Publications by authors named "Aken M"

Youth with personality pathology are at a greater risk of developing broader psychopathology and experiencing poorer life outcomes in general. Therefore, detecting personality problems, specifically features of borderline personality disorder (BPD), provides opportunities for early intervention. In this study, we investigated the incremental value of Criteria A and B of the alternative model for personality disorders (AMPD) compared to a BPD symptom count based on the , fifth edition Section II personality disorder model in broader psychopathology (i.

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Introduction: Older adults with acute functional decline may visit emergency departments (EDs) for medical support despite a lack of strict medical urgency. The introduction of transitional care teams (TCT) at the ED has shown promise in reducing avoidable admittances. However, the optimal composition and implementation of TCTs are still poorly defined.

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  • Community-acquired Pneumonia (CAP) guidelines usually recommend admitting patients with moderate-to-severe cases and treating them with intravenous antibiotics.
  • A study at Haga Teaching Hospital compared outcomes of patients with moderate-to-severe CAP treated with oral antibiotics versus those treated with intravenous antibiotics, using a cohort of 314 patients.
  • Results showed no significant differences in 30-day mortality, ICU admission, or readmission rates, but intravenous patients had a longer hospital stay by an average of 2.6 days, suggesting oral antibiotics could be a safe alternative for selected patients.
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Personality functioning, general psychopathology, and developmental milestones achievement are critical domains in the field of young people's mental health; however, no prior research has considered these variables jointly or examined the temporal dynamics between them. To fill these gaps, the present study aimed to investigate the longitudinal associations between the above constructs in a clinical sample of Dutch youth. 525 outpatients (72.

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Background: Self-harm in young people is a public health concern connected with severe mental health problems, such as personality pathology. Currently, there are no specific evidence-based interventions available for young people who self-harm. Therefore, we developed PRe-Intervention Monitoring of Affect and Relationships in Youth (PRIMARY), a smartphone-based intervention, co-designed by clinicians and young people with lived experience of mental ill-health.

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Narrative identity, as an integral element of personality, has gained increased attention for understanding personality pathology. In this study, associations between narrative identity characteristics (i.e.

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  • Older adults with moderate-to-severe lower respiratory tract infections often face hospitalization, leading to potential negative outcomes like delirium and functional decline due to factors like poor coordination in regional care and financial barriers.
  • This study will evaluate a new care pathway called 'The Hague RTI Care Bridge' that aims to treat these patients outside of a hospital setting, assessing its feasibility, safety, patient satisfaction, and overall health outcomes.
  • The study involves participants aged 65 and older and will compare their experiences in an outpatient care pathway against those treated in a hospital, with results published in international peer-reviewed journals.
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Introduction: Acute respiratory infections are common in frail, community-dwelling older people and are accompanied by considerable diagnostic and prognostic uncertainties. Inadequately coordinated care is associated with unnecessary hospital referral and admission with potential iatrogenic harm. Therefore, we aimed to co-create a regional integrated care pathway (ICP), including a hospital at home journey.

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Emotion dysregulation is a key feature of borderline personality disorder (BPD). Given the heterogeneity of BPD and emotion regulation, this study sought to define subgroups among a sample of young people with BPD based on their pattern of emotion regulation abilities. Baseline data from the Monitoring Outcomes of BPD in Youth (MOBY) clinical trial were used, in which 137 young people ( = 19.

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This study aimed to examine Dispositional, Adaptational, and Environmental (DAE) variables at the intersection of adaptive and maladaptive personality development as a conceptual replication of the DAE-model (Asendorpf & Motti-Stefanidi, (3), 167-185, 2018). In a community sample of adolescents ( = 463; = 13.6 years; 51% female) hypotheses-driven cross-lagged panel models were tested.

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This longitudinal two-wave cross-national study investigated whether intentions, friends' substance use, and parent-adolescent substance-use specific communication predict adolescent alcohol and cannabis use 1 year later, while estimating reversed links. The temporal order between these two substances was also examined. We used multi-group cross-lagged panel modeling on data from 2 ethnically and socioeconomically diverse samples: Sint Maarten (N = 350; M  = 14.

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Importance: Misdiagnosis of infection is among the most commonly made diagnostic errors and is associated with increased morbidity and mortality. Little is known about how often misdiagnosed site of infection occurs and its association with clinical outcomes.

Objectives: To evaluate the discrepancy between admission and discharge site of infection diagnoses among patients with suspected bacteremia, to explore factors associated with discrepant diagnoses, and to evaluate the association with clinical outcomes.

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  • A dimensional, multilayered approach to understanding maladaptive personality development in youth is proposed through the 'APOLO' research project, which uses McAdams' three-layered model of personality.
  • The longitudinal study involves participants aged 12-23 and collects data every six months over three years, utilizing self-report questionnaires, informant reports, and interviews to evaluate various aspects of personality development.
  • The findings aim to enhance understanding of personality pathology and inform early detection and intervention strategies, with ethical approval obtained from the relevant committee.
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Communicating online via social media has proven to facilitate disclosure of intimate topics and can therefore be helpful in the development of intimate relationships. However, for youth with borderline personality disorder (BPD) symptoms, it may be more difficult to know when, what, and to whom to disclose (i.e.

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Purpose: To evaluate cost-effectiveness of an [F]FDG-PET/CT-driven diagnostic workup as compared to diagnostic surgery, for thyroid nodules with Bethesda III/IV cytology. [F]FDG-PET/CT avoids 40% of futile diagnostic surgeries for benign Bethesda III/IV nodules.

Methods: Lifelong societal costs and quality-adjusted life years (QALYs) were assessed for 132 patients participating in a randomised controlled multicentre trial comparing [F]FDG-PET/CT to diagnostic surgery.

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Background: Impaired interpersonal functioning has been highlighted as a core feature of borderline personality disorder (BPD). Adolescence and young adulthood form important developmental stages within both the emergence of BPD and the development of interpersonal functioning, which takes place mostly in relationships with parents and friends. This study aimed to: (i) investigate relations between BPD symptoms and both supportive and negative interactions with mothers and best friends; (ii) investigate whether the relations were moderated by age; (iii) test the robustness of our findings by comparing the results based on self-reports with results from a subsample in which supportive and negative interactions with mothers were rated by the mother.

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Background: Parenting an adolescent with borderline personality disorder (BPD) features can be challenging due to, for example, emotional dysregulation, impulsivity and/or self-destructive behavior. Parents confronted with challenging behavior of their child, may experience less parental-self-efficacy (PSE). Subsequently this lower PSE might strengthen the relationship between low parental support and BPD features.

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Based on the recommendations of a Task Force on Scientific Integrity and Openness it appointed, the Governing Council of the Society for Research in Child Development (SRCD) adopted a Policy on Scientific Integrity and Openness (SRCD, 2019a) and accompanying Author Guidelines on Scientific Integrity and Openness for Publishing in Child Development (SRCD, 2019b). Here we discuss some of the challenges associated with realizing SRCD's vision for a science of child development that is open, transparent, robust, impactful, and conducted with the highest standards of integrity. In identifying the challenges-protecting participants and researchers from harm, respecting diversity, and balancing the benefits of change with the costs -we also offer constructive solutions.

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A previous paper published in this journal proposed a model for evaluating the location of fingermarks on two-dimensional items (de Ronde, van Aken, de Puit and de Poot (2019)). In this paper, we apply the proposed model to a dataset consisting of letters to test whether the activity of writing a letter can be distinguished from the alternative activity of reading a letter based on the location of the fingermarks on the letters. An experiment was conducted in which participants were asked to read a letter and write a letter as separate activities on A4- and A5-sized papers.

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  • Social neurodevelopmental imbalance models suggest that having peers around increases risk-taking in early adolescents, especially in boys.
  • Despite mixed findings from previous studies, this research involving 327 diverse Dutch adolescents found that peer presence doesn't universally affect risk-taking, but boys take more risks than girls when with same-sex peers.
  • The study revealed that risky decision-making performance can predict real-world risk behaviors, highlighting the role of individual differences like gender in how peer presence influences adolescent risk-taking.
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BACKGROUND For a long time there was controversy and reservations with regards to diagnosing borderline personality disorder (BPD) under the age of eighteen. Progress in scientific knowledge has shown that adolescence is a key phase in the understanding of the development of the disorder.
AIM: To contribute to the understanding of the developmental trajectory of BPD by studying associations between BPD and the interpersonal functioning in adolescence.

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Chronic pain and subfertility are the main symptoms of concern in women with endometriosis. In order to find new therapeutic options to suppress the pain, translational animal models are indispensable. We have developed a new automated, experimental setup, with full consideration for animal wellbeing, to determine whether operant behaviour can reveal abdominal hyperalgesia in rats with surgically-induced endometriosis, in order to assess whether abdominal hyperalgesia affect behavioural parameters.

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Using the EEG recordings of patients with endometriosis-related chronic pelvic pain, we have examined the effective connectivity within the cortical pain-related network during rest and during pain-related imagery. During rest, an altered connectivity was hypothesized between cortical somatosensory pain areas and regions involved in emotional and cognitive modulation of pain. During pain-related imagery, alterations in prefrontal-temporal connectivity were expected.

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  • The studies evaluated the Dutch adaptation of the Big Five Inventory-2 (BFI-2) to see if its strong psychometric properties matched those of the English version.
  • The findings showed that the structure of the BFI-2 was consistent between the two languages, with both full and short versions proving reliable for measuring personality traits.
  • Additionally, the domain scales effectively predicted various criteria, and specific facets of the BFI-2 were linked to particular outcomes, underlining their significance as valid predictors.
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In this paper, we describe a promising method to evaluate the location of fingermarks on two-dimensional objects, which provides valuable information for the evaluation of fingermarks at activity level. For this purpose, an experiment with pillowcases was conducted at the Dutch music festival Lowlands, to test whether the activity 'smothering' can be distinguished from an alternative activity like 'changing a pillowcase' based on the touch traces on pillowcases left by the activities. Participants performed two activities with paint on their hands: smothering a victim with the use of a pillow and changing a pillowcase of a pillow.

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