Wilma Jansen - Academia.edu (original) (raw)
Papers by Wilma Jansen
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 2018
Loneliness may affect children's psychological well-being and academic achievement. Parent-ch... more Loneliness may affect children's psychological well-being and academic achievement. Parent-child relationships have been consistently associated with child adjustment. However, parental antecedents of child loneliness have been relatively understudied. Guided by attachment theory, we examined the trajectories of father-child and mother-child relationship closeness and conflict, and their associations with trajectories of child loneliness with National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD) data to understand parents' roles in child loneliness in middle childhood. In Grades 1 ( = 6.57, = .29), 3, 4, and 5, both resident fathers and mothers reported on parent-child relationships. At Grades 1, 3, and 5, children reported on their loneliness. Loneliness declined from Grade 1 to Grade 5. After controlling for socioeconomic status (SES), the slope of father-child relationship closeness was negatively associa...
Prevention of Childhood Obesity in a Municipal Setting Preventie van overgewicht bij kinderen op ... more Prevention of Childhood Obesity in a Municipal Setting Preventie van overgewicht bij kinderen op lokaal niveau Proefschrift ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof.dr. H.G. Schmidt en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op woensdag 16 september 2009 om 11.30 uur door
Validation of the SDQ in a multi-ethnic population of young
European Child & Adolescent Psychiatry
Determinants at the contextual level are important for children’s and adolescents’ mental health ... more Determinants at the contextual level are important for children’s and adolescents’ mental health care utilization, as this is the level where policy makers and care providers can intervene to improve access to and provision of care. The objective of this review was to summarize the evidence on contextual determinants associated with mental health care utilization in children and adolescents. A systematic literature search in five electronic databases was conducted in August 2021 and retrieved 6439 unique records. Based on eight inclusion criteria, 74 studies were included. Most studies were rated as high quality (79.7%) and adjusted for mental health problems (66.2%). The determinants that were identified were categorized into four levels: organizational, community, public policy or macro-environmental. There was evidence of a positive association between mental health care utilization and having access to a school-based health center, region of residence, living in an urban area, l...
European Journal of Pediatrics
Previous studies conducted mainly among adolescents have found associations between participation... more Previous studies conducted mainly among adolescents have found associations between participation in sport organised leisure-time activities (OLTAs) and mental health problems (MHP). Fewer research studies have been performed to primary school-aged children and to organised non-sport OLTAs. Therefore, the objective is to examine whether there is an association between participation in sport and non-sport OLTAs and a high risk of MHP in 4- to 12-year-olds. Data were used on 5010 children from a cross-sectional population-based survey conducted between May and July 2018 in Rotterdam, the Netherlands. Associations between sport OLTAs, non-sport OLTAs and breadth of OLTAs and a high risk of MHP were explored using logistic regression models adjusting for sociodemographic characteristics, stressful life events and physical activity. Of all children, 58% participated in sport OLTAs and 22% in non-sport OLTAs. The proportion of children with high risk of MHP among participants in sport OLT...
European Child & Adolescent Psychiatry, Jan 10, 2022
Approximately, 15% of children in Western countries suffer from emotional and behavioural problem... more Approximately, 15% of children in Western countries suffer from emotional and behavioural problems. However, not all children receive the psychosocial care they need, especially children with a non-Western background experience an unmet need for care. This might be because parents of non-Western children report a lower need for care than parents of Western children, unrelated to the actual need. This study examined the association between teacher-reported problems and psychosocial care use, independent of mother-reported problems. Further, the role of ethnic background in this association was investigated. The study sample of 9-year-old children was retrieved from the Generation R Study (N = 3084), a prospective, population-based cohort of children born in Rotterdam, the Netherlands. Teacher-and mother-reported problems were measured via questionnaire when the children were 6/7 years old. Psychosocial care use was mother-reported at the research centre when children were 9 years old (8.1%). Hierarchical logistic regressions showed significant positive associations between teacher-reported total, externalising and internalising problems and later psychosocial care use. These associations were independent of mother-reported problems. Children with a non-Western background used less care, but ethnic background did not moderate the association between teacher-reported problems and care use. Our findings suggest that teachers might have an important role, next to parents, in the identification of problems and children's access to care. This may be particularly important for non-Western children, as they use less psychosocial care than Western children, despite other research showing that they generally display higher levels of problems. Directions for future research and implications are discussed.
SSM - Population Health, 2022
Background It is important to provide insight in potential target groups for interventions to red... more Background It is important to provide insight in potential target groups for interventions to reduce socioeconomic inequalities in children's vegetable/fruit consumption. In earlier studies often single indicators of socioeconomic status (SES) or migrant status have been used. However, SES is a multidimensional concept and different indicators may measure different SES dimensions. Our objective is to explore multiple associations of SES indicators and migrant status with risk of a low vegetable/fruit consumption in a large multi-ethnic and socioeconomically diverse sample of children. Methods We included 5,010 parents of 4- to 12-year-olds from a Dutch public health survey administered in 2018. Cross-sectional associations of parental education, material deprivation, perceived financial difficulties, neighbourhood socioeconomic status (NSES) and migrant status with low (≤4 days a week) vegetable and fruit consumption in children were assessed using multilevel multivariable logistic regression models. Results are displayed as odds ratios (OR) with 95% confidence intervals (CI). Results Of the 4- to 12-year-olds, 22.1% had a low vegetable consumption and 11.9% a low fruit consumption. Low (OR 2.51; 95%CI: 2.05, 3.07) and intermediate (OR 1.83; 95%CI: 1.54, 2.17) parental education, material deprivation (OR 1.45; 95%CI: 1.19, 1.76), low NSES (OR 1.28; 95%CI: 1.04, 1.58) and a non-Western migrant status (OR 1.94; 95%CI: 1.66, 2.26) were associated with a higher risk of a low vegetable consumption. Low (OR 1.68; 95%CI: 1.31, 2.17) and intermediate (OR 1.39; 95%CI: 1.12, 1.72) parental education and material deprivation (OR 1.63; 95%CI: 11.27, 2.08) were also associated with a higher risk of a low fruit consumption. Conclusion Our findings indicate associations of multiple SES indicators and migrant status with a higher risk of a low vegetable/fruit consumption in children and thus help to identify potential target groups.
Het Regionaal Leernetwerk Jeugd heeft de afgelopen tijd op deze kleinschalige manier aan innovati... more Het Regionaal Leernetwerk Jeugd heeft de afgelopen tijd op deze kleinschalige manier aan innovatie gewerkt door drie ‘best practices’ centraal te stellen, waarbij er zowel binnen als tussen ‘best practices’ samen geleerd wordt. De drie ‘best practices’ zijn: 1. De Blauwdruk Psychosociale Zorg en Samenwerking met Veilig Thuis ondersteunt geboortezorgprofessionals om de zorg voor kwetsbare zwangeren te structureren. 2. Mijn Pad helpt jongeren om stap-voor-stap hun pad uit te stippelen voor de toekomst. De professional is volgend, geeft jongeren ruimte om de leiding te nemen. 3. Ouders in actie is een groep enthousiaste, speciaal getrainde ouders die andere vaders en moeders bij elkaar brengen om te praten over de opvoeding van hun kinderen. In dit hoofdstuk staan de drie ‘best practices’ centraal en enkele eerste opbrengsten en successen die zijn behaald. We sluiten af met enkele conclusies en wensen voor de toekomst.
Children and Youth Services Review, 2021
Nursing Open, 2021
Media use may strengthen parents’ capacities to deal with parenting issues. This study examined w... more Media use may strengthen parents’ capacities to deal with parenting issues. This study examined which factors are associated with media use for parenting information.
Race and Social Problems, 2016
School-aged children with an ethnic minority background are relatively often involved in bullying... more School-aged children with an ethnic minority background are relatively often involved in bullying and victimization, but the role of ethnic composition of schools in this context remains unclear. This study examined the relation between ethnic minority background, ethnic school composition, and bullying behaviour around primary school entry in the Netherlands. The study was based on a 2008/2009 school survey in Rotterdam, a Dutch city where about 50 % of children have a non-Dutch background. For 8523 children, teacher reports of bullying behaviour at age 5-6 years were available. Children with a non-Dutch background had higher odds of being a victim (adjusted
Maternal & child nutrition, Apr 16, 2016
A healthy diet is important for optimal growth and development in children. Food preferences are ... more A healthy diet is important for optimal growth and development in children. Food preferences are a main determinant of children's intake. The aim of this study was to examine the associations of 6-n-propylthiouracil (PROP) taster status (taste sensitivity to PROP) with children's food preferences and consumption of high-calorie snacks and sweet beverages among ethnically diverse children. We analysed data from 5585 6-year-old children enrolled in the Generation R Study, a birth cohort study in Rotterdam, the Netherlands. PROP taster status was evaluated using a suprathreshold screening solution. Food preferences of the children were assessed by a two-stage protocol using photographs of eight food items (candy, chocolate, mayonnaise, whipped cream, soup, potato chips, carrot and bread), yielding both hedonic ratings (1-3) and rank order scores (1-8). Univariate and multivariable linear and logistic regression analyses were performed, using tasters as the reference group. Non-...
PLoS ONE, 2014
Objective: Using parent-completed questionnaires in (preventive) child health care can facilitate... more Objective: Using parent-completed questionnaires in (preventive) child health care can facilitate the early detection of psychosocial problems and psychopathology, including autism spectrum disorders (ASD). A promising questionnaire for this purpose is the Brief Infant-Toddler Social and Emotional Assessment (BITSEA). The screening accuracy with regard to ASD of the BITSEA Problem and Competence scales and a newly calculated Autism score were evaluated. Method: Data, that was collected between April 2010 and April 2011, from a community sample of 2-year-olds (N = 3127), was combined with a sample of preschool children diagnosed with ASD (N = 159). For the total population and for subgroups by child's gender, area under the Receiver Operating Characteristic (ROC) curve was examined, and across a range of BITSEA Problem, Competence and Autism scores, sensitivity, specificity, positive and negative likelihood ratio's, diagnostic odds ratio and Youden's index were reported. Results: The area under the ROC curve (95% confidence interval, [95%CI]) of the Problem scale was 0.90(0.87-0.92), of the Competence scale 0.93(0.91-0.95), and of the Autism score 0.95(0.93-0.97). For the total population, the screening accuracy of the Autism score was significantly better, compared to the Problem scale. The screening accuracy of the Competence scale was significantly better for girls (AUC = 0.97; 95%CI = 0.95-0.98) than for boys (AUC = 0.91; 95%CI = 0.88-0.94). Conclusion: The results indicate that the BITSEA scales and newly calculated Autism score have good discriminative power to differentiate children with and without ASD. Therefore, the BITSEA may be helpful in the early detection of ASD, which could have beneficial effects on the child's development.
PLoS ONE, 2013
Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising ques... more Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising questionnaire for the early detection of psychosocial problems in toddlers. The screening accuracy and clinical application were evaluated. Methods: In a community sample of 2-year-olds (N = 2060), screening accuracy of the BITSEA Problem scale was examined regarding a clinical CBCL1.5-5 Total Problem score. For the total population and subgroups by child's gender and ethnicity Receiver Operating Characteristic (ROC) curves were calculated, and across a range of BITSEA Problem scores, sensitivity, specificity, likelihood ratio's, diagnostic odds ratio and Youden's index. Clinical application of the BITSEA was examined by evaluating the relation between the scale scores and the clinical decision of the child health professional. Results: The area under the ROC curve (95% confidence interval) of the Problem scale was 0.97(0.95-0.98), there were no significant differences between subgroups. The association between clinical decision and BITSEA Problem score (B = 2.5) and Competence score (B = 20.7) was significant (p,0.05). Conclusions: The results indicate that the BITSEA Problem scale has good discriminative power to differentiate children with and without psychosocial problems. Referred children had less favourable scores compared to children that were not referred. The BITSEA may be helpful in the early detection of psychosocial problems.
Acta Paediatrica, 1997
Data on height, weight and pubertal development of 8596 Dutch children were taken to study differ... more Data on height, weight and pubertal development of 8596 Dutch children were taken to study differences in health status between children living in neighbourhoods of different socioeconomic level in Rotterdam. The data were obtained during regular school medical examinations of children aged 5, 7, 1 1 and 14 years. Children living in poor neighbourhoods appeared to be shorter than children living in rich neighbourhoods. Overweight appeared to be more prevalent amongst children living in poorer neighbourhoods.
BMC Public Health, 2019
BackgroundThe number of interventions to support parents is growing. The level of evidence regard... more BackgroundThe number of interventions to support parents is growing. The level of evidence regarding these intervention varies. In this paper we describe a study that aims to assess the effectiveness of specific ‘elements’ within such parenting interventions for families with children up to 7 years. A naturalistic effect evaluation will be applied. Study questions are:What is the exposure of parents to (elements of) parenting interventions in the daily practice of preventive youth health care?What are the associations between the exposure to (elements of) parenting interventions and outcomes in parents/children related to parenting and child development?Methods/designThousand parents/caregivers are recruited by preventive youth health care providers in the Netherlands. Measurements will be performed after inclusion and after 12-months follow up. Data regarding child/parent/caregiver characteristics, use of (parenting) interventions and care, and outcomes with regard to parenting ski...
PLoS ONE, 2012
Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a relatively new... more Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a relatively new and short (42-item) questionnaire that measures psychosocial problems in toddlers and consists of a Problem and a Competence scale. In this study the reliability and validity of the Dutch version of the BITSEA were examined for the whole group and for gender and ethnicity subgroups. Methods: Parents of 7140 two-year-old children were invited in the study, of which 3170 (44.4%) parents completed the BITSEA. For evaluation of the score distribution, the presence of floor/ceiling effects was determined. The internal consistency (Cronbach's alpha) was evaluated and in subsamples the test-retest, parent-childcare provider interrater reliability and concurrent validity with regard to the Child Behavioral Checklist (CBCL). Discriminative validity was evaluated by comparing scores of parents that worry and parents that do not worry about their child's development. Results: The BITSEA showed no floor or ceiling effects. Psychometric properties of the BITSEA Problem and Competence scale were respectively: Cronbach's alphas were 0.76 and 0.63. Test-retest correlations were 0.75 and 0.61. Interrater reliability correlations were 0.30 and 0.17. Concurrent validity was as hypothesised. The BITSEA was able to discriminate between parents that worry about their child and parents that do not worry. The psychometric properties of the BITSEA were comparable across gender and ethnic background. Conclusion: The results in this large-scale study of a diverse sample support the reliability and validity of the BITSEA Problem scale. The BITSEA Competence scale needs further study. The performance of the BITSEA appears to be similar in subgroups by gender and ethnic background.
The Journal of Early Adolescence, 2010
In a multiethnic community sample of 1,170 preadolescent children, it was investigated whether di... more In a multiethnic community sample of 1,170 preadolescent children, it was investigated whether discrepancies in parent-child reports of internalizing problems are related with gender, ethnic background (Dutch, Surinamese/ Antillean, Moroccan, Turkish, Other) and with future internalizing problems. No significant differences in discrepancy scores between boys and girls were found. Parent-child disagreement of internalizing problems varied across ethnic groups, with significant differences among children from Surinamese/ Antillean (children reporting more internalizing problems than their parents) and Turkish background (parents reporting more internalizing problems than their children). Disagreement between parents and their preadolescent child significantly contributed to the prediction of self-reported internalizing problems in early adolescence. For the early identification of internalizing problems, it is recommended to include both parent and child self-reports as part of routin...
Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43), 2018
Loneliness may affect children's psychological well-being and academic achievement. Parent-ch... more Loneliness may affect children's psychological well-being and academic achievement. Parent-child relationships have been consistently associated with child adjustment. However, parental antecedents of child loneliness have been relatively understudied. Guided by attachment theory, we examined the trajectories of father-child and mother-child relationship closeness and conflict, and their associations with trajectories of child loneliness with National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD) data to understand parents' roles in child loneliness in middle childhood. In Grades 1 ( = 6.57, = .29), 3, 4, and 5, both resident fathers and mothers reported on parent-child relationships. At Grades 1, 3, and 5, children reported on their loneliness. Loneliness declined from Grade 1 to Grade 5. After controlling for socioeconomic status (SES), the slope of father-child relationship closeness was negatively associa...
Prevention of Childhood Obesity in a Municipal Setting Preventie van overgewicht bij kinderen op ... more Prevention of Childhood Obesity in a Municipal Setting Preventie van overgewicht bij kinderen op lokaal niveau Proefschrift ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof.dr. H.G. Schmidt en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op woensdag 16 september 2009 om 11.30 uur door
Validation of the SDQ in a multi-ethnic population of young
European Child & Adolescent Psychiatry
Determinants at the contextual level are important for children’s and adolescents’ mental health ... more Determinants at the contextual level are important for children’s and adolescents’ mental health care utilization, as this is the level where policy makers and care providers can intervene to improve access to and provision of care. The objective of this review was to summarize the evidence on contextual determinants associated with mental health care utilization in children and adolescents. A systematic literature search in five electronic databases was conducted in August 2021 and retrieved 6439 unique records. Based on eight inclusion criteria, 74 studies were included. Most studies were rated as high quality (79.7%) and adjusted for mental health problems (66.2%). The determinants that were identified were categorized into four levels: organizational, community, public policy or macro-environmental. There was evidence of a positive association between mental health care utilization and having access to a school-based health center, region of residence, living in an urban area, l...
European Journal of Pediatrics
Previous studies conducted mainly among adolescents have found associations between participation... more Previous studies conducted mainly among adolescents have found associations between participation in sport organised leisure-time activities (OLTAs) and mental health problems (MHP). Fewer research studies have been performed to primary school-aged children and to organised non-sport OLTAs. Therefore, the objective is to examine whether there is an association between participation in sport and non-sport OLTAs and a high risk of MHP in 4- to 12-year-olds. Data were used on 5010 children from a cross-sectional population-based survey conducted between May and July 2018 in Rotterdam, the Netherlands. Associations between sport OLTAs, non-sport OLTAs and breadth of OLTAs and a high risk of MHP were explored using logistic regression models adjusting for sociodemographic characteristics, stressful life events and physical activity. Of all children, 58% participated in sport OLTAs and 22% in non-sport OLTAs. The proportion of children with high risk of MHP among participants in sport OLT...
European Child & Adolescent Psychiatry, Jan 10, 2022
Approximately, 15% of children in Western countries suffer from emotional and behavioural problem... more Approximately, 15% of children in Western countries suffer from emotional and behavioural problems. However, not all children receive the psychosocial care they need, especially children with a non-Western background experience an unmet need for care. This might be because parents of non-Western children report a lower need for care than parents of Western children, unrelated to the actual need. This study examined the association between teacher-reported problems and psychosocial care use, independent of mother-reported problems. Further, the role of ethnic background in this association was investigated. The study sample of 9-year-old children was retrieved from the Generation R Study (N = 3084), a prospective, population-based cohort of children born in Rotterdam, the Netherlands. Teacher-and mother-reported problems were measured via questionnaire when the children were 6/7 years old. Psychosocial care use was mother-reported at the research centre when children were 9 years old (8.1%). Hierarchical logistic regressions showed significant positive associations between teacher-reported total, externalising and internalising problems and later psychosocial care use. These associations were independent of mother-reported problems. Children with a non-Western background used less care, but ethnic background did not moderate the association between teacher-reported problems and care use. Our findings suggest that teachers might have an important role, next to parents, in the identification of problems and children's access to care. This may be particularly important for non-Western children, as they use less psychosocial care than Western children, despite other research showing that they generally display higher levels of problems. Directions for future research and implications are discussed.
SSM - Population Health, 2022
Background It is important to provide insight in potential target groups for interventions to red... more Background It is important to provide insight in potential target groups for interventions to reduce socioeconomic inequalities in children's vegetable/fruit consumption. In earlier studies often single indicators of socioeconomic status (SES) or migrant status have been used. However, SES is a multidimensional concept and different indicators may measure different SES dimensions. Our objective is to explore multiple associations of SES indicators and migrant status with risk of a low vegetable/fruit consumption in a large multi-ethnic and socioeconomically diverse sample of children. Methods We included 5,010 parents of 4- to 12-year-olds from a Dutch public health survey administered in 2018. Cross-sectional associations of parental education, material deprivation, perceived financial difficulties, neighbourhood socioeconomic status (NSES) and migrant status with low (≤4 days a week) vegetable and fruit consumption in children were assessed using multilevel multivariable logistic regression models. Results are displayed as odds ratios (OR) with 95% confidence intervals (CI). Results Of the 4- to 12-year-olds, 22.1% had a low vegetable consumption and 11.9% a low fruit consumption. Low (OR 2.51; 95%CI: 2.05, 3.07) and intermediate (OR 1.83; 95%CI: 1.54, 2.17) parental education, material deprivation (OR 1.45; 95%CI: 1.19, 1.76), low NSES (OR 1.28; 95%CI: 1.04, 1.58) and a non-Western migrant status (OR 1.94; 95%CI: 1.66, 2.26) were associated with a higher risk of a low vegetable consumption. Low (OR 1.68; 95%CI: 1.31, 2.17) and intermediate (OR 1.39; 95%CI: 1.12, 1.72) parental education and material deprivation (OR 1.63; 95%CI: 11.27, 2.08) were also associated with a higher risk of a low fruit consumption. Conclusion Our findings indicate associations of multiple SES indicators and migrant status with a higher risk of a low vegetable/fruit consumption in children and thus help to identify potential target groups.
Het Regionaal Leernetwerk Jeugd heeft de afgelopen tijd op deze kleinschalige manier aan innovati... more Het Regionaal Leernetwerk Jeugd heeft de afgelopen tijd op deze kleinschalige manier aan innovatie gewerkt door drie ‘best practices’ centraal te stellen, waarbij er zowel binnen als tussen ‘best practices’ samen geleerd wordt. De drie ‘best practices’ zijn: 1. De Blauwdruk Psychosociale Zorg en Samenwerking met Veilig Thuis ondersteunt geboortezorgprofessionals om de zorg voor kwetsbare zwangeren te structureren. 2. Mijn Pad helpt jongeren om stap-voor-stap hun pad uit te stippelen voor de toekomst. De professional is volgend, geeft jongeren ruimte om de leiding te nemen. 3. Ouders in actie is een groep enthousiaste, speciaal getrainde ouders die andere vaders en moeders bij elkaar brengen om te praten over de opvoeding van hun kinderen. In dit hoofdstuk staan de drie ‘best practices’ centraal en enkele eerste opbrengsten en successen die zijn behaald. We sluiten af met enkele conclusies en wensen voor de toekomst.
Children and Youth Services Review, 2021
Nursing Open, 2021
Media use may strengthen parents’ capacities to deal with parenting issues. This study examined w... more Media use may strengthen parents’ capacities to deal with parenting issues. This study examined which factors are associated with media use for parenting information.
Race and Social Problems, 2016
School-aged children with an ethnic minority background are relatively often involved in bullying... more School-aged children with an ethnic minority background are relatively often involved in bullying and victimization, but the role of ethnic composition of schools in this context remains unclear. This study examined the relation between ethnic minority background, ethnic school composition, and bullying behaviour around primary school entry in the Netherlands. The study was based on a 2008/2009 school survey in Rotterdam, a Dutch city where about 50 % of children have a non-Dutch background. For 8523 children, teacher reports of bullying behaviour at age 5-6 years were available. Children with a non-Dutch background had higher odds of being a victim (adjusted
Maternal & child nutrition, Apr 16, 2016
A healthy diet is important for optimal growth and development in children. Food preferences are ... more A healthy diet is important for optimal growth and development in children. Food preferences are a main determinant of children's intake. The aim of this study was to examine the associations of 6-n-propylthiouracil (PROP) taster status (taste sensitivity to PROP) with children's food preferences and consumption of high-calorie snacks and sweet beverages among ethnically diverse children. We analysed data from 5585 6-year-old children enrolled in the Generation R Study, a birth cohort study in Rotterdam, the Netherlands. PROP taster status was evaluated using a suprathreshold screening solution. Food preferences of the children were assessed by a two-stage protocol using photographs of eight food items (candy, chocolate, mayonnaise, whipped cream, soup, potato chips, carrot and bread), yielding both hedonic ratings (1-3) and rank order scores (1-8). Univariate and multivariable linear and logistic regression analyses were performed, using tasters as the reference group. Non-...
PLoS ONE, 2014
Objective: Using parent-completed questionnaires in (preventive) child health care can facilitate... more Objective: Using parent-completed questionnaires in (preventive) child health care can facilitate the early detection of psychosocial problems and psychopathology, including autism spectrum disorders (ASD). A promising questionnaire for this purpose is the Brief Infant-Toddler Social and Emotional Assessment (BITSEA). The screening accuracy with regard to ASD of the BITSEA Problem and Competence scales and a newly calculated Autism score were evaluated. Method: Data, that was collected between April 2010 and April 2011, from a community sample of 2-year-olds (N = 3127), was combined with a sample of preschool children diagnosed with ASD (N = 159). For the total population and for subgroups by child's gender, area under the Receiver Operating Characteristic (ROC) curve was examined, and across a range of BITSEA Problem, Competence and Autism scores, sensitivity, specificity, positive and negative likelihood ratio's, diagnostic odds ratio and Youden's index were reported. Results: The area under the ROC curve (95% confidence interval, [95%CI]) of the Problem scale was 0.90(0.87-0.92), of the Competence scale 0.93(0.91-0.95), and of the Autism score 0.95(0.93-0.97). For the total population, the screening accuracy of the Autism score was significantly better, compared to the Problem scale. The screening accuracy of the Competence scale was significantly better for girls (AUC = 0.97; 95%CI = 0.95-0.98) than for boys (AUC = 0.91; 95%CI = 0.88-0.94). Conclusion: The results indicate that the BITSEA scales and newly calculated Autism score have good discriminative power to differentiate children with and without ASD. Therefore, the BITSEA may be helpful in the early detection of ASD, which could have beneficial effects on the child's development.
PLoS ONE, 2013
Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising ques... more Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising questionnaire for the early detection of psychosocial problems in toddlers. The screening accuracy and clinical application were evaluated. Methods: In a community sample of 2-year-olds (N = 2060), screening accuracy of the BITSEA Problem scale was examined regarding a clinical CBCL1.5-5 Total Problem score. For the total population and subgroups by child's gender and ethnicity Receiver Operating Characteristic (ROC) curves were calculated, and across a range of BITSEA Problem scores, sensitivity, specificity, likelihood ratio's, diagnostic odds ratio and Youden's index. Clinical application of the BITSEA was examined by evaluating the relation between the scale scores and the clinical decision of the child health professional. Results: The area under the ROC curve (95% confidence interval) of the Problem scale was 0.97(0.95-0.98), there were no significant differences between subgroups. The association between clinical decision and BITSEA Problem score (B = 2.5) and Competence score (B = 20.7) was significant (p,0.05). Conclusions: The results indicate that the BITSEA Problem scale has good discriminative power to differentiate children with and without psychosocial problems. Referred children had less favourable scores compared to children that were not referred. The BITSEA may be helpful in the early detection of psychosocial problems.
Acta Paediatrica, 1997
Data on height, weight and pubertal development of 8596 Dutch children were taken to study differ... more Data on height, weight and pubertal development of 8596 Dutch children were taken to study differences in health status between children living in neighbourhoods of different socioeconomic level in Rotterdam. The data were obtained during regular school medical examinations of children aged 5, 7, 1 1 and 14 years. Children living in poor neighbourhoods appeared to be shorter than children living in rich neighbourhoods. Overweight appeared to be more prevalent amongst children living in poorer neighbourhoods.
BMC Public Health, 2019
BackgroundThe number of interventions to support parents is growing. The level of evidence regard... more BackgroundThe number of interventions to support parents is growing. The level of evidence regarding these intervention varies. In this paper we describe a study that aims to assess the effectiveness of specific ‘elements’ within such parenting interventions for families with children up to 7 years. A naturalistic effect evaluation will be applied. Study questions are:What is the exposure of parents to (elements of) parenting interventions in the daily practice of preventive youth health care?What are the associations between the exposure to (elements of) parenting interventions and outcomes in parents/children related to parenting and child development?Methods/designThousand parents/caregivers are recruited by preventive youth health care providers in the Netherlands. Measurements will be performed after inclusion and after 12-months follow up. Data regarding child/parent/caregiver characteristics, use of (parenting) interventions and care, and outcomes with regard to parenting ski...
PLoS ONE, 2012
Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a relatively new... more Background: The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a relatively new and short (42-item) questionnaire that measures psychosocial problems in toddlers and consists of a Problem and a Competence scale. In this study the reliability and validity of the Dutch version of the BITSEA were examined for the whole group and for gender and ethnicity subgroups. Methods: Parents of 7140 two-year-old children were invited in the study, of which 3170 (44.4%) parents completed the BITSEA. For evaluation of the score distribution, the presence of floor/ceiling effects was determined. The internal consistency (Cronbach's alpha) was evaluated and in subsamples the test-retest, parent-childcare provider interrater reliability and concurrent validity with regard to the Child Behavioral Checklist (CBCL). Discriminative validity was evaluated by comparing scores of parents that worry and parents that do not worry about their child's development. Results: The BITSEA showed no floor or ceiling effects. Psychometric properties of the BITSEA Problem and Competence scale were respectively: Cronbach's alphas were 0.76 and 0.63. Test-retest correlations were 0.75 and 0.61. Interrater reliability correlations were 0.30 and 0.17. Concurrent validity was as hypothesised. The BITSEA was able to discriminate between parents that worry about their child and parents that do not worry. The psychometric properties of the BITSEA were comparable across gender and ethnic background. Conclusion: The results in this large-scale study of a diverse sample support the reliability and validity of the BITSEA Problem scale. The BITSEA Competence scale needs further study. The performance of the BITSEA appears to be similar in subgroups by gender and ethnic background.
The Journal of Early Adolescence, 2010
In a multiethnic community sample of 1,170 preadolescent children, it was investigated whether di... more In a multiethnic community sample of 1,170 preadolescent children, it was investigated whether discrepancies in parent-child reports of internalizing problems are related with gender, ethnic background (Dutch, Surinamese/ Antillean, Moroccan, Turkish, Other) and with future internalizing problems. No significant differences in discrepancy scores between boys and girls were found. Parent-child disagreement of internalizing problems varied across ethnic groups, with significant differences among children from Surinamese/ Antillean (children reporting more internalizing problems than their parents) and Turkish background (parents reporting more internalizing problems than their children). Disagreement between parents and their preadolescent child significantly contributed to the prediction of self-reported internalizing problems in early adolescence. For the early identification of internalizing problems, it is recommended to include both parent and child self-reports as part of routin...