Professor Christine Bundy
PhD, AFBPS C Psychol (Health)
Professor of Health Psychology/Behavioural Medicine; Research Theme Lead - Optimising Well-being in Health and Illness, Management of Long-Term Conditions
- Available for postgraduate supervision
Overview
I am a Health Psychologist specialising in behaviour change, management of health anxiety and well-being research. I have a number of active, externally funded research projects, please see my research page. The areas I research fall broadly into patient facing and staff facing.
Some of the patient facing research I conduct includes applying and evaluating psychological interventions for patients with long-term conditions (particularly complex and multiple conditions). I am currently working with people who have inflammatory skin and joint conditions including psoriasis and psoriatic arthritis and I have developed new measures in this area and I am currently developing a mobile health application for people with serious skin conditions.
Some of the staff focing research includes developing integrated multi-disciplinary services across these long-term conditions that includes psychological support as part of the service provision and I am researching the best service models to address this.
I also provide training to all health professions to deliver good first-line psychological care including using motivational interviewing techniques to support patient engagement, self-management and behaviour change for risk reduction. I am currenly evaluating support for NHS staff reporting moral injury after deployment for the Pandemic response.
I am an experienced PhD supervisor (more than 20 successfuly completed) and a BPS Stage 2 (Doctoral level) Health Psychology trainer. I have successfully supervised five and I am currently supervising three Health Psychology trainees.
I am the Behavioural Scientist advising the Welsh Government Technical Advisory Group, International Intelligence Committee.
Publication
2025
- Hewitt, R. M. et al. 2025. A qualitative exploration of the prospective acceptability of the MiDerm app; a complex digital intervention for adults living with skin conditions. British Journal of Health Psychology 30 (1) e12778. (10.1111/bjhp.12778)
- James, L. et al., 2025. Psoriatic Arthritis Priority Setting Partnership: patient- and clinician-informed considerations for future UK health service delivery. Rheumatology 64 (7), pp.4335-4340. keae680. (10.1093/rheumatology/keae680)
- Marzo-Ortega, H. et al., 2025. EULAR points to consider and consensus definitions for difficult-to-manage and treatment-refractory psoriatic arthritis. Annals of the Rheumatic Diseases (10.1016/j.ard.2025.10.002)
- Poddubnyy, D. et al., 2025. Diagnostic delay in patients from the international map of axial spondyloarthritis: geographic, socio-demographic and disease-related factors. Rheumatology 64 (4), pp.1873-1879. (10.1093/rheumatology/keae521)
- Poddubnyy, D. et al., 2025. The Assessment of SpondyloArthritis International Society (ASAS) consensus-based expert definition of difficult-to-manage, including treatment-refractory, axial spondyloarthritis.. Annals of the Rheumatic Diseases 84 (4), pp.538-546. (10.1016/j.ard.2025.01.035)
- Shipowick, T. et al., 2025. Mental health and well‐being support for individuals living with skin conditions: A global landscape analysis of patient needs and current resources. JEADV Clinical Practice 4 (2), pp.595-611. (10.1002/jvc2.606)
2024
- Dale, C. et al. 2024. 'Feeling like a second-class citizen': exploring the impact, self-management and existing support for adults living with acne and/or post-inflammatory hyperpigmentation and scarring. British Journal of Dermatology 191 (3), pp.469-470. (10.1093/bjd/ljae190)
- Elliott, J. et al. 2024. Mixed shift rotations, sleep, burnout and well-being in professions similar to radiographers: A systematic review. Radiography 30 (4), pp.1194-1200. (10.1016/j.radi.2024.05.016)
- Garrido-Cumbrera, M. et al., 2024. Factors associated with poor mental health in patients with axial spondyloarthritis: results from the International Map of Axial Spondyloarthritis (IMAS). RMD Open 10 (2) e004218. (10.1136/rmdopen-2024-004218)
- Garrido-Cumbrera, M. et al., 2024. Do patients with axial spondyloarthritis with active disease suffer from greater disease burden and work impairment? Results from the International Map of Axial Spondyloarthritis (IMAS). Reumatología Clínica (English Edition) 20 (10), pp.547-554. (10.1016/j.reumae.2024.11.009)
- Garrido-Cumbrera, M. et al., 2024. International Map of Axial Spondyloarthritis (IMAS): results from the perspective of 5557 patients from 27 countries around the globe. RMD Open 10 e003504. (10.1136/rmdopen-2023-003504)
- Garrido-Cumbrera, M. et al., 2024. Regional differences in diagnosis journey and healthcare utilization: Results from the International Map of Axial Spondyloarthritis (IMAS). Rheumatology and Therapy 11 (4), pp.927-945. (10.1007/s40744-024-00672-3)
- Hewitt, R. M. et al. 2024. A qualitative exploration of the impact, management, and existing psychological support available for adults living with skin conditions. Acta Dermato-Venereologica 104 adv40657. (10.2340/actadv.v104.40657)
- James, L. et al., 2024. The impact of psoriatic arthritis on quality of life: a systematic review. Therapeutic Advances in Musculoskeletal Disease 16 (10.1177/1759720X241295920)
- Navarro‐Compán, V. et al., 2024. Females with axial spondyloarthritis have longer diagnostic delay and higher burden of the disease. Results from the International Map of Axial Spondyloarthritis (IMAS). International Journal of Rheumatic Diseases 27 (12) e15433. (10.1111/1756-185x.15433)
- Pattinson, R. et al. 2024. Measurement properties and interpretability of the Patient-Reported Impact of Dermatological Diseases (PRIDD) measure. British Journal of Dermatology 191 , pp.936-948. (10.1093/bjd/ljae267)
- Pattinson, R. et al. 2024. Further refinement of the Patient-Reported Impact of Dermatological Diseases (PRIDD) measure using classical test theory and item response theory. British Journal of Dermatology 190 (5), pp.718-728. ljad487. (10.1093/bjd/ljad487)
- Temeng, E. et al. 2024. Nurses' coping strategies caring for patients during severe viral pandemics: A mixed methods systematic review. Journal of Clinical Nursing. 33 (1), pp.242-254. (10.1111/jocn.16711)
- Thomas, B. et al. 2024. Somatosensory processing in long COVID fatigue and its relations with physiological and psychological factors. Experimental Physiology 109 (10), pp.1637-1649. (10.1113/ep091988)
- Thomas, B. et al. 2024. Defining and measuring Long COVID fatigue – a scoping review. BMJ Open 14 e088530. (10.1136/bmjopen-2024-088530)
- Thomas, B. et al. 2024. Definitions and measures of long COVID fatigue in adults: a scoping review protocol. JBI Evidence Synthesis 22 (3), pp.481-488. (10.11124/jbies-23-00277)
- Trialonis‐Suthakharan, N. et al., 2024. Patient prioritisation of items to develop the Patient‐Reported Impact of Dermatological Diseases measure: A global Delphi study. Journal of the European Academy of Dermatology and Venereology 38 (7), pp.1391-1400. (10.1111/jdv.19903)
- Whybrow, D. et al. 2024. The perceived helpfulness and acceptability of a bespoke psychological therapy service for registered nurses experiencing psychological distress: A qualitative study. Journal of Advanced Nursing 80 (12), pp.5029-5038. (10.1111/jan.16160)
2023
- Hailey, L. et al., 2023. The top 10 research priorities in psoriatic arthritis: a James Lind alliance priority setting partnership. Rheumatology 62 (8), pp.2716-2723. (10.1093/rheumatology/keac676)
- Hailey, L. H. et al., 2023. Lifestyle modifications and nonpharmacologic interventions to improve outcomes in psoriatic arthritis: A systematic review. Clinical Therapeutics 45 (9), pp.841-851. (10.1016/j.clinthera.2023.05.009)
- Hailey, L. H. et al., 2023. Developing evidence-based patient focused learning materials to support health behaviour change for people living with psoriatic arthritis. RMD Open 9 (3) e003190. (10.1136/rmdopen-2023-003190)
- Pattinson, R. et al. 2023. Evidence of the content validity, acceptability, and feasibility of a new patient-reported impact of dermatological diseases (PRIDD) measure. Frontiers in Medicine 10 1020523. (10.3389/fmed.2023.1020523)
- Trialonis-Suthakharan, N. et al., 2023. Patient prioritisation of impact items to develop the patient-reported impact of dermatological diseases (PRIDD) measure: European Delphi data. Journal of the European Academy of Dermatology and Venereology 37 (7), pp.40-50. (10.1111/jdv.19266)
- Watts, T. et al. 2023. The ASSISTANCE STUDY: Moral distress and psychological wellbeing of nurses during the COVID-19 pandemic. Presented at: Royal College of Nursing International Nursing Research Conference Manchester University 6-8 September 2023.
- Watts, T. et al. 2023. Registered Nurses' and nursing students' perspectives on moral distress and its effects: a mixed-methods systematic review and thematic synthesis. Nursing Open 10 (9), pp.6014-6032. (10.1002/nop2.1913)
- Watts, T. et al. 2023. Addressing moral distress among nurses after the Covid-19 emergency: The ASSISTANCE study. Presented at: Chief Nursing Officer Conference Cardiff 13 October 2023.
- Watts, T. et al. 2023. ASSISTANCE (Addressing moral distress among nurses after the COVID-19 emergency): co-creation of evidence-based guidance to ameliorate moral distress.. Presented at: Chief Nursing Office Wales Conference Cardiff 13 October 2023.
- Watts, T. et al. 2023. Co-creation of evidence-based moral distress guidance for nurses: The ASSISTANCE (Addressing moral distress among nurses after the COVID-19 emergency) Study -Phase 3. Presented at: Chief Nurse Conference Cardiff, UK 13 October 2023.
2022
- Garrido-Cumbrera, M. et al., 2022. Identifying parameters associated with delayed diagnosis in axial spondyloarthritis: data from the European map of axial spondyloarthritis. Rheumatology 61 (2), pp.705-712. keab369. (10.1093/rheumatology/keab369)
- Hewitt, R. et al. 2022. Covid-19 Coping Survey: an in-depth qualitative analysis of free-text responses from people with and without existing health conditions in the UK. International Journal of Behavioral Medicine 29 , pp.743-751. (10.1007/s12529-022-10055-z)
- Hewitt, R. M. et al. 2022. How do dermatologists’ personal models inform a patient–centred approach to management: a qualitative study using the example of prescribing a new treatment (Apremilast). British Journal of Dermatology 187 (1), pp.82-88. (10.1111/bjd.21029)
- Hewitt, R. M. et al. 2022. A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions. Frontiers in Medicine (10.3389/fmed.2022.1024879)
- Hewitt, R. M. , Purcell, C. and Bundy, C. 2022. Safeguarding online research integrity: concerns from recent experiences. British Journal of Dermatology 187 (6), pp.999-1000. (10.1111/bjd.21765)
- Hewitt, R. M. et al. 2022. A UK online survey exploring patient perspectives of remote consultations for managing psoriasis and psoriatic arthritis during the SARS-CoV-2 pandemic. Psychology, Health and Medicine (10.1080/13548506.2022.2104883)
- Hewitt, R. M. et al. 2022. Online survey comparing coping responses to SARS-CoV-2 by people with and without existing health conditions in the UK. BMJ Open 12 (2) e051575. (10.1136/bmjopen-2021-051575)
- Pattinson, R. et al. 2022. Exploring beliefs and distress in patients with facial palsies. Psychology, Health and Medicine 27 (4), pp.788-802. (10.1080/13548506.2021.1876891)
- Pattinson, R. et al. 2022. POSB369 development of the patient-reported impact of dermatological diseases (PRIDD) measure [Abstract]. Value in Health 25 (1) S232. (10.1016/j.jval.2021.11.1136)
- Pattinson, R. et al. 2022. Development of a conceptual framework for a patient-reported impact of dermatological diseases (PRIDD) measure: A qualitative concept elicitation study. Acta Dermato-Venereologica 102 (10.2340/actadv.v102.2401)
- Pattinson, R. et al. 2022. P8 patient prioritisation of items for the new Patient-Reported Impact of Dermatological Diseases (PRIDD) measure: A Delphi study [Abstract]. Value in Health 25 (7), pp.S288. (10.1016/j.jval.2022.04.1726)
- Temeng, E. et al. 2022. Nurses' experiences of caring for severely ill patients during infection outbreaks (pandemic / epidemic): a mixed methods systematic review. Presented at: RCN International Nursing Research Conference 2022 Cardiff 5-6 September 2022.
- Watts, T. et al. 2022. Perceived helpfulness of a tiered mental health support intervention for moral distress: a qualitative, exploratory study. Presented at: European Nursing Congress 22: Future Proof Nursing: Nurses as key drivers of change Netherlands 4-7 October 2022.
- Watts, T. et al. 2022. Contributing factors and impacts of moral distress among nurses: a systematic review. Presented at: European Nursing Congress 22: Future Proof Nursing: Nurses as key drivers of change Netherlands 4-7 October 2022.
- Watts, T. et al. 2022. Addressing moral distress during COVID-19 recovery: a mixed methods systematic review and narrative synthesis of moral distress in nurses and supportive moral distress interventions.
- Watts, T. et al. 2022. Symposium of four papers: Identifying and mitigating moral distress in the nursing workforce: insights from the UK and the United States. Presented at: RCN International Nursing Research Conference Cardiff, UK 5-6 Sept 2022.
2021
- Augustin, M. et al., 2021. Characteristics and outcomes of patients treated with apremilast in the real world: results from the APPRECIATE study. Journal of the European Academy of Dermatology and Venereology 35 (1), pp.123-134. (10.1111/jdv.16431)
- Barton, A. et al., 2021. Translating research into clinical practice: quality improvement to halve non-adherence to methotrexate. Rheumatology 60 (1), pp.125–131. (10.1093/rheumatology/keaa214)
- Boots, M. , Button, K. and Bundy, C. 2021. Exploring public perception of brief interventions for physical activity, for the management of musculoskeletal pain, in Wales. Physiotherapy. Presented at: Virtual Physiotherapy UK conference OnlineElsevier. (10.1016/j.physio.2021.10.058)
- Garrido-Cumbrera, M. et al., 2021. Patient‐reported impact of axial spondyloarthritis on working life: results from the EMAS survey. Arthritis Care and Research 73 (12), pp.1826-1833. (10.1002/acr.24426)
- Garrido-Cumbrera, M. et al., 2021. Impact of axial spondyloarthritis on mental health in Europe: results from the EMAS study. RMD Open 7 (3) e001769. (10.1136/rmdopen-2021-001769)
- Garrido-Cumbrera, M. et al., 2021. Gender differences in patient journey to diagnosis and disease outcomes: results from the European Map of Axial Spondyloarthritis (EMAS). Clinical Rheumatology 40 (7), pp.2753-2761. (10.1007/s10067-020-05558-7)
- Gratacós, J. et al., 2021. A 12-point recommendation framework to support advancement of the multidisciplinary care of psoriatic arthritis: a call to action. Joint Bone Spine 88 (3) 105175. (10.1016/j.jbspin.2021.105175)
- Hewitt, R. M. and Bundy, C. 2021. New technology use needs patient input. British Journal of Dermatology 185 (5), pp.880-881. (10.1111/bjd.20634)
- Hewitt, R. M. et al. 2021. Implementation of the PsoWell™ model for the management of people with complex psoriasis. Acta Dermato-Venereologica 101 (4) adv00445. (10.2340/00015555-3802)
- Howells, L. et al., 2021. Thematic synthesis of the experiences of people with Hidradenitis Suppurativa: a systematic review. British Journal of Dermatology 185 (5), pp.921-934. (10.1111/bjd.20523)
- Pattinson, R. L. et al. 2021. Patient-reported outcome measures in dermatology: a systematic review. Acta Dermato-Venereologica 101 (9) adv00559. (10.2340/00015555-3884)
- Watts, T. et al. 2021. Supportive interventions to mitigate moral distress among nurses: a mixed methods systematic review and narrative synthesis. Presented at: Public Health Wales Research and Evaluation Conference 2021: Research in action: COVID-19 and beyond Online 23 September 2021.
2020
- Hewitt, R. et al. 2020. The importance of source credibility for recruiting underrepresented groups in health research: Insights from the Covid-19 coping survey. Health Psychology Update 29 , pp.48-49.
- Kleyn, C. et al., 2020. Psoriasis and mental health workshop report: exploring the links between psychosocial factors, psoriasis, neuroinflammation and cardiovascular disease risk. Acta Dermato-Venereologica 100 , pp.1-8. 00020. (10.2340/00015555-3375)
- Sadiq, S. A. et al., 2020. Psychological distress and coping following eye removal surgery. Orbit 39 (3), pp.175-182. (10.1080/01676830.2019.1658789)
2019
- Henry, A. L. et al., 2019. Understanding the experience of sleep disturbance in psoriasis:a qualitative exploration using the Common-Sense Model of Self-Regulation. British Journal of Dermatology 180 (6), pp.1397-1404. (10.1111/bjd.17685)
2018
- Keyworth, C. et al., 2018. Does message framing affect changes in behavioural intentions in people with psoriasis? A randomized exploratory study examining health risk communication. Psychology, Health and Medicine 23 (7), pp.763-778. (10.1080/13548506.2018.1427876)
2017
- Boots, M. C. , Button, K. and Bundy, C. 2017. Exploring practice & clinical evidence with pre-manipulative testing for cervical arterial dysfunction amongst musculoskeletal physiotherapists within a Welsh Health Board. Physiotherapy 103 (1) e110. (10.1016/j.physio.2017.11.088)
- Chisholm, A. et al., 2017. Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well® study. British Journal of Dermatology 176 (3), pp.677-686. (10.1111/bjd.14837)
- Henry, A. L. et al., 2017. A cross-sectional survey of the nature and correlates of sleep disturbance in people with psoriasis. British Journal of Dermatology 177 (4), pp.1052-1059. (10.1111/bjd.15469)
- Howells, L. et al., 2017. Impact of disease severity, illness beliefs, and coping strategies on outcomes in psoriatic arthritis. Arthritis Care & Research 70 (2), pp.295-302. (10.1002/acr.23330)
- Kleyn, E. et al., 2017. Real-world experience with apremilast in patients with psoriasis: interim analysis of 104 patients from the APPRECIATE study. Presented at: Psoriasis Gene to Clinic, 8th International Congress The Queen Elizabeth II Conference Centre, London, U.K 30th Nov – 2nd Dec 2017. British Journal of Dermatology. Vol. 177.Vol. 5. Wiley-Blackwell. , pp.E244. (10.1111/bjd.16059)
- Nelson, P. A. et al., 2017. 'New to me': changing patient understanding of psoriasis and identifying mechanisms of change. The Pso Well (R) patient materials mixed-methods feasibility study. British Journal of Dermatology 177 (3), pp.758-770. (10.1111/bjd.15574)
- Thorneloe, R. J. et al., 2017. Nonadherence to psoriasis medication as an outcome of limited coping resources and conflicting goals: findings from a qualitative interview study with people with psoriasis. British Journal of Dermatology 176 (3), pp.667-676. (10.1111/bjd.15086)
2016
- Betteridge, N. et al., 2016. Promoting patient-centred care in psoriatic arthritis: a multidisciplinary European perspective on improving the patient experience. Journal of the European Academy of Dermatology and Venereology 30 (4), pp.576-585. (10.1111/jdv.13306)
- Bundy, C. 2016. Is education enough to improve quality of life in people with chronic inflammatory skin conditions?. British Journal of Dermatology 174 (6), pp.1179-1179. (10.1111/bjd.14611)
- Bundy, C. 2016. The role of clinicians, patients and social factors in poor adherence: creating new understanding and consultation skills to increase adherence and self-management psoriasis patients. Journal of the European Academy of Dermatology and Venereology 30 (S6), pp.24. P034. (10.1111/jdv.13709)
- Bundy, C. et al. 2016. Obesity, low mood, negative beliefs about illness and severity of psoriasis are linked to dysfunctional eating patterns [Abstract]. British Journal of Dermatology 175 (S1), pp.205-206. (10.1111/bjd.14577)
- Chisholm, A. et al., 2016. Evaluation of the IMPACT study practitioner training intervention: using motivational interviewing to optimize self-management in psoriasis [Abstract]. British Journal of Dermatology 175 (S1), pp.205-205. (10.1111/bjd.14577)
- Chisholm, A. et al., 2016. The role of personal models in clinical management: exploring health care providers' beliefs about psoriasis. British Journal of Health Psychology 21 (1), pp.114-134. (10.1111/bjhp.12148)
- Chisholm, A. et al., 2016. Distress, misperceptions, poor coping and suicidal ideation in psoriatic arthritis: a qualitative study. Rheumatology 55 (6), pp.1047-1052. (10.1093/rheumatology/kew009)
- Ferguson, F. et al., 2016. Diurnal and seasonal variation in psoriasis symptoms [Abstract]. British Journal of Dermatology 175 (S1), pp.50-50. P56. (10.1111/bjd.14524)
- Henry, A. L. et al., 2016. A survey of sleep disturbance in psoriasis [Abstract]. British Journal of Dermatology 175 (S1), pp.206-206. (10.1111/bjd.14577)
- Henry, A. L. , Bundy, C. and Kyle, S. D. 2016. A call for improved sleep research in psoriasis populations. International Journal of Dermatology 55 (5), pp.e312. (10.1111/ijd.13192)
- Henry, A. L. et al., 2016. Measurement, classification and evaluation of sleep disturbance in psoriasis: a systematic review. PLoS ONE 11 (6) e0157843. (10.1371/journal.pone.0157843)
- Howells, L. et al., 2016. The role of beliefs, mood, coping strategies, disease severity and quality of life in patients living with psoriatic arthritis [Abstract]. British Journal of Dermatology 175 (S1), pp.53. P62. (10.1111/bjd.14524)
- Hudson, J. L. et al., 2016. What are the combined effects of negative emotions and illness cognitions on self-care in people with type 2 diabetes? A longitudinal structural equation model. Psychology and Health 31 (7), pp.873-890. (10.1080/08870446.2016.1156113)
- Nelson, P. A. et al., 2016. Development and evaluation of the IMPACT programme patient resources to increase understanding of psoriasis and its management: a mixed-methods feasibility study [Abstract]. British Journal of Dermatology 175 (S1), pp.210-210. (10.1111/bjd.14577)
- Pattinson, R. et al. 2016. Stress perception impacts on clinical signs of skin ageing and modifies the epigenome. Journal of Investigative Dermatology 136 (9), pp.S171. 062. (10.1016/j.jid.2016.06.079)
- Schwartz, J. et al., 2016. Getting under the skin: report from the International Psoriasis Council workshop on the role of stress in psoriasis. Frontiers in Psychology 7 87. (10.3389/fpsyg.2016.00087)
- Thaci, D. et al., 2016. Improvements in health-related quality of life and symptoms of depression with tofacitinib: results from two randomized phase 3 studies in patients with moderate to severe psoriasis. Journal of the American Academy of Dermatology 74 (5:S1), pp.AB255-AB255. (10.1016/j.jaad.2016.02.992)
- Theodorakopoulou, E. et al., 2016. Early- and late-onset psoriasis: a cross-sectional clinical and immunocytochemical investigation. British Journal of Dermatology 175 (5), pp.1038-1044. (10.1111/bjd.14886)
2015
- Bundy, C. 2015. Practitioners need input from behavioural medicine specialists. BMJ 2015 (315) h5291. (10.1136/bmj.h5291)
- Kitchen, H. et al., 2015. Rasch analysis of a new Patient Reported Outcome Measure for Psoriasis Treatment (PROMPT). Value in Health 18 (3), pp.A184-A184. (10.1016/j.jval.2015.03.1066)
- Kitchen, H. et al., 2015. Content development and refinement for a new Patient reported outcome measure for Psoriasis Treatment (PROMPT). Value in Health 18 (3), pp.A184-A185. (10.1016/j.jval.2015.03.1067)
- Nelson, P. et al., 2015. The IMPACT Programme in Psoriasis: Phase I - where we are now and future directions. Dermatological Nursing 14 (4), pp.37-44.
Articles
- Augustin, M. et al., 2021. Characteristics and outcomes of patients treated with apremilast in the real world: results from the APPRECIATE study. Journal of the European Academy of Dermatology and Venereology 35 (1), pp.123-134. (10.1111/jdv.16431)
- Barton, A. et al., 2021. Translating research into clinical practice: quality improvement to halve non-adherence to methotrexate. Rheumatology 60 (1), pp.125–131. (10.1093/rheumatology/keaa214)
- Betteridge, N. et al., 2016. Promoting patient-centred care in psoriatic arthritis: a multidisciplinary European perspective on improving the patient experience. Journal of the European Academy of Dermatology and Venereology 30 (4), pp.576-585. (10.1111/jdv.13306)
- Boots, M. C. , Button, K. and Bundy, C. 2017. Exploring practice & clinical evidence with pre-manipulative testing for cervical arterial dysfunction amongst musculoskeletal physiotherapists within a Welsh Health Board. Physiotherapy 103 (1) e110. (10.1016/j.physio.2017.11.088)
- Bundy, C. 2016. Is education enough to improve quality of life in people with chronic inflammatory skin conditions?. British Journal of Dermatology 174 (6), pp.1179-1179. (10.1111/bjd.14611)
- Bundy, C. 2015. Practitioners need input from behavioural medicine specialists. BMJ 2015 (315) h5291. (10.1136/bmj.h5291)
- Bundy, C. 2016. The role of clinicians, patients and social factors in poor adherence: creating new understanding and consultation skills to increase adherence and self-management psoriasis patients. Journal of the European Academy of Dermatology and Venereology 30 (S6), pp.24. P034. (10.1111/jdv.13709)
- Bundy, C. et al. 2016. Obesity, low mood, negative beliefs about illness and severity of psoriasis are linked to dysfunctional eating patterns [Abstract]. British Journal of Dermatology 175 (S1), pp.205-206. (10.1111/bjd.14577)
- Chisholm, A. et al., 2016. Evaluation of the IMPACT study practitioner training intervention: using motivational interviewing to optimize self-management in psoriasis [Abstract]. British Journal of Dermatology 175 (S1), pp.205-205. (10.1111/bjd.14577)
- Chisholm, A. et al., 2017. Motivational interviewing-based training enhances clinicians' skills and knowledge in psoriasis: findings from the Pso Well® study. British Journal of Dermatology 176 (3), pp.677-686. (10.1111/bjd.14837)
- Chisholm, A. et al., 2016. The role of personal models in clinical management: exploring health care providers' beliefs about psoriasis. British Journal of Health Psychology 21 (1), pp.114-134. (10.1111/bjhp.12148)
- Chisholm, A. et al., 2016. Distress, misperceptions, poor coping and suicidal ideation in psoriatic arthritis: a qualitative study. Rheumatology 55 (6), pp.1047-1052. (10.1093/rheumatology/kew009)
- Dale, C. et al. 2024. 'Feeling like a second-class citizen': exploring the impact, self-management and existing support for adults living with acne and/or post-inflammatory hyperpigmentation and scarring. British Journal of Dermatology 191 (3), pp.469-470. (10.1093/bjd/ljae190)
- Elliott, J. et al. 2024. Mixed shift rotations, sleep, burnout and well-being in professions similar to radiographers: A systematic review. Radiography 30 (4), pp.1194-1200. (10.1016/j.radi.2024.05.016)
- Ferguson, F. et al., 2016. Diurnal and seasonal variation in psoriasis symptoms [Abstract]. British Journal of Dermatology 175 (S1), pp.50-50. P56. (10.1111/bjd.14524)
- Garrido-Cumbrera, M. et al., 2021. Patient‐reported impact of axial spondyloarthritis on working life: results from the EMAS survey. Arthritis Care and Research 73 (12), pp.1826-1833. (10.1002/acr.24426)
- Garrido-Cumbrera, M. et al., 2021. Impact of axial spondyloarthritis on mental health in Europe: results from the EMAS study. RMD Open 7 (3) e001769. (10.1136/rmdopen-2021-001769)
- Garrido-Cumbrera, M. et al., 2022. Identifying parameters associated with delayed diagnosis in axial spondyloarthritis: data from the European map of axial spondyloarthritis. Rheumatology 61 (2), pp.705-712. keab369. (10.1093/rheumatology/keab369)
- Garrido-Cumbrera, M. et al., 2024. Factors associated with poor mental health in patients with axial spondyloarthritis: results from the International Map of Axial Spondyloarthritis (IMAS). RMD Open 10 (2) e004218. (10.1136/rmdopen-2024-004218)
- Garrido-Cumbrera, M. et al., 2021. Gender differences in patient journey to diagnosis and disease outcomes: results from the European Map of Axial Spondyloarthritis (EMAS). Clinical Rheumatology 40 (7), pp.2753-2761. (10.1007/s10067-020-05558-7)
- Garrido-Cumbrera, M. et al., 2024. Do patients with axial spondyloarthritis with active disease suffer from greater disease burden and work impairment? Results from the International Map of Axial Spondyloarthritis (IMAS). Reumatología Clínica (English Edition) 20 (10), pp.547-554. (10.1016/j.reumae.2024.11.009)
- Garrido-Cumbrera, M. et al., 2024. International Map of Axial Spondyloarthritis (IMAS): results from the perspective of 5557 patients from 27 countries around the globe. RMD Open 10 e003504. (10.1136/rmdopen-2023-003504)
- Garrido-Cumbrera, M. et al., 2024. Regional differences in diagnosis journey and healthcare utilization: Results from the International Map of Axial Spondyloarthritis (IMAS). Rheumatology and Therapy 11 (4), pp.927-945. (10.1007/s40744-024-00672-3)
- Gratacós, J. et al., 2021. A 12-point recommendation framework to support advancement of the multidisciplinary care of psoriatic arthritis: a call to action. Joint Bone Spine 88 (3) 105175. (10.1016/j.jbspin.2021.105175)
- Hailey, L. et al., 2023. The top 10 research priorities in psoriatic arthritis: a James Lind alliance priority setting partnership. Rheumatology 62 (8), pp.2716-2723. (10.1093/rheumatology/keac676)
- Hailey, L. H. et al., 2023. Lifestyle modifications and nonpharmacologic interventions to improve outcomes in psoriatic arthritis: A systematic review. Clinical Therapeutics 45 (9), pp.841-851. (10.1016/j.clinthera.2023.05.009)
- Hailey, L. H. et al., 2023. Developing evidence-based patient focused learning materials to support health behaviour change for people living with psoriatic arthritis. RMD Open 9 (3) e003190. (10.1136/rmdopen-2023-003190)
- Henry, A. L. et al., 2019. Understanding the experience of sleep disturbance in psoriasis:a qualitative exploration using the Common-Sense Model of Self-Regulation. British Journal of Dermatology 180 (6), pp.1397-1404. (10.1111/bjd.17685)
- Henry, A. L. et al., 2017. A cross-sectional survey of the nature and correlates of sleep disturbance in people with psoriasis. British Journal of Dermatology 177 (4), pp.1052-1059. (10.1111/bjd.15469)
- Henry, A. L. et al., 2016. A survey of sleep disturbance in psoriasis [Abstract]. British Journal of Dermatology 175 (S1), pp.206-206. (10.1111/bjd.14577)
- Henry, A. L. , Bundy, C. and Kyle, S. D. 2016. A call for improved sleep research in psoriasis populations. International Journal of Dermatology 55 (5), pp.e312. (10.1111/ijd.13192)
- Henry, A. L. et al., 2016. Measurement, classification and evaluation of sleep disturbance in psoriasis: a systematic review. PLoS ONE 11 (6) e0157843. (10.1371/journal.pone.0157843)
- Hewitt, R. M. and Bundy, C. 2021. New technology use needs patient input. British Journal of Dermatology 185 (5), pp.880-881. (10.1111/bjd.20634)
- Hewitt, R. et al. 2022. Covid-19 Coping Survey: an in-depth qualitative analysis of free-text responses from people with and without existing health conditions in the UK. International Journal of Behavioral Medicine 29 , pp.743-751. (10.1007/s12529-022-10055-z)
- Hewitt, R. et al. 2020. The importance of source credibility for recruiting underrepresented groups in health research: Insights from the Covid-19 coping survey. Health Psychology Update 29 , pp.48-49.
- Hewitt, R. M. et al. 2022. How do dermatologists’ personal models inform a patient–centred approach to management: a qualitative study using the example of prescribing a new treatment (Apremilast). British Journal of Dermatology 187 (1), pp.82-88. (10.1111/bjd.21029)
- Hewitt, R. M. et al. 2024. A qualitative exploration of the impact, management, and existing psychological support available for adults living with skin conditions. Acta Dermato-Venereologica 104 adv40657. (10.2340/actadv.v104.40657)
- Hewitt, R. M. et al. 2025. A qualitative exploration of the prospective acceptability of the MiDerm app; a complex digital intervention for adults living with skin conditions. British Journal of Health Psychology 30 (1) e12778. (10.1111/bjhp.12778)
- Hewitt, R. M. et al. 2021. Implementation of the PsoWell™ model for the management of people with complex psoriasis. Acta Dermato-Venereologica 101 (4) adv00445. (10.2340/00015555-3802)
- Hewitt, R. M. et al. 2022. A mixed methods systematic review of digital interventions to support the psychological health and well-being of people living with dermatological conditions. Frontiers in Medicine (10.3389/fmed.2022.1024879)
- Hewitt, R. M. , Purcell, C. and Bundy, C. 2022. Safeguarding online research integrity: concerns from recent experiences. British Journal of Dermatology 187 (6), pp.999-1000. (10.1111/bjd.21765)
- Hewitt, R. M. et al. 2022. A UK online survey exploring patient perspectives of remote consultations for managing psoriasis and psoriatic arthritis during the SARS-CoV-2 pandemic. Psychology, Health and Medicine (10.1080/13548506.2022.2104883)
- Hewitt, R. M. et al. 2022. Online survey comparing coping responses to SARS-CoV-2 by people with and without existing health conditions in the UK. BMJ Open 12 (2) e051575. (10.1136/bmjopen-2021-051575)
- Howells, L. et al., 2016. The role of beliefs, mood, coping strategies, disease severity and quality of life in patients living with psoriatic arthritis [Abstract]. British Journal of Dermatology 175 (S1), pp.53. P62. (10.1111/bjd.14524)
- Howells, L. et al., 2021. Thematic synthesis of the experiences of people with Hidradenitis Suppurativa: a systematic review. British Journal of Dermatology 185 (5), pp.921-934. (10.1111/bjd.20523)
- Howells, L. et al., 2017. Impact of disease severity, illness beliefs, and coping strategies on outcomes in psoriatic arthritis. Arthritis Care & Research 70 (2), pp.295-302. (10.1002/acr.23330)
- Hudson, J. L. et al., 2016. What are the combined effects of negative emotions and illness cognitions on self-care in people with type 2 diabetes? A longitudinal structural equation model. Psychology and Health 31 (7), pp.873-890. (10.1080/08870446.2016.1156113)
- James, L. et al., 2025. Psoriatic Arthritis Priority Setting Partnership: patient- and clinician-informed considerations for future UK health service delivery. Rheumatology 64 (7), pp.4335-4340. keae680. (10.1093/rheumatology/keae680)
- James, L. et al., 2024. The impact of psoriatic arthritis on quality of life: a systematic review. Therapeutic Advances in Musculoskeletal Disease 16 (10.1177/1759720X241295920)
- Keyworth, C. et al., 2018. Does message framing affect changes in behavioural intentions in people with psoriasis? A randomized exploratory study examining health risk communication. Psychology, Health and Medicine 23 (7), pp.763-778. (10.1080/13548506.2018.1427876)
- Kitchen, H. et al., 2015. Rasch analysis of a new Patient Reported Outcome Measure for Psoriasis Treatment (PROMPT). Value in Health 18 (3), pp.A184-A184. (10.1016/j.jval.2015.03.1066)
- Kitchen, H. et al., 2015. Content development and refinement for a new Patient reported outcome measure for Psoriasis Treatment (PROMPT). Value in Health 18 (3), pp.A184-A185. (10.1016/j.jval.2015.03.1067)
- Kleyn, C. et al., 2020. Psoriasis and mental health workshop report: exploring the links between psychosocial factors, psoriasis, neuroinflammation and cardiovascular disease risk. Acta Dermato-Venereologica 100 , pp.1-8. 00020. (10.2340/00015555-3375)
- Marzo-Ortega, H. et al., 2025. EULAR points to consider and consensus definitions for difficult-to-manage and treatment-refractory psoriatic arthritis. Annals of the Rheumatic Diseases (10.1016/j.ard.2025.10.002)
- Navarro‐Compán, V. et al., 2024. Females with axial spondyloarthritis have longer diagnostic delay and higher burden of the disease. Results from the International Map of Axial Spondyloarthritis (IMAS). International Journal of Rheumatic Diseases 27 (12) e15433. (10.1111/1756-185x.15433)
- Nelson, P. A. et al., 2016. Development and evaluation of the IMPACT programme patient resources to increase understanding of psoriasis and its management: a mixed-methods feasibility study [Abstract]. British Journal of Dermatology 175 (S1), pp.210-210. (10.1111/bjd.14577)
- Nelson, P. A. et al., 2017. 'New to me': changing patient understanding of psoriasis and identifying mechanisms of change. The Pso Well (R) patient materials mixed-methods feasibility study. British Journal of Dermatology 177 (3), pp.758-770. (10.1111/bjd.15574)
- Nelson, P. et al., 2015. The IMPACT Programme in Psoriasis: Phase I - where we are now and future directions. Dermatological Nursing 14 (4), pp.37-44.
- Pattinson, R. et al. 2022. Exploring beliefs and distress in patients with facial palsies. Psychology, Health and Medicine 27 (4), pp.788-802. (10.1080/13548506.2021.1876891)
- Pattinson, R. et al. 2022. POSB369 development of the patient-reported impact of dermatological diseases (PRIDD) measure [Abstract]. Value in Health 25 (1) S232. (10.1016/j.jval.2021.11.1136)
- Pattinson, R. et al. 2016. Stress perception impacts on clinical signs of skin ageing and modifies the epigenome. Journal of Investigative Dermatology 136 (9), pp.S171. 062. (10.1016/j.jid.2016.06.079)
- Pattinson, R. et al. 2022. Development of a conceptual framework for a patient-reported impact of dermatological diseases (PRIDD) measure: A qualitative concept elicitation study. Acta Dermato-Venereologica 102 (10.2340/actadv.v102.2401)
- Pattinson, R. et al. 2024. Measurement properties and interpretability of the Patient-Reported Impact of Dermatological Diseases (PRIDD) measure. British Journal of Dermatology 191 , pp.936-948. (10.1093/bjd/ljae267)
- Pattinson, R. et al. 2022. P8 patient prioritisation of items for the new Patient-Reported Impact of Dermatological Diseases (PRIDD) measure: A Delphi study [Abstract]. Value in Health 25 (7), pp.S288. (10.1016/j.jval.2022.04.1726)
- Pattinson, R. et al. 2023. Evidence of the content validity, acceptability, and feasibility of a new patient-reported impact of dermatological diseases (PRIDD) measure. Frontiers in Medicine 10 1020523. (10.3389/fmed.2023.1020523)
- Pattinson, R. et al. 2024. Further refinement of the Patient-Reported Impact of Dermatological Diseases (PRIDD) measure using classical test theory and item response theory. British Journal of Dermatology 190 (5), pp.718-728. ljad487. (10.1093/bjd/ljad487)
- Pattinson, R. L. et al. 2021. Patient-reported outcome measures in dermatology: a systematic review. Acta Dermato-Venereologica 101 (9) adv00559. (10.2340/00015555-3884)
- Poddubnyy, D. et al., 2025. Diagnostic delay in patients from the international map of axial spondyloarthritis: geographic, socio-demographic and disease-related factors. Rheumatology 64 (4), pp.1873-1879. (10.1093/rheumatology/keae521)
- Poddubnyy, D. et al., 2025. The Assessment of SpondyloArthritis International Society (ASAS) consensus-based expert definition of difficult-to-manage, including treatment-refractory, axial spondyloarthritis.. Annals of the Rheumatic Diseases 84 (4), pp.538-546. (10.1016/j.ard.2025.01.035)
- Sadiq, S. A. et al., 2020. Psychological distress and coping following eye removal surgery. Orbit 39 (3), pp.175-182. (10.1080/01676830.2019.1658789)
- Schwartz, J. et al., 2016. Getting under the skin: report from the International Psoriasis Council workshop on the role of stress in psoriasis. Frontiers in Psychology 7 87. (10.3389/fpsyg.2016.00087)
- Shipowick, T. et al., 2025. Mental health and well‐being support for individuals living with skin conditions: A global landscape analysis of patient needs and current resources. JEADV Clinical Practice 4 (2), pp.595-611. (10.1002/jvc2.606)
- Temeng, E. et al. 2024. Nurses' coping strategies caring for patients during severe viral pandemics: A mixed methods systematic review. Journal of Clinical Nursing. 33 (1), pp.242-254. (10.1111/jocn.16711)
- Thaci, D. et al., 2016. Improvements in health-related quality of life and symptoms of depression with tofacitinib: results from two randomized phase 3 studies in patients with moderate to severe psoriasis. Journal of the American Academy of Dermatology 74 (5:S1), pp.AB255-AB255. (10.1016/j.jaad.2016.02.992)
- Theodorakopoulou, E. et al., 2016. Early- and late-onset psoriasis: a cross-sectional clinical and immunocytochemical investigation. British Journal of Dermatology 175 (5), pp.1038-1044. (10.1111/bjd.14886)
- Thomas, B. et al. 2024. Somatosensory processing in long COVID fatigue and its relations with physiological and psychological factors. Experimental Physiology 109 (10), pp.1637-1649. (10.1113/ep091988)
- Thomas, B. et al. 2024. Defining and measuring Long COVID fatigue – a scoping review. BMJ Open 14 e088530. (10.1136/bmjopen-2024-088530)
- Thomas, B. et al. 2024. Definitions and measures of long COVID fatigue in adults: a scoping review protocol. JBI Evidence Synthesis 22 (3), pp.481-488. (10.11124/jbies-23-00277)
- Thorneloe, R. J. et al., 2017. Nonadherence to psoriasis medication as an outcome of limited coping resources and conflicting goals: findings from a qualitative interview study with people with psoriasis. British Journal of Dermatology 176 (3), pp.667-676. (10.1111/bjd.15086)
- Trialonis-Suthakharan, N. et al., 2023. Patient prioritisation of impact items to develop the patient-reported impact of dermatological diseases (PRIDD) measure: European Delphi data. Journal of the European Academy of Dermatology and Venereology 37 (7), pp.40-50. (10.1111/jdv.19266)
- Trialonis‐Suthakharan, N. et al., 2024. Patient prioritisation of items to develop the Patient‐Reported Impact of Dermatological Diseases measure: A global Delphi study. Journal of the European Academy of Dermatology and Venereology 38 (7), pp.1391-1400. (10.1111/jdv.19903)
- Watts, T. et al. 2023. Registered Nurses' and nursing students' perspectives on moral distress and its effects: a mixed-methods systematic review and thematic synthesis. Nursing Open 10 (9), pp.6014-6032. (10.1002/nop2.1913)
- Whybrow, D. et al. 2024. The perceived helpfulness and acceptability of a bespoke psychological therapy service for registered nurses experiencing psychological distress: A qualitative study. Journal of Advanced Nursing 80 (12), pp.5029-5038. (10.1111/jan.16160)
Conferences
- Boots, M. , Button, K. and Bundy, C. 2021. Exploring public perception of brief interventions for physical activity, for the management of musculoskeletal pain, in Wales. Physiotherapy. Presented at: Virtual Physiotherapy UK conference OnlineElsevier. (10.1016/j.physio.2021.10.058)
- Kleyn, E. et al., 2017. Real-world experience with apremilast in patients with psoriasis: interim analysis of 104 patients from the APPRECIATE study. Presented at: Psoriasis Gene to Clinic, 8th International Congress The Queen Elizabeth II Conference Centre, London, U.K 30th Nov – 2nd Dec 2017. British Journal of Dermatology. Vol. 177.Vol. 5. Wiley-Blackwell. , pp.E244. (10.1111/bjd.16059)
- Temeng, E. et al. 2022. Nurses' experiences of caring for severely ill patients during infection outbreaks (pandemic / epidemic): a mixed methods systematic review. Presented at: RCN International Nursing Research Conference 2022 Cardiff 5-6 September 2022.
- Watts, T. et al. 2022. Perceived helpfulness of a tiered mental health support intervention for moral distress: a qualitative, exploratory study. Presented at: European Nursing Congress 22: Future Proof Nursing: Nurses as key drivers of change Netherlands 4-7 October 2022.
- Watts, T. et al. 2022. Contributing factors and impacts of moral distress among nurses: a systematic review. Presented at: European Nursing Congress 22: Future Proof Nursing: Nurses as key drivers of change Netherlands 4-7 October 2022.
- Watts, T. et al. 2021. Supportive interventions to mitigate moral distress among nurses: a mixed methods systematic review and narrative synthesis. Presented at: Public Health Wales Research and Evaluation Conference 2021: Research in action: COVID-19 and beyond Online 23 September 2021.
- Watts, T. et al. 2023. The ASSISTANCE STUDY: Moral distress and psychological wellbeing of nurses during the COVID-19 pandemic. Presented at: Royal College of Nursing International Nursing Research Conference Manchester University 6-8 September 2023.
- Watts, T. et al. 2022. Symposium of four papers: Identifying and mitigating moral distress in the nursing workforce: insights from the UK and the United States. Presented at: RCN International Nursing Research Conference Cardiff, UK 5-6 Sept 2022.
- Watts, T. et al. 2023. Addressing moral distress among nurses after the Covid-19 emergency: The ASSISTANCE study. Presented at: Chief Nursing Officer Conference Cardiff 13 October 2023.
- Watts, T. et al. 2023. ASSISTANCE (Addressing moral distress among nurses after the COVID-19 emergency): co-creation of evidence-based guidance to ameliorate moral distress.. Presented at: Chief Nursing Office Wales Conference Cardiff 13 October 2023.
- Watts, T. et al. 2023. Co-creation of evidence-based moral distress guidance for nurses: The ASSISTANCE (Addressing moral distress among nurses after the COVID-19 emergency) Study -Phase 3. Presented at: Chief Nurse Conference Cardiff, UK 13 October 2023.
Monographs
Research
I currently have a number of active, externally funded studies including:
1. Developing a mobile health application for people with serious skin conditions the NEW_ID project
2. Measuring impact of living with long-term conditions the GRIDD study
Patient Reported Impact / Outcomes in serious skin conditions - development of a new global measure of impact (GRIPP)
Behaviour change to reduce risk of long-term conditions
3. Psoriasis and specific co-morbidities
Psoriatic Arthritis and behaviour change;
Eating behaviour, obesity & mood in Psoriasis;
The role of sleep, mood & next-day impact on functioning in Psoriasis
3. Supprting Patient Self-Management
Adherence to medicines and health advice
PsoExpect: identifying the role of expectancy outcomes of new psoriasis medication in medicines adherence
PsoWell: a new model for specialist health care provision
4. Health-care Staff Training & Support - Implementation of the PsoWell model
Devloping a team approach to managment in patients with complex psoriasis using a psychological model to support patient behaviour change.
5. Measuring the impact of SARS-CoV-2 pandemic deployment response among Nursing staff in Wales the ASSISTANCE study
Evaluation of a support package for staff reporting moral injury and accessing the HHP service.
Biography
1984 University of Wales (Cardiff) BSc. Hons Psychology
1990 University of Birmingham PhD Psychology
I held lectureship appointments in Dundee University; Bangor University and the University of Manchester. I held a Senior Lectureship and Readership post at the University of Manchester before locating to Cardiff University as a Professor of Behavioural Medicine/ Health Psychology.
Over the last 30 years I have conducted translational research, applying psychology to inform and improve patient care. My focus is on the role of patient beliefs about long-term conditions and how this impacts on their mood and health behaviour through to interventions that enhance motivation for self-management.
That research has been across long-term conditions and over the last 13 years has focussed on complex psoriasis and psoriatic arthritis. I design and deliver psychological interventions for mood management and behaviour change in long-term conditions and train motivational interviewing skills to health care staff as part of their routine consultations.
I was President of the UK Society for Behavioural Medicine until December 2016 and have served on two NICE clinical guideline development groups. I have over 100 peer review publications including four key reports on the development of NHS patient services. I lead or collaborate on NIHR, industry and patient charity funded research awards totalling over £20M.
Professional memberships
BPS Division of Health Psychology member
UK Society for Behavioural Medicine (Immediate Past president)
International Psoriasis Council Counsellor
Academic positions
Reader Behavioural Medicine University of Manchester
Honorary Professor University of Manchester, UK.
Honorary Consultant Psychologist, Salford Royal Foundation Trust and Central Manchester Foundation Trust, UK.
Committees and reviewing
I am a grant and journal reviewer for a number of bodies.
I am a member of the Welsh Government Technical Advisory Board for International Intelligence on the SARS-CoV-2 Pandemic
Supervisions
- Behaviour change
- Adherence Medicines
- Dermatology
- Inflammatory conditions
- Patient self-management