The Naval Service Stress Study (2007–2012) is investigating job strain, its characteristics, causes and distribution in the Service. Data from phases I, II and III of the study (January 2007, June 2007 and January 2008) were analysed to determine the relationship between General Health questionnaire scores and a score on the Cognitive Failures Questionnaire (CFQ) completed at phase III. Of 791 personnel who completed questionnaires at all phases, 43.6% had no job strain at any phase, whereas 9.9% had strain on all three occasions ('chronic strain'). 27% had strain at one of the three phases and 19% had strain at two of the three phases. The particular phase at which job strain was experienced was not related to CFQ score at phase III, whereas the total strain experienced over the period was related. High strain over the year was the strongest predictor of high CFQ score. A 'strain dose' variable, which combined both the amount of strain exposure and the timing of the exposure, explained little additional variance in CFQ score. The findings might be interpreted to indicate that a high CFQ score is a vulnerability factor for adverse reactions to work stress. The hypothesis that recent job strain elevates CFQ score was not supported. Statement of Relevance:Current models of occupational stress focus on psychosocial factors and much of the advice about stress management in organisations is centred on the identification and control of psychosocial risk factors. The present paper provides evidence that cognitive factors are also important and suggests that support for those with poor executive function should be part of stress management in complex environments.

Job Strain

Job control

Stressor

Strain (injury)

10.1080/00140131003672031

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Citations (27)

Predicting erectile function outcome in men after radical prostatectomy for prostate cancer

BJU International (2011)

Shaun Kilminster Stig Müller Mani Menon Jean Joseph David Ralph

What's known on the subject? and What does the study add? Over the last decade, the surgical treatment of prostate cancer has evolved towards minimal access surgery, particularly via a robot‐assisted technique. However, there is still debate regarding the true benefit for patients with respect to a functional outcome such as erectile function. The present prediction model provides a reliable estimation of the likelihood of regaining erectile function after prostatectomy. OBJECTIVE To identify the reported rates of potency after prostatectomy in the recent literature for men without preoperative erectile dysfunction (ED) and to develop a statistical model for predicting the expected potency after prostatectomy. MATERIALS AND METHODS A Medline search was conducted with the keywords ‘potency’ and ‘prostatectomy’ from 2003 to 2009. In total, 33 studies in the English language reporting pre‐ and postoperative erectile function were identified. Data from studies reporting outcome after open, laparoscopic and robot‐assisted prostatectomy were analyzed separately. Only data obtained from potent men before surgery were included in the analysis. RESULTS In potent men before surgery, the main predictors of post‐treatment erectile function are age and time after treatment. The cumulative range of potency rates at 48 months for all ages (45–75 years) was 49–74% for open, 58–74% for laparoscopic and 60–100% for robotic prostatectomy. The predicted outcome differs by type of operation and patient age. CONCLUSIONS Men aged <60 years have a significant likelihood of regaining erectile function after radical prostatectomy. The reported statistical model provides a reliable estimation of erectile function outcome after prostatectomy for men with localized prostate cancer and intact erectile function.

Open Prostatectomy

10.1111/j.1464-410x.2011.10757.x

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Citations (48)

The Headache Impact Test?? and the Short Pain Inventory??

International Journal of Pharmaceutical Medicine (2003)

Shaun Kilminster Andrew Dowson Mike Bundy

Validation test

10.1097/00124363-200317010-00008

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Citations (7)

Disability Associated With Headaches Occurring Inside and Outside the Menstrual Period in Those With Migraine: A General Practice Study

Headache The Journal of Head and Face Pain (2005)

Andrew Dowson Shaun Kilminster Rebecca Salt Matthew Clark Michael Bundy

Objectives.—This study investigated the disability of females who have migraine and other headache attacks occurring during and outside the menstrual period. Methods.—One thousand four hundred and thirty‐four of 3470 female patients (41.3%) aged 14 to 50 years registered at a UK general practice completed two questionnaires. The first questionnaire assessed the prevalence of headache, depression, and bodily pain in the total population. The second questionnaire assessed the disability of all headaches over a 2‐month period (to capture a complete menstrual cycle) for patients reporting migraine who were still menstruating. Disability was assessed as the time lost and time spent at less than 50% productivity in normal activities due to headache, and analyzed as rank sums using the Mann‐Whitney U ‐test. Results.—The first part of the study showed that the prevalence of headache (66.1%), depression (55.4%), and bodily pain (40.6%) were high in this population of women. Thirty migraine patients who were still menstruating reported 89 migraine and 114 nonmigraine headache episodes in the second part of the study. For migraine, the rank order of time at less than 50% productivity was greater for attacks taking place inside the menstrual period than for those occurring outside the menstrual period. The comparison was significant for time at less than 50% productivity ( P = .01). For nonmigraine headaches, the rank order of time lost was greater for attacks taking place outside the menstrual period than for those occurring inside the menstrual period. The comparison was not significant for time lost ( P = .06). Conclusions.—For those with migraine, migraine attacks that took place during the menstrual period tended to be slightly more disabling than those taking place outside the menstrual period, but the opposite was true for nonmigraine headache.

Depression

Menstrual period

Menstruation

10.1111/j.1526-4610.2005.05064.x

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Citations (52)

Assessing Patients with Episodic Tension-Type Headache, Migraine or Chronic Daily Headache Using the Short Pain Inventory

Pharmaceutical Medicine (2008)

Andrew Dowson Michael Bundy Shaun Kilminster

Tension headache

10.1007/bf03256698

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Citations (1)