Sensitive parenting is important for promoting the parent-child relationship and children’s emotional, cognitive, and social development. Parental factors related to sensitive parenting are...Show moreSensitive parenting is important for promoting the parent-child relationship and children’s emotional, cognitive, and social development. Parental factors related to sensitive parenting are depression and parental self-efficacy. The aim of this study was to explore the relationship between depression and sensitive parenting, and whether parental self-efficacy mediates this association. Participants were 17 Dutch mothers and 4 Dutch fathers of children aged 3-5 years. Parents played 5-10 minutes with their child during two measurement moments, while the researcher was present through a Microsoft Teams connection. A video of the playing was recorded. In between the two measurement moments, parents completed the Center for Epidemiologic Studies Depression-questionnaire (CES-D) and the Me as a Parent-questionnaire (MaaP). Afterwards, the video recordings were encoded according to the Ainsworth sensitivity scale. Only the relation between depression and sensitivity was significant, where depression was positively related to sensitivity. There was no indication found for a mediational role of parental self-efficacy in the relation between depression and sensitivity. Explanatory theories, limitations and practical implications were discussed. Future research will have to show which other factors can explain these unexpected findings.Show less
In this thesis research has been conducted regarding the following question: is it possible to translate the long Qur’anic surah sūrat al-Raḥmān into Dutch, whereby the following three criteria are...Show moreIn this thesis research has been conducted regarding the following question: is it possible to translate the long Qur’anic surah sūrat al-Raḥmān into Dutch, whereby the following three criteria are met: 1. the meaning is preserved 2. the oral and aural aspect is conveyed 3. the translation is presented in natural and accessible Dutch. To meet the criterion of aurality and orality the translation must meet the testible criteria of rhyme, metre, parallelism, lexical echoes, conciseness, the relation between the sound of words and the atmosphere of a verse or surah, and repetition, which are the most important linguistic structures underlying orality and aurality. Recognizability for Muslims is part of the criterion of meaning. A translation method according to these criteria has been used in the testcase and the translation process has been described. The above resulted in a translation that met the criteria of the research question.Show less
Problematic behaviour remains a problem within healthcare of individuals with dementia, especially as its patient group is set to expand. Problematic behaviour is often caused by pain and places a...Show moreProblematic behaviour remains a problem within healthcare of individuals with dementia, especially as its patient group is set to expand. Problematic behaviour is often caused by pain and places a heavy burden on both professional and family caregivers. Especially since family caregivers are often overlooked as a factor in care. This study therefore investigates the effectiveness of the STA OP! method (SOM), a stepwise approach to address problematic behaviour and pain in individuals with dementia, as well as how the efficacy of SOM is moderated by family involvement. The study, conducted within the CARED-4 project, utilizes a quasi-experimental longitudinal design with measurements at baseline, 3 months, and 6 months after implementing SOM. It included 84 residents with dementia from 10 Dutch nursing homes units paired with their family caregivers. Problematic behaviour was examined using the Neuropsychiatric Inventory Questionnaire (NPI-Q) and family involvement was examined through a tailored questionnaire. Analysis was performed with RM Anova for problematic behaviour and family involvement and a general linear model for the moderation of SOM by family involvement. Results indicated that SOM effectively reduces problematic behaviour overall (F(2,55) = 3.81, p = 0.028), after 3 months (Mean Difference = 5.47 SE= 1.97, p = 0.007), but not after 6 months (Mean Difference = 5.70 SE = 3.36, p = 0.095). Family involvement did not change overall (F(1.62,30) = 2.12, p = 0.138). Accordingly, family involvement did not moderate the impact of SOM on problematic behaviour (F(2) = 1.43, p = 0.243). Despite methodological challenges mainly due to missing data, the study takes a first step towards understanding how the effectiveness of SOM interacts with family involvement. So, although family involvement did not moderate a significant reduction in problematic behaviour, the efficacy of SOM has further been established.Show less
In this research, we study the oxidation process of the Transition Metal Dichalcogenide (TMD) niobium diselenide, NbSe2. TMDs are a category of van der Waals materials, of which samples are...Show moreIn this research, we study the oxidation process of the Transition Metal Dichalcogenide (TMD) niobium diselenide, NbSe2. TMDs are a category of van der Waals materials, of which samples are obtained by exfoliation. The measurements are performed with the Low Energy Electron Microscope (LEEM), which measures reflectivity at different energy, resulting in the so-called IV curves. To analyze oxidation, we have developed a new method to obtain in situ exfoliated flakes in the LEEM set-up. First, we measure in situ cleaved NbSe2 flakes (bulk). The reflectivity upon adding (pure) oxygen is followed. Additionally, the reflectivity of ex situ cleaved NbSe2 flakes is assessed. Here, an intensity boundary between flake’s edge and center is recognized. The reflectivity measurements show that the electronic structure is different across the boundary: a V-shaped reflectivity minimum appears, which sharpens over time upon oxidation. The boundary is further researched with Atomic Force Microscopy and Energy Dispersive X-ray analysis. Additionally, we perform roughness analysis and Principal Component Analysis. The latter provides an alternative method to follow the change in electronic properties over time. We propose that already degraded NbSe2 flakes are more susceptible to oxidatin damage, compared to in situ exfoliated flakes. Upon further measurements, the in situ cleaved samples do not show any degradation signs, therefore we attribute the presence of an intensity contrast with the associated IV features, to oxidized NbSe2.Show less
Research shows that many students don’t have enough reading comprehension to understand texts. One way of improving students’ reading comprehension could be by providing feedback to students while...Show moreResearch shows that many students don’t have enough reading comprehension to understand texts. One way of improving students’ reading comprehension could be by providing feedback to students while they answer questions about a text. To use feedback efficiently in the future, it’s important to know how elaborate effective feedback should be. Considering this, the current study examined the relation between feedback and the use of reading strategies in general, and for the use of reading strategies while reading a text. Moreover, the relation between the amount of information provided in the feedback and the use of reading strategies was examined. Experimental data of 97 participants aged 10 and 11 years (52.6% boys, M = 10.45, SD = 0.52) was collected using questionnaires, namely the Metacognitive Awareness of Reading Strategies Inventory and the Task-Specific Strategy Self-Report. Participants were pre- and post-tested and had three intervention sessions. They were randomly assigned to a condition, namely no feedback, short feedback, or elaborate feedback. During the intervention sessions, participants had to read a text, and answer questions about the text. Depending on their condition, they either received feedback or not. If they did, the amount of information in the feedback differed. Every session ended with a questionnaire. Using SPSS, two repeated measures ANOVA were completed. According to the results, there was no relation between feedback and the use of reading strategies. Furthermore, no differences were found for the different amounts of information in feedback and the use of reading strategies. The biggest limitation of the current study was the lack of a motivational component in the used intervention. Therefore, future research should use motivation as part of the intervention to investigate if feedback could help in improving the use of reading strategies for youth aged 10 to 11.Show less
Insomnia is highly prevalent in patients with long-term medical conditions. Although fatigue is the most common daytime symptom of insomnia, it is still largely unknown which underlying components...Show moreInsomnia is highly prevalent in patients with long-term medical conditions. Although fatigue is the most common daytime symptom of insomnia, it is still largely unknown which underlying components are associated with fatigue in a broader population of insomnia patients. Previous literature stated that dysfunctional sleep-related beliefs (DSRB) and pre-sleep arousal (PSA) could explain the relationship between insomnia and fatigue. Additionally, subjective sleep characteristics, such as insomnia severity, number of nocturnal awakenings (NoA) and sleep efficiency might also be components of this relationship. This study aimed to investigate how these factors affect fatigue in a broad medical population with insomnia. It was hypothesized that more disturbed sleep-related psychological factors and subjective sleep characteristics were associated with increased fatigue. This cross-sectional study, derived from the ongoing TIMELAPSE study, consisted of 154 participants. Participants completed questionnaires assessing fatigue (Checklist Individual Strength-20), DSRB (Dysfunctional Beliefs and Attitudes about Sleep-16), PSA (Pre-Sleep Arousal Scale), and insomnia severity (Insomnia Severity Index). The Consensus Sleep Diary tracked NoA and sleep efficiency daily for one week. Two multiple regression analyses were performed to assess the relationship between sleep-related psychological factors (DSRB, PSA), subjective sleep characteristics (insomnia severity, NoA, sleep efficiency) and fatigue. Age, gender, and depression were included as controlling variables. Results showed that DSRB (β = .174, p = .027), PSA (β = -.160, p = .036), and insomnia severity (β = .243, p = .002) were factors associated with fatigue in insomnia patients. More severe DSRB and higher insomnia severity predicted elevated levels of fatigue. Contrary to expectations, PSA was negatively associated with fatigue. Lastly, NoA and sleep efficiency were not related to fatigue. This study uncovered connections between more severe DSRB, lower PSA, and higher insomnia severity that led to higher levels of fatigue. The current study suggests that improvements in DSRB and reducing insomnia severity may reduce fatigue of insomnia patients with long-term medical conditions. Sleep interventions should emphasize on challenging these DSRB. Future research is needed to examine the complex relationship between PSA and fatigue, as well as whether changes in DSRB during CBT-I treatment reduce fatigue symptoms in this population.Show less
The global prevalence of Alzheimer’s disease is expected to rise from 50 to 152 million cases by 2050 due to the limited availability of therapeutic and preventive strategies and ageing populations...Show moreThe global prevalence of Alzheimer’s disease is expected to rise from 50 to 152 million cases by 2050 due to the limited availability of therapeutic and preventive strategies and ageing populations. Although digital tools can address the growing gap between healthcare supply and demand, their implementation is difficult, and personal factors can influence individuals’ intention to use such tools. Thus, this study explores the relationship between various personal factors, as self-reported by healthy individuals (N = 507) who are part of a brain research registry, and their intention to use and promote using digital tools in the context of brain health and dementia. According to the hypothesis formulated for the research, higher financial scarcity, lower educational attainment, and lower employment status predict lower intention to use and promote digital tools for brain health. The study examined four distinct digital tools: (1) MijnBreincoach (a prevention tool), (2) cCog (a diagnostic tool), (3) ADappt (a patient- orchestrated care tool), and Neurokeys (a prediction tool). It was found that Neurokeys exhibited the highest score for intention to use but the lowest score for intention to promote. In addition, medium and high educational attainment predicted higher behavioral intention to use MijnBreincoach, while the most beneficial (i.e., most secure, stable, and safe) employment status predicted higher intention to promote MijnBreincoach and cCog. In conclusion, it is important to recognize differences in intention to use and promote different types of digital tools across potential users and the influence of personal characteristics on the intention to use and promote digital tools for brain health. During the development of a digital tool, it is recommended to consider which target audience would derive the greatest benefit from it and tailor it accordingly.Show less
Mental health problems such as anxiety and depression among young people are a growing public health problem worldwide. To address this effectively, it’s important to understand to what extend...Show moreMental health problems such as anxiety and depression among young people are a growing public health problem worldwide. To address this effectively, it’s important to understand to what extend factors such as academic stress, parental expectations and family well-being influence the development of anxiety and mood disorders. Relatively little is known about the anxiety and worry experienced by early adolescent children and the extent to which this is culture dependent. The present study sought insight in the worries of children aged 10-12 years from Western and non-Western cultural backgrounds. In addition, the extent to which internalizing symptoms are related to achievement anxiety, parental expectations and family well-being was examined. This was done by interviewing 74 Indian children (M = 10.92 ; SD = 0.75) and 69 Dutch (M = 11.17 ; SD = 0.92) children using the Cultural Formulation Interview. In addition, the amount of internalizing complaints and family welfare were determined using RCADS and FASIII. Results showed that children from India more often experienced achievement-oriented anxiety than Dutch children, and that this was associated with a greater amount of internalizing symptoms. The parental expectations that Indian children experienced were often achievement-oriented expectations regarding school or future profession, whereas the parental expectations of Dutch children were more often focused on being able to show responsibility for tasks. This might be explained by the values transmitted from parent to child within individualistic and collectivistic culture. Evidence exists that cultural values remain present when families from collectivist cultures move to a country with a more individualistic culture. It is therefore extremely important to be aware of these cross-cultural differences within mental health care, as well as education, when dealing with adolescents with anxiety and mood problems.Show less
This study aims to investigate the effects of exercise-intensity on divergent creativity. It is hypothesized that exercise of moderate and high intensity enhance creativity more effectively than...Show moreThis study aims to investigate the effects of exercise-intensity on divergent creativity. It is hypothesized that exercise of moderate and high intensity enhance creativity more effectively than exercise of lower intensity. The study also investigates if arousal, positive high-arousal affect, and negative high-arousal affect serve as intermediary variables in this relationship. Scarce previous research has suggested a relationship between exercise-intensity and creativity, but studies comparing different exercise-intensities on creativity and potential underlying mechanisms were lacking. To address this knowledge gap, this study compares different intensities, namely low-intensity (cycling at 55% of maximum heart rate), moderate-intensity (cycling at 70% of maximum heart rate), high-intensity (cycling at 85% of maximum heart rate) and a control group, on divergent creativity (i.e., number and uniqueness of creative ideas); And looks at affect and arousal as underlying mechanisms. Happy (positive), elated (positive), upset (negative), tense (negative) and stressed (negative) are used as indicators for high-arousal affect and feelings of wakefulness and alertness as indicators for arousal. Participants in this study completed two appointments, of which the first appointment consisted of a fitness test to measure participants’ maximum heart rate. During the second appointment, participants were randomly assigned to one of the four conditions and their affect and arousal were measured before and after the exercise or control task. Creativity was measured after the exercise or control task was completed. A Kruskal-Wallis Test showed that participants in the moderate-intensity and high-intensity exercise did not show higher creativity. Further, macro PROCESS model 4 revealed a significant effect of moderate-intensity and high-intensity exercise on arousal in comparison to low-intensity exercise and a significant effect of moderate-intensity exercise on positive high-arousal affect, in comparison to the control group. Other than this, the model revealed that none of the mediators significantly explained a relationship between exercise-intensity and creativity. This study thus suggests that exercise-intensity does not play a significant role in creativity enhancement, nor does arousal or high-arousal affect. However, future research is needed to confirm this for other modes of exercise, regular exercise instead of acute bouts of exercise and for different individual characteristics, such as age and gender.Show less
Transcranial magnetic stimulation (TMS) is a noninvasive neuromodulation technique showing promise in stroke rehabilitation, with evidence indicating significant enhancement in motor function of...Show moreTranscranial magnetic stimulation (TMS) is a noninvasive neuromodulation technique showing promise in stroke rehabilitation, with evidence indicating significant enhancement in motor function of the contralateral limb following treatment. While TMS appears promising for stroke rehabilitation, there is variability in the level of improvement individuals exhibit. This variability may be attributed to oscillatory neurophysiology, which refers to the rhythmic electrical activity of the brain. Therefore, this study investigated phase-dependent changes in cortical excitability after TMS among stroke patients in affected and unaffected hemispheres. We investigated motor-evoked and TMS-evoked potentials at four phases of the ongoing motor cortical mu rhythm (trough, peak, rising, falling) in both hemispheres (affected, unaffected). Participants comprised N=11 chronic subcortical stroke patients (6 female, mean ± std age: 58 y ± 11.4) with affected lateralized upper-limb impairment. Four blocks of 150 TMS pulses were applied on each hemisphere, targeting the primary motor hotspot of the first dorsal interosseus muscle of the contralateral hand. Participants watched nature videos during stimulation to maintain consistent attention levels. Cortical excitability was assessed by analyzing motor-evoked potentials (MEP) and TMS-evoked potentials (TEP). Results showed that motor responses (measured through MEP amplitudes) were significantly larger at the trough and rising phase compared to the peak phase. No significant differences were observed between the affected and unaffected hemispheres. TEP components, the brain signals in response to TMS, did not exhibit significant phase-dependent changes. While our findings showed a nonsignificant effect of stroke severity, exploratory correlation analyses presented a positive association between higher remaining movement function and enhanced phase-dependent responses to TMS. The findings build upon previous research indicating phase-dependent changes in cortical excitability for MEPs but not for TEPs. The larger MEP amplitudes during trough and rising phases suggest that TMS can be more effective at specific points of cortical activity. Further exploration is needed to assess the efficacy of phase-specific TMS interventions in clinical settings, potentially through larger-scale clinical trials with longitudinal designs and comparative effectiveness studies, aiming to evaluate functional outcomes and determine their impact on motor recovery.Show less
Background. Emergency department (ED) nurses are prone to develop burnout, however, they also tend to be engaged in their work. The goals of this study were twofold: (1) to establish the frequency...Show moreBackground. Emergency department (ED) nurses are prone to develop burnout, however, they also tend to be engaged in their work. The goals of this study were twofold: (1) to establish the frequency of ED nurses in four burnout - work engagement profiles, and (2) to investigate which work characteristics best separated the four burnout – work engagement profiles. Method. A cross-sectional study was done among 967 ED nurses working in one of 28 hospitals in the Netherlands (response rate 74%). The data was gathered using an online questionnaire. A frequency analysis and a descriptive discriminant analysis were performed. Two separate analyses were done for emotional exhaustion and depersonalization. Results. For emotional exhaustion, the engaged profile was most prevalent among the ED nurses in this sample, followed by the burnout, unengaged and engaged-burnout profiles. For depersonalization, the engaged profile was also most prevalent, followed by the burnout, engaged-burnout and unengaged profiles. Two functions were generated by the descriptive discriminant analysis: (1) the Job Demands-Resources (JDR) function and (2) the mastery function. The JDR function separated the burnout from the engaged profile. When nurses scored high on job demands and low on job resources, they were more likely to be in the burnout profile, and vice versa for the engaged profile. Work-time demands and autonomy were primarily responsible for group separation for burnout overall. For emotional exhaustion staffing was also primarily important, whereas for depersonalization, educational and developmental possibilities and (financial) appreciation were also primarily important for group separation. The mastery function separated the engaged-burnout from the unengaged profile. When nurses had educational and developmental possibilities, and experienced a higher frequency of emotionally demanding and conflict/aggression situations, they were more likely to be in the engaged-burnout profile, and vice versa for the unengaged profile. Conclusion. This study provided insight in the interplay between burnout, work engagement, job demands and job resources. This study shows the importance to improve the ED working environment as many nurses are burned out, and showed that ED nurses can be burned out and engaged simultaneously. The findings support the Job Demands-Resources Model, and show that enhancing job demands and job resources is important to facilitate engaged ED nurses.Show less
Abstract Young adulthood is the phase of life during which the most alcohol is consumed. This can have negative consequences and long-term effects. These effects might be explained by risk taking...Show moreAbstract Young adulthood is the phase of life during which the most alcohol is consumed. This can have negative consequences and long-term effects. These effects might be explained by risk taking behaviour. The association between risk taking behaviour and alcohol use has already been studied. However, to our knowledge, the relationship between alcohol use and the different domains of risk taking (health/safety, recreational, ethical, social and financial risks) has not been studied. Understanding these different contexts is essential to develop targeted interventions on the relationship between alcohol use and the specific domains to reduce excessive risk behaviours and alcohol use. Therefore, this research studies the extent to which risk taking in different domains is associated with, and predicts, alcohol use in young adults from 18 to 25 years old. The different domains of risk taking are measured by the Domain-Specific Risk Taking questionnaire and alcohol use is measured by the Alcohol Use Disorders Identification Test. This study was conducted cross-sectionally and longitudinally. The cross-sectional part consisted of 89 participants and studies the extent to which there is an association between risk taking in different domains and alcohol use. It is hypothesised that young adults who take risks in different domains also consume more alcohol. From the results, it can be concluded that young adults who consume alcohol are more likely to take health/safety risks, but they are less likely to take social risks. The longitudinal part consisted of 35 participants and studies the extent to which risk taking in different domains predicts alcohol use two years later. It is hypothesised that risk taking in different domains predicts alcohol use two years later. However, results show that risk taking is not predictive of alcohol use two years later. This result could be due to the small sample size of this study. Given these conclusions, it is important to continue with the interventions on health/safety risks and alcohol use and to target new interventions on social risks and alcohol use. In the future, this study could be repeated in other countries with an Eastern culture or in countries with different legal drinking ages.Show less
There is evidence to suggest that child post traumatic symptoms (PTSD) develop within the family system where psychopathology exist. Existing literature indicates that parent and child PTSD are...Show moreThere is evidence to suggest that child post traumatic symptoms (PTSD) develop within the family system where psychopathology exist. Existing literature indicates that parent and child PTSD are associated with each other. The present study aimed to examine the relation between PTSD-symptoms from parents and PTSD-symptoms from their children and whether boys or girls would experience more PTSD-symptoms with a sample of Dutch families (N = 1017). Additionally, it was examined whether quality of life (QoL) would influence this relationship. Mothers, fathers and children completed a questionnaire on trauma symptoms. The same children did also complete a questionnaire on QoL. The PTSD-symptoms from parents and their children were significant related. Furthermore, was there no significant difference between boys or girls in experiencing PTSD-symptoms. The addition of QoL to the relation between PTSD-symptoms from parents and children did not generate a significant result either, the relation became not stronger or weaker. It is possible that there were no significant results due the fact that PTSD is a complex disorder. The relation between PTSD-symptoms from parents and their children is influenced by multiple factors and this may have an impact on the results. It would be beneficial if future research would examine these factors.Show less
This research explores the interplay between social media usage, offline and online interactions, perceived social support, and depression levels among university students. Analyzing data from 430...Show moreThis research explores the interplay between social media usage, offline and online interactions, perceived social support, and depression levels among university students. Analyzing data from 430 participants, this cross-sectional study leverages the Patient Health Questionnaire-9 (PHQ-9) to assess depression symptoms and employs both multivariate and univariate linear regression analyses, as well as MANOVA and ANOVA tests, to understand the connections between online/offline social interactions, perceived social support, and depression. Key findings indicate a significant relationship between the level of perceived social support (β = -0.49, p < .001) and frequency of online interactions (β = 0.43, p < .05) with depression levels. Notably, individuals reporting higher levels of perceived social support tend to exhibit lower depression levels, while those with frequent online interactions often show higher depression levels. The study also identifies marked gender differences in social media use and depression, with females showing greater susceptibility. These results underscore a nuanced relationship between active/passive social media engagement, gender, and mental health. The research emphasizes the need for mental health strategies that consider individual differences, particularly focusing on the quality of social support and patterns of online engagement, to effectively address mental health concerns in young adults.Show less
