Imperial College London

DrTamiKramer

Faculty of MedicineDepartment of Medicine

Senior Clinical Research Fellow
 
 
 
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Contact

 

+44 (0)20 3313 4161t.kramer

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Publication Type
Year
to

63 results found

Khadr S, Clarke V, Wellings K, Villalta L, Goddard A, Welch J, Bewley S, Kramer T, Viner Ret al., 2018, Mental and sexual health outcomes following sexual assault in adolescents: a prospective cohort study, LANCET CHILD & ADOLESCENT HEALTH, Vol: 2, Pages: 654-665, ISSN: 2352-4642

Journal article

Valencia-Agudo F, Burcher GC, Ezpeleta L, Kramer Tet al., 2018, Nonsuicidal self-injury in community adolescents: a systematic review of prospective predictors, mediators and moderators, Journal of Adolescence, Vol: 65, Pages: 25-38, ISSN: 0140-1971

Nonsuicidal self-injury (NSSI) usually starts during adolescence and is associated with an array of psychological and psychiatric symptoms and future suicide attempts. The aim of this study is to determine prospective predictors, mediators and moderators of NSSI in adolescent community samples in order to target prevention and treatment strategies. Two team members searched online databases independently. Thirty-nine studies were included in the review. Several variables were seen to prospectively predict NSSI: female gender, family-related variables, peer victimisation, depression, previous NSSI and self-concept. Few studies analysed mediators and moderators. Low self-concept was highlighted as a relevant moderator in the relationship between intra/interpersonal variables and NSSI. Implications of these findings are discussed. The considerable heterogeneity between studies posed a limitation to determine robust predictors of NSSI. Further prospective studies using standardised measures of predictors and outcomes are needed to ascertain the most at risk individuals and develop prevention strategies.

Journal article

Als L, Picouto MD, O'Donnell KJ, Nadel S, Cooper M, Pierce CM, Kramer T, Glover V, Garralda Hualde MEet al., 2016, Stress hormones and posttraumatic stress symptoms following paediatric critical illness: an exploratory sudy, European Child & Adolescent Psychiatry, Vol: 26, Pages: 511-5119, ISSN: 1435-165X

In this exploratory case-control study we investigatedbasalcortisol regulation in 5-16 year-old children, 3-6 months following PICU (paediatric intensive care) admission.Thiswas nested within a study of child psychological and cognitivefunction; 47 children were assessed alongside 56 healthy controls. Saliva samples were collected three times per day (immediately after waking, waking +30min, and waking +12h)over two consecutive weekdays. In addition, data on posttraumatic stress symptoms were ascertained from 33 PICU admitted children using the Impact of Events Scale-8(IES-8).Primary analysis revealed no significantdifferences in basal cortisol concentrations between PICU discharged children and healthy controls (p > 0.05). Secondary analysis in the PICU group identifieda significant positive association between posttraumatic stress symptoms and evening (waking+12h) cortisol concentrations (p = 0.004). However when subject to multivariate analysis,evening cortisol was a modest independent predictor of IES-8 scores, relative to the presence of septic illness and poor pre-morbid health.We conclude that paediatric critical illness does not appear toresult in marked perturbations to basal cortisol at 3-6 monthfollowing discharge. There was evidence of a link between evening cortisol and symptoms of PTSD, but this was not a robust effectandrequiresfurther elucidation.

Journal article

Islam Z, Ford T, Kramer T, Paul M, Parsons H, Harley K, Weaver T, McLaren S, Singh SPet al., 2016, Mind how you cross the gap! Outcomes for young people who failed to make the transition from child to adult services: the TRACK study, BJPsych Bulletin, Vol: 40, Pages: 142-148, ISSN: 2056-4708

Aims and method The Transitions of Care from Child and Adolescent Mental Health Services to Adult Mental Health Services (TRACK) study was a multistage, multicentre study of adolescents' transitions between child and adult mental health services undertaken in England. We conducted a secondary analysis of the TRACK study data to investigate healthcare provision for young people (n = 64) with ongoing mental health needs, who were not transferred from child and adolescent mental health services (CAMHS) to adult mental health services mental health services (AMHS). Results The most common outcomes were discharge to a general practitioner (GP; n = 29) and ongoing care with CAMHS (n = 13), with little indication of use of third-sector organisations. Most of these young people had emotional/neurotic disorders (n = 31, 48.4%) and neurodevelopmental disorders (n = 15, 23.4%). Clinical implications GPs and CAMHS are left with the responsibility for the continuing care of young people for whom no adult mental health service could be identified. GPs may not be able to offer the skilled ongoing care that these young people need. Equally, the inability to move them decreases the capacity of CAMHS to respond to new referrals and may leave some young people with only minimal support.

Journal article

Kramer T, Elena Garralda M, 2015, Assessment and treatment in nonspecialist community health care settings, Rutter's Child and Adolescent Psychiatry: Sixth Edition, Pages: 623-635, ISBN: 9781118381960

© 2015 by JohnWiley & Sons, Ltd. All rights reserved. Non-specialist community or primary health care settings are the first point of contact for families seeking professional attention for health problems. Although their role in attending to children and young people with mental health problems has been comparatively little documented, evidence for its potential is slowly accumulating. This chapter describes presentations of children and young people with mental health problems in the primary care setting, discusses their identification and management by primary care workers, documents innovative models of mental health service delivery and considers the place of primary health care in prevention

Book chapter

Macia LV, Mac Gregor K, Clarke V, Viner R, Kramer T, Khadr Set al., 2015, Systematic review of mental health outcomes in young people following sexual assault

Poster

Als LC, Picouto MD, Hau SM, Nadel S, Cooper M, Pierce CM, Kramer T, Garralda MEet al., 2015, Mental and Physical Well-Being Following Admission to Pediatric Intensive Care, Pediatric Critical Care Medicine, Vol: 16, Pages: E141-E149, ISSN: 1529-7535

Objective: To assess mental and physical well-being in school-aged children following admission to pediatric intensive care and to examine risk factors for worse outcome.Design: A prospective cohort study.Setting: Two PICUs.Subjects: A consecutive sample of 88 patients 5–16 years old (median age, 10.00 yr; interquartile range, 6.00–13.00 yr) admitted to PICU from 2007 to 2010 with septic illness, meningoencephalitis, or other critical illnesses were assessed a median of 5 months following discharge and outcomes compared with 100 healthy controls.Interventions: None.Measurements and Main Results: Parents completed questionnaires documenting child mental and physical well-being, including the Strengths and Difficulties Questionnaires, Chalder Fatigue Scale, and Child Sleep Habits Questionnaire. Children over 8 years completed the Impact of Event Scale -8. The children admitted to PICU scored worse on all measures in comparison with the healthy controls, with 20% scoring at risk for psychiatric disorder, 34% with high levels of post-traumatic stress symptoms, 38% at risk for fatigue disorder, and 80% scoring at risk for sleep disturbance. In the PICU group, multivariable regression analyses identified septic illness as an independent predictor of post-traumatic stress symptoms and family status, past child health problems, and PICU length of stay as predictors of reduced general mental well-being.Conclusions: Our findings indicate that a significant minority of school-aged children admitted to PICU are at risk for reduced mental and physical well-being in the short term. Symptoms of poor mental well-being were linked to both vulnerability factors and critical illness factors.

Journal article

Kramer T, Als L, Garralda ME, 2015, Challenges to primary care in diagnosing and managing depression in children and young people., BMJ, Vol: 350, Pages: h2512-h2512, ISSN: 0959-8138

Journal article

Belling R, McLaren S, Paul M, Ford T, Kramer T, Weaver T, Hovish K, Islam Z, White S, Singh SPet al., 2014, The effect of organisational resources and eligibility issues on transition from child and adolescent to adult mental health services, JOURNAL OF HEALTH SERVICES RESEARCH & POLICY, Vol: 19, Pages: 169-176, ISSN: 1355-8196

Journal article

Martinez-Herves M, Kramer T, Hickey N, 2014, HOW PARENTING STYLE INFLUENCES ICT USE AND CYBERBULLYING IN A SAMPLE OF SECONDARY STUDENTS IN THE UK, EUROPEAN PSYCHIATRY, Vol: 29, ISSN: 0924-9338

Journal article

Sanchez-Cao E, Kramer T, Hodes M, 2013, Psychological distress and mental health service contact of unaccompanied asylum-seeking children, CHILD CARE HEALTH AND DEVELOPMENT, Vol: 39, Pages: 651-659, ISSN: 0305-1862

Journal article

McLaren S, Belling R, Paul M, Ford T, Kramer T, Weaver T, Hovish K, Islam Z, White S, Singh SPet al., 2013, 'Talking a different language': an exploration of the influence of organizational cultures and working practices on transition from child to adult mental health services, BMC HEALTH SERVICES RESEARCH, Vol: 13, ISSN: 1472-6963

Journal article

Mayordomo-Aranda A, Kramer T, Hickey N, Hodes Met al., 2013, Ethnic variation in antisocial behaviour among adolescents: risk and protective factors, Publisher: SPRINGER, Pages: S182-S182, ISSN: 1018-8827

Conference paper

Forti-Buratti MA, Hickey N, Kramer T, 2013, Female juvenile offending: characteristics of offences in early onset vs. late onset female offenders over 30 years, EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, Vol: 22, Pages: S260-S260, ISSN: 1018-8827

Journal article

Kramer T, Iliffe S, Bye A, Miller L, Gledhill J, Garralda MEet al., 2013, Testing the Feasibility of Therapeutic Identification of Depression in Young People in British General Practice, JOURNAL OF ADOLESCENT HEALTH, Vol: 52, Pages: 539-545, ISSN: 1054-139X

Journal article

Paul M, Ford T, Kramer T, Islam Z, Harley K, Singh SPet al., 2013, Transfers and transitions between child and adult mental health services., Br J Psychiatry Suppl, Vol: 54, Pages: s36-s40, ISSN: 0960-5371

BACKGROUND: Transfer of care from one healthcare provider to another is often understood as a suboptimal version of the process of transition. AIMS: To separate and evaluate concepts of transfer and transition between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS). METHOD: In a retrospective case-note survey of young people reaching the upper age boundary at six English CAMHS, optimal transition was evaluated using four criteria: continuity of care, parallel care, a transition planning meeting and information transfer. RESULTS: Of 154 cases, 76 transferred to AMHS. Failure to transfer resulted mainly from non-referral by CAMHS (n = 12) and refusal by service users (n = 12) rather than refusal by AMHS (n = 7). Four cases met all criteria for optimal transition, 13 met none; continuity of care (n = 63) was met most often. CONCLUSIONS: Transfer was common but good transition rare. Reasons for failure to transfer differ from barriers to transition. Transfer should be investigated alongside transition in research and service development.

Journal article

Vila M, Garralda E, Kramer T, 2012, Headaches in British secondary school children: Associations, impairment and health service use, JOURNAL OF PSYCHOSOMATIC RESEARCH, Vol: 72, Pages: 506-506, ISSN: 0022-3999

Journal article

Kramer T, Iliffe S, Gledhill J, Garralda MEet al., 2010, Recognising and responding to adolescent depression in general practice: Developing and implementing the Therapeutic Identification of Depression in Young people (TIDY) programme, Clinical Child Psychology and Psychiatry

Journal article

Iliffe S, Gallant C, Kramer T, Gledhill J, Bye A, Fernandez V, Vila M, Miller L, Garralda MEet al., 2012, Therapeutic identification of depression in young people: lessons from the introduction of a new technique in general practice, BRITISH JOURNAL OF GENERAL PRACTICE, Vol: 62, ISSN: 0960-1643

Journal article

Vila M, Kramer T, Obiols J, Garralda MEet al., 2012, Abdominal pain in British young people: associations, impairment, and health care use, Journal of Psychosomatic Research, Vol: 73, Pages: 437-442, ISSN: 0022-3999

Journal article

Ani C, Mayordomo-Aranda A, Kinanee J, Ola B, Kramer Tet al., 2012, Predictors of stigmatization of sickle cell disease in trainee teachers in Nigeria, European Journal of Educational Studies, Vol: 4, Pages: 349-360

Journal article

Vila M, Kramer T, Obiols J, Garralda Eet al., 2012, Adolescents who are frequent attenders to primary care: contribution of psychosocial factors, Social Psychiatry and Psychiatric Epidemiology

Journal article

Kramer T, Garralda E, 2011, Missed chances: Why so many for so long?, Israel Journal of Psychiatry and Related Sciences, Vol: 48, Pages: 157-159, ISSN: 0333-7308

Journal article

Vila M, Kramer T, Garralda E, 2011, Recurrent abdominal pains in British secondary school children: impairment and associations with psychological factors, EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, Vol: 20, Pages: S194-S194, ISSN: 1018-8827

Journal article

Kramer T, Garralda E, 2011, Commentary: Missed Chances: Why so Many for so Long?, ISRAEL JOURNAL OF PSYCHIATRY AND RELATED SCIENCES, Vol: 48, Pages: 157-159, ISSN: 0333-7308

Journal article

Vallance AK, Kramer T, Churchill D, Garralda MEet al., 2011, Managing child and adolescent mental health problems in primary care: taking the leap from knowledge to practice, Primary Health Care Research and Development

Journal article

Singh S, Paul M, Ford T, Kramer T, Weaver T, Mclaren S, Belling R, Islam Z, Hovish K, White Set al., 2011, Transition from Child to Adult Mental Health Services (TRACK): A Multi-perspective study of Process, Outcome and User and Carer Experience., British Journal of Psychiatry, Pages: 305-312

Journal article

Singh SP, Paul M, Ford T, Kramer T, Weaver T, McLaren S, Hovish K, Islam Z, Belling R, White Set al., 2010, Process, outcome and experience of transition from child to adult mental healthcare: multiperspective study, BRITISH JOURNAL OF PSYCHIATRY, Vol: 197, Pages: 305-312, ISSN: 0007-1250

Journal article

Vila M, Kramer T, Hickey N, Dattani M, Jefferis H, Singh M, Garralda MEet al., 2010, Assessment of Somatic Symptoms in British Secondary School Children Using the Children's Somatization Inventory (CSI) (vol 34, pg 989, 2009), JOURNAL OF PEDIATRIC PSYCHOLOGY, Vol: 35, Pages: 110-110, ISSN: 0146-8693

Journal article

Kramer T, Iliffe S, Miller L, Gledhill J, Garralda Eet al., 2010, Depression in adolescents - Collaboration to overcome barriers n primary care, BMJ, Vol: 340, Pages: 381-381

Journal article

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