Publications by authors named "Blankers M"

This study aimed to evaluate effects of three machine learning based adjustments made to an eHealth intervention for mild alcohol use disorder, regarding a) early dropout, b) participation duration, and c) success in reaching personal alcohol use goals. Additionally, we aimed to replicate earlier machine learning analyses. We used three cohorts of observational log data from the Jellinek Digital Self-help intervention.

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Background: For individuals who wish to reduce their cannabis use without formal help, there are a variety of self-help tools available. Although some are proven to be effective in reducing cannabis use, effect sizes are typically small. More insight into predictors of successful reduction of use among individuals who frequently use cannabis and desire to reduce/quit could help identify factors that contribute to successful cannabis use moderation.

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  • A study investigated whether adding group schema therapy (GST) to individual trauma-focused treatment (imagery rescripting, ImRs) improves outcomes for patients with PTSD and cluster C personality disorders (PD).* -
  • 130 adult outpatients were randomly assigned to receive either ImRs alone or ImRs plus GST, with results measured one year later to assess PTSD severity and other secondary outcomes.* -
  • Both treatment groups showed significant reductions in PTSD severity, but there was no notable difference between the two, suggesting that standard trauma-focused treatment may be the better first-line option for these patients.*
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Introduction: High dropout and low treatment attendance rates among patients with posttraumatic stress disorder (PTSD) and personality disorders (PDs) continue to pose a significant challenge. Despite numerous studies focusing on enhancing treatment attendance, the identification of consistent and reliable predictors in patients with PTSD and comorbid PDs remains limited.

Objectives: This study aims to investigate a wide range of potential predictors of treatment attendance, encompassing demographic, patient-severity, treatment, and therapist-related variables in patients with PTSD and comorbid borderline and/or cluster C PDs.

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Background: Recent studies have shown positive, though small, clinical effects of digital smoking cessation (SC) interventions for cancer survivors. However, research on associations among participant characteristics, intervention engagement, and outcomes is limited.

Objective: This study aimed to explore the predictors and moderators of engagement and outcome of MyCourse-Quit Smoking (in Dutch: "MijnKoers-Stoppen met Roken"), a digital minimally guided intervention for cancer survivors.

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Background: There is a dearth of research on the cost-effectiveness of intensive home treatment (IHT), an alternative to psychiatric hospitalisation for patients experiencing psychiatric crises. We therefore present a health economic evaluation alongside a pre-randomised controlled trial of IHT compared to care as usual (CAU).

Method: Patients were pre-randomised to IHT or CAU using a double-consent open-label Zelen design.

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Background: Prenatal smoking and stress are associated with adverse health effects for women themselves and are risk factors for adverse outcomes of the child. Effective interventions are needed to support women with smoking cessation and reducing stress. The aims were (1) to test the effectiveness of an 8-week eHealth intervention targeting stress reduction and smoking cessation; (2) to examine whether stress reduction mediated the intervention effect on smoking behavior; (3) to test motivation to quit as a moderator; and (4) to investigate a dose-response effect of program usage.

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This study examined the impact of clinical severity on treatment outcome in two programs that differ markedly in treatment intensity: day hospital mentalization-based treatment (MBT-DH) and intensive outpatient mentalization-based treatment (MBT-IOP) for borderline personality disorder (BPD). A multicenter randomized controlled trial was conducted. Participants include the full intention-to-treat sample of the original trial of N = 114 randomized BPD patients (MBT-DH n = 70, MBT-IOP n = 44), who were assessed at baseline and subsequently every 6 up to 36 months after start of treatment.

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  • Major Depressive Disorder often recurs, leading to increased disability and healthcare costs; this study evaluates the economic viability of Preventive Cognitive Therapy (PCT) compared to standard care for patients with recurrent depression who have remitted after Cognitive Behavioural Therapy.
  • A randomized trial involving 214 participants assessed health-related quality of life, depression-free days, healthcare use, and productivity losses over 15 months; results indicated PCT offered more depression-free days but at a higher societal cost.
  • While PCT showed potential benefits in terms of depression-free days, it was not deemed cost-effective overall, with limitations noted regarding the short follow-up period for assessing long-term outcomes.
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  • Social distancing during the COVID-19 pandemic led to a shift from in-person treatment for alcohol use disorder to video conferencing, creating an opportunity to study its effectiveness.
  • A study compared three groups of patients receiving cognitive behavioral therapy: those treated before the pandemic, those with mixed methods during lockdown, and those treated entirely via video conferencing.
  • Results showed similar success rates and dropout rates across all groups, indicating that video conferencing was as effective as traditional in-person treatment, although treatment during lockdown was generally longer.
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Background: Intensive home treatment (IHT) aims to prevent psychiatric hospitalisation. Although this intervention is well tested, it is still unknown for whom this intervention works best. Therefore, this study aims to explore prescriptive factors that moderate the effect of IHT compared to care as usual (CAU) on symptom severity.

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Introduction: Polydrug use patterns among young adults using ecstasy vary, as well as their willingness to change them. Polydrug use patterns are likely associated with different adverse health outcomes. It is unknown whether polydrug use patterns of young adults who use ecstasy are similar in different countries.

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Aim: To explore the preferences of young adults with regard to the development of a new digital add-on alcohol intervention to complement depression treatment.

Methods: This qualitative study included young adults (18-35 years) with experience of either problematic alcohol use or depression or both ( = 29). Two rounds of focus groups were conducted, with two focus groups in each round.

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Introduction: The aim is to perform an economic evaluation alongside a randomized controlled trial comparing guided self-help cognitive behavioral therapy-enhanced (CBT-E) for binge-eating disorder (BED) to a waiting list control condition.

Methods: BED patients (N = 212) were randomly assigned to guided self-help CBT-E or the 3-month waiting list. Measurements took place at baseline and the end-of-treatment.

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Background: There is a considerable gap between care provision and the demand for care for common mental disorders in low-and-middle-income countries. Screening for these disorders, e.g.

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Aims: To test the effectiveness of a digital intervention to reduce cannabis use (ICan) with adherence-focused guidance compared with educational cannabis information.

Design: This was a single-blind randomized controlled trial. Follow-up clinical outcome measurements took place 3 and 6 months after randomization.

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Background: Owing to the gap between treatment supply and demand, there are long waiting periods for patients with binge eating disorder, and there is an urgent need to increase their access to specialized treatment. Guided self-help cognitive behavioral therapy-enhanced (CBT-E) may have great advantages for patients if its efficacy can be established.

Objective: The aim of this study was to examine the efficacy of guided self-help CBT-E compared with that of a delayed-treatment control condition.

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  • The study investigates the relationship between polygenic scores for smoking behavior and psychosis in a cohort of schizophrenia patients, their unaffected siblings, and healthy controls.
  • The average number of cigarettes smoked daily was found to be 18 for patients, 13 for siblings, and 12 for controls, indicating a trend of higher smoking in patients.
  • Results showed that certain polygenic scores were linked to more severe psychotic symptoms in siblings and controls but not in patients, suggesting that genetic factors influencing smoking may impact mental health differently across these groups.
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Aims: There are indications that problematic alcohol use may negatively impact the course of major depressive disorder (MDD). However, most studies on alcohol use and adverse MDD outcomes are conducted amongst MDD populations with (severe) alcohol use disorder in psychiatric treatment settings. Therefore, it remains unclear whether these results can be generalised to the general population.

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Background: Children of parents with post-traumatic stress disorder (PTSD) are at increased risk of adverse psychological outcomes. An important risk mechanism is impaired parental functioning, including negative parenting behavior, perceived incompetence, and lack of social support. Several parenting interventions for trauma-exposed parents and parents with psychiatric disorders exist, but none have specifically targeted parents with PTSD.

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More than half of the patients suffering from a first psychotic episode withdraw from antipsychotic medication within the first year of treatment. Shared decision making could enhance the therapeutic relationship and thus adherence. AIM: To describe an online decision aid for the selection of antipsychotic medication: the Personal Antipsychotic Choice Index (www.

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Background: In 2018 Jellinek became a smoke free institution. By implementing ‘Jellinek Smoke free’ in all locations (15), a policy has been implemented to facilitate smoking cessation in clients with a comorbid tobacco use disorder seeking treatment for substance use disorders at Jellinek.

Aim: To investigate whether the implementation of the new policy impacted smoking behaviour of clients in treatment for substance use disorders at Jellinek.

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Background: Saudi Arabia is undergoing rapid sociocultural changes, which may have led to an increase of body mass index and eating disorder pathology. The aim of this study is to investigate whether body dissatisfaction, self-esteem, having lived abroad, cultural orientation, perceived stress, media use, and socioeconomic status are correlates of eating disorder pathology with body mass index as a covariate. Additional aims are to investigate if cultural orientation is associated with symptomatology and if stress is a covariate in the association between eating disorder pathology and Western orientation.

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  • The study evaluated intensive home treatment as an alternative to traditional inpatient care for patients in acute psychiatric crises, aiming to reduce bed-days and improve clinical effectiveness.
  • Conducted as a randomized controlled trial in Amsterdam, participants were divided into two groups: one receiving intensive home treatment and the other receiving standard care, with the primary outcome being the total admission days over a year.
  • The intensive home treatment approach was customized based on the individual's crisis and collaborative goals with patients and a multidisciplinary team, assessing outcomes using advanced statistical analysis.
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