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Otago Medical School staff profiles

Professor Sarah Romans

PositionEmeritus Professor
DepartmentDepartment of Psychological Medicine (Wellington)
QualificationsMBChB MB, FRANZCP
Research summaryAcademic psychiatry

Research

  • Women's mental health
  • Mood disorders
  • Social networks
  • Childhood and adult abuse
  • Psychiatric epidemiology
  • Sleep in psychiatric disorders

Publications

Every-Palmer, S., Huthwaite, M. A., Elmslie, J. L., Grant, E., & Romans, S. E. (2018). Long-term psychiatric inpatients' perspectives on weight gain, body satisfaction, diet and physical activity: A mixed methods study. BMC Psychiatry, 18, 300. doi: 10.1186/s12888-018-1878-5

Davison, L., Amer, H., Krishnan, J., Seale, E., Young, K., & Romans, S. (2018). Trainee welfare: A New Zealand perspective. Australasian Psychiatry. Advance online publication. doi: 10.1177/1039856218810150

Huthwaite, M., Tucker, M., McBain, L., & Romans, S. (2018). Off label or on trend: A review of the use of quetiapine in New Zealand. New Zealand Medical Journal, 131(1474), 45-50. Retrieved from https://www.nzma.org.nz/journal

Romans, S., & Dennerstein, L. (2017). Women's mental health. In S. Bloch, S. A. Green, A. Janca, P. B. Mitchell & M. Robertson (Eds.), Foundations of clinical psychiatry. (4th ed.) Melbourne, Australia: Melbourne University Press.

Romans, S. E., Clarkson, R. F., Einstein, G., Kreindler, D., Laredo, S., Petrovic, M. J., & Stanley, J. (2017). Crying, oral contraceptive use and the menstrual cycle. Journal of Affective Disorders, 208, 272-277. doi: 10.1016/j.jad.2016.08.044

Edited Book - Research

Romans, S. E., & Seemann, M. V. (Eds.). (2006). Women's mental health: A life-cycle approach. Philadelphia, PA: Lippincott, Williams & Wilkins, 414p.

Romans, S. (Ed.). (1998). Folding Back the Shadows: APerspective on Womens Mental Health.

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Chapter in Book - Research

Romans, S., & Dennerstein, L. (2017). Women's mental health. In S. Bloch, S. A. Green, A. Janca, P. B. Mitchell & M. Robertson (Eds.), Foundations of clinical psychiatry. (4th ed.) Melbourne, Australia: Melbourne University Press.

Romans, S., & Ross, L. E. (2010). Gender and depression. In J. Cairney & D. L. Streiner (Eds.), Mental disorder in Canada: An epidemiological perspective. (pp. 259-285). University of Toronto Press.

Romans, S., & Dennerstein, L. (2000). Psychiatry of women. In S. Bloch & B. S. Singh (Eds.), Foundations of Clinical Psychiatry (second edition). (pp. 393-408). Melbourne: Melbourne University Press.

Romans, S. (1998). Women and Social Relatedness. In S. E. Romans (Ed.), Folding Back the Shadows. A perspective on women's mental health. (pp. 97-114). Dunedin: University of Otago Press.

Martin, J. L., Perrott, K., Morris, E., & Romans, S. (1998). Participation in retrospective child sexual abuse research: Beneficial or harmful? What women think six years later. In L. M. Williams & V. L. Banyard (Eds.), Trauma and Memory. (pp. 149-159). California: Sage Publications.

Romans, S. (1998). Gender Differences in Psychiatric Disorder. In S. E. Romans (Ed.), Folding Back the Shadows. A perspective on women's mental health. (pp. 43-61). Dunedin: University of Otago Press.

Collings, S., & Romans, S. (1998). Women and psychotherapy. In S. Romans (Ed.), Folding Back the Shadows: A Perspective on Women's Mental Health. (pp. 231-250). Dunedin: University of Otago.

Martin, J. L., Morris, E., & Romans, S. (1998). Violence against girls and women: its relevance to mental health. In S. E. Romans (Ed.), Folding Back the Shadows. (pp. 147-162). Dunedin: University of Otago Press.

Romans, S. (1998). Undertaking Research with Women. In S. E. Romans (Ed.), Folding Back the Shadows. A perspective on women's mental health. (pp. 23-34). Dunedin: University of Otago Press.

Romans, S., Martin, J. L., & Morris, E. (1998). Defense styles of women who have experienced child sexual abuse: A comparative community study. In L. M. Williams & V. L. Banyard (Eds.), Trauma and Memory. (pp. 291-298). California: Sage Publications.

Romans, S., Walsh, A. E. S., & Baxter, J. M. (1997). Women. In P. M. Ellis & S. C. D. Collings (Eds.), Mental Health in New Zealand from a Public Health Perspective. (pp. 184-201). Wellington: Ministry of Health.

Clifford, V. A. M., Romans, S., Herbison, G. P., & Dons, D. (1996). Analgesic misuses: a way of women coping. In P. Norris (Ed.), Health-Related Papers from the Sociological Association of Aotearoa Annual Conference, Akaroa, December 1995. (pp. 1-15). Christchurch: Sociology Dept, University of Canterbury.

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Chapter in Book - Other

Dawson, J., Romans, S., Gibbs, A., & Ratter, N. (2005). Ambivalence about community treatment orders (Reprinted from International Journal of Law and Psychiatry, 26, pp. 243-255). In J. Peay (Ed.), Seminal issues in mental health law. (pp. 409-421). Aldershot, England: Ashgate.

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Journal - Research Article

Every-Palmer, S., Huthwaite, M. A., Elmslie, J. L., Grant, E., & Romans, S. E. (2018). Long-term psychiatric inpatients' perspectives on weight gain, body satisfaction, diet and physical activity: A mixed methods study. BMC Psychiatry, 18, 300. doi: 10.1186/s12888-018-1878-5

Huthwaite, M., Tucker, M., McBain, L., & Romans, S. (2018). Off label or on trend: A review of the use of quetiapine in New Zealand. New Zealand Medical Journal, 131(1474), 45-50. Retrieved from https://www.nzma.org.nz/journal

Davison, L., Amer, H., Krishnan, J., Seale, E., Young, K., & Romans, S. (2018). Trainee welfare: A New Zealand perspective. Australasian Psychiatry. Advance online publication. doi: 10.1177/1039856218810150

Romans, S. E., Clarkson, R. F., Einstein, G., Kreindler, D., Laredo, S., Petrovic, M. J., & Stanley, J. (2017). Crying, oral contraceptive use and the menstrual cycle. Journal of Affective Disorders, 208, 272-277. doi: 10.1016/j.jad.2016.08.044

Huthwaite, M., Elmslie, J., Every-Palmer, S., Grant, E., & Romans, S. E. (2017). Obesity in a forensic and rehabilitation psychiatric service: A missed opportunity? Journal of Forensic Practice, 19(4), 269-277. doi: 10.1108/JFP-03-2017-0007

Peiffenberger, A. S., D'Souza, A. J., Huthwaite, M., & Romans, S. E. (2016). The well-being of children of parents with a mental illness: The responsiveness of crisis mental health services in Wellington, New Zealand. Child & Family Social Work, 21(4), 600-607. doi: 10.1111/cfs.12186

MacDonald, J., Garvie, C., Gordon, S., Huthwaite, M., Mathieson, F., Wood, A.-J., & Romans, S. (2015). 'Is it the crime of the century?': Factors for psychiatrists and service users that influence the long-term prescription of hypnosedatives. International Clinical Psychopharmacology, 30(4), 193-201. doi: 10.1097/yic.0000000000000073

Romans, S. E., Kreindler, D., Einstein, G., Laredo, S., Petrovic, M. J., & Stanley, J. (2015). Sleep quality and the menstrual cycle. Sleep Medicine, 16, 489-495. doi: 10.1016/j.sleep.2014.12.001

Li, D. X., Romans, S., De Souza, M. J., Murray, B., & Einstein, G. (2015). Actigraphic and self-reported sleep quality in women: Associations with ovarian hormones and mood. Sleep Medicine, 16(10), 1217-1224. doi: 10.1016/j.sleep.2015.06.009

Huthwaite, M., Miller, H., McCartney, J., & Romans, S. (2014). Dysfunctional cognitions about sleep in psychiatric patients. Journal of Psychiatric Practice, 20(3), 188-195. doi: 10.1097/01.pra.0000450318.14236.36

Romans, S. E., Kreindler, D., Asllani, E., Einstein, G., Laredo, S., Levitt, A., … Stewart, D. E. (2013). Mood and the menstrual cycle. Psychotherapy & Psychosomatics, 82(1), 53-60. doi: 10.1159/000339370

Huthwaite, M. A., Andersson, V., Stanley, J., & Romans, S. E. (2013). Hypnosedative prescribing in outpatient psychiatry. International Clinical Psychopharmacology, 28(4), 157-163. doi: 10.1097/YIC.0b013e32836248f1

Peacey, J., Miller, H., Huthwaite, M. A., & Romans, S. E. (2012). Sleep medication in acute psychiatric illness: Patient's knowledge and prescription patterns in New Zealand. Journal of Nervous & Mental Disease, 200(1), 83-87. doi: 10.1097/NMD.0b013e31823e6552

Schwartz, D. H., Romans, S. E., Meiyappan, S., De Souza, M. J., & Einstein, G. (2012). The role of ovarian steroid hormones in mood. Hormones & Behavior, 62(4), 448-454. doi: 10.1016/j.yhbeh.2012.08.001

Romans, S., Clarkson, R., Einstein, G., Petrovic, M., & Stewart, D. (2012). Mood and the menstrual cycle: A review of prospective data studies. Gender Medicine, 9(5), 361-384. doi: 10.1016/j.genm.2012.07.003

Grigoriadis, S., de Camps Meschino, D., Barrons, E., Bradley, L., Eady, A., Fishell, A., … Romans, S., & Ross, L. E. (2011). Mood and anxiety disorders in a sample of Canadian perinatal women referred for psychiatric care. Archives of Women's Mental Health, 14(4), 325-333. doi: 10.1007/s00737-011-0223-5

Romans, S., Cohen, M., & Forte, T. (2011). Rates of depression and anxiety in urban and rural Canada. Social Psychiatry & Psychiatric Epidemiology, 46(7), 567-575. doi: 10.1007/s00127-010-0222-2

Bellem, A., Meiyappan, S., Romans, S., & Einstein, G. (2011). Measuring estrogens and progestagens in humans: An overview of methods. Gender Medicine, 8(5), 283-299. doi: 10.1016/j.genm.2011.07.001

Thabrew, H., De Sylvav, S., & Romans, S. E. (2011). Evaluating childhood adversity. Advances in Psychosomatic Medicine, 32, 35-57. doi: 10.1159/000330002

Romans, S. (2010). Sexuality in women with schizophrenia. Current Women's Health Reviews, 6(1), 3-11. doi: 10.2174/157340410790979743

Tannenbaum, C., Lexchin, J., Tamblyn, R., & Romans, S. (2009). Indicators for measuring mental health: Towards better surveillance [Indicateurs de mesure pour la santé mentale: Vers une meilleure surveillance]. Healthcare Policy, 5(2), e177-e186.

Hyman, I., Forte, T., Du Mont, J., Romans, S., & Cohen, M. M. (2009). Help-seeking behavior for intimate partner violence among racial minority women in Canada. Women's Health Issues, 19(2), 101-108. doi: 10.1016/j.whi.2008.10.002

Romans, S. E., Asllani, E., Clarkson, R. F., Meiyappan, S., Petrovic, M. J., & Tang, D. (2009). Women's perceptions of influences on their mood. Women & Health, 49(1), 32-49. doi: 10.1080/03630240802708523

Grigoriadis, S., Robinson, G. E., Fung, K., Ross, L. E., Chee, C. Y. I., Dennis, C.-L., & Romans, S. (2009). Traditional postpartum practices and rituals: Clinical implications. Canadian Journal of Psychiatry, 54(12), 834-840.

Romans, S., & Cohen, M. (2008). Unexplained and underpowered: The relationship between psychosomatic disorders and interpersonal abuse: A critical review. Harvard Review of Psychiatry, 16(1), 35-54. doi: 10.1080/10673220801933788

Romans, S. E., & Clarkson, R. F. (2008). Crying as a gendered indicator of depression. Journal of Nervous & Mental Disease, 196(3), 237-243. doi: 10.1097/NMD.0b013e318166350f

Romans, S. E., Cohen, M. M., Forte, T., Du Mont, J., & Hyman, I. (2008). Gender and psychotropic medication use: The role of intimate partner violence. Preventive Medicine, 46(6), 615-621. doi: 10.1016/j.ypmed.2007.07.019

Dennis, C.-L., Fung, K., Grigoriadis, S., Robinson, G. E., Romans, S., & Ross, L. (2007). Traditional postpartum practices and rituals: A qualitative systematic review. Women's Health, 3(4), 487.

Romans, S., Forte, T., Cohen, M. M., Du Mont, J., & Hyman, I. (2007). Who is most at risk for intimate partner violence? A Canadian Population-Based Study. Journal of Interpersonal Violence, 22(12), 1495-1514. doi: 10.1177/0886260507306566

Bennett, H. A., Boon, H. S., Romans, S. E., & Grootendorst, P. (2007). Becoming the best mom that I can: Women's experiences of managing depression during pregnancy: A qualitative study. BMC Women's Health, 7, 13. doi: 10.1186/1472-6874-7-13

Romans, S. E., Tyas, J., Cohen, M. M., & Silverstone, T. (2007). Gender differences in the symptoms of major depressive disorder. Journal of Nervous & Mental Disease, 195(11), 905-911. doi: 10.1097/NMD.0b013e3181594cb7

Cook, R. J., Ortega-Ortiz, A., Romans, S., & Ross, L. E. (2006). Legal abortion for mental health indications. International Journal of Gynecology & Obstetrics, 95(2), 185-190. doi: 10.1016/j.ijgo.2006.07.002

Cohen, M. M., Forte, T., Du Mont, J., Hyman, I., & Romans, S. (2006). Adding insult to injury: Intimate partner violence among women and men reporting activity limitations. Annals of Epidemiology, 16(8), 644-651. doi: 10.1016/j.annepidem.2005.12.005

Hyman, I., Forte, T., Du Mont, J., Romans, S., & Cohen, M. (2006). Help-seeking rates for Intimate Partner Violence (IPV) among Canadian immigrant women. Health Care for Women International, 27(8), 682-694. doi: 10.1080/07399330600817618

Hyman, I., Forte, T., Du Mont, J., Romans, S., & Cohen, M. M. (2006). The association between length of stay in Canada and intimate partner violence among immigrant women. American Journal of Public Health, 96(4), 654-659. doi: 10.2105/AJPH.2004.046409

Romans, S., Dawson, J., Mullen, R., & Gibbs, A. (2004). How mental health clinicians view community treatment orders: A national New Zealand survey. Australian & New Zealand Journal of Psychiatry, 38, 836-841.

Romans, S. E., Martin, J. M., Gendall, K., & Herbison, G. P. (2003). Age of menarche: The role of some psychosocial factors. Psychological Medicine, 33, 933-939.

Dawson, J. B., Romans, S., Gibbs, A., & Ratter, N. (2003). Ambivalence about community treatment orders. International Journal of Law & Psychiatry, 26, 243-255.

Romans, S., Belaise, C., Martin, J. L., Morris, E., & Raffi, A. (2002). Childhood abuse and later medical disorders in women. An epidemiological study. Psychotherapy & Psychosomatics, 71(3), 141-150.

Bathgate, D., Birmingham, B., Curtis, D., & Romans, S. (2001). The views of Otago urban and rural general practitioners on mental health services. New Zealand Medical Journal, 114, 289-291.

Romans, S., Potter, K., Martin, J. L., & Herbison, G. P. (2001). The mental and physical health of female sex workers: A comparative study. Australian & New Zealand Journal of Psychiatry, 35, 75-80.

Dawson, J. B., & Romans, S. (2001). Uses of community treatment orders in New Zealand: Early findings. Australian & New Zealand Journal of Psychiatry, 35, 190-195.

Romans, S. (2001). In that case: Commentary. New Zealand Bioethics Journal, 2(2), 34-35.

Mahmood, T., Romans, S., & Forbes, L. (2001). The future of specialist psychiatric services in rural New Zealand. New Zealand Medical Journal, 114, 294-296.

Romans, S. E., Gendall, K. A., Martin, J. L., & Mullen, P. E. (2001). Child sexual abuse and later disordered eating: A New Zealand epidemiological study. International Journal of Eating Disorders, 29, 380-392.

Elmslie, J. L., Mann, J. I., Silverstone, J. T., Williams, S. M., & Romans, S. E. (2001). Determinants of overweight and obesity in patients with bipolar disorder. Journal of Clinical Psychiatry, 62, 486-491.

Elmslie, J. L., Silverstone, J. T., Mann, J. I., Williams, S. M., & Romans, S. E. (2000). Prevalence of overweight and obesity in bipolar patients. Journal of Clinical Psychiatry, 61, 179-184.

Romans, S., Poore, M. R., & Martin, J. L. (2000). The perpetrators of domestic violence. Medical Journal of Australia, 173, 484-488.

Romans, S. E. (2000). Gender issues in psychiatry. Hong Kong Journal of Psychiatry, 10(4), 7-11.

Potter, K., Martin, J. L., & Romans, S. (1999). Early developmental experiences of female sex workers: a comparative study. Australian & New Zealand Journal of Psychiatry, 33, 935-940.

Mahmood, T., Romans, S., & Silverstone, T. (1999). Prevalence of migraine in bipolar disorder. Journal of Affective Disorders, 52, 239-241.

Mahmood, T., & Romans, S. (1999). Academic psychiatry in the deep South. Psychiatric Bulletin, 23(5), 294-296.

Romans, S., Martin, J. L., Morris, E., & Herbison, G. P. (1999). Psychological defense styles in women who report childhood sexual abuse: a controlled community study. American Journal of Psychiatry, 156, 1080-1085.

Morris, E., Martin, J. L., & Romans, S. (1998). Professional help sought for emotional problems: coping with child sexual abuse in a Dunedin community sample of women. New Zealand Medical Journal, 111, 123-126.

Edmonds, L. K., Mosley, B. J., Admiraal, A., Olds, R. J., Romans, S., Silverstone, T., & Walsh, A. E. S. (1998). Familial bipolar disorder: preliminary results from the Otago Familial Bipolar Genetic Study. Australian & New Zealand Journal of Psychiatry, 32, 823-829.

Perrott, K., Morris, E., Romans, S., & Martin, J. L. (1998). Cognitive copying styles of women sexually abused in childhood. A qualitative study. Child Abuse & Neglect, 22(11), 1135-1149.

Romans, S. E., & Mullen, P. E. (1997). Childhood sexual abuse: concerns and consequences. Medical Journal of Australia, 166(2), 59-60.

Clifford-Walton, V. A., Liepins, R., Romans, S., & Herbison, G. P. (1997). Adapting to change: women, work and the farm. New Zealand Sociology, 12(2), 129-158.

Romans, S., Martin, J. L., & Mullen, P. E. (1997). Childhood sexual abuse and later psychological problems: Neither necessary, sufficient nor acting alone. Criminal Behaviour & Mental Health, 7(4), 327-338.

Romans, S., Martin, J. L., & Morris, E. (1997). Risk factors for adolescent pregnancy: how important is child sexual abuse? Otago Women's Health Study. New Zealand Medical Journal, 110(1037), 30-33.

Romans, S., Martin, J. L., Anderson, J. C., O'Shea, M. L., & Mullen, P. E. (1996). The 'anatomy' of female child sexual abuse: who does what to young girls? Australian & New Zealand Journal of Psychiatry, 30, 319-325.

Silverstone, T., & Romans, S. (1996). Long term treatment of bipolar disorder. Drugs, 51, 367-382.

Mullen, P. E., Martin, J. L., Anderson, J. C., Romans, S. E., & Herbison, G. P. (1996). The long-term impact of the physical, emotional, and sexual abuse of children: A community study. Child Abuse & Neglect, 20(1), 7-21. doi: 10.1016/0145-2134(95)00112-3

Romans, S., Martin, J. L., Anderson, J. C., Herbison, G. P., & Mullen, P. E. (1995). Sexual abuse in childhood and deliberate self-harm. American Journal of Psychiatry, 152, 1336-1342.

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Journal - Research Other

Romans, S. (2013). Asking the unanswerable: Stymied again by the impossibility of sensible controls. Australian & New Zealand Journal of Psychiatry, 47(9), 802-804. doi: 10.1177/0004867413495319

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