Seksualiteit en intiem contact na een hartaandoening. Dit project is tot stand gekomen op initiat... more Seksualiteit en intiem contact na een hartaandoening. Dit project is tot stand gekomen op initiatief van de Vereniging Voor- en Nazorg bij Hartziekten, regio Noord, i.s.m: De Wetenschapswinkel Geneeskunde en Volksgezondheid van de RuG. De polikliniek psychosomatische gynaeco- logie /seksuologie AZG. Prof.dr.H. van der Wiel Dr.W.C.M. Weymar-Schulz Mw.drs. G.Jonker-Pool. Bewerking: drs. R.Meyer, de Nederlandse Hartstichting.
Measurement properties of the Working Alliance Inventory (WAI) and its various translations and a... more Measurement properties of the Working Alliance Inventory (WAI) and its various translations and adaptations for specific target groups have been investigated for over 30 years. No systematic review analyzing studies on measurement properties of the WAI has been conducted to date. COnsensus-based Standards for the selection of health Measurements INstruments (COSMIN) were developed for conducting high-quality systematic reviews on measurement properties in a transparent and standardized way. Aim of this study was to systematically review studies on measurement properties of the WAI, and its adapted versions, within psychotherapy, and other healthcare contexts using COSMIN criteria. PsycINFO, Medline, and EMBASE were searched (1989–2021). In all phases of the review procedure, study selection, data extraction, risk of bias assessment, rating of the quality of measurement properties, and rating of the quality of evidence for measurement properties, disagreement between reviewers was re...
Het lijkt dan ook voor de handte liggen dat zorgverleners in de ge-zondheidszorg aandacht bestede... more Het lijkt dan ook voor de handte liggen dat zorgverleners in de ge-zondheidszorg aandacht besteden aandit thema. In dit artikel geven zorgverle-ners en onderzoekers hun visie over demanier waarop zorgverleners hieraanaandacht zouden kunnen besteden.InleidingUit Amerikaanse studies komt naar vorendat patie¨nten aandacht voor spiritualiteitop prijs stellen.
Background: The diagnosis of oral cavity cancers and treatments/ disease related distress from th... more Background: The diagnosis of oral cavity cancers and treatments/ disease related distress from the oral-facial areas may influence patients' quality of life (QOL). The purposes of this study were to (1) examine the changes of symptoms (physical distress), psychological distress (depression and anxiety) and QOL during the first 12 month s of being diagnosed as oral cavity cancer, (2) identify factors related to overall QOL, and (3) identify QOL sub-patt erns in newly diagnosed oral cavity cancer patients in Taiwan. Materials and methods: A 12-mont h prospective longitudinal study was conduc ted to assess the changes of sympt om, psycholog ical distress and QOL. Subjects were recruite d from three medical centers in Northern Taiwan and were assessed on 6 time points (days before operation , 1, 2, 3, 6 12 months post surgery/T1-T6, respect ively). The psychomet rically validated Chinese version instrument s were used, includin g (1) Symptom Severity Scale (SSS), (2) Hospit al Anxiety and Depression Scale (HADS), (3) Universit y of Washing ton Quality of Life (UW-QOL), and (4) Backgroun d Informat ion Form. In addition to the descriptive statistics, the Generali zed Estimating Equations (GEE) was applied to identify the overall QOL related factors. The latent class growth modeling was used to identify the potential QOL sub-patterns. Data were collected after Institute Review Board (IRB) approval and patients' consents. Results: A total of 150 eligible subjects completed the 12 month s assessment s. Overall, patien ts reported moderate levels of QOL with the worst QOL during the first three months post-surgery (T2-T4). However, some delayed problems were also reported, includi ng dry mouth, swallowing problem, chewing dysfunction and employment concern. Patients having reconstruct ion surgery, more advanced cancer stage, higher levels of depression and symptom severity, without job, and having lower educatio n level were found to have lower levels of QOL across the time. QOL sub-pattern s were also identified. Conclusion: Results of the study provide the evidence-based information to health care professionals to better help oral cavity cancer patients with timely interventio ns. Future studies should also test the effects of these interventio ns on improvin g patients' QOL.
Take-down policy If you believe that this document breaches copyright please contact us providing... more Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
Not all clients respond positively to an empathic, validating relationship. They withdraw from co... more Not all clients respond positively to an empathic, validating relationship. They withdraw from contact, because emotional intimacy frightens them. This can be explained by insecure attachment, which can result in fragile experience. Emotional events are then experienced with extreme vehemence, or only for a very short time. Thus, we can come to understand why some clients respond negatively to intimacy and sympathy. This can help us to stimulate a deeper form of empathy, and can give us the patience to let clients develop trust at their own tempo. In this article, we describe markers of three types of insecure attachment, inspired by a narrative-informed approach to emotion-focused therapy (EFT). For each type, we formulate a specific kind of psychotherapeutic intervention. By approaching the client in a cautious and sometimes rather rational manner, the client can gradually discover that it is safe to experience and share vulnerability. This approach is illustrated with clinical cases.
Background. The degree of trust in and satisfaction with the physician has been shown to have imp... more Background. The degree of trust in and satisfaction with the physician has been shown to have important implications for treatment outcomes. This study aims to examine individual differences in patients ' trust, satisfaction and general distress from an attachment theoretical perspective. Material and methods. One hundred and thirty recently diagnosed cancer patients of three medical hospitals were extensively interviewed by trained psychologists to assess attachment style. Patients completed standardized questionnaires three and nine months after diagnosis to assess trust, satisfaction and distress. t-tests and repeated measures ANOVAs were used to examine differences between securely and insecurely attached patients and changes over time. A mediation model based on a bootstrapping method was used to examine whether trust mediated between attachment and satisfaction, and attachment and distress. Results. Insecurely attached patients (N ϭ 45, 35%) reported less trust in and satisfaction with their physician, and reported more general distress than securely attached patients three and nine months after diagnosis (p Ͻ 0.05). Trust and distress levels did not change over time. Trust mediated between attachment and satisfaction, but not between attachment and distress. Conclusion. Insecurely attached patients trusted their physician less than securely attached patients, and in turn were less satisfi ed with their physician. Their higher levels of general distress were not related to their lower levels of trust. Attachment theory provides a framework to interpret differences in patients ' trust, satisfaction and distress, and may help physicians respond in such a way that their patients feel secure, which in turn is expected to result in better health outcomes.
... inhoudsopgave Deel I l 1 Inleiding: chronische ziekte en psychologische hulp Grieteke Pool en... more ... inhoudsopgave Deel I l 1 Inleiding: chronische ziekte en psychologische hulp Grieteke Pool en Robbert Sanderman 3 2 Richtlijnontwikkeling in de psychosociale zorg voor chronisch zieken: een overzicht van de mogelijkheden Denise de Ridder en Monique Heijmans 5 3 ...
Bij de behandeling en begeleiding van mensen met kanker is er sinds het midden van de vorige eeuw... more Bij de behandeling en begeleiding van mensen met kanker is er sinds het midden van de vorige eeuw een toenemende aandacht voor de sociale en psychische gevolgen van de ziekte. Psychosociale oncologie is dan ook een vakgebied dat sterk in ontwikkeling is. Er wordt volop onderzoek gedaan en geexperimenteerd met nieuwe en effectieve behandelingen en therapieen. De nieuwste druk van 'Psychologische patientenzorg in de oncologie' bundelt bestaande kennis en recente nieuwe inzichten. Dat maakt het tot een uniek handboek en een naslagwerk dat professionals ondersteunt bij de dagelijkse psychosociale behandeling van patienten met kanker. 'Psychologische patientenzorg in de oncologie' is bedoeld voor alle professionals die te maken hebben met de psychosociale aspecten van kanker: psychologen, maatschappelijk werkenden, verpleegkundigen, huisartsen, medisch specialisten en paramedici. Dankzij de bijdragen van erkende onderzoekers en psychologen/psychotherapeuten heeft de redactie opnieuw een uniek en veelzijdig handboek samengesteld. De redactie wil daarmee bijdragen aan de verdere professionalisering van de beroepsgroep en de kennis bijeen brengen die van belang is voor complete en kwalitatief goede zorg aan patienten. Door de combinatie van theorie en de vele praktijkvoorbeelden is het uitstekend geschikt bij de opleiding van professionals die met kankerpatienten gaan werken. Deel 1: De achtergronden over onder andere epidemiologie, medische behandeling, genetische aspecten, gevolgen van en omgaan met de ziekte, existentiele aspecten, organisatie van zorg, het proces van sterven. Nieuw: communicatie met patienten en hulpverleners, diversiteit binnen de zorg en ouderen met kanker. Deel 2: De algemene principes van psychosociale hulpverlening: screening, diagnostiek en behandeling vanuit verschillende psychotherapeutische kaders. Nieuw: experientiele therapie en E-Health. Deel 3: specifieke psychosociale problemen zoals vermoeidheid, pijn, seksualiteit, ontkenning, depressie en angst, agressie, boosheid, persoonlijkheidsstoornissen en organisch-psychiatrische factoren. Nieuw: Aanpassingsstoornissen, zorgmodellen en complementaire en alternatieve zorg.
Seksualiteit en intiem contact na een hartaandoening. Dit project is tot stand gekomen op initiat... more Seksualiteit en intiem contact na een hartaandoening. Dit project is tot stand gekomen op initiatief van de Vereniging Voor- en Nazorg bij Hartziekten, regio Noord, i.s.m: De Wetenschapswinkel Geneeskunde en Volksgezondheid van de RuG. De polikliniek psychosomatische gynaeco- logie /seksuologie AZG. Prof.dr.H. van der Wiel Dr.W.C.M. Weymar-Schulz Mw.drs. G.Jonker-Pool. Bewerking: drs. R.Meyer, de Nederlandse Hartstichting.
Measurement properties of the Working Alliance Inventory (WAI) and its various translations and a... more Measurement properties of the Working Alliance Inventory (WAI) and its various translations and adaptations for specific target groups have been investigated for over 30 years. No systematic review analyzing studies on measurement properties of the WAI has been conducted to date. COnsensus-based Standards for the selection of health Measurements INstruments (COSMIN) were developed for conducting high-quality systematic reviews on measurement properties in a transparent and standardized way. Aim of this study was to systematically review studies on measurement properties of the WAI, and its adapted versions, within psychotherapy, and other healthcare contexts using COSMIN criteria. PsycINFO, Medline, and EMBASE were searched (1989–2021). In all phases of the review procedure, study selection, data extraction, risk of bias assessment, rating of the quality of measurement properties, and rating of the quality of evidence for measurement properties, disagreement between reviewers was re...
Het lijkt dan ook voor de handte liggen dat zorgverleners in de ge-zondheidszorg aandacht bestede... more Het lijkt dan ook voor de handte liggen dat zorgverleners in de ge-zondheidszorg aandacht besteden aandit thema. In dit artikel geven zorgverle-ners en onderzoekers hun visie over demanier waarop zorgverleners hieraanaandacht zouden kunnen besteden.InleidingUit Amerikaanse studies komt naar vorendat patie¨nten aandacht voor spiritualiteitop prijs stellen.
Background: The diagnosis of oral cavity cancers and treatments/ disease related distress from th... more Background: The diagnosis of oral cavity cancers and treatments/ disease related distress from the oral-facial areas may influence patients' quality of life (QOL). The purposes of this study were to (1) examine the changes of symptoms (physical distress), psychological distress (depression and anxiety) and QOL during the first 12 month s of being diagnosed as oral cavity cancer, (2) identify factors related to overall QOL, and (3) identify QOL sub-patt erns in newly diagnosed oral cavity cancer patients in Taiwan. Materials and methods: A 12-mont h prospective longitudinal study was conduc ted to assess the changes of sympt om, psycholog ical distress and QOL. Subjects were recruite d from three medical centers in Northern Taiwan and were assessed on 6 time points (days before operation , 1, 2, 3, 6 12 months post surgery/T1-T6, respect ively). The psychomet rically validated Chinese version instrument s were used, includin g (1) Symptom Severity Scale (SSS), (2) Hospit al Anxiety and Depression Scale (HADS), (3) Universit y of Washing ton Quality of Life (UW-QOL), and (4) Backgroun d Informat ion Form. In addition to the descriptive statistics, the Generali zed Estimating Equations (GEE) was applied to identify the overall QOL related factors. The latent class growth modeling was used to identify the potential QOL sub-patterns. Data were collected after Institute Review Board (IRB) approval and patients' consents. Results: A total of 150 eligible subjects completed the 12 month s assessment s. Overall, patien ts reported moderate levels of QOL with the worst QOL during the first three months post-surgery (T2-T4). However, some delayed problems were also reported, includi ng dry mouth, swallowing problem, chewing dysfunction and employment concern. Patients having reconstruct ion surgery, more advanced cancer stage, higher levels of depression and symptom severity, without job, and having lower educatio n level were found to have lower levels of QOL across the time. QOL sub-pattern s were also identified. Conclusion: Results of the study provide the evidence-based information to health care professionals to better help oral cavity cancer patients with timely interventio ns. Future studies should also test the effects of these interventio ns on improvin g patients' QOL.
Take-down policy If you believe that this document breaches copyright please contact us providing... more Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.
Not all clients respond positively to an empathic, validating relationship. They withdraw from co... more Not all clients respond positively to an empathic, validating relationship. They withdraw from contact, because emotional intimacy frightens them. This can be explained by insecure attachment, which can result in fragile experience. Emotional events are then experienced with extreme vehemence, or only for a very short time. Thus, we can come to understand why some clients respond negatively to intimacy and sympathy. This can help us to stimulate a deeper form of empathy, and can give us the patience to let clients develop trust at their own tempo. In this article, we describe markers of three types of insecure attachment, inspired by a narrative-informed approach to emotion-focused therapy (EFT). For each type, we formulate a specific kind of psychotherapeutic intervention. By approaching the client in a cautious and sometimes rather rational manner, the client can gradually discover that it is safe to experience and share vulnerability. This approach is illustrated with clinical cases.
Background. The degree of trust in and satisfaction with the physician has been shown to have imp... more Background. The degree of trust in and satisfaction with the physician has been shown to have important implications for treatment outcomes. This study aims to examine individual differences in patients ' trust, satisfaction and general distress from an attachment theoretical perspective. Material and methods. One hundred and thirty recently diagnosed cancer patients of three medical hospitals were extensively interviewed by trained psychologists to assess attachment style. Patients completed standardized questionnaires three and nine months after diagnosis to assess trust, satisfaction and distress. t-tests and repeated measures ANOVAs were used to examine differences between securely and insecurely attached patients and changes over time. A mediation model based on a bootstrapping method was used to examine whether trust mediated between attachment and satisfaction, and attachment and distress. Results. Insecurely attached patients (N ϭ 45, 35%) reported less trust in and satisfaction with their physician, and reported more general distress than securely attached patients three and nine months after diagnosis (p Ͻ 0.05). Trust and distress levels did not change over time. Trust mediated between attachment and satisfaction, but not between attachment and distress. Conclusion. Insecurely attached patients trusted their physician less than securely attached patients, and in turn were less satisfi ed with their physician. Their higher levels of general distress were not related to their lower levels of trust. Attachment theory provides a framework to interpret differences in patients ' trust, satisfaction and distress, and may help physicians respond in such a way that their patients feel secure, which in turn is expected to result in better health outcomes.
... inhoudsopgave Deel I l 1 Inleiding: chronische ziekte en psychologische hulp Grieteke Pool en... more ... inhoudsopgave Deel I l 1 Inleiding: chronische ziekte en psychologische hulp Grieteke Pool en Robbert Sanderman 3 2 Richtlijnontwikkeling in de psychosociale zorg voor chronisch zieken: een overzicht van de mogelijkheden Denise de Ridder en Monique Heijmans 5 3 ...
Bij de behandeling en begeleiding van mensen met kanker is er sinds het midden van de vorige eeuw... more Bij de behandeling en begeleiding van mensen met kanker is er sinds het midden van de vorige eeuw een toenemende aandacht voor de sociale en psychische gevolgen van de ziekte. Psychosociale oncologie is dan ook een vakgebied dat sterk in ontwikkeling is. Er wordt volop onderzoek gedaan en geexperimenteerd met nieuwe en effectieve behandelingen en therapieen. De nieuwste druk van 'Psychologische patientenzorg in de oncologie' bundelt bestaande kennis en recente nieuwe inzichten. Dat maakt het tot een uniek handboek en een naslagwerk dat professionals ondersteunt bij de dagelijkse psychosociale behandeling van patienten met kanker. 'Psychologische patientenzorg in de oncologie' is bedoeld voor alle professionals die te maken hebben met de psychosociale aspecten van kanker: psychologen, maatschappelijk werkenden, verpleegkundigen, huisartsen, medisch specialisten en paramedici. Dankzij de bijdragen van erkende onderzoekers en psychologen/psychotherapeuten heeft de redactie opnieuw een uniek en veelzijdig handboek samengesteld. De redactie wil daarmee bijdragen aan de verdere professionalisering van de beroepsgroep en de kennis bijeen brengen die van belang is voor complete en kwalitatief goede zorg aan patienten. Door de combinatie van theorie en de vele praktijkvoorbeelden is het uitstekend geschikt bij de opleiding van professionals die met kankerpatienten gaan werken. Deel 1: De achtergronden over onder andere epidemiologie, medische behandeling, genetische aspecten, gevolgen van en omgaan met de ziekte, existentiele aspecten, organisatie van zorg, het proces van sterven. Nieuw: communicatie met patienten en hulpverleners, diversiteit binnen de zorg en ouderen met kanker. Deel 2: De algemene principes van psychosociale hulpverlening: screening, diagnostiek en behandeling vanuit verschillende psychotherapeutische kaders. Nieuw: experientiele therapie en E-Health. Deel 3: specifieke psychosociale problemen zoals vermoeidheid, pijn, seksualiteit, ontkenning, depressie en angst, agressie, boosheid, persoonlijkheidsstoornissen en organisch-psychiatrische factoren. Nieuw: Aanpassingsstoornissen, zorgmodellen en complementaire en alternatieve zorg.
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