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Professor Cathy Lloyd

Profile summary

Professional biography

Cathy Lloyd is Professor of Health Studies in the School of Health, Wellbeing and Social Care in the Faculty of Wellbeing, Education and Language Studies at the Open University.

Professor Lloyd gained her PhD at University College London before taking up an American Diabetes Association post-doctoral Fellowship at the Graduate School of Public Health, University of Pittsburgh, U.S.A. Professor Lloyd studied with the Epidemiology of Diabetes Complications (EDC) team of investigators, following a large cohort of adults with Type 1 diabetes. 

On her return to the UK, Professor Lloyd was awarded an RD Lawrence Fellowship from Diabetes UK to study the role of stress and depression in young people's management of their diabetes with a joint appointment between the University of Birmingham and Birmingham Heartlands Hospital. During her time there she instigated the first psychological service for people with diabetes in the Trust. She worked alongside practitioners at Birmingham Heartlands Hospital to develop new ways of involving people with diabetes from minority ethnic groups in research, people who are often excluded due to language and literacy difficulties. She currently leads an international study in 20 countries; the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) Study*, and is a founder member of CoIN-DD (the Community Intervention Network for Diabetes and Depression (http://wels.open.ac.uk/research/coin-dd).

Recent publications include:

* Lloyd CE, Sartorius N, Ahmed HU, Alvarez A, Bahendeka S, Bobrov AE et al. Factors associated with the onset of Major Depressive Disorder in adults with type 2 diabetes living in 12 different countries; results from the INTERPRET-DD prospective study. Epidemiology & Psychiatric Sciences 2020, Jun 2;29:e134. doi: 10.1017/S2045796020000438.

* Lloyd CE, Nouwen A, Sartorius N, on behalf of the INTERPRET-DD Investigators. Prevalence and correlates of depressive disorders in people with type 2 diabetes. Results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) Study; a collaborative study carried out in 14 countries. Diabetic Medicine 2018; DOI 10.1111/dme.13611

 

Professor Lloyd is a member of the Language Matters Group which, supported by NHS England, published a review of the literature* and developed a Position Statement** on the language used in clinical encounters with people with diabetes.

* Lloyd CE, Whicher C, Wilson A, Holt RIG, Kar P. Language matters; a UK perspective. Diabetic Medicine 2018, https://doi.org/10.1111/dme.13801

** Cooper A, Swindell B on behalf of the Language Matters Group. Position Paper. Launched by NHS England and Diabetes UK, June 2018; Published in Diabetic Medicine June 2018. https://onlinelibrary.wiley.com/action/doSearch?AllField=language+matters&SeriesKey=14645491 and online by NHS England; (https://www.england.nhs.uk/publication/language-matters-language-and-diabetes/ and https://www.england.nhs.uk/wp-content/uploads/2018/06/language-matters.pdf

 

Professor Lloyd has been an (ADVANCE HE) AURORA (women's leadership programme) mentor and supervised PhD students for many years.

 

 

Research interests

Professor Lloyd has an international reputation for research in the psychosocial field of diabetes. Her research interests centre on diabetes and mental health within which there are two overlapping strands. The first of these focuses on the relationship between diabetes and mental health and how this might impact on the individual and on health service provision. The second strand is her commitment to taking an inclusive approach to her research, pioneering alternative ways of involving minority ethnic groups in research where they are often excluded due to language and literacy difficulties.

Professor Lloyd's current research interests include diabetes prevention, diabetes-related distress, community-based interventions for diabetes and depression in Sub-Saharan Africa, and the care pathways for depression and other psychological problems in people with diabetes. 

In collaboration with service users from minority ethnic groups, Professor Lloyd has developed culturally appropriate versions of scales used to screen for depression, diabetes self-management and emotional well-being, as well as the Michigan Diabetes Knowledge Scale (including a simplified 'True/False' version) in collaboration with Professor Tom Fitzgerald and other colleagues both in the UK and the U.S.  These questionnaires have subsequently been used in a wide range of studies across the globe - please contact Prof. Lloyd for details of and permission to use these scales.

She is the Project Lead for a global study, the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) Study investigating the prevalence of recognised and unrecognised depression (using a standardised clinical interview), diabetes-related emotional distress, the impact on diabetic control and complications, and the care pathways that are initiated to treat co-morbid diabetes and depression. 

Professor Lloyd Co-leads CoIN-DD (Community Intervention Network for Diabetes and Depression) in collaboration with Professor David Ndetei, founder of the African Mental Health Research and Training Foundation, funded by a Global Challenges Research Fund Networking Grant. Other CoIN-DD members are in Uganda, Tanzania and Ethiopia.

She is a member of the Health & Wellbeing Hub of the Centre for the Study of Global Development.

 

Teaching interests

Professor Lloyd has chaired a number of modules for the School of Health, Wellbeing & Social Care. She has supervised a number of PhD students.

Her external examining roles have included:

The Masters in Public Health, University of Manchester,

The Clinical Psychology Programme at the University of Birmingham,

Various PhD examinations in the UK and US.

 

 

Impact and engagement

External collaborations

UK:

The Language Matters Group, UK

Warwick University, Dr Krys Matyka - Fear of Hypoglycaemia study

Cambridge University, Prof Martin Roland - IMPROVE study

Middlesex University, Prof Arie Nouwen - INTERPRET-DD study

 

Worldwide:

INTERPRET-DD investigators in Argentina, Bangladesh, China, Croatia, Egypt, Germany, India, Italy, Kenya, Mexico, Pakistan, Poland, Russia, Saudi Arabia, Serbia, South Africa, Switzerland, Thailand, Uganda, Ukraine.

Epidemiology of Diabetes Complications (EDC) Study, Graduate School of Public Health, University of Pittsburgh, USA.

CoIN-DD (Community Intervention Network for Diabetes and Depression)

Pittsburgh Epidemiology of Diabetes Complications (EDC) Study

Dialogue on Diabetes and Depression (DDD)

International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) Study

Psychosocial Aspects of Diabetes (PSAD), a study group of the European Association for the Study of Diabetes (EASD)

Publications

Association of type 2 diabetes with family history of diabetes, diabetes biomarkers, mental and physical disorders in a Kenyan setting (2024-05)
Ndetei, David M.; Mutiso, Victoria; Musyimi, Christine; Nyamai, Pascalyne; Lloyd, Cathy and Sartorius, Norman
Scientific Reports, 14, Article 11037 (2024)


Comorbidity of depression and type 2 diabetes in Egypt results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) study (2024)
Okasha, Tarek; Mostafa, Bassem Murad; Ibrahim, Islam; Abdelgawad, Ahmed Adel; Lloyd, Cathy E.; Sartorius, Norman and Elkholy, Hussien
International Journal of Social Psychiatry ((Early Access))


Anxiety disorders as predictors of suicidality in people with type 2 diabetes mellitus: Findings of a study in six European countries. (2024)
Gondek, Tomasz M; Kiejna, Andrzej; Cichoń, Ewelina; Kokoszka, Andrezej; Bobrov, Alexey; de Girolamo, Giovanni; Lecic-Tosevski, Dusica; Mankovsky, Boris; Müssig, Karsten; Wölwer, Wolfgang; Lloyd, Cathy; Sartorius, Norman and Nouwen, Arie
Psychiatria Polska, 58(1) (pp. 7-24)


Help-seeking during 1-year follow-up in Chinese patients diagnosed with type 2 diabetes mellitus comorbid major depressive disorder (2023-10-10)
Weng, Geng; Jiang, Yinan; Hong, Xia; Zhao, Weignag; Ren, Jie; Lloyd, Cathy; Sartorius, Norman and Wei, Jing
Frontiers in Endocrinology, 14, Article 1266183


The relationship between physical and mental health: an update from the WPA Working Group on Managing Comorbidity of Mental and Physical Health (2023-01-14)
Fiorillo, Andrea; de Girolamo, Giovanni; Simunovic, Ivona Filipcic; Gureje, Oye; Isaac, Mohan; Lloyd, Cathy; Mari, Jair; Patel, Vikram; Reif, Andreas; Starostina, Elena; Summergrad, Paul and Sartorius, Norman
World Psychiatry, 22(1) (pp. 169-170)


Individual and community experiences and the use of language in understanding diabetes and depression in rural Kenya (2023)
Lloyd, Cathy; Musyimi, Christine; Mutiso, Victoria and Ndetei, David
Global Public Health, 18, Article 2049841(1)


Validation of Chinese version of the 5-item WHO well-being index in type 2 diabetes mellitus patients (2023)
Du, Jianhua; Jiang, Yinan; Lloyd, Cathy; Sartorius, Norman; Ren, Jie; Zhao, Weigang; Wei, Jing and Hong, Xia
BMC Psychiatry, 23, Article 890


The role of mental disorders in precision medicine for diabetes: a narrative review (2022-11)
Kremers, Sanne H. M.; Wild, Sarah H.; Elders, Petra J. M.; Beulens, Joline W. J.; Campbell, David J. T.; Pouwer, Frans; Lindekilde, Nanna; de Wit, Maartje; Lloyd, Cathy and Rutters, Femke
Diabetologia, 65(11) (pp. 1895-1906)


Body self-esteem is related to subjective well-being, severity of depressive symptoms, BMI, glycated hemoglobin levels, and diabetes-related distress in type 2 diabetes (2022-02)
Kokoszka, Andrzej; Pacura, Agata; Kostecka, Barbara; Lloyd, Cathy E. and Sartorius, Norman
PLOS ONE, 17, Article e0263766(2)


Mental disorders in type 2 diabetes (2021)
Bobrov, A. E.; Starostina, E. G.; Agamamedova, I. N.; Volodina, M. N.; Karacheva, Yu. V.; Nikitina, T. E.; Parpara, M. A.; Subbotnikova, O. A.; Tsarenko, D. M.; Nouwen, A.; Lloyd, C. and Sartorius, N.
S.S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 121(7) (pp. 22-30)


PAID-PL—The Polish Version of the Problem Areas in Diabetes Scale: Perfect Reliability and a One-Factor Structure (2021)
Cichoń, Ewelina; Kiejna, Andrzej; Gondek, Tomasz M; Obrębski, Marcin; Sutkowska, Edyta; Lloyd, Cathy E.; Sartorius, Norman and Kokoszka, Andrzej
Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14 (pp. 4433-4441)


Factors associated with the onset of major depressive disorder in adults with type 2 diabetes living in 12 different countries: results from the INTERPRET-DD prospective study (2020-06-02)
Lloyd, C. E.; Sartorius, N.; Ahmed, H. U.; Alvarez, A.; Bahendeka, S.; Bobrov, A. E.; Burti, L.; Chaturvedi, S. K.; Gaebel, W.; de Girolamo, G.; Gondek, T. M.; Guinzbourg, M.; Heinze, M. G.; Khan, A.; Kiejna, A.; Kokoszka, A.; Kamala, T.; Lalic, N. M.; Lecic-Tosevski, D.; Mannucci, E.; Mankovsky, B.; Müssig, K.; Mutiso, V.; Ndetei, D.; Nouwen, A.; Rabbani, G.; Srikanta, S. S.; Starostina, E. G.; Shevchuk, M.; Taj, R.; Valentini, U.; van Dam, K.; Vukovic, O. and Wölwer, W.
Epidemiology and Psychiatric Sciences, 29(e134) (pp. 1-9)


Validation of the Polish version of WHO-5 as a screening instrument for depression in adults with diabetes (2020-01)
Cichon, Ewelina; Kiejna, Andrzej; Kokoszka, Andrzej; Gondek, Tomasz; Rajba, Beata; Lloyd, Cathy and Sartorius, Norman
Diabetes Research and Clinical Practice, 159, Article 107970


The importance of language in engagement between health-care professionals and people living with obesity: a joint consensus statement (2020)
Albury, Charlotte; Strain, David; Le Brocq, Sarah; Logue, Jennifer and Lloyd, Cathy
The Lancet:Diabetes & Endocrinology, 8(5) (pp. 447-455)


People with diabetes need a lower cut-off than others for depression screening with PHQ-9 (2020)
Cichoń, Ewelina; Kiejna, Andrzej; Kokoszka, Andrzej; Gondek, Tomasz M.; Radzio, Rafał; Jastrzębski, Adam; Andrzejewska, Beata E.; Alosaimi, Fahad D.; Lloyd, Cathy E. and Sartorius, Norman
PLOS ONE, 15, Article e0240209(10)


Prevalence and Risk Factors for Diabetic Peripheral Neuropathy in Type 2 Diabetic Patients From 14 Countries: Estimates of the INTERPRET-DD Study (2020)
Lu, Yanhui; Xing, Pengbo; Cai, Xue; Luo, Dan; Li, Ruxue; Lloyd, Cathy; Sartorius, Norman and Li, Mingzi
Frontiers in Public Health, 8, Article 534372


More anxious than depressed: prevalence and correlates in a 15-nation study of anxiety disorders in people with type 2 diabetes mellitus (2019-08)
Chaturvedi, Santosh K; Manche Gowda, Shayanth; Uddin Ahmed, Helal; Alosaimi, Fahad D; Andreone, Nicola; Bobrov, Alexey; Bulgari, Viola; Carrà, Giuseppe; Castelnuovo, Gianluca; de Girolamo, Giovanni; Gondek, Tomasz; Jovanovic, Nikola; Kamala, Thummala; Kiejna, Andrzej; Lalic, Nebojsa; Lecic-Tosevski, Dusica; Minhas, Fareed; Mutiso, Victoria; Ndetei, David; Rabbani, Golam; Somruk, Suntibenchakul; Srikanta, Sathyanarayana; Taj, Rizwan; Valentini, Umberto; Vukovic, Olivera; Wölwer, Wolfgang; Cimino, Larry; Nouwen, Arie; Lloyd, Cathy and Sartorius, Norman
General Psychiatry, 32, Article e100076(4)


Comment on the consensus report on the management of hyperglycaemia in Type 2 diabetes by the American Diabetes Association and the European Association for the Study of Diabetes (2019-06-13)
Skinner, T.; Byrne, M.; Dickinson, J. K.; Fisher, L.; Funnell, M.; Guzman, S.; Hendrieckx, C.; Hermanns, N.; Kanc, K.; Lloyd, C.; Mocan, A.; Nouwen, A.; Pouwer, F.; Saleh-Stattin, N.; Snoek, F.; Speight, J.; Sturt, J.; Vallis, M.; Wagner, J.; Willaing, I.; Young-Hyman, D. and Zoffmann, V.
Diabetic Medicine, 36(7) (pp. 911-912)


Language matters. Addressing the use of language in the care of people with diabetes: position statement of the English Advisory Group (2018-12-31)
Cooper, A.; Kanumilli, N.; Hill, J.; Holt, R. I. G.; Howarth, D.; Lloyd, C. E.; Kar, P.; Nagi, D.; Naik, S.; Nash, J.; Nelson, H.; Owen, K.; Swindell, B.; Walker, R.; Whicher, C. and Wilmot, E.
Diabetic Medicine, 35(12) (pp. 1630-1634)


Language matters: a UK perspective (2018-12)
Lloyd, C. E.; Wilson, A.; Holt, R. I. G.; Whicher, C. and Kar, P.
Diabetic Medicine, 35(12) (pp. 1635-1641)


Prevalence and correlates of depressive disorders in people with Type 2 diabetes: results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET‐DD) study, a collaborative study carried out in 14 countries (2018-06)
Lloyd, C. E.; Nouwen, A.; Sartorius, N.; Ahmed, H. U.; Alvarez, A.; Bahendeka, S.; Basangwa, D.; Boborov, A. E.; Boden, S.; Bulgari, V.; Burti, L.; Chaturvedi, S. K.; Cimino, L. C.; Gaebel, W.; de Girolamo, G.; Gondek, T. M.; Guinzbourg de Braude, M.; Guntupalli, A.; Heinze, M. G.; Ji, L.; Hong, X.; Khan, A.; Kiejna, A.; Kokoszka, A.; Kamala, T.; Lalic, N. M.; Lecic Tosevski, D.; Mankovsky, B.; Li, M.; Musau, A.; Mussig, K.; Ndetei, D.; Rabbani, G.; Srikanta, S. S.; Starostina, E. G.; Shevchuk, M.; Taj, R.; Vukovic, O.; Wolwer, W. and Xin, Y.
Diabetic Medicine, 35(6) (pp. 760-769)


The impact of multiple sclerosis on the identity of mothers in Italy (2018)
Willson, Catherine Louise; Tetley, Josie; Lloyd, Cathy; Messmer Uccelli, Michele and MacKian, Sara
Disability and Rehabilitation, 40(12) (pp. 1456-1467)


Improving patient experience in primary care: a multimethod programme of research on the measurement and improvement of patient experience (2017-05)
Burt, Jenni; Campbell, John; Abel, Gary; Aboulghate, Ahmed; Ahmed, Faraz; Asprey, Anthea; Barry, Heather; Beckwith, Julia; Benson, John; Boiko, Olga; Bower, Pete; Calitri, Raff; Carter, Mary; Davey, Antoinette; Elliott, Marc N; Elmore, Natasha; Farrington, Conor; Haque, Hena Wali; Henley, William; Lattimer, Val; Llanwarne, Nadia; Lloyd, Cathy; Lyratzopoulos, Georgios; Maramba, Inocencio; Mounce, Luke; Newbould, Jenny; Paddison, Charlotte; Parker, Richard; Richards, Suzanne; Roberts, Martin; Setodji, Claude; Silverman, Jonathan; Warren, Fiona; Wilson, Ed; Wright, Christine and Roland, Martin
Programme Grants for Applied Research, 5(9) (pp. 1-452)


Preconception care for women with type 1 or type 2 diabetes mellitus: a mixed-methods study exploring uptake of preconception care (2017-04-07)
Earle, Sarah; Tariq, Anisah; Komaromy, Carol; Lloyd, Cathy E; Karamat, M Ali; Webb, Jackie and Gill, Paramjit S
Health Technology Assessment, 21(14)


Understanding negative feedback from South Asian patients: an experimental vignette study (2016-09-08)
Burt, Jenni; Abel, Gary; Elmore, Natasha; Lloyd, Cathy; Benson, John; Sarson, Lara; Carluccio, Anna; Campbell, John; Elliot, Marc N and Roland, Martin
BMJ Open, 6, Article e011256(9)


Variations in GP–patient communication by ethnicity, age, and gender: evidence from a national primary care patient survey (2016-01)
Burt, Jenni; Lloyd, Cathy; Campbell, John; Roland, Martin and Abel, Gary
British Journal of General Practice, 66(642) (e47-e52)


The INTERPRET-DD study of diabetes and depression: a protocol (2015-07)
Lloyd, C. E.; Sartorius, N.; Cimino, L. C.; Alvarez, A.; Guinzbourg de Braude, M.; Rabbani, G.; Uddin Ahmed, H.; Papelbaum, M.; Regina de Freitas, S.; Ji, L.; Yu, X.; Gaebel, W.; Mussig, K.; Chaturvedi, S. K.; Srikanta, S. S.; Burti, L.; Bulgari, V.; Musau, A.; Ndete, D.; Heinze, G.; Romo Nava, F.; Taj, R.; Khan, A.; Kokoszka, A.; Papasz-Siemieniuk, A.; Starostina, E. G.; Bobrov, A. E.; Lecic-Tosevski, D.; Lalic, N. M.; Udomratn, P.; Tangwongchai, S.; Bahendeka, S.; Basangwa, D. and Mankovsky, B.
Diabetic Medicine, 32(7) (pp. 925-934)


Does the availability of a South Asian language in practices improve reports of doctor-patient communication from South Asian patients? Cross sectional analysis of a national patient survey in English general practices (2015-05-06)
Ahmed, Faraz; Abel, Gary A; Lloyd, Cathy E; Burt, Jenni and Roland, Martin
BMC Family Practice, 16(55)


What factors influence concordance with medications? Findings from the UK Asian Diabetes Study. (2014-12-31)
Lloyd, C. E.; Mughal, S.; Roy, T.; Raymond, N. T.; O'Hare, J. P.; Barnett, A. H. and Bellary, S.
Diabetic Medicine, 31(12) (pp. 1600-1609)


Psychological care in a national health service: challenges for people with diabetes (2013-12)
Lloyd, Cathy; Gill, Paramjit and Stone, Margaret
Current Diabetes Reports, 13(6) (pp. 894-899)


Type A behavior and risk of all-cause mortality, CAD, and CAD-related mortality, in a type 1 diabetes population: 22 years of follow-up in the Pittsburgh Epidemiology of Diabetes Complications Study (2013-10)
Fickley, Catherine; Lloyd, Cathy; Costacou, Tina; Miller, Rachel and Orchard, Trevor
Diabetes Care, 36(10) (pp. 2974-2980)


Epidemiology of depression in diabetes: international and cross-cultural issues (2012-10)
Lloyd, Cathy E.; Roy, Tapash; Nouwen, Arie and Chauhan, A. M.
Journal of Affective Disorders, 142(Suppl) (S22-S29)


Epidemiology of depression and diabetes: a systematic review (2012-10)
Roy, Tapash and Lloyd, Cathy E.
Journal of Affective Disorders, 142(Suppl.) (S8-S21)


Prevalence of co-morbid depression in out-patients with type 2 diabetes in Bangladesh (2012-08-22)
Tapash, Roy; Lloyd, Cathy E.; Parvin, Masuma; Mohiuddin, Khondker Galib B. and Rahman, Mosiur
BMC Psychiatry, 12, Article 123


The concerns of school staff in caring for children with diabetes in primary school (2012-05)
Boden, Sharon; Lloyd, Cathy; Gosden, Charlotte; Macdougall, Colin; Brown, Naomi and Matyka, Krystina
Pedicatric Diabetes, 13 (e6-e13)


Screening tools used for measuring depression among people with Type 1 and Type 2 diabetes: a systematic review (2012-02)
Roy, T.; Lloyd, C. E.; Pouwer, F.; Holt, R. I. G. and Sartorius, N.
Diabetic Medicine, 29(2) (pp. 164-175)


Measuring psychological well-being in South Asians with diabetes: a qualitative investigation of the PHQ-9 and the WHO-5 as potential screening tools for measuring symptoms of depression (2012-01)
Lloyd, C. E.; Roy, T.; Begum, S.; Mughal, S. and Barnett, A. H.
Diabetic Medicine, 29(1) (pp. 140-147)


The risk management of childhood diabetes by primary school teachers (2012)
Boden, Sharon K.; Lloyd, Cathy E.; Gosden, Charlotte; Macdougall, Colin; Brown, Naomi and Matyka, Krystina
Health, Risk and Society, 14(6) (pp. 551-564)


Prevalence of depression in individuals with impaired glucose metabolism or undiagnosed diabetes: a systematic review and meta-analysis of the European Depression in Diabetes (EDID) Research Consortium (2011)
Nouwen, Arie; Nefs, Giesje; Caramlau, IsabelaI; Cannock, Martin; Winkley, Kirsty; Lloyd, Cathy E.; Peyrot, Mark and Pouwer, François
Diabetes Care, 34(3) (pp. 752-762)


Type 2 Diabetes Mellitus as a risk factor for the onset of depression: a systematic review and meta-analysis (2010-08-14)
Nouwen, A.; Winkley, K.; Twisk, J.; Lloyd, C. E.; Peyrot, M.; Ismail, K. and Pouwer, F.
Diabetologia, 53 (pp. 2480-2486)


Diabetes and mental health; the problem of co-morbidity (2010-08)
Lloyd, Cathy E.
Diabetic Medicine, 27(8) (pp. 853-854)


Does diabetes-related distress explain the presence of depressive symptoms and/or poor self-care in individuals with Type 1 diabetes? (2010)
Lloyd, C. E.; Pambianco, G. and Orchard, T. J.
Diabetic Medicine, 27(2) (pp. 234-237)


Modification and validation of the Revised Diabetes Knowledge Scale (2010)
Collins, G. S.; Mughal, S.; Barnett, A. H.; Fitzgerald, J. and Lloyd, C. E.
Diabetic Medicine, 28(3) (pp. 306-310)


Depression and Type 2 diabetes over the lifespan: A meta-analysis. Response to Mezuk et al (2009-05)
Nouwen, Arie; Lloyd, Cathy E. and Pouwer, Frans
Diabetes Care, 32(5) (e56)


Editorial: Health, medicine and surveillance in the 21st Century (2009)
Earle, Sarah; Foley, Pam; Komaromy, Carol and Lloyd, Cathy E.
Surveillance and Society, 6(2) (pp. 96-100)


Down, but not out (2009)
Nouwen, Arie and Lloyd, Cathy
Public Service Review: Health, 20 (pp. 96-97)


Conceptualizing reproductive loss: a social sciences perspective (2008-12)
Earle, Sarah; Foley, Pam; Komaromy, Carol and Lloyd, Cathy E.
Human Fertility, 11(4) (pp. 259-262)


Development of audio methods of data collection in Bangladesh (2008-09)
Roy, Tapash and Lloyd, Cathy E.
Diversity in Health and Social Care, 5(3) (pp. 187-198)


The effects of diabetes on depression and depression on diabetes (2008-03-01)
Lloyd, Cathy
Diabetes Voice, 53(1) (pp. 23-26)


Physical activity and risk of diabetes (2008-01)
Lloyd, Cathy E. and Barnett, Anthony H.
The Lancet, 371(9606) (pp. 5-7)


Development of alternative modes of data collection in South Asians with Type 2 diabetes (2008)
Lloyd, C. E.; Sturt, J.; Johnson, M.; Mughal, S.; Collins, G. and Barnett, A. H.
Diabetic Medicine, 25(4) (pp. 455-462)


Securing recruitment and obtaining informed consent in minority ethnic groups in the UK (2008)
Lloyd, Cathy E.; Johnson, Mark R. D.; Mughal, Shanaz; Sturt, Jackie A.; Collins, Gary S.; Roy, Tapash; Bibi, Rukhsana and Barnett, Anthony H.
BMC Health Services Research, 8(1) (pp. 68-76)


Systematic literature review: quality of life associated with insulin pump use in Type 1 diabetes (2007-06)
Barnard, K. D.; Lloyd, C. E. and Skinner, T. C.
Diabetic Medicine, 24(6) (pp. 607-617)


Reproductive loss and the moment of death (2007)
Komaromy, C.; Earle, S.; Foley, P. and Lloyd, C.
Practising Midwife


A social insight into bereavement and reproductive loss (2007)
Komaromy, Carol; Earle, Sarah; Lloyd, Cathy and Foley, Pam
Practising Midwife


The social dimensions of reproductive loss (2007)
Earle, Sarah; Komaromy, Carol; Foley, Pam and Lloyd, Cathy
Practising Midwife, 10(6) (pp. 28-34)


Education and training for people working with and caring for those with diabetes (2007)
Lloyd, Cathy and Banks, Duncan
Practical Cardiovascular Risk Management, 5(3) (pp. 14-15)


Understanding reproductive loss: Part 1: Social Dimensions (2007)
Earle, Sarah; Komaromy, Carol; Foley, Pam and Lloyd, Cathy
The Practising Midwife, 10(6) (pp. 28-34)


Understanding reproductive loss. Part 3: Bereavement (2007)
Komaromy, Carol; Earle, Sarah; Lloyd, Cathy and Foley, Pam
The Practising Midwife, 10(8) (pp. 32-35)


Using self-complete questionnaires in a South Asian population with diabetes: problems and solutions (2006-12)
Lloyd, Cathy E.; Mughal, Shanaz; Sturt, Jackie; O'Hare, Paul and BArnett, Anthony H.
Diversity in Health and Social Care, 3(4) (pp. 245-251)


Stress and diabetes: A review of the links (2005)
Lloyd, Cathy; Smith, Julie and Weinger, Katie
Diabetes Spectrum, 18(2) (pp. 121-127)


Cross-cultural comparisons of anxiety and depression in adults with type 1 diabetes (2003)
Lloyd, Cathy E.; Zgibor, Janice; Wilson, Robb R.; Barnett, Anthony H.; Dyer, Philip H. and Orchard, Trevor J.
Diabetes/Metabolism Research and Reviews, 19(5) (pp. 401-407)


Diabetes and depression (2002-11)
Lloyd, Cathy E.
Current Diabetes Reports, 2(6) (pp. 465-466)


Depression and Diabetes (2002)
Lloyd, Cathy E. and Brown, Florence J.
Current Women's Health Reports, 2, (pp. 188-193)


Do the daily experiences of healthy men and women vary according to occupational prestige and work strain? (2000)
Matthews, Karen A.; Raikkonen, Katri; Everson, Susan A.; Flory, Janine D.; Marco, Christine A.; Owens, Jane F. and Lloyd, Catherine E.
Psychosomatic Medicine, 62(3) (pp. 346-353)


Prevalence of symptoms of depression and anxiety in a diabetes clinic population (2000)
Lloyd, C. E.; Dyer, P. H. and Barnett, A. H.
Diabetic Medicine, 17(3) (pp. 198-202)


Association between stress and glycemic control in adults with type 1 (insulin-dependent) diabetes (1999)
Lloyd, C. E.; Dyer, P. H.; Lancashire, R. J.; Harris, T.; Daniels, J. E. and Barnett, A. H.
Diabetes Care, 22(8) (pp. 1278-1283)


Physical and psychological well-being in adults with Type 1 diabetes (1999)
Lloyd, Cathy E. and Orchard, Trevor J.
Diabetes Research and Clinical Practice, 44(1) (pp. 9-19)


Factors associated with clinic non-attendance in adults with Type 1 diabetes mellitus (1998-04)
Dyer, P. H.; Lloyd, C. E.; Lancashire, R. J.; Bain, S. C. and Barnett, A. H.
Diabetic Medicine, 15(4) (pp. 339-343)


Social deprivation and mortality in adults with diabetes mellitus (1998)
Robinson, N.; Lloyd, C. E. and Stevens, L. K.
Diabetic Medicine, 15(3) (pp. 205-212)


A comparison of renal disease across two continents; the epidemiology of diabetes complications study and the EURODIAB IDDM Complications Study (1996-03)
Lloyd, C. E.; Stephenson, J.; Fuller, J. H. and Orchard, T. J
Diabetes Care, 19(3) (pp. 219-225)


Waist to hip ratio and psychosocial factors in adults with insulin dependent diabetes mellitus: The Pittsburgh Epidemiology of Diabetes Complications Study (1996)
Lloyd, C. E.; Wing, R. R. and Orchard, T. J.
Metabolism, 45(2) (pp. 268-272)


Incidence of complications in insulin-dependent diabetes mellitus: A survival analysis (1996)
Lloyd, Cathy E.; Becker, Dorothy; Ellis, Demetrius and Orchard, Trevor J.
American Journal of Epidemiology, 143(5) (pp. 431-441)


Coronary artery disease in IDDM: gender differences in risk factors, but not risk (1996)
Lloyd, Cathy E.; Kuller, Lewis H.; Ellis, Demetrius; Becker, Dorothy J.; Wing, Rena R. and Orchard, Trevor J.
Arteriosclerosis, Thrombosis, and Vascular Biology, 16 (pp. 720-726)


The changing course of diabetic nephropathy: Low-density lipoprotein cholesterol and blood pressure correlate with regression of proteinuria (1996)
Ellis, Demetrius; Lloyd, Cathy; Becker, Dorothy J.; Forrest, Kimberly Y. -Z. and Trevor J., Orchard
American Journal of Kidney Diseases, 27(6) (pp. 809-818)


Why does diabetic autonomic neuropathy predict IDDM mortality? An analysis from the Pittsburgh epidemiology of diabetes complications study (1996)
Orchard, T. J.; Lloyd, C. E.; Maser, R. E. and Kuller, L. H.
Diabetes Research and Clinical Practice, 34(1) (S165-S171)


The progression of retinopathy over 2 years: The Pittsburgh Epidemiology of Diabetes Complications (EDC) Study (1995-07)
Lloyd, C. E.; Klein, R.; Maser, R. E.; Kuller, L. H.; Becker, D. J. and Orchard, T. J.
Journal of Diabetes and its Complications, 9(3) (pp. 140-148)


The influence of pregnancy on insulin dependent diabetes mellitus complications (1995)
Hemachandra, A.; Ellis, D.; Lloyd, C. E. and Orchard, T. J.
Diabetes Care, 18(7) (pp. 950-954)


Diabetes complications: The renal-retinal link. An epidemiological perspective (1995)
Lloyd, C. E. and Orchard, T. J.
Diabetes Care, 18(7) (pp. 1034-1036)


Are the social relationships of young insulin-dependent diabetic patients affected by illness? (1993)
Lloyd, C. E.; Robinson, N.; Andrews, B; Elston, M. A. and Fuller, J. H.
Diabetic Medicine, 10(5) (pp. 481-485)


Predictors of microalbuminuria in individuals with IDDM. Pittsburgh Epidemiology of Diabetes Complications Study (1993)
Coonrod, B. A.; Ellis, D.; Becker, D. J.; Bunker, C. H.; Kelsey, S. F.; Lloyd, C. E.; Drash, A. L.; Kuller, L. H. and Orchard, T. J.
Diabetes Care, 16(10) (pp. 1376-1383)


Psychosocial correlates of glycemic control: the Pittsburgh Epidemiology of Diabetes Complications (EDC) study (1993)
Lloyd, Cathy E.; Wing, Rena R.; Orchard, Trevor J. and Becker, Dorothy J.
Diabetes Research and Clinical Practice, 21(2-3) (pp. 187-195)


Psychosocial factors and the complications of insulin-dependent diabetes mellitus: The Pittsburgh Epidemiology of Diabetes Complications Study – VIII (1992)
Lloyd, C. E.; Matthews, K. A.; Wing, R. R. and Orchard, T. J.
Diabetes Care, 15(2) (pp. 166-172)


Education and employment experiences of young adults with type 1 diabetes mellitus (1992)
Lloyd, C. E.; Robinson, N. and Fuller, J. H.
Diabetic Medicine, 9(7) (pp. 661-666)


The prevalence of complications of insulin-dependent diabetes mellitus in the United States (1992)
Lloyd, C. E. and Orchard, T. J.
Practical Diabetes International, 9(5) (pp. 171-174)


The relationship between stress and the development of diabetic complications (1990)
Lloyd, C. E.; Robinson, N.; Stevens, L. K. and Fuller, J. H.
Diabetic Medicine, 8(2) (pp. 146-150)


Top ten screening tools for measuring depression in people with diabetes (2013)
Lloyd, Cathy E. and Roy, Tapash
In: Lloyd, Cathy E.; Pouwer, Frans and Hermanns, Norbert eds. Screening for Depression and other psychological problems in diabetes: a practical guide (pp. 87-115)
ISBN : ISBN 978-0-85729-750-1 | Publisher : Springer | Published : London


Cultural applicability of screening tools for measuring symptoms of depression (2013)
Roy, Tapash and Lloyd, Cathy E.
In: Lloyd, Cathy E.; Pouwer, Frans and Hermanns, Norbert eds. Screening for Depression and other psychological problems in diabetes (pp. 67-86)
ISBN : 978-0-85729-751-8 | Publisher : Springer | Published : London


Diabetes and the Pregnancy Paradox: The Loss of Expectations and Reproductive Futures (2012-12-12)
Earle, Sarah and Lloyd, Cathy E.
In: Earle, Sarah; Komaromy, Carol and Layne, Linda eds. Understanding Reproductive Loss: Perspectives on Life, Death and Fertility (pp. 65-78)
ISBN : 978-1-4094-2810-7; 1409428109 | Publisher : Ashgate Publishing | Published : Farnham


Diabetes in special groups (2012-02)
Lloyd, Cathy E. and Sinclair, Alan J.
In: Barnard, Katharine D. and Lloyd, Cathy E. eds. Psychology and Diabetes Care: A Practical Guide (pp. 103-133)
ISBN : 978-0857295729 | Publisher : Springer-Verlag | Published : London


Psychological burden of diabetes and what it means to people with diabetes (2012)
Barnard, Katharine D.; Lloyd, Cathy E. and Holt, Richard I. G.
In: Barnard, Katherine D. and Lloyd, Cathy E. eds. Psychology and diabetes care: a practical guide (pp. 1-22)
ISBN : 978-0-85729-572-9 | Publisher : Springer | Published : London


Disability and illness: the perspective of people living with a long-term condition (2012)
Milne, Margo; Larkin, Mary and Lloyd, Cathy
In: Lloyd, Cathy and Heller, Tom eds. Long Term Conditions: Challenges in Health and Social Care (pp. 10-21)
ISBN : 978-0-85702-749-8 | Publisher : Sage | Published : London


Diabetes and pregnancy: service-users' perspectives on services and on research (2011)
Lloyd, Cathy and Earle, Sarah
In: Lloyd, Cathy and Heller, Tom eds. Long Term Conditions: Challenges in Health and Social Care Practice
ISBN : 978-0-85702-750-4 | Publisher : SAGE | Published : London


Experiencing depression and diabetes (2011)
Barnard, Katharine and Lloyd, Cathy E.
In: Lloyd, Cathy E. and Heller, Tom eds. Long Term Conditions: Challenges in Health and Social Care Practice
ISBN : 978-0-85702-750-4 | Publisher : SAGE | Published : London


The epidemiology of depression and diabetes (2010)
Lloyd, Cathy E.; Hermanns, Norbert; Nouwen, Arie; Pouwer, Frans; Underwood, Leigh and Winkley, Kirsty
In: Katon, Wayne; Maj, Mario and Sartorius, Norman eds. Depression and Diabetes (1- 27)
ISBN : 978-0-470-68838-0 | Publisher : John Wiley & sons | Published : Chichester, UK


Policy and practice for diabetes care (2009)
Lloyd, Cathy E. and Skinner, T. Chas
In: Denny, Elaine and Earle, Sarah eds. The sociology of long term conditions and nursing practice. Sociology and Nursing Practice (pp. 127-150)
ISBN : 0-230-51646-7 | Publisher : Palgrave Macmillan


Participation in research (2009)
Gill, Paramjit S. and Lloyd, Cathy E.
In: Khunti, Kamlesh; Kumar, Sudhesh and Brodie, Jo eds. Diabetes UK and South Asian Health Foundation recommendations on diabetes research priorities for British South Asians (pp. 7-11)
ISBN : 978-1-899288-88-5 | Publisher : Diabetes UK | Published : London


Psychological consequences of diabetes (2009)
Stone, Margaret and Lloyd, Cathy
In: Khunti, Kamlesh; Kumar, Sudhesh and Brodie, Jo eds. Diabetes UK and South Asian Health Foundation recommendations on diabetes research priorities for British South Asians (pp. 65-69)
ISBN : 978-1-899288-88-5 | Publisher : Diabetes UK | Published : London


Mortality: world variations in death and dying (2008-11)
Lloyd, Cathy E.
In: Earle, Sarah; Komaromy, Carol and Bartholomew, Caroline eds. Death and Dying: A Reader. Published in association with The Open University
ISBN : 9781847875099 | Publisher : Sage | Published : UK


Keeping the personal costs down: minimising distress when researching sensitive issues (2008-11)
Milne, M. J and Lloyd, C. E.
In: Earle, Sarah; Komaromy, Carol and Bartholomew, Caroline eds. Death and Dying: A Reader. Published in association with The Open University
ISBN : 9781847875099 | Publisher : Sage | Published : UK


Challenges to Good Diabetes Care (2008-04)
Lloyd, Cathy E.; Hill, Jill; Webb, Jackie and Tahrani, Abd A.
In: Barnett, Antony ed. Type 2 Diabetes
ISBN : 978-0-19-953955-0 | Publisher : Oxford University Press | Published : Oxford, UK


Hearing the voices of service users: Reflections on researching the views of people from South Asian backgrounds (2008)
Lloyd, Cathy; Johnson, Mark; Sturt, Jackie; Collins, Gary and Barnett, Anthony
In: DeSouza, Ruth and Williamson, Andy eds. Researching with Communities: Grounded perspectives on engaging with communities in research
ISBN : 978-0-9556941-0-3 | Publisher : Muddy Creek Press | Published : Auckland


Understanding reproductive loss: The moment of death (2008)
Earle, Sarah; Komaromy, Carol; Foley, Pam and Lloyd, Cathy E.
In: Earle, Sarah; Komaromy, Carol and Bartholomew, Caroline eds. Death and Dying: A Reader. Published in association with The Open University
ISBN : 9781847875105 | Publisher : Sage | Published : UK


Researching the views of diabetes service users from South Asian backgrounds (2007)
Lloyd, Cathy
In: Douglas, Jenny; Earle, Sarah; Handsley, Stephen; Lloyd, Cathy and Spurr, Sue eds. A Reader in Promoting Public Health: Challenge and Controversy (pp. 140-146)
ISBN : 1-4129-3075-8 | Publisher : Sage | Published : London, UK


The physiology of stressful life-experiences (2001)
Willemsen, Gonneke and Lloyd, Cathy
In: Heller, Tom; Mustin, Rosemary; Sidell, Moyra and Lloyd, Cathy eds. Working for Health (pp. 245-250)
ISBN : 9780761969983 | Publisher : Sage | Published : London


Control and outcome: clinical and epidemiological aspects (1994)
Becker, D; Orchard, T and Lloyd, Cathy
In: Kelnar, C.J.H. ed. Childhood and adolescent diabetes
Publisher : Chapman and Hall | Published : London


Insulin-dependent diabetes mellitus in young people: The epidemiology of physical and psychosocial complications (1993)
Lloyd, C. E. and Orchard, T. J.
In: Marshall, S. M.; Home, P. D.; Alberti, K. G. M. M. and Krall, L. eds. The diabetes annual (pp. 211-244)
Publisher : Elsevier Scientific Publications | Published : The Netherlands


Psychology and Diabetes Care: a Practical Guide (2012-01)
Barnard, Katharine D. and Lloyd, Cathy E. eds.
ISBN : 978-0857295729 | Publisher : Springer-Verlag | Published : London


Screening for Depression and Other Psychological Problems in Diabetes: A Practical Guide (2012)
Lloyd, Cathy E.; Pouwer, Frans and Hermanns, Norbert eds.
ISBN : 978-0- 85729-750-1 | Publisher : Springer | Published : London


Long Term Conditions: Challenges in Health and Social Care Practice (2011-11)
Lloyd, Cathy and Heller, Tom eds.
ISBN : 978-0-85702-750-4 | Publisher : SAGE | Published : London


A Reader in Promoting Public Health: Challenge and Controversy (2nd Edition) (2009)
Douglas, Jenny; Earle, Sarah; Handsley, Stephen; Jones, Linda; Lloyd, Cathy E. and Spurr, Sue eds.
Published in association with The Open University
ISBN : 9781849201032 | Publisher : SAGE Publications Ltd. | Published : London


Theory and Research in Promoting Public Health (2007)
Earle, Sarah; Lloyd, Cathy; Sidell, Moyra and Spurr, Sue eds.
ISBN : 978-1-4129-3071-0. | Publisher : Sage | Published : London, UK


Policy and Practice in Promoting Public Health (2007)
Lloyd, Cathy; Handsley, Stephen; Douglas, Jenny; Earle, Sarah and Spurr, Sue eds.
ISBN : 978-1-4129-3073-4 | Publisher : Sage | Published : London, UK


A Reader in Promoting Public Health: Challenge and Controversy (2007)
Douglas, Jenny; Earle, Sarah; Handsley, Stephen; Lloyd, Cathy and Spurr, Sue eds.
ISBN : 1-4129-3075-8 | Publisher : Sage | Published : London, UK


Working for Health (2001)
Heller, Tom; Mustin, Rosemary; Sidell, Moyra and Lloyd, Cathy eds.
Published in association with The Open University
ISBN : 9780761969983 | Publisher : Sage | Published : London