proven challenging to detect. Geno…
View article: A Cross‐Sectional Survey of Reasonable Adjustments of Registered Nurse Care as an Example of Person‐Centred Care for People With Autism and/or Intellectual Disability in Australia
A Cross‐Sectional Survey of Reasonable Adjustments of Registered Nurse Care as an Example of Person‐Centred Care for People With Autism and/or Intellectual Disability in Australia Open
The concept of person‐centred care is embraced internationally as a fundamental aspiration for nursing and health professions more broadly. For many, person‐centred care is seen as a fundamental part of the art of nursing. The available re…
View article: Apathy is distinct from depression or fatigue and is associated with poor physical health in an older community cohort
Apathy is distinct from depression or fatigue and is associated with poor physical health in an older community cohort Open
Apathy is more common than depression or fatigue in dementia-free older adults. It does not typically co-occur with these symptoms, but is accompanied by poorer physical health, including multimorbidity and metabolic dysregulation. Apathy …
View article: Mental health disorders, adverse childhood experiences and accelerated reoffending among justice-involved youth in Australia: A longitudinal recurrent event analysis
Mental health disorders, adverse childhood experiences and accelerated reoffending among justice-involved youth in Australia: A longitudinal recurrent event analysis Open
This study demonstrates the dynamic nature of criminogenic risk factors and the protective effect of mental health service engagement. Youth justice policymakers should prioritize regular mental health assessments and improved access to in…
View article: Hub and Spokes in Intellectual Disability Mental Health Support
Hub and Spokes in Intellectual Disability Mental Health Support Open
The distribution of specialist health services is usually uneven by location due to limited resources, which is a problem for people with complex needs. In this context, how can a hub and spoke model offer appropriate services for people w…
View article: Prevalence of psychiatric conditions in people with intellectual disability: A record linkage study in New South Wales, Australia
Prevalence of psychiatric conditions in people with intellectual disability: A record linkage study in New South Wales, Australia Open
Objective: To compare the prevalence of psychiatric conditions in a population-based cohort of people with intellectual disability and matched comparators in New South Wales, Australia. Method: The study cohort included 97,644 people with …
View article: Apathy, dementia risk and mortality: long-term associations in a population-based prospective cohort of older adults
Apathy, dementia risk and mortality: long-term associations in a population-based prospective cohort of older adults Open
Background Understanding whether apathy in older adults is related to incident dementia and mortality could help identify at-risk individuals, and inform public health efforts. This study aimed to investigate associations between apathy an…
View article: The Role of Nutrition and Other Lifestyle Patterns in Mortality Risk in Older Adults with Multimorbidity
The Role of Nutrition and Other Lifestyle Patterns in Mortality Risk in Older Adults with Multimorbidity Open
Background: Limited research has examined how older adults’ lifestyles intersect with multimorbidity to influence mortality risk. Methods: In this community-dwelling prospective cohort, the Sydney Memory and Ageing Study, principal compone…
View article: Accessibility of Australian government online cancer screening information for people with intellectual disability
Accessibility of Australian government online cancer screening information for people with intellectual disability Open
View article: Genomics of diffusion-imaging integrating GWAS, exome data and single-cell sequencing unravels lifespan determinants of cerebral small vessel disease
Genomics of diffusion-imaging integrating GWAS, exome data and single-cell sequencing unravels lifespan determinants of cerebral small vessel disease Open
Peak width of skeletonized mean diffusivity (PSMD) is an emerging automated diffusion imaging marker showing clinically relevant changes in cerebral small vessel disease (cSVD), a leading cause of stroke and dementia with no mechanism-base…
View article: Grey‐Matter Structure Markers of Alzheimer's Disease, Alzheimer's Conversion, Functioning and Cognition: A Meta‐Analysis Across 11 Cohorts
Grey‐Matter Structure Markers of Alzheimer's Disease, Alzheimer's Conversion, Functioning and Cognition: A Meta‐Analysis Across 11 Cohorts Open
Alzheimer's disease (AD) brain markers are needed to select people with early‐stage AD for clinical trials and as quantitative endpoint measures in trials. Using 10 clinical cohorts ( N = 9140) and the community volunteer UK Biobank ( N = …
View article: Australian Registered Nurse's' Awareness of Key Issues, Ambivalence and Education Related to the Health of People With Intellectual Disability and/or Autism
Australian Registered Nurse's' Awareness of Key Issues, Ambivalence and Education Related to the Health of People With Intellectual Disability and/or Autism Open
Background Health outcomes of people with Autism Spectrum Disorder and/or Intellectual Disability are poor. Yet there is a paucity of nurse education and preparation to care for people with Autism Spectrum Disorder and Intellectual Disabil…
View article: Suitability of the <i>DSM</i> -5 social anxiety disorder severity scale for autistic adults
Suitability of the <i>DSM</i> -5 social anxiety disorder severity scale for autistic adults Open
In autistic adults, measurement tools may not adequately differentiate between autistic characteristics and features of anxiety. This may be particularly evident in the case of social anxiety disorder; however, few measures of social anxie…
View article: Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study
Lifetime stressor exposure is related to suicidality in autistic adults: A multinational study Open
Despite very high rates of suicidal thoughts and behaviors (STB) in autistic adults, the key psychosocial drivers of this phenomenon remain unknown. To investigate, we examined how lifetime stressor exposure and severity, which have been f…
View article: Glutaric acid associates with early detection of cognitive impairment deciphering the association with depression
Glutaric acid associates with early detection of cognitive impairment deciphering the association with depression Open
Background The initiation of cognitive impairment is triggered by a myriad of pathological events occurring decades before clinical symptoms manifest. Perturbed glucose and fatty acid metabolism notably contribute to the development of cog…
View article: Apathy and fatigue, but not depression, associated with inflammatory biomarkers in older adults
Apathy and fatigue, but not depression, associated with inflammatory biomarkers in older adults Open
Background Apathy (loss of motivation or goal‐directed behaviour) and depression each confer risk for dementia, cardiovascular disease and mortality in older adults. Mechanisms for this are not yet understood, and may involve systemic infl…
View article: Mortality, Criminal Sanctions, and Court Diversion in People With Psychosis
Mortality, Criminal Sanctions, and Court Diversion in People With Psychosis Open
Importance People living with psychosis experience excess premature mortality and are overrepresented in criminal legal systems, but little is known about mortality associated with criminal sanctions or diversion in this population. Object…
View article: The Suicide Assessment Kit-Modified Interview: Development and preliminary validation of a modified clinical interview for the assessment of suicidal thoughts and behavior in autistic adults
The Suicide Assessment Kit-Modified Interview: Development and preliminary validation of a modified clinical interview for the assessment of suicidal thoughts and behavior in autistic adults Open
The increased prevalence of suicide among autistic people highlights the need for validated clinical suicide screening and assessment instruments that are accessible and meet the unique language and communication needs of this population. …
View article: Mortality in people living with dementia who self-harmed: An Australian data linkage study
Mortality in people living with dementia who self-harmed: An Australian data linkage study Open
Objectives: This study aimed to examine mortality for people living with dementia/mild cognitive impairment who self-harmed. Methods: We conducted a retrospective cohort study in New South Wales, Australia, using data ranging from 2001 to …
View article: Examination of the Potential Moderating Role of Psychological Wellbeing in the Relationship Between Depression and Thoughts of Self-Harm in Autistic Adolescents and Adults: A Two-Year Longitudinal Study
Examination of the Potential Moderating Role of Psychological Wellbeing in the Relationship Between Depression and Thoughts of Self-Harm in Autistic Adolescents and Adults: A Two-Year Longitudinal Study Open
View article: Case report: Down syndrome regression disorder, catatonia, and psychiatric and immunomodulatory interventions
Case report: Down syndrome regression disorder, catatonia, and psychiatric and immunomodulatory interventions Open
Down syndrome regression disorder (DSRD) is a rare condition involving subacute cognitive decline, loss of previously acquired developmental skills, and prominent neuropsychiatric symptoms, particularly catatonia, in people with Down syndr…
View article: The contribution of cumulative blood pressure load to dementia, cognitive function and mortality in older adults
The contribution of cumulative blood pressure load to dementia, cognitive function and mortality in older adults Open
Background: Few studies evaluated the contribution of long-term elevated blood pressure (BP) towards dementia and deaths. We examined the association between cumulative BP (cBP) load and dementia, cognitive decline, all-cause and cardiovas…
View article: Lifetime stressor exposure and suicidality in autistic adults: a multinational study examining the role of gender in interpersonal life stress
Lifetime stressor exposure and suicidality in autistic adults: a multinational study examining the role of gender in interpersonal life stress Open
Despite very high rates of suicidality in autistic adults, the key psychosocial drivers of this phenomenon remain unknown. To investigate this, we examined how lifetime stressor exposure and severity, which have been found to predict suici…
View article: Brain‐age prediction: Systematic evaluation of site effects, and sample age range and size
Brain‐age prediction: Systematic evaluation of site effects, and sample age range and size Open
Structural neuroimaging data have been used to compute an estimate of the biological age of the brain (brain‐age) which has been associated with other biologically and behaviorally meaningful measures of brain development and aging. The on…