36 results on '"van Ballegooijen, Wouter"'
Search Results
2. Symptoms of a feather flock together? An exploratory secondary dynamic time warp analysis of 11 single case time series of suicidal ideation and related symptoms
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de Beurs, Derek, Giltay, Erik J., Nuij, Chani, O’Connor, Rory, de Winter, Remco F.P., Kerkhof, Ad, van Ballegooijen, Wouter, and Riper, Heleen
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- 2024
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3. Assessment of suicidality in trials of psychological interventions for depression: a meta-analysis
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Miguel, Clara, Cecconi, Jessica, Harrer, Mathias, van Ballegooijen, Wouter, Bhattacharya, Shalini, Karyotaki, Eirini, Cuijpers, Pim, Gentili, Claudio, and Cristea, Ioana A
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- 2024
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4. Discovering different profiles in the dynamics of depression based on real–time monitoring of mood: a first exploration
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van Genugten, Claire R., Schuurmans, Josien, van Ballegooijen, Wouter, Hoogendoorn, Adriaan W., Smit, Jan H., and Riper, Heleen
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- 2021
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5. Day-to-day affect fluctuations in adults with childhood trauma history: a two-week ecological momentary assessment study.
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Kuzminskaite, Erika, Vinkers, Christiaan H., Smit, Arnout C., van Ballegooijen, Wouter, Elzinga, Bernet M., Riese, Harriëtte, Milaneschi, Yuri, and Penninx, Brenda W.J.H.
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SEX crimes ,RESEARCH funding ,RETROSPECTIVE studies ,EMOTIONS ,DESCRIPTIVE statistics ,DIARY (Literary form) ,PSYCHOLOGICAL abuse ,AFFECT (Psychology) ,PSYCHOLOGICAL tests ,COMPARATIVE studies ,ADVERSE childhood experiences ,REGRESSION analysis ,ADULTS - Abstract
Background: Childhood trauma (CT) may increase vulnerability to psychopathology through affective dysregulation (greater variability, autocorrelation, and instability of emotional symptoms). However, CT associations with dynamic affect fluctuations while considering differences in mean affect levels across CT status have been understudied. Methods: 346 adults (age = 49.25 ± 12.55, 67.0% female) from the Netherlands Study of Depression and Anxiety participated in ecological momentary assessment. Positive and negative affect (PA, NA) were measured five times per day for two weeks by electronic diaries. Retrospectively-reported CT included emotional neglect and emotional/physical/sexual abuse. Linear regressions determined associations between CT and affect fluctuations, controlling for age, sex, education, and mean affect levels. Results: Compared to those without CT, individuals with CT reported significantly lower mean PA levels (Cohen's d = −0.620) and higher mean NA levels (d = 0.556) throughout the two weeks. CT was linked to significantly greater PA variability (d = 0.336), NA variability (d = 0.353), and NA autocorrelation (d = 0.308), with strongest effects for individuals reporting higher CT scores. However, these effects were entirely explained by differences in mean affect levels between the CT groups. Findings suggested consistency of results in adults with and without lifetime depressive/anxiety disorders and across CT types, with sexual abuse showing the smallest effects. Conclusions: Individuals with CT show greater affective dysregulation during the two-week monitoring of emotional symptoms, likely due to their consistently lower PA and higher NA levels. It is essential to consider mean affect level when interpreting the impact of CT on affect dynamics. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Symptom dimensions of anxiety and their association with mortality, hospitalization and quality of life in dialysis patients
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Schouten, Robbert W., Nadort, Els, Harmse, Victor, Honig, Adriaan, van Ballegooijen, Wouter, Broekman, Birit F.P., and Siegert, Carl E.H.
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- 2020
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7. Temporal stability of symptoms of affective disorders, cognitive vulnerability and personality over time
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Struijs, Sascha Y., Lamers, Femke, Verdam, Mathilde G.E., van Ballegooijen, Wouter, Spinhoven, Philip, van der Does, Willem, and Penninx, Brenda W.J.H.
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- 2020
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8. Guided internet-based transdiagnostic intervention for Indonesian university students with symptoms of anxiety and depression: A pilot study protocol
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Rahmadiana, Metta, Karyotaki, Eirini, Passchier, Jan, Cuijpers, Pim, van Ballegooijen, Wouter, Wimbarti, Supra, and Riper, Heleen
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- 2019
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9. Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis
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van Ballegooijen, Wouter, Eikelenboom, Merijn, Fokkema, Marjolein, Riper, Heleen, van Hemert, Albert M., Kerkhof, Ad J.F.M., Penninx, Brenda W.J.H., and Smit, Jan H.
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- 2019
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10. A network perspective on posttraumatic stress disorder and comorbid borderline personality disorder symptoms.
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Snoek, Aishah, Edens, Roos, van Ballegooijen, Wouter, Dekker, Jack, Beekman, Aartjan TF, and Thomaes, Kathleen
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BORDERLINE personality disorder ,POST-traumatic stress disorder ,SYMPTOMS ,LONGITUDINAL method - Abstract
Copyright of European Journal of Psychotraumatology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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11. Transdiagnostic Internet Intervention for Indonesian University Students With Depression and Anxiety: Evaluation of Feasibility and Acceptability
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Rahmadiana, Metta, Karyotaki, Eirini, Schulte, Mieke, Ebert, David Daniel, Passchier, Jan, Cuijpers, Pim, Berger, Thomas, van Ballegooijen, Wouter, Wimbarti, Supra, and Riper, Heleen
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Psychology ,BF1-990 - Abstract
BackgroundUniversity students with depression and anxiety do not easily receive or seek treatment; therefore, internet-based interventions have been suggested to be a promising way to improve treatment accessibility and availability. However, it has not been examined whether a guided, culturally adapted, transdiagnostic, internet-based intervention is effective for treating symptoms of depression, anxiety, or both among university students in Indonesia. ObjectiveThis study aims to investigate the feasibility (acceptability and satisfaction, usability, and uptake) of a guided, culturally adapted, transdiagnostic, internet-based intervention among university students with symptoms of depression, anxiety, or both in Indonesia. MethodsStudents from Universitas Gadjah Mada, Yogyakarta, Indonesia, were screened for symptoms of depression, anxiety, or both, and filled online informed consent, demographic questionnaires, and a quality of life measure at pretreatment assessment (T0). Subsequently, the participants started the intervention. Seven weeks after T0, the primary outcomes of this feasibility study were analyzed at posttreatment assessment (T1) using the 8-item Client Satisfaction Questionnaire (CSQ-8) and the System Usability Scale (SUS). Mean and SDs for the CSQ-8 and SUS were calculated to examine feasibility. Within-group secondary outcomes (depression, anxiety, and quality of life) were inspected for outliers and normal distribution. Paired-sample t tests were used to investigate differences between time points of secondary outcomes. A mixed-method approach of quantitative and qualitative analyses was adopted. Both the primary and secondary outcomes were additionally explored with an individual semistructured interview and synthesized descriptively. ResultsA total of 50 participants completed the intervention. We found a moderate to high level of satisfaction and acceptability, a slightly below-average level of desirable usability (≥70), and an adherence rate of 52% which was higher than expected given the novelty of the intervention. Results for the secondary outcomes indicated a decrease in depression and anxiety. For depression, the overall mean difference between the 2 time points for depression was 3.92 (95% CI 2.75-5.1; Hedges g 1.15; P
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- 2021
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12. Smartphone-based safety planning and self-monitoring for suicidal patients: Rationale and study protocol of the CASPAR (Continuous Assessment for Suicide Prevention And Research) study
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Nuij, Chani, van Ballegooijen, Wouter, Ruwaard, Jeroen, de Beurs, Derek, Mokkenstorm, Jan, van Duijn, Erik, de Winter, Remco F.P., O'Connor, Rory C., Smit, Jan H., Riper, Heleen, and Kerkhof, Ad
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- 2018
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13. Reliability and validity of the functioning assessment short test for older adults with bipolar disorder (FAST-O)
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Orhan, Melis, Korten, Nicole, Kupka, Ralph, van Oppen, Patricia, Stek, Max, Vieta, Eduard, Schouws, Sigfried, van Ballegooijen, Wouter, and Dols, Annemiek
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- 2020
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14. Tablet-based support for older adults with severe mood disorders treated in an ambulatory geriatric psychiatry setting: Protocol of a feasibility study of the eCare@Home platform
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Schuurmans, Josien, van der Linden, Juliette L., van Ballegooijen, Wouter, Ruwaard, Jeroen, Stek, Max L., Smit, Jan H., and Riper, Heleen
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- 2016
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15. Effects of digital cognitive behavioral therapy for depression on suicidal thoughts and behavior: Protocol for a systematic review and meta-analysis of individual participant data.
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Sander, Lasse Bosse, Beisemann, Marie, Karyotaki, Eirini, van Ballegooijen, Wouter, Cuijpers, Pim, Teismann, Tobias, Doebler, Philipp, Domhardt, Matthias, Baumeister, Harald, and Büscher, Rebekka
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COGNITIVE therapy ,SUICIDAL ideation ,SUICIDAL behavior ,BIBLIOTHERAPY ,DIALECTICAL behavior therapy ,RESEARCH protocols - Abstract
Introduction: Digital cognitive behavioral therapy (i-CBT) interventions for the treatment of depression have been extensively studied and shown to be effective in the reduction of depressive symptoms. However, little is known about their effects on suicidal thoughts and behaviors (STB). Information on the impact of digital interventions on STB are essential for patients' safety because most digital interventions are self-help interventions without direct support options in case of a suicidal crisis. Therefore, we aim to conduct a meta-analysis of individual participant data (IPDMA) to investigate the effects of i-CBT interventions for depression on STB and to explore potential effect moderators. Methods: Data will be retrieved from an established and annually updated IPD database of randomized controlled trials investigating the effectiveness of i-CBT interventions for depression in adults and adolescents. We will conduct a one-stage and a two-stage IPDMA on the effects of these interventions on STB. All types of control conditions are eligible. STB can be measured using specific scales (e.g., Beck scale suicide, BSS) or single items from depression scales (e.g., item 9 of the PHQ-9) or standardized clinical interviews. Multilevel linear regression will be used for specific scales, and multilevel logistic regression will be used for treatment response or deterioration, operationalized as a change in score by at least one quartile from baseline. Exploratory moderator analyses will be conducted at participant, study, and intervention level. Two independent reviewers will assess the risk of bias using the Cochrane Risk of Bias Tool 2. Conclusion: This IPDMA will harness the available data to assess the effects (response and deterioration) of i-CBT interventions for depression interventions on STB. Information about changes in STB is essential to estimate patients' safety when engaging in digital treatment formats. Trial registration: We will pre-register this study with the open science framework after article acceptance to ensure consistency between online registration and the published trial protocol. [ABSTRACT FROM AUTHOR]
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- 2023
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16. Which psychotherapy is most effective and acceptable in the treatment of adults with a (sub)clinical borderline personality disorder? A systematic review and network meta-analysis.
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Setkowski, Kim, Palantza, Christina, van Ballegooijen, Wouter, Gilissen, Renske, Oud, Matthijs, Cristea, Ioana A., Noma, Hisashi, Furukawa, Toshi A., Arntz, Arnoud, van Balkom, Anton J. L. M., and Cuijpers, Pim
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TREATMENT of borderline personality disorder ,SUICIDE risk factors ,PSYCHOLOGY information storage & retrieval systems ,ONLINE information services ,MEDICAL databases ,RELATIVE medical risk ,META-analysis ,MEDICAL information storage & retrieval systems ,SCHEMA therapy ,INTERPERSONAL psychotherapy ,CONFIDENCE intervals ,HUMAN research subjects ,SYSTEMATIC reviews ,PSYCHODYNAMIC psychotherapy ,TREATMENT effectiveness ,SEVERITY of illness index ,RISK assessment ,RESEARCH funding ,DIALECTICAL behavior therapy ,DESCRIPTIVE statistics ,MEDLINE ,TRANSFERENCE (Psychology) ,DATA analysis software ,PSYCHOTHERAPY ,COGNITIVE therapy ,ADULTS - Abstract
A broad range of psychotherapies have been proposed and evaluated in the treatment of borderline personality disorder (BPD), but the question which specific type of psychotherapy is most effective remains unanswered. In this study, two network meta-analyses (NMAs) were conducted investigating the comparative effectiveness of psychotherapies on (1) BPD severity and (2) suicidal behaviour (combined rate). Study drop-out was included as a secondary outcome. Six databases were searched until 21 January 2022, including RCTs on the efficacy of any psychotherapy in adults (⩾18 years) with a diagnosis of (sub)clinical BPD. Data were extracted using a predefined table format. PROSPERO ID:CRD42020175411. In our study, a total of 43 studies (N = 3273) were included. We found significant differences between several active comparisons in the treatment of (sub)clinical BPD, however, these findings were based on very few trials and should therefore be interpreted with caution. Some therapies were more efficacious compared to GT or TAU. Furthermore, some treatments more than halved the risk of attempted suicide and committed suicide (combined rate), reporting RRs around 0.5 or lower, however, these RRs were not statistically significantly better compared to other therapies or to TAU. Study drop-out significantly differed between some treatments. In conclusion, no single treatment seems to be the best choice to treat people with BPD compared to other treatments. Nevertheless, psychotherapies for BPD are perceived as first-line treatments, and should therefore be investigated further on their long-term effectiveness, preferably in head-to-head trials. DBT was the best connected treatment, providing solid evidence of its effectiveness. [ABSTRACT FROM AUTHOR]
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- 2023
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17. A Proof of Concept Study on Individual Trends in Suicidal Ideation: An Ecological Momentary Assessment Study of 5 Patients Over Three Months.
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Nuij, Chani, van Ballegooijen, Wouter, Smit, Arnout C., de Beurs, Derek, de Winter, Remco F. P., O'Connor, Rory C., Kerkhof, Ad, Smit, Jan H., and Riper, Heleen
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SUICIDAL ideation , *ECOLOGICAL momentary assessments (Clinical psychology) , *MENTAL depression , *OUTPATIENTS , *TIME series analysis - Abstract
Background: Suicidal ideation (SI) is a significant and long-lasting mental health problem, with a third of individuals still experiencing SI after two years. To date, most Ecological Momentary Assessment (EMA) studies of SI have assessed its day-to-day course over one to four consecutive weeks and found no consistent trends in average SI severity over time. Aim: The current proof of concept study assessed daily fluctuations of SI over a time span of 3 to 6 months to explore whether individual trends in SI severity could be detected, and if so, if the trajectory of changes were gradual or sudden. The secondary aim was to explore whether changes in SI severity could be detected at an early stage. Method: Five adult outpatients with depression and SI used an EMA app on their smartphone in addition to their regular treatment for 3 to 6 months, where SI was assessed 3 times a day. To detect trends in SI for each patient, three models were tested: a null model, a gradual change model and a sudden change model. To detect changes in SI before a new plateau was reached, Early Warning Signals and Exponentially Weighted Moving Average control charts were used. Results: In each patient, average SI severity had a unique trajectory of sudden and/or gradual changes. Additionally, in some patients, increases in both sudden and gradual SI could be detected at an early stage. Conclusions: The study presents a first indication of unique individual trends in SI severity over a 3 to 6 months period. Though replication in a larger sample is needed to test how well results generalize, a first proof-of-concept is provided that both sudden and gradual changes in SI severity may be detectable at an early stage using the dynamics of time-series data. [ABSTRACT FROM AUTHOR]
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- 2023
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18. The feasibility of using smartphone apps as treatment components for depressed suicidal outpatients.
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Nuij, Chani, van Ballegooijen, Wouter, de Beurs, Derek, de Winter, Remco F. P., Gilissen, Renske, O'Connor, Rory C., Smit, Jan H., Kerkhof, Ad, and Riper, Heleen
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MOBILE apps ,SUICIDAL ideation ,CLIENT satisfaction ,ANXIETY disorders ,OUTPATIENTS ,TELEPHONE interviewing - Abstract
Mental health smartphone apps could increase the safety and self-management of patients at risk of suicide, but it is still unclear whether it is feasible to integrate such apps into routine mental healthcare. This study reports on the feasibility of using a safety planning app (BackUp) and a self-monitoring app (mEMA) as components of the routine treatment of depressed outpatients with suicidal ideation. Clinicians were trained in working with both of the apps, and they invited their eligible patients with suicidal ideation for study participation. Patients used the apps for 3 months and discussed these with their clinician during treatment. Patients completed assessments at baseline (T
0 ), 4 weeks (T1 ) and post-test (T2 , 12 weeks after baseline). Both patients and clinicians also participated in telephone interviews. Feasibility was assessed in terms of usability (score > 70 on System Usability Scale, SUS), acceptability (score > 20 on Client Satisfaction Questionnaire-8, CSQ-8), and uptake (sufficient rates of component completion and app usage in treatment). The sample included 17 adult outpatients (52.9% male, age range 20-50 years) diagnosed with a depressive disorder and suicidal ideation at baseline. BackUp was rated by patients at above the cut-off scores for usability (SUS mean score at T1 75.63 and at T2 77.71) and acceptability (CSQ-8 mean score at T1 23.42 and at T2 23.50). mEMA was similarly rated (SUS mean score at T1 75.83 and at T2 76.25; CSQ-8 mean score at T1 23.92 and at T2 22.75). Telephone interviews with patients and clinicians confirmed the usability and acceptability. The uptake criteria were not met. Our findings suggest that mobile safety planning and mobile self-monitoring can be considered acceptable and usable as treatment components for depressed suicidal outpatients, but the integration of apps into routine treatment needs to be further explored. [ABSTRACT FROM AUTHOR]- Published
- 2022
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19. A Web-Based Stress Management Intervention for University Students in Indonesia (Rileks): Feasibility Study Using a Pretest-Posttest Design.
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Juniar, Dilfa, van Ballegooijen, Wouter, Schulte, Mieke, van Schaik, Anneke, Passchier, Jan, Heber, Elena, Lehr, Dirk, Sadarjoen, Sawitri Supardi, and Riper, Heleen
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STRESS management ,DIGITAL health ,COLLEGE students ,CULTURAL adaptation - Abstract
Background: University students are susceptible to excessive stress. A web-based stress management intervention holds promise to improve stress but is still at a novel stage in Indonesia. Objective: The aim of this paper was to report the feasibility of the intervention we developed--Rileks--among university students in Indonesia in terms of acceptability and usability, and to propose recommendations for future improvements. Methods: A single-group pretest and posttest design was used. Participants with scores of 15 or higher on the stress subscale of the 42-item Depression Anxiety Stress Scales were given access to the intervention (N=68). The main outcome measures were the 8-item Client Satisfaction Questionnaire (CSQ-8) score, the System Usability Scale (SUS) score, and intervention uptake. Participants' experience in each session was evaluated using closed- and open-ended questions for future improvements. Descriptive statistics were used to examine primary outcome and qualitative session evaluations. Participants' responses to each topic of the open questions were summarized. Results: The intervention was evaluated as being satisfactory (CSQ-8 mean score 21.89, SD 8.72; range 8-32). However, the intervention's usability was still below expectation (SUS mean score 62.8, SD 14.74; range 0-100). The core modules were completed by 10 out of 68 participants (15%), and the study dropout rate was 63% (43/68) at postassessment. In general, the module content was rated positively, with some notes for improvement covering content and technical aspects. Conclusions: This study indicates that Rileks is potentially feasible for Indonesian university students. In order to be optimally applied in such a context and before scaling up web-based interventions in Indonesia, in general, further development and refinement are needed. [ABSTRACT FROM AUTHOR]
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- 2022
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20. Internet-Based, Culturally Sensitive, Problem-Solving Therapy for Turkish Migrants With Depression: Randomized Controlled Trial
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Ünlü Ince, Burçin, Cuijpers, Pim, van 't Hof, Edith, van Ballegooijen, Wouter, Christensen, Helen, and Riper, Heleen
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Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundTurkish migrants living in the Netherlands have a high prevalence of depressive disorders, but experience considerable obstacles to accessing professional help. Providing easily accessible Internet treatments may help to overcome these barriers. ObjectiveThe aim of this study was to evaluate the effectiveness of a culturally sensitive, guided, self-help, problem-solving intervention through the Internet for reducing depressive symptoms in Turkish migrants. MethodsA two-armed randomized controlled trial was conducted. The primary outcome measure was the severity of depressive symptoms; secondary outcome measures were somatic symptoms, anxiety, quality of life, and satisfaction with the treatment. Participants were assessed online at baseline, posttest (6 weeks after baseline), and 4 months after baseline. Posttest results were analyzed on the intention-to-treat sample. Missing values were estimated by means of multiple imputation. Differences in clinical outcome between groups were analyzed with a t test. Cohen’s d was used to determine the between-groups effect size at posttreatment and follow-up. ResultsTurkish adults (N=96) with depressive symptoms were randomized to the experimental group (n=49) or to a waitlist control group (n=47). High attrition rates were found among the 96 participants of which 42% (40/96) did not complete the posttest (6 weeks) and 62% (59/96) participants did not complete the follow-up assessment at 4 months. No significant difference between the experimental group and the control group was found for depression at posttest. Recovery occurred significantly more often in the experimental group (33%, 16/49) than in the control group (9%, 4/47) at posttest (P=.02). Because of the high attrition rate, a completers-only analysis was conducted at follow-up. The experimental group showed significant improvement in depression compared to the control group both at posttest (P=.01) and follow-up (P=.01). ConclusionsThe results of this study did not show a significant effect on the reduction of depressive symptoms. However, the effect size at posttest was high, which might be an indicator of the possible effectiveness of the intervention when assessed in a larger sample and robust trial. Future research should replicate our study with adequately powered samples. Trial RegistrationDutch Trial Register: NTR2303. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2303 (Archived by WebCite at http://www.webcitation.org/6IOxNgoDu).
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- 2013
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21. An Internet-Based Guided Self-Help Intervention for Panic Symptoms: Randomized Controlled Trial
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van Ballegooijen, Wouter, Riper, Heleen, Klein, Britt, Ebert, David Daniel, Kramer, Jeannet, Meulenbeek, Peter, and Cuijpers, Pim
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Computer applications to medicine. Medical informatics ,R858-859.7 ,Public aspects of medicine ,RA1-1270 - Abstract
BackgroundInternet-based guided self-help is efficacious for panic disorder, but it is not known whether such treatment is effective for milder panic symptoms as well. ObjectiveTo evaluate the effectiveness of Don’t Panic Online, an Internet-based self-help course for mild panic symptoms, which is based on cognitive behavioral principles and includes guidance by email. MethodsA pragmatic randomized controlled trial was conducted. Participants (N=126) were recruited from the general population and randomized to either the intervention group or to a waiting-list control group. Inclusion criteria were a Panic Disorder Severity Scale-Self Report (PDSS-SR) score between 5-15 and no suicide risk. Panic symptom severity was the primary outcome measure; secondary outcome measures were anxiety and depressive symptom severity. Measurements were conducted online and took place at baseline and 12 weeks after baseline (T1). At baseline, diagnoses were obtained by telephone interviews. ResultsAnalyses of covariance (intention-to-treat) showed no significant differences in panic symptom reduction between groups. Completers-only analyses revealed a moderate effect size in favor of the intervention group (Cohen’s d=0.73, P=.01). Only 27% of the intervention group finished lesson 4 or more (out of 6). Nonresponse at T1 was high for the total sample (42.1%). Diagnostic interviews showed that many participants suffered from comorbid depression and anxiety disorders. ConclusionsThe Internet-based guided self-help course appears to be ineffective for individuals with panic symptoms. However, intervention completers did derive clinical benefits from the intervention. Trial RegistrationNederlands Trial Register: NTR1639; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1639 (Archived by WebCite at http://www.webcitation.org/6ITZPozs9).
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- 2013
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22. Safety planning-type interventions for suicide prevention: meta-analysis.
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Nuij, Chani, van Ballegooijen, Wouter, de Beurs, Derek, Juniar, Dilfa, Erlangsen, Annette, Portzky, Gwendolyn, O'Connor, Rory C., Smit, Johannes H., Kerkhof, Ad, and Riper, Heleen
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SUICIDE prevention ,SUICIDAL ideation ,SUICIDE ,META-analysis ,SYSTEMATIC reviews - Abstract
Background: Safety planning-type interventions (SPTIs) for patients at risk of suicide are often used in clinical practice, but it is unclear whether these interventions are effective.Aims: This article reports on a meta-analysis of studies that have evaluated the effectiveness of SPTIs in reducing suicidal behaviour and ideation.Method: We searched Medline, EMBASE, PsycINFO, Web of Science and Scopus from their inception to 9 December 2019, for studies that compared an SPTI with a control condition and had suicidal behaviour or ideation as outcomes. Two researchers independently extracted the data. To assess suicidal behaviour, we used a random-effects model of relative risk based on a pooled measure of suicidal behaviour. For suicidal ideation, we calculated effect sizes with Hedges' g. The study was registered at PROSPERO (registration number CRD42020129185).Results: Of 1816 unique abstracts screened, 6 studies with 3536 participants were eligible for analysis. The relative risk of suicidal behaviour among patients who received an SPTI compared with control was 0.570 (95% CI 0.408-0.795, P = 0.001; number needed to treat, 16). No significant effect was found for suicidal ideation.Conclusions: To our knowledge, this is the first study to report a meta-analysis on SPTIs for suicide prevention. Results support the use of SPTIs to help preventing suicidal behaviour and the inclusion of SPTIs in clinical guidelines for suicide prevention. We found no evidence for an effect of SPTIs on suicidal ideation, and other interventions may be needed for this purpose. [ABSTRACT FROM AUTHOR]- Published
- 2021
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23. The effects of an Internet based self-help course for reducing panic symptoms - Don't Panic Online: study protocol for a randomised controlled trial
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Kramer Jeannet, van Straten Annemieke, Riper Heleen, van Ballegooijen Wouter, Conijn Barbara, and Cuijpers Pim
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Medicine (General) ,R5-920 - Abstract
Abstract Background Internet based self-help for panic disorder (PD) has proven to be effective. However, studies so far have focussed on treating a full-blown disorder. Panic symptoms that do not meet DSM-IV criteria are more prevalent than the full-blown disorder and patients with sub-clinical panic symptoms are at risk of developing PD. This study is a randomised controlled trial aimed to evaluate an Internet based self-help intervention for sub-clinical and mild PD compared to a waiting list control group. Methods Participants with mild or sub-clinical PD (N = 128) will be recruited in the general population. Severity of panic and anxiety symptoms are the primary outcome measures. Secondary outcomes include depressive symptoms, quality of life, loss of production and health care consumption. Assessments will take place on the Internet at baseline and three months after baseline. Discussion Results will indicate the effectiveness of Internet based self-help for sub-clinical and mild PD. Strengths of this design are the external validity and the fact that it is almost completely conducted online. Trial registration Netherlands Trial Register (NTR): NTR1639 The Netherlands Trial Register is part of the Dutch Cochrane Centre.
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- 2011
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24. Dimensions of Depressive Symptoms and Their Association With Mortality, Hospitalization, and Quality of Life in Dialysis Patients: A Cohort Study.
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Schouten, Robbert W., Harmse, Victor J., Dekker, Friedo W., van Ballegooijen, Wouter, Siegert, Carl E.H., and Honig, Adriaan
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- 2019
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25. Reactivity to smartphone-based ecological momentary assessment of depressive symptoms (MoodMonitor): protocol of a randomised controlled trial.
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van Ballegooijen, Wouter, Ruwaard, Jeroen, Karyotaki, Eirini, Ebert, David D., Smit, Johannes H., and Riper, Heleen
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DIAGNOSIS of mental depression , *ECOLOGICAL momentary assessments (Clinical psychology) , *SMARTPHONES , *MEDICAL protocols , *RANDOMIZED controlled trials - Abstract
Background: Ecological momentary assessment (EMA) of mental health symptoms may influence the symptoms that it measures, i.e. assessment reactivity. In the field of depression, EMA reactivity has received little attention. We aim to investigate whether EMA of depressive symptoms induces assessment reactivity. Reactivity will be operationalised as an effect of EMA on depressive symptoms measured by a retrospective questionnaire, and, secondly, as a change in response rate and variance of the EMA ratings. Methods: This study is a 12-week randomised controlled trial comprising three groups: group 1 carries out EMA of mood and completes a retrospective questionnaire, group 2 carries out EMA of how energetic they feel and completes a retrospective questionnaire, group 3 is the control group, which completes only the retrospective questionnaire. The retrospective questionnaire (Centre for Epidemiologic Studies Depression scale; CES-D) assesses depressive symptoms and is administered at baseline, 6 weeks after baseline and 12 weeks after baseline. We aim to recruit 160 participants who experience mild to moderate depressive symptoms, defined as a Patient Health Questionnaire (PHQ-9) score of 5 to 15. This study is powered to detect a small between-groups effect, where no clinically relevant effect is defined as the effect size margin -0.25< d <0.25. Discussion: To our knowledge, this is the first study to investigate whether self-rated EMA of depressive symptoms could induce assessment reactivity among mildly depressed individuals. [ABSTRACT FROM AUTHOR]
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- 2016
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26. Validation of online psychometric instruments for common mental health disorders: a systematic review.
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van Ballegooijen, Wouter, Riper, Heleen, Cuijpers, Pim, van Oppen, Patricia, and Smit, Johannes H.
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MENTAL health services , *ANXIETY disorders , *MENTAL depression , *MEDICAL research ,PSYCHIATRIC research - Abstract
Background: Online questionnaires for measuring common mental health disorders such as depression and anxiety disorders are increasingly used. The psychometrics of several pen-and-paper questionnaires have been re-examined for online use and new online instruments have been developed and tested for validity as well. This study aims to review and synthesise the literature on this subject and provide a framework for future research. Methods: We searched Medline and PsycINFO for psychometric studies on online instruments for common mental health disorders and extracted the psychometric data. Studies were coded and assessed for quality by independent raters. Results: We included 56 studies on 62 online instruments. For common instruments such as the CES-D, MADRS-S and HADS there is mounting evidence for adequate psychometric properties. Further results are scattered over different instruments and different psychometric characteristics. Few studies included patient populations. Conclusions: We found at least one online measure for each of the included mental health disorders and symptoms. A small number of online questionnaires have been studied thoroughly. This study provides an overview of online instruments to refer to when choosing an instrument for assessing common mental health disorders online, and can structure future psychometric research. [ABSTRACT FROM AUTHOR]
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- 2016
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27. Adherence to Internet-Based and Face-to-Face Cognitive Behavioural Therapy for Depression: A Meta-Analysis.
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van Ballegooijen, Wouter, Cuijpers, Pim, van Straten, Annemieke, Karyotaki, Eirini, Andersson, Gerhard, Smit, Jan H., and Riper, Heleen
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COGNITIVE therapy , *MENTAL depression , *THERAPEUTICS , *TREATMENT effectiveness , *MEDICAL databases , *CLINICAL trials , *PATIENT compliance - Abstract
Background: Internet-based cognitive behavioural therapy (iCBT) is an effective and acceptable treatment for depression, especially when it includes guidance, but its treatment adherence has not yet been systematically studied. We conducted a meta-analysis, comparing the adherence to guided iCBT with the adherence to individual face-to-face CBT. Methods: Studies were selected from a database of trials that investigate treatment for adult depression (see www.evidencebasedpsychotherapies.org), updated to January 2013. We identified 24 studies describing 26 treatment conditions (14 face-to-face CBT, 12 guided iCBT), by means of these inclusion criteria: targeting depressed adults, no comorbid somatic disorder or substance abuse, community recruitment, published in the year 2000 or later. The main outcome measure was the percentage of completed sessions. We also coded the percentage of treatment completers (separately coding for 100% or at least 80% of treatment completed). Results: We did not find studies that compared guided iCBT and face-to-face CBT in a single trial that met our inclusion criteria. Face-to-face CBT treatments ranged from 12 to 28 sessions, guided iCBT interventions consisted of 5 to 9 sessions. Participants in face-to-face CBT completed on average 83.9% of their treatment, which did not differ significantly from participants in guided iCBT (80.8%, P = .59). The percentage of completers (total intervention) was significantly higher in face-to-face CBT (84.7%) than in guided iCBT (65.1%, P < .001), as was the percentage of completers of 80% or more of the intervention (face-to-face CBT: 85.2%, guided iCBT: 67.5%, P = .003). Non-completers of face-to-face CBT completed on average 24.5% of their treatment, while non-completers of guided iCBT completed on average 42.1% of their treatment. Conclusion: We did not find studies that compared guided iCBT and face-to-face CBT in a single trial. Adherence to guided iCBT appears to be adequate and could be equal to adherence to face-to-face CBT. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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28. Efficacy of a hybrid online training for panic symptoms and agoraphobia: study protocol for a randomized controlled trial.
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Ebenfeld, Lara, Stegemann, Stefan Kleine, Lehr, Dirk, Ebert, David Daniel, Jazaieri, Hooria, van Ballegooijen, Wouter, Funk, Burkhardt, Riper, Heleen, and Berking, Matthias
- Abstract
Background: Recently, internet-based interventions have been proposed as effective treatments for people with panic disorder (PD). However, little is known about the clinical effects of integrating mobile technology into these interventions. Because users carry their smartphones with them throughout the day, we hypothesize that this technology can be used to significantly support individuals with monitoring and overcoming their PD symptoms. The aim of the present study is to evaluate the efficacy and cost-effectiveness of a newly developed hybrid intervention that combines internet/PC with smartphone delivery to treat the symptoms of PD. The intervention is based on cognitive behavioral therapy and consists of six modules over a total of six weeks. Methods/Design: A two-arm randomized controlled trial (RCT) will be conducted to evaluate the effects of a hybrid online training module for PD. Based on a power calculation (d =0.60; 1-β of 80%; α =0.05), 90 participants with mild to moderate panic symptoms with or without agoraphobia (as assessed by the Panic and Agoraphobia Scale) will be recruited from the general population and randomly assigned to either the intervention group or a six-month waitlist control group. The primary outcome measure will be the severity of panic symptoms. Secondary outcomes will include depression, quality of life, and an observer-based rating of panic severity. Furthermore, data regarding acceptance and the usability of the smartphone app will be assessed. Assessments will take place at baseline as well as eight weeks, three months, and six months after randomization. Moreover, a cost-effectiveness analysis will be performed from a societal perspective. Data will be analyzed on an intention-to-treat basis and per protocol. Discussion: To our knowledge, this RCT is one of the first to examine the efficacy of a hybrid online training for adult PD. This study seeks to contribute to the emerging field of hybrid online training. If the intervention is efficacious, then research on this hybrid online training should be extended. The cost-effectiveness analysis will also indicate whether online training is an economical tool for treating PD among adults. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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29. The effects of an Internet based self-help course for reducing panic symptoms-Don't Panic Online: study protocol for a randomised controlled trial.
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van Ballegooijen, Wouter, Riper, Heleen, van Straten, Annemieke, Kramer, Jeannet, Conijn, Barbara, and Cuijpers, Pim
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PANIC disorders , *MENTAL depression , *ANXIETY , *QUALITY of life , *MEDICAL care - Abstract
Background: Internet based self-help for panic disorder (PD) has proven to be effective. However, studies so far have focussed on treating a full-blown disorder. Panic symptoms that do not meet DSM-IV criteria are more prevalent than the full-blown disorder and patients with sub-clinical panic symptoms are at risk of developing PD. This study is a randomised controlled trial aimed to evaluate an Internet based self-help intervention for subclinical and mild PD compared to a waiting list control group. Methods: Participants with mild or sub-clinical PD (N = 128) will be recruited in the general population. Severity of panic and anxiety symptoms are the primary outcome measures. Secondary outcomes include depressive symptoms, quality of life, loss of production and health care consumption. Assessments will take place on the Internet at baseline and three months after baseline. Discussion: Results will indicate the effectiveness of Internet based self-help for sub-clinical and mild PD. Strengths of this design are the external validity and the fact that it is almost completely conducted online. [ABSTRACT FROM AUTHOR]
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- 2011
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30. Characteristics Associated with Non-Disclosure of Suicidal Ideation in Adults.
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Mérelle, Saskia, Foppen, Elise, Gilissen, Renske, Mokkenstorm, Jan, Cluitmans, Resi, and Van Ballegooijen, Wouter
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- 2018
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31. General distress and symptoms of anxiety and depression: A factor analysis in two cohorts of dialysis patients.
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Schouten, Robbert W., Nadort, Els, van Ballegooijen, Wouter, Loosman, Wim L., Honig, Adriaan, Siegert, Carl E.H., Meuleman, Yvette, and Broekman, Birit F.P.
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ANXIETY diagnosis , *DIAGNOSIS of mental depression , *PSYCHOLOGICAL distress , *FACTOR analysis , *HEMODIALYSIS patients , *LONGITUDINAL method , *MATHEMATICAL models , *SCIENTIFIC observation , *PSYCHOLOGICAL tests , *PSYCHOLOGY , *SELF-evaluation , *PSYCHOSOCIAL factors - Abstract
Depression and anxiety often coexist in patients with end-stage-kidney disease. Recently, studies showed that a composite 'general distress score' which combines depression and anxiety symptoms provides a good fit in dialysis and oncology patients. We aim to investigate if the three most frequently used self-report questionnaires to measure depression and anxiety in dialysis patients are sufficiently unidimensional to warrant the use of such a general distress score in two cohorts of dialysis patients. This study includes two prospective observational cohorts of dialysis patients (total n = 749) which measured depression and anxiety using Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Hospital Anxiety and Depression Scale (HADS). Confirmatory factor analyses was used to investigate both a strictly unidimensional model and a multidimensional bifactor model that includes a general distress, depression and anxiety factor. The comparative fit index (CFI) and The Root Mean Square Error of Approximation (RMSEA) were used as model fit indices. Factor analysis did not show a good fit for a strictly unidimensional general distress factor for both the BDI/BAI and HADS (CFI 0.690 and 0.699, RMSEA 0.079 and 0.125 respectively). The multidimensional model performed better with a moderate fit for the BDI/BAI and HADS (CFI 0.873 and 0.839, RMSEA 0.052 and 0.102). This data shows that the BDI/BAI and HADS are insufficiently unidimensional to warrant the use of a general distress score in dialysis patients without also investigating anxiety and depression separately. Future research is needed whether the use of a general distress score might be beneficial to identify patients in need of additional (psychological) support. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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32. Author and Subject Index.
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- 2019
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33. Postpartum urinary tract infection by mode of delivery: a Danish nationwide cohort study.
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Gundersen, Tina Djernis, Krebs, Lone, Loekkegaard, Ellen Christine Leth, Rasmussen, Steen Christian, Glavind, Julie, and Clausen, Tine Dalsgaard
- Abstract
Objectives To examine the association between postpartum urinary tract infection and intended mode of delivery as well as actual mode of delivery. Design Retrospective cohort study. Setting and participants All live births in Denmark between 2004 and 2010 (n=450 856). Births were classified by intended caesarean delivery (n=45 053) or intended vaginal delivery (n=405 803), and by actual mode of delivery: spontaneous vaginal delivery, operative vaginal delivery, emergency or planned caesarean delivery in labour or prelabour. Primary and secondary outcome measures The primary outcome measure was postpartum urinary tract infection (n=16 295) within 30 days post partum, defined as either a diagnosis of urinary tract infection in the National Patient Registry or redemption of urinary tract infection-specific antibiotics recorded in the Register of Medicinal Product Statistics. Results We found that 4.6% of women with intended caesarean delivery and 3.5% of women with intended vaginal delivery were treated for postpartum urinary tract infection. Women with intended caesarean delivery had a significantly increased risk of postpartum urinary tract infection compared with women with intended vaginal delivery (OR 1.33, 95% CI 1.27 to 1.40), after adjustment for age at delivery, smoking, body mass index, educational level, gestational diabetes mellitus, infection during pregnancy, birth weight, preterm delivery, preterm prelabour rupture of membranes, pre-eclampsia, parity and previous caesarean delivery (adjusted OR 1.24, 95% CI 1.17 to 1.46). Using actual mode of delivery as exposure, all types of operative delivery had an equally increased risk of postpartum urinary tract infection compared with spontaneous vaginal delivery. Conclusions Compared with intended vaginal delivery, intended caesarean delivery was significantly associated with a higher risk of postpartum urinary tract infection. Future studies should focus on reducing routine catheterisation prior to operative vaginal delivery as well as improving procedures related to catheterisation. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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34. Acknowledgement to Reviewers of IJERPH in 2016.
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- 2017
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35. فاعلية برنامج تدريبي قائم على فنيات العلاج المعرفي السلوكي في خفض حدة الفوبيا الاجتماعية لدي عينة من المراهقين الموهوبين
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إبراهيم, محمد على حسن
- Abstract
Copyright of Journal of Al-Quds Open University for Educational & Psychological Research & Studies is the property of Al-Quds Open University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
36. Dimensions of depressive symptoms and their association with hospitalization and mortality in dialysis patients: a cohort study.
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Schouten, Robbert, Harmse, Victor, Honig, Adriaan, Siegert, Carl, Dekker, Friedo, and van Ballegooijen, Wouter
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HEMODIALYSIS patients , *COHORT analysis , *DIMENSIONS - Abstract
Highlights from the article: Depressive symptoms have a high prevalence in dialysis patients and are associated with adverse clinical outcomes. The associations between symptom dimensions and quality of life, hospitalization rate and mortality were investigated using linear, poisson and cox proportional hazard regression models respectively.
- Published
- 2019
- Full Text
- View/download PDF
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