Publications by authors named "Maarten van Dijk"

Article Synopsis
  • Thiopurine drugs are crucial for managing inflammatory bowel disease (IBD), but they can cause side effects, particularly thiopurine-induced myelosuppression (TIM).
  • A study in the Netherlands explored the frequency of the NUDT15*3 genetic polymorphism and its connection to TIM in IBD patients.
  • Out of 988 patients, 1.3% had the NUDT15*3 variant; among those on thiopurines, 50% of carriers developed TIM compared to just 2.3% of non-carriers, indicating the importance of genetic testing before treatment.
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Background: Given both the large volume and manifold preferences of patients with depression, the availability of various effective treatments is important. Psychodynamic psychotherapy (PDT) has received less research in comparison to cognitive behavioural therapy (CBT) for major depressive disorder (MDD). This study aimed to establish whether short-term psychodynamic supportive psychotherapy (SPSP) is non-inferior to CBT in the treatment of MDD.

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  • Policymakers and health providers are focusing more on cost-effectiveness analyses (CEA) for mental health treatments, especially due to rising costs in this sector.
  • The study compared the cost-effectiveness of a phased treatment approach (STAIR-EMDR) versus direct trauma-focused treatment (EMDR only) in patients with PTSD linked to childhood abuse.
  • Results showed no significant differences in effectiveness, but STAIR-EMDR had higher societal costs, making it less cost-effective than EMDR-only therapy for PTSD 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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  • Knowledge of predictors and moderators is crucial for enhancing PTSD treatment effectiveness in those affected by childhood abuse, with the study investigating variables that could impact treatment outcomes.
  • The research compared a two-step treatment method (STAIR plus EMDR) versus a direct EMDR approach for PTSD, focusing on various psychological symptoms as predictors and moderators.
  • Findings indicated that pre-treatment PTSD severity and dissociative symptoms were major predictors of poor treatment outcomes, suggesting that more extensive or mixed treatment options might be necessary for those with severe PTSD symptoms.
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  • A recent study investigated the effectiveness of two types of PTSD treatments—phase-based (EMDR preceded by STAIR) and direct trauma-focused (EMDR only)—to determine which is more beneficial for patients with PTSD from childhood abuse.
  • Using the Personalized Advantage Index (PAI) model and machine learning, the study aimed to predict which treatments might be more effective for specific patients based on pretreatment variables.
  • The findings showed no significant differences in outcomes between patients receiving PAI-indicated treatment and those receiving non-PAI treatments, suggesting that personalized medicine may not be necessary for this group, highlighting the need for further research with larger sample sizes.
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The beta spectrum of the main transition of the β decay of Tm was measured using a double focalizing spectrometer. The instrument was lately improved in order to reduce its low energy threshold to 34 keV. We used the spectrometer to measure the beta spectrum end-point energy of the main transition of Tm decay using the Kurie plot formalism.

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  • Knowledge of factors that predict treatment dropout in PTSD patients is limited, highlighting the need for further research on this issue.
  • A study compared two treatment approaches for PTSD from childhood abuse and used machine learning to analyze pre-treatment data for indicators of dropout, achieving an 81.6% prediction accuracy.
  • Key predictors of dropout included male gender, low education, suicidal thoughts, emotion regulation issues, high general psychopathology, and not using benzodiazepines, suggesting areas for improving treatment retention.
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Although studies have shown that client feedback can improve treatment outcome, little is known about which factors might possibly moderate the effects of such feedback. The present study investigated potential therapist variables that might influence whether frequent client feedback is effective, including the Big Five personality traits, internal/external feedback propensity and self-efficacy. Data from two previous studies, a quasi-experimental study and a randomized controlled trial, were combined.

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Background: Dravet syndrome is a rare, severe pediatric epileptic encephalopathy associated with intellectual and motor disabilities. Proteomic profiling in a mouse model of Dravet syndrome can provide information about the molecular consequences of the genetic deficiency and about pathophysiological mechanisms developing during the disease course.

Methods: A knock-in mouse model of Dravet syndrome with Scn1a haploinsufficiency was used for whole proteome, seizure, and behavioral analysis.

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In the wake of the coronavirus disease 2019 (COVID-19) pandemic, it is unclear how asymptomatic severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)-infected patients who present with acute severe ulcerative colitis (UC) can be treated effectively and safely. Standard treatment regimens consist of steroids, immunomodulatory drugs, and biological therapies, but therapeutic decision-making becomes challenging as there are uncertainties about how to deal with these drugs in patients with COVID-19 and active UC. Importantly, guidelines for this particular group of patients with UC are still lacking.

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Objective: Ethical decisions about an allowance for animal experiments need to be based on scientifically sound information about the burden and distress associated with the experimental procedure and models. Thereby, species differences need to be considered for recommendations regarding evidence-based severity assessment and refinement measures.

Methods: A comprehensive analysis of behavioral patterns and corticosterone or its metabolites in serum and feces was completed in kindled mice.

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Background And Aims: The COVID-19 risk and disease course in inflammatory bowel disease [IBD] patients remains uncertain. Therefore, we aimed to assess the clinical presentation, disease course, and outcomes of COVID-19 in IBD patients. Second, we determined COVID-19 incidences in IBD patients and compared this with the general population.

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Background: Stress exposure can significantly affect serotonergic signaling with a particular impact on 5-HT receptor expression. Positron emission tomography (PET) provides opportunities for molecular imaging of alterations in 5-HT receptor binding following stress exposure. Considering the possible role of 5-HT receptors in stress coping mechanisms, respective imaging approaches are of particular interest.

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In addition to tissues such as liver, the plasma membrane sodium-dependent citrate transporter, NaCT (SLC13A5), is highly expressed in brain neurons, but its function is not understood. Loss-of-function mutations in the human SLC13A5 gene have been associated with severe neonatal encephalopathy and pharmacoresistant seizures. The molecular mechanisms of these neurological alterations are not clear.

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Article Synopsis
  • A study tested how progress feedback impacts cognitive behavioral therapy (CBT) outcomes by comparing high-intensive feedback to low-intensive monitoring in a group of 368 outpatients.
  • Results showed that clients receiving high-intensive feedback experienced similar symptom reduction in significantly fewer sessions, and had lower dropout rates compared to those who received low-intensive feedback.
  • The findings suggest that incorporating high-intensive feedback into CBT can lead to more efficient treatment, particularly for clients with personality disorders, making it a promising adaptation of conventional CBT.
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Striking differences in the septo-temporal distribution of neurogenesis are found in small rodents. Here, we assessed the association of adult hippocampal neurogenesis with behavioral responses to novelty, temporal and spatial sequence and reversal learning in wild, wild-derived and laboratory rodents using an automated testing apparatus, the IntelliCage. Behaviorally, DBA/2 and wild-derived house mice were quickest to explore a novel environment, wild wood mice and bank voles were slowest, and C57BL/6 intermediate.

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Article Synopsis
  • The study aimed to improve long-term outcomes for patients with major depressive disorder by testing the effectiveness of preventive cognitive therapy (PCT) after cognitive behavioral therapy (CBT).
  • A trial involving 214 patients in remission from depression was conducted, comparing PCT with standard care, finding that PCT significantly delayed relapse over 15 months.
  • Although PCT helped in delaying relapse, it did not show a difference in the number or severity of relapses or residual symptoms compared to standard care.
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Objective: In patients with epilepsy, psychiatric comorbidities can significantly affect the disease course and quality of life. Detecting and recognizing these comorbidities is central in determining an optimal treatment plan. One promising tool in detecting biomarkers for psychiatric comorbidities in epilepsy is positron emission tomography (PET).

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Psychiatric comorbidities are prevalent in patients with epilepsy and greatly contribute to the overall burden of disease. The availability of reliable biomarkers to diagnose epilepsy-associated comorbidities would allow for effective treatment and improved disease management. Due to their non-invasive nature, molecular imaging techniques such as positron emission tomography (PET) are ideal tools to measure pathologic changes.

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Objective: Rodent epilepsy models can significantly contribute to our understanding of pathophysiological mechanisms and to validation of biomarker and target candidates. Evidence-based severity assessment is a presupposition for the ethical evaluation of animal experimentation allowances as well as for the development of efficacious refinement concepts.

Methods: Aiming to improve our understanding of the impact of experimental procedures and repeated seizures, we have completed a comprehensive behavioral and biochemical analysis assessing various parameters that can inform about the influence of an electrical kindling paradigm on well-being in rats.

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Article Synopsis
  • The study examines whether a phase-based treatment approach for PTSD, including stabilization, is more effective than immediate trauma-focused treatment for individuals with a history of childhood abuse.
  • It involves 122 patients aged 18-65 diagnosed with PTSD and assesses outcomes through various PTSD symptom scales before, during, and after therapy sessions, as well as at follow-up.
  • The research aims to explore factors influencing treatment response and dropout rates, particularly in relation to complex PTSD symptoms that stem from chronic childhood trauma.
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  • Exposure and response prevention is a key treatment method for tic disorders, showing significant reduction in tics after longer sessions (12 sessions of 2 hours).
  • An open trial tested whether shorter 1-hour exposure sessions could be as effective for patients with Tourette syndrome or chronic tic disorder, comparing results with previous findings from longer sessions.
  • The findings indicate that shorter sessions are just as effective, suggesting they could be a more efficient option for treatment, although further research is needed to explore how these behavioral treatments work.
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The functional septo-temporal (dorso-ventral) differentiation of the hippocampus is accompanied by gradients of adult hippocampal neurogenesis (AHN) in laboratory rodents. An extensive septal AHN in laboratory mice suggests an emphasis on a relation of AHN to tasks that also depend on the septal hippocampus. Domestication experiments indicate that AHN dynamics along the longitudinal axis are subject to selective pressure, questioning if the septal emphasis of AHN in laboratory mice is a rule applying to rodents in general.

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