Objective. To determine the effectiveness of a rehabilitation program including physical exercise, in improving cognition, participation, and coping in patients with a subarachnoid hemorrhage (SAH)...Show moreObjective. To determine the effectiveness of a rehabilitation program including physical exercise, in improving cognition, participation, and coping in patients with a subarachnoid hemorrhage (SAH). Secondary, it was aimed to identify the role of clinical characteristics in the effectiveness of the rehabilitation program. Methods. A longitudinal pilot intervention study was performed, with measurements before the start (T0), after three months (T1), and after six months (T2). Cognition was measured with the Montreal Cognitive Assessment, participation with the Impact on Participation and Autonomy questionnaire, and coping with the Utrecht Proactive Coping Competence Scale. Generalized Estimating Equation analyses were performed. Results. A total of 19 patients with SAH participated; 13 in the intervention group and 6 in the control group. For the intervention group, cognition improved between T0 and T2 and between T1 and T2. Participation declined between T0 and T1, but improved between T1 and T2. Proactive coping declined between T0 and T2 and between T1 and T2. Cognition of the control group did not change, but participation improved between T0 and T1 and proactive coping declined between T0 and T1. There was no significant difference between the control and intervention groups in improvements in cognition between T0 and T1 (p = 0.090). However, there was a significant difference between the control and intervention groups in changes in participation between T0 and T1 (p = 0.001) and in changes in coping between T0 and T1 (p < 0.001). The location of SAH played a role in the differences in participation, but not in cognition and coping. For treatment type and time since SAH, no significant effects were found. Conclusion. There was no effect of the rehabilitation program on cognition. The control group had a better participation level after three months and the intervention group worsened. The intervention group had a stable coping style after three months, whereas the control group declined in the use of proactive coping. Only the characteristic location of the aneurysm played a role in the participation level after three months, but not in cognition or coping. The other characteristics did not play a role in the changes. This study indicates that some long-term complaints can improve after the rehabilitation program, but more research is needed.Show less
It has been demonstrated that exploring a new environment promotes memory in young adults. Animal studies propose that the enhancement of memory in novel settings is linked to hippocampal dopamine....Show moreIt has been demonstrated that exploring a new environment promotes memory in young adults. Animal studies propose that the enhancement of memory in novel settings is linked to hippocampal dopamine. While the dopaminergic system undergoes changes across the lifespan, little is known about the effects of novelty on memory throughout different life stages. This research contributes to the understanding of the effects of novelty in older adults. The participants (n=14) explored both novel and previously familiarised virtual environments to assess the influence of spatial novelty on declarative memory. Subsequently, participants were presented with a word list to memorise, and their memory performance was evaluated through both immediate and delayed recall. Our results indicate superior immediate recall compared to delayed recall, with no evidence for an effect of novelty. We found no difference in spontaneous eye blinking rate following exposure to a novel or familiar environment. Furthermore, a negative correlation was found between spontaneous eye blinking rate and memory recall. Finally, this sample showed that participants had a slightly better performance on day two compared to day three, especially when they had lower expectations. This suggests that there is an extra novelty effect that is noticeable on the second day, which is suggestive of a decreasing novelty effect over the course of subsequent days. Our findings could potentially be explained by the fact that the advantageous effects of novelty decrease as individuals age, likely due to deterioration in the neural pathways associated with novelty processing. In today's society, where the active contribution of older adults is increasingly valued, it is crucial to address age-related cognitive decline. In order to develop intervention for age-related memory decline, further research is necessary for the specific role of novelty-induced memory in older adults.Show less
Individuals diagnosed with a personality disorder (PD) are often confronted with a low quality of life (QoL) and high health costs, both important outcome variables among cost-effectiveness studies...Show moreIndividuals diagnosed with a personality disorder (PD) are often confronted with a low quality of life (QoL) and high health costs, both important outcome variables among cost-effectiveness studies. Several factors have been identified that are associated with a low QoL and high health costs in individuals diagnosed with a PD. The influence of trauma is unknown. It has been found that PDs are associated with both past trauma experiences and symptoms of posttraumatic stress disorder (PTSD) in their daily life. While several studies suggested that individuals with a Borderline PD (BPD) and comorbid PTSD suffer from a more impaired QoL compared to individuals with a single disorder, less is known about the effect of PTSD on PDs other than BPD and the relation between trauma severity and health costs. The current study investigates the effect of both childhood trauma and current PTSD symptoms on QoL and health costs in individuals diagnosed with a PD and the possible mediating role of QoL on the relationship between trauma and health costs. The sample consisted of 65 individuals, with a mean age of 38 (SD = 12.3), diagnosed with one or more PDs. Data was collected with several questionnaires (Childhood Trauma Questionnaire-Short Form, Posttraumatic Stress Disorder Checklist for DSM-5, Treatment Inventory of Costs in Patients with psychiatric disorders, and the Mental Health Quality of Life questionnaire). The results show that severity of current PTSD symptoms (t(58) = -4.19, p < .001) but not childhood trauma was related to a decreased QoL in individuals diagnosed with a PD. Both current PTSD symptoms and childhood trauma were not significantly related to health costs. QoL did not perform a mediating role on the relationship between trauma and health costs. To conclude, severe PTSD symptoms represent an additional deprivation for QoL among personality-disordered individuals in this sample. This conclusion is based on a relatively small sample, thus should be further investigated with a larger sample.Show less
Research on suicidal ideation indicates the significant role of adverse childhood experiences (ACEs) and early parental attachment but fails to investigate risk potential in student populations....Show moreResearch on suicidal ideation indicates the significant role of adverse childhood experiences (ACEs) and early parental attachment but fails to investigate risk potential in student populations. This study aimed to research how adverse childhood experiences in a population of university students who report mood and stress problems are related to suicidal ideation and whether the relationship between adverse childhood experiences and suicidal ideation is moderated by attachment style. To target students at risk for suicidal ideation, purposive sampling was employed. An independent samples t-test with consecutive multiple regression (n= 234) showed that adverse childhood experiences, measured with the ACE questionnaire, predicted the presence and severity of suicidal ideation, measured by the BSSI. Consecutive ANCOVA showed that disorganized attachment to the mother and father, measured with the PBI, were found to predict suicidal ideation. Secure attachment was negatively associated with suicidal ideation, whereas for avoidant and anxious attachment there was no association found. A logistic regression analysis showed no moderation effect of insecure attachment styles in the relation between adverse childhood experiences and suicidal ideation. Gender, academic pressure, and nationality were controlled. Findings may be limited due to methodological and performance flaws. The results highlight the importance of early identification of adverse childhood experiences and disorganized attachment for intervention and prevention of later suicidal ideation amongst students.Show less
Background. Psychosocial consequences of psoriasis have been studied extensively. Feelings of stigmatization, worrying, and psychological distress are common consequences for patients with...Show moreBackground. Psychosocial consequences of psoriasis have been studied extensively. Feelings of stigmatization, worrying, and psychological distress are common consequences for patients with psoriasis. However, research on the prospective influence of psychosocial factors on psoriasis symptom severity is scarce. Thus, in this study, it is researched if feelings of stigmatization, worrying, and psychological distress are related to the exacerbation of psoriasis symptoms six and twelve months later. Method. This prospective study examined through four multiple regression analyses if the predictors stigmatization, worrying, and psychological distress influenced clinician-assessed and self-administered psoriasis severity after six and twelve months. The type of dermatological treatment and baseline disease severity were included as control variables. Data was collected among 49 psoriasis outpatients using an extensive questionnaire containing multiple self-report questionnaires and through clinician-assessed psoriasis severity. This was conducted at three time points: baseline, at six months, and twelve months. Results. Solely for one predictor a significant effect was found, indicating that higher feelings of stigmatization during baseline measurement predicted lower self-administered psoriasis severity after 6 months (ß = -.38, t = -2.25, p = .03) No other significant effects were found for any predictor, regardless of the clinician-assessed or self-administered severity or the time point (all p ≥ .06). There were predominantly no to small effect sizes found (-.36 ≤ r ≤ .30). Conclusion and discussion. The results of this study cannot substantiate the effect of perceived stigmatization, worrying, and psychological distress on psoriasis severity later. However, a lack of power, the extended interval between measurements, and low mean baseline scores can partly explain the lack of results. Future research should enhance their research design by considering more control variables such as treatment adherence, alcohol consumption, visibility of the lesions, and coping strategies. Besides, a broader range of disease severity should be included. As psoriasis has a serious psychological impact, it is worthwhile to continue the research on the effect of psychosocial factors on psoriasis severity. Previous research suggests the existence of an effect, and establishing this could enhance and increase the use of tailored psychological interventions in the treatment of patients diagnosed with psoriasis. This subsequently can contribute to alleviating their disease burden.Show less
Financial stress among young adults is a growing problem that could significantly affect their well-being. This study examines the help-seeking behaviors of young adults under financial stress,...Show moreFinancial stress among young adults is a growing problem that could significantly affect their well-being. This study examines the help-seeking behaviors of young adults under financial stress, focusing on the preference of source and type of help. Here, a distinction was made between professional help and help from the social network and between financial advice and emotional support. Four flyers were developed, each representing one type of help, to encourage young adults to seek help. An experimental design with 197 participants from the United Kingdom was used to test their willingness to seek help. Contrary to expectations, the results showed no significant preference for a specific source or type of help and no strong correlation was found between self-efficacy and willingness to seek help. These findings suggest that young adults may not have a specific preference when seeking help for financial stress and that self-efficacy does not play a determining role, highlighting the need for further studies on the various factors influencing and stimulating help-seeking behavior.Show less
This study investigated the effects on the victim of bystander non-intervention in the workplace. We performed a vignette study, with three different scenarios: active bystanders, passive...Show moreThis study investigated the effects on the victim of bystander non-intervention in the workplace. We performed a vignette study, with three different scenarios: active bystanders, passive bystanders, and no bystanders. We hypothesised that in the passive bystander condition the four psychological fundamental needs (belonging, meaningful existence, control, and self-esteem) would go down, sexual harassment myth acceptance would be higher, self-blame and bystander blame would be higher and blame towards the perpetrator and society would be lower. The data from the 159 participants showed that the fundamental needs of belonging and meaningful existence decreased, and that bystander blame was higher in the passive bystander condition, compared to the active bystander condition. The fundamental needs of control and self-esteem, sexual harassment myth acceptance, self-blame, perpetrator blame and society blame were not affected. Possible explanations for the results are provided, as well as the limitations of the study and recommendations for further research.Show less
Background: Many patients with Major Depressive Disorder (MDD) suffer from self-stigma. Self-stigma can lead to a decrease in recovery speed and treatment adherence. Psychoeducation for depression...Show moreBackground: Many patients with Major Depressive Disorder (MDD) suffer from self-stigma. Self-stigma can lead to a decrease in recovery speed and treatment adherence. Psychoeducation for depression has shown to be effective in improving treatment adherence and self-stigma. In recent years, researchers investigated Virtual reality (VR) as a potential tool in the treatment of depression. Studies have shown that VR interventions can reduce, among other things, self-stigma and depressive symptoms. We investigated the impact of a VR experience combined with psychoeducation compared to traditional, non-VR psychoeducation on self-stigma and depressive symptoms in individuals with MDD. We expected the VR intervention to have a more positive effect in reducing self-stigma and depressive symptoms than non-VR. Methods: The 31 recruited participants, aged 18-65 years old, were randomized into two groups: VR and non-VR. Two 360-degree VR videos were developed to experience a day in the life of a patient with depression. Self-stigma and depressive symptoms were measured before intervention (T0), directly after intervention (T1, only self-stigma), after 1 week (T2), and a follow-up after 10 weeks (T3). A repeated measures ANOVA was used for comparing the treatment groups. Results: Contrary to the hypothesis, the repeated measures ANOVA results indicated no significant interaction effect between time and treatment group for self-stigma (p = .393). In terms of depressive symptoms, a repeated measures ANOVA revealed a significant interaction effect between time and treatment group (p = .027), with a medium effect size (η2 = .095). Post hoc testing using Bonferroni showed that non-VR significantly decreased depressive symptoms across different time points compared to VR. Additionally, post hoc testing revealed that self-stigma and depressive symptoms may be positively correlated. Conclusion: No significant difference was found between the two treatment conditions in terms of decreasing self-stigma. However, the non-VR condition demonstrated a significant decrease in depressive symptoms compared to the VR condition. Additionally, positive correlations were observed between self-stigma and depressive symptoms, which emphasize the value of incorporating psychoeducation into treatment plans for people with MDD.Show less
Earlier research showed that children who endure war are more at risk of developing trauma symptoms or PTSD. Trauma symptoms or PTSD can lead to significant disruptions in cognitive empathy and...Show moreEarlier research showed that children who endure war are more at risk of developing trauma symptoms or PTSD. Trauma symptoms or PTSD can lead to significant disruptions in cognitive empathy and high levels of anxiety. The aim of the current study is to look into the relationships between PTSD, cognitive empathy and anxiety in Syrian refugee children, and to test for gender differences. Participants were 33 Syrian refugee children aged 10-18. PTSD was measured using CPSS, cognitive empathy was measured using the EmQue-CA and the EDG (three social conditions were used: neutral individuals, victims and offenders of intentional pain) and anxiety was measured using the SCARED. Results showed that cognitive empathy did not affect Syrian refugee children in social situations. Secondly, anxiety did not affect cognitive empathy levels. Thirdly, anxiety did not affect cognitive empathy differently for boys and girls. Lastly, cognitive empathy is disrupted within Syrian refugee children with trauma symptoms or even PTSD. Suggesting that cognitive empathy is a predictor of PTSD. The findings of the current study could potentially be important for future faster treatment of trauma symptoms or even PTSD by using cognitive empathy levels as a predictive factor.Show less
Part of the origin of anxiety comes from genetic heredity and the rest is explained by environmental factors. Parental and family characteristics play an important role in the environmental factors...Show morePart of the origin of anxiety comes from genetic heredity and the rest is explained by environmental factors. Parental and family characteristics play an important role in the environmental factors of anxiety. Specific parenting styles are linked to childhood anxiety. Several studies showed that parental overprotection can be linked to anxiety in children. However, there are some inconsistent results between the different studies. This inconsistency may occur because previous studies looked at parents and children in general and possibly, this relationship is mainly important in specific groups of parents and children. Therefore, in this study we look at parents’ socioeconomic status and the gender of the child as a moderator for the link between parental overprotection and anxiety in children. This study was part of a larger research project named Cool Little Kids. We used the pre-intervention, baseline data of the Cool Little Kids project in which 170 parents participated. Parents filled out several questionnaires regarding parental overprotection, child anxiety and demographic characteristics. The results showed that there was no significant effect between overprotective parenting and childhood anxiety that is moderated by SES of the parents and gender of the child. However, the results did point at the expected directions, although they are too small to give significant results. This means that overprotective parenting may not be as important as we assumed. Results of this study must be considered with regard to several limitations. The sample size of this study is small, parents with low socioeconomic status are underrepresented and the study is based on cross-sectional data. Further studies might focus on other parental and environmental factors such as an authoritarian parenting style that may have a larger influence on childhood anxiety and the influence of parenting styles on childhood anxiety in same sex parent-child pairs.Show less
This study aims to investigate relative age within primary school grades as a potential influential factor of perceived ADHD symptoms. It examines whether relatively younger pupils show more ADHD...Show moreThis study aims to investigate relative age within primary school grades as a potential influential factor of perceived ADHD symptoms. It examines whether relatively younger pupils show more ADHD symptoms than their classmates. The study is of cross-sectional design, using data of primary school children throughout the Netherlands. Participating children are in the age range of four to twelve years old, N = 168. To measure ADHD symptoms, the SNAP-IV (18) has been filled out by parents of the participating children. Relative age serves as the main predictor of this study. Simple linear regressions have been run on relative age (predictor) and ADHD symptoms (dependent). Analyses showed that relative age is no predictor of ADHD symptoms, implying that relative age is no influential factor in perceived ADHD symptoms. However, data screening pointed out that the sample of the current study might not be representative for the general population. Furthermore, the current research design worked with parental observations of ADHD symptoms, and not official ADHD diagnoses. Whether a child has had an ADHD diagnosis was unknown during this study. Incorporating this information in future research could potentially lead to a better understanding of the topic. All in all, the results of this study must be interpreted with care and future research is needed to (dis)prove the relation between relative age and ADHD symptoms.Show less
A social fear adolescents with and without a Social Anxiety Disorder experience very frequently is public speaking anxiety. The cognitions these adolescents have in public speaking situations play...Show moreA social fear adolescents with and without a Social Anxiety Disorder experience very frequently is public speaking anxiety. The cognitions these adolescents have in public speaking situations play an important role in the development and maintenance of their anxiety. Because of the impairments they experience in life, it is important to start treatment. The fact that only a small proportion of adolescents with social fears receive the focussed treatment they need, and that treatment outcomes are not optimal, is problematic. Blended care, the combination of face-to-face and online therapy, is a new type of treatment that appears to be promising for the treatment of mental health problems. This study aimed to research the feasibility of the blended care module ‘’Skills for Academic and Social Success’’ for treating adolescents with public speaking anxiety. Changes in cognitions and effects of comorbid depression were also explored. A total of 41 adolescents between 11 and 17 years, recruited from high schools in Leiden, The Netherlands, participated in this study. These adolescents followed the blended care module and were asked to, among others, fill out different self-report questionnaires on public speaking anxiety (PRPSA), cognitions (CATS-N/P) and depression (CDI-2) at four timepoints. The results show that the adolescents showed a decrease in public speaking anxiety during treatment. A higher level of anxiety at the start of the treatment was associated with a higher level afterwards, but also with greater, absolute improvements. Comorbid depression was also associated with a greater, absolute reduction in public speaking anxiety and there was a decrease in depression as well. The results also show that public speaking anxiety was negatively correlated with positive cognitions and positively with different types of negative cognitions. Some of these negative cognitions decreased during the treatment and were replaced with positive cognitions. However, there was almost no association between changes in cognitions and changes in public speaking anxiety. According to these findings, the blended care module appears to be feasible for the treatment of adolescents with public speaking anxiety, of which cognitions are part, and suitable for different levels of anxiety and for when comorbid depression is present.Show less
