6 results on '"Vonk, Peter"'
Search Results
2. Guided internet-based transdiagnostic individually tailored Cognitive Behavioral Therapy for symptoms of depression and/or anxiety in college students: A randomized controlled trial
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Karyotaki, Eirini, Klein, Anke M, Ciharova, Marketa, Bolinski, Felix, Krijnen, Lisa, de Koning, Lisa, de Wit, Leonore, van der Heijde, Claudia M, Ebert, David D, Riper, Heleen, Batelaan, Neeltje, Vonk, Peter, Auerbach, Randy P, Kessler, Ronald C, Bruffaerts, Ronny, Struijs, Sascha, Wiers, Reinout W, Cuijpers, Pim, Leerstoel Baar, Development and Treatment of Psychosocial Problems, Sub Molecular Microbiology, Research of the Student Medical Service, Psychology Other Research (FMG), Ontwikkelingspsychologie (Psychologie, FMG), Psychiatry, APH - Global Health, APH - Mental Health, Leerstoel Baar, Development and Treatment of Psychosocial Problems, and Sub Molecular Microbiology
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Adult ,DISORDER ,Internet-based CBT ,Adolescent ,NETWORK METAANALYSIS ,education ,Psychology, Clinical ,QUESTIONNAIRE ,Social Sciences ,Experimental and Cognitive Psychology ,Depression/therapy ,Anxiety ,PSYCHOTHERAPY ,Humans ,Psychology ,College students ,VALIDITY ,Students ,Transdiagnostic ,Internet ,Cognitive Behavioral Therapy ,Depression ,Anxiety/therapy ,PSYCHOLOGICAL TREATMENT ,Students/psychology ,INTERVIEW ,Psychiatry and Mental health ,Clinical Psychology ,Treatment Outcome ,RELIABILITY ,Quality of Life ,e-health ,MENTAL-HEALTH ,Internet-Based Intervention ,INTERVENTIONS - Abstract
Common mental disorders, such as depression and anxiety, often emerge in college students during the transition into early adulthood. Mental health problems can seriously impact students' functioning, interpersonal relationships, and academic achievement. Actively reaching out to college students with mental health problems and offering them internet-based interventions may be a promising way of providing low-threshold access to evidence-based treatment in colleges. This randomized controlled trial aimed to assess the effectiveness of a guided web-based transdiagnostic individually tailored Cognitive Behavioral Therapy (iCBT) in treating college students with depression and/or anxiety symptoms. Through an online survey that screened college students' mental health, we recruited 100 college students aged ≥18 years who reported mild to moderate depression and/or anxiety symptoms and were attending colleges in the Netherlands. Participants were randomly allocated to guided iCBT (n = 48) or treatment as usual (TAU) control (n = 52). Primary outcomes were symptoms of depression and anxiety measured at post-treatment (7 weeks post-randomization). We also measured all outcomes at 6- and 12-months post-randomization. All analyses were based on the intention-to-treat principle and were repeated using the complete-case sample. We found no evidence of a difference between the effects of guided iCBT and TAU in any of the examined outcomes (i.e., symptoms of depression and anxiety, quality of life, educational achievement, and college dropout) across all time points (p > .05). There was no evidence that effects of iCBT were associated with treatment satisfaction and adherence. More research into transdiagnostic individually tailored iCBT is necessary. Further, future studies should recruit larger samples to investigate possible smaller but clinically relevant effects of internet-based interventions for college students with depression and/or anxiety. ispartof: BEHAVIOUR RESEARCH AND THERAPY vol:150 ispartof: location:England status: published
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- 2022
3. COVID‐19 and mental health among at‐risk university students: A prospective study into risk and protective factors.
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Koelen, Jurrijn A., Mansueto, Alessandra C., Finnemann, Adam, de Koning, Lisa, van der Heijde, Claudia M., Vonk, Peter, Wolters, Nine E., Klein, Anke, Epskamp, Sacha, and Wiers, Reinout W.
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LONELINESS ,AT-risk students ,MENTAL health ,COLLEGE students ,MENTAL illness ,COVID-19 pandemic - Abstract
Objective: The COVID‐19 pandemic has confronted young adults with an unprecedented mental health challenge. Yet, prospective studies examining protective factors are limited. Methods: In the present study, we focused on changes in mental health in a large sample (N = 685) of at‐risk university students, which were measured before and during the pandemic. Network modeling was applied to 20 measured variables to explore intercorrelations between mental health factors, and to identify risk and protective factors. Latent change score modeling was used on a subset of variables. Results: The main findings indicate that (1) mental health problems increased at group level, especially depression‐anxiety and loneliness; (2) emotional support during the COVID pandemic was associated with smaller increases in loneliness and depression‐anxiety; (3) COVID‐related stress predicted increases in depression‐anxiety; (4) loneliness acted as a bridge construct between emotional support and changes in mental health. Conclusion: To mitigate the impact of the COVID‐19 pandemic on the mental health of young adults, is it recommended to focus on interventions that strengthen internal resources (stress‐regulating abilities) and reduce loneliness. [ABSTRACT FROM AUTHOR]
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- 2022
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4. The Associations of Common Psychological Problems With Mental Disorders Among College Students.
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Cuijpers, Pim, Smit, Filip, Aalten, Pauline, Batelaan, Neeltje, Klein, Anke, Salemink, Elske, Spinhoven, Philip, Struijs, Sascha, Vonk, Peter, Wiers, Reinout W., de Wit, Leonore, Gentili, Claudio, Ebert, David Daniel, Bruffaerts, Ronny, Kessler, Ronald C., and Karyotaki, Eirini
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MENTAL illness ,GENERALIZED anxiety disorder ,COLLEGE students ,PSYCHOLOGICAL factors ,MENTAL depression ,TEST anxiety ,PERFECTIONISM (Personality trait) - Abstract
Psychological problems like procrastination, perfectionism, low self-esteem, test anxiety and stress are common among college students. There are evidence-based interventions available for these problems that not only have direct effects on these problems, but also indirect effects on mental disorders such as depression and anxiety disorders. Targeting these psychological problems may offer new opportunities to prevent and treat mental disorders in a way that is less stigmatizing to students. In this study we examined the association of five psychological problems with five common mental disorders (panic, generalized anxiety, bipolar, major depressive, and substance use disorder) in a sample of 2,449 students from two Dutch universities. Psychological problems were measured with one item for each problem and mental disorders were measured with the Composite International Diagnostic Interview Screening Scales. Associations were examined with Poisson regression models as relative risks (RR) of the disorders as a function of the psychological problems. The population attributable fraction (PAF) indicates by what percentage the prevalence of the mental disorder would be reduced if the psychological problem was addressed successfully by an intervention. Especially generalized anxiety disorder was strongly associated with psychological problems (strong associations with stress and low self-esteem and moderately with test anxiety). The group with three or more psychological problems had a strongly increased risk for generalized anxiety (RR = 11.25; 95% CI: 7.51–16.85), and a moderately increase risk for major depression (RR = 3.22; 95% CI: 2.63–3.95), panic disorder (RR = 3.19; 95% CI: 1.96–5.20) and bipolar disorder (RR = 3.66; 95% CI: 2.40–5.58). The PAFs for having any of the psychological problems (one or more) were considerable, especially for generalized anxiety (60.8%), but also for panic disorder (35.1%), bipolar disorder (30.6%) and major depression (34.0%). We conclude that common psychological problems are associated with mental disorders and with each other. After adjustment, psychological problems are associated with different patterns of mental disorders. If the impact of the psychological problems could be taken away, the prevalence of several mental disorders would be reduced considerably. The psychological problems may provide a promising target to indirectly prevent and intervene in psychopathology in hard to reach college students with mental disorders. [ABSTRACT FROM AUTHOR]
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- 2021
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5. The Use of the Alcohol Use Disorders Identification Test - Consumption as an Indicator of Hazardous Alcohol Use among University Students.
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Verhoog, Sanne, Dopmeijer, Jolien M., de Jonge, Jannet M., van der Heijde, Claudia M., Vonk, Peter, Bovens, Rob H.L.M., de Boer, Michiel R., Hoekstra, Trynke, Kunst, Anton E., Wiers, Reinout W., Kuipers, Mirte A.G., Dopmeijer, Jolien M, de Jonge, Jannet M, van der Heijde, Claudia M, Bovens, Rob H L M, de Boer, Michiel R, Kunst, Anton E, Wiers, Reinout W, and Kuipers, Mirte A G
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ALCOHOLISM ,ALCOHOL drinking ,COLLEGE students ,RECEIVER operating characteristic curves - Abstract
Background: Hazardous drinking among students in higher education is a growing concern. The alcohol use disorders identification test (AUDIT) is the gold standard screening instrument for hazardous drinking in the adult population, for which an abbreviated version has been developed: the -AUDIT-Consumption (AUDIT-C). Currently, there's no gold standard for identifying hazardous drinking among students in higher education and little evidence regarding the concurrent validity of the AUDIT-C as a screening instrument for this group. This study investigated the concurrent validity of the AUDIT-C in a sample of university students and suggests the most appropriate cutoff points.Methods: Cross-sectional data of health surveys from 5,401 university and university of applied sciences in the Netherlands were used. Receiver operating characteristic (ROC) curves, sensitivity, specificity, and positive and negative predictive values for different cutoff scores of AUDIT-C were calculated for the total sample and for subgroups stratified by age, gender, and educational level. AUDIT-score ≥11 was used as the criterion of hazardous and harmful drinking.Results: Twenty percent of students were hazardous and harmful drinkers. The area under the ROC curve was 0.922 (95% CI 0.914-0.930). At an AUDIT-C cutoff score of ≥7, sensitivity and specificity were both >80%, while other cutoffs showed less balanced results. A cutoff of ≥8 performed better among males, but for other subgroups ≥7 was most suitable.Conclusion: AUDIT-C seems valid in identifying hazardous and harmful drinking students, with suggested optimal cutoffs 7 (females) or 8 (males). However, considerations regarding avoiding false-positives versus false-negatives, in relation to the type of intervention following screening, could lead to selecting different cutoffs. [ABSTRACT FROM AUTHOR]- Published
- 2020
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6. Loneliness mediates the association between insecure attachment and mental health among university students.
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Nottage, Matilda K., Oei, Nicole Y.L., Wolters, Nine, Klein, Anke, Van der Heijde, Claudia M., Vonk, Peter, Wiers, Reinout W., and Koelen, Jurrijn
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LONELINESS , *MENTAL health , *ATTACHMENT behavior , *PERSONALITY , *COLLEGE students , *SOCIAL belonging - Abstract
Insecure attachment is a transdiagnostic personality factor which may confer risk for mental health issues. The mechanisms underlying this association may be partly explained by loneliness. Loneliness, which is common in young adulthood, also concerns social relationships and is similarly associated with negative mental health outcomes. This study investigates whether insecure attachment styles are associated with an increase in mental health issues, specifically depressive symptoms and problematic alcohol use, and whether this link is mediated by loneliness. Students at a Dutch university (n = 265) aged 17 to 43 completed an online survey assessing attachment (ECR-SF), loneliness (DJGLS-11), social connectedness (LSNS-6), depression (PHQ-9) and alcohol use (AUDIT-C). Results showed that in individuals with mixed attachment styles (scoring high on both the anxious and avoidant dimensions), loneliness mediated the positive association between attachment style and depressive symptoms. Exploratory moderated mediation, with social connectedness as a moderator, showed that loneliness mediated the attachment-depression relationship in socially connected, anxiously attached young adults. Similar results were found for alcohol use although the direction differed, with lonelier students drinking less. These findings' implications are discussed considering future research and the potential of interventions targeting loneliness from an attachment perspective. • Insecure attachment styles are associated with increased depressive symptoms. • Loneliness mediates this link in students with mixed attachment styles. • Loneliness mediates this link in anxiously attached students who are socially well-connected. • A similar pattern was found between attachment style and problem drinking. • Attachment style should be considered in interventions targeting student loneliness. [ABSTRACT FROM AUTHOR]
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- 2022
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