Jan Jaspers - Academia.edu (original) (raw)
Papers by Jan Jaspers
Hautarzt, 2001
Zusammenfassung Hintergrund und Fragestellung. Durch ein intensives Schulungs- und Behandlungsp... more Zusammenfassung Hintergrund und Fragestellung. Durch ein intensives Schulungs- und Behandlungsprogramms (ISBP) von Patienten mit atopischem Ekzem (AE) fr junge Erwachsene mit mig bis stark ausgeprgtem AE wurde versucht, das Krankheitsmanagement zu verbessern und die Abhngigkeit von hufigen Arztbesuchen zu reduzieren. Patienten/Methodik. In einer prospektiven Studie wurden 31 ISBP-Teilnehmer mit einer Kontrollgruppe von 20 nicht geschulten Patienten verglichen. Das Follow-up erstreckte
Journal of Marriage and Family
Der Hautarzt
By means of a 2-week intensive multidisciplinary training & treatment course in small gro... more By means of a 2-week intensive multidisciplinary training & treatment course in small groups (ISBP), young adults with atopic dermatitis may be able to achieve better self-management of their disease and reduce their number of doctor visits. Patients aged 18-35 with moderate to severe atopic dermatitis (SCORAD > 20) were randomized in a treatment (ISBP) group of n = 31 and a control group of n = 20. Follow-up was 9 months. The outcome was assessed using validated primary and secondary parameters, both specific for atopic dermatitis and more general. Participants in the ISBP scored significantly better at follow-up in the Marburger atopic dermatitis-specific questionnaire and the self-care parameter, needed less time for medical consultations, and used more emollients without corticosteroids. Absence from work/sick leave was less at 10 weeks follow-up, but equal at 9 months. The ISBP program can be judged successful because both the patients and their doctors perceive their interactions as more efficient, less time time-consuming and more satisfying.
Tijdschrift voor Psychotherapie, 1995
Samenvatting Het thema van de conferentie was dit jaar ‘Gedragstherapie en haar grensgebieden’. ... more Samenvatting Het thema van de conferentie was dit jaar ‘Gedragstherapie en haar grensgebieden’. De organisatoren van de conferentie waren erin geslaagd de 450 deelnemers een aantrekkelijk programma te bieden, waarbij zij zich overigens niet al te strikt aan het thema hadden gehouden. De conferentie werd geopend met twee plenaire lezingen van zeer verschillend gehalte.
Tijdschrift voor Medisch Onderwijs, 2003
Tijdschrift voor Psychotherapie, 1997
Dermatology and Psychosomatics / Dermatologie und Psychosomatik, 2000
Summary Background: Atopic dermatitis (AD) is a chronic skin disorder with multifactorial etiolog... more Summary Background: Atopic dermatitis (AD) is a chronic skin disorder with multifactorial etiology and with high medical, psychological, social, and financial impact. The aim of treatment is coping with this disease rather than cure. Adequate coping implies knowledge of the multifactorial etiology including psychological factors, compliance with dermatological treatment, and adjustment to the consequences of this chronic condition in daily
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2003
Aim of the study was to analyse quality of life and psychological functioning in patients with sp... more Aim of the study was to analyse quality of life and psychological functioning in patients with sprain of the neck, to analyse the relationship between complaints, quality of life, psychological functioning and personality factors, and to analyse the profile of patients with whiplash associated disorders (WAD), 4 years after trauma. From the University Hospital Groningen 193 patients with the diagnose sprain of the neck filled out a questionnaire. Of this group 100 subjects did not have complaints before the accident and were therefore at risk for the development of complaints as a result of sprain of the neck. Quality of life and psychological functioning were assessed using the RAND-36 and the SCL-90, respectively. Personality was assessed by means of the Dutch Personality Questionnaire. Of the group at risk (56% women and 44% men, mean age: 33.9, SD: 14.6) quality of life was significantly worse in subjects with complaints (mean: 78.4, SD: 15.5) compared to subjects without compla...
The American journal of psychiatry, 1997
The authors reviewed data involving the impact of providing psychotherapy for psychiatric disorde... more The authors reviewed data involving the impact of providing psychotherapy for psychiatric disorders on costs of care. In a search of the MEDLINE database limited to peer-reviewed papers published from 1984 through 1994, 686 articles were identified. Forty-one articles, covering 35 studies, were found in which the intervention tested was psychotherapeutic and the study included measures of outcome that had some implications for cost. The exclusion criteria for reviewing these studies included absence of a comparison group, a focus on medical disorders instead of psychiatric illnesses, and outcomes that did not include cost data or measures from which costs could be inferred. On this basis, 18 of the 35 studies were selected for analysis. The studies were categorized according to whether or not subjects were randomly assigned to study groups. Two reviewers independently read each study to identify the following characteristics: inclusion criteria, exclusion criteria, types of interven...
Tijdschrift voor Psychotherapie, 1993
Tijdschrift voor Psychotherapie, 1992
Het thema van de jaarlijkse conferentie was deze keer 'Nieuwe ontwikkelingen in theorie en prakti... more Het thema van de jaarlijkse conferentie was deze keer 'Nieuwe ontwikkelingen in theorie en praktijk van de gedragstherapie'. De opzet van de conferentie was enigszins anders dan in de voorgaande jaren. Dit jaar waren er een openingslezing en een slotlezing, waarbij de sprekers niet alleen op veel spreektijd, maar ook op een omvangrijk publiek konden rekenen, aangezien op die tijden geen andere programmaonderdelen waren gepland. Nadeel van deze wijziging in de opzet was wel dat op de overige dagdelen veel parallelsessies plaatsvonden.
Journal of psychosomatic research, 2006
This study investigates the relationship between posttraumatic stress disorder (PTSD) symptoms (a... more This study investigates the relationship between posttraumatic stress disorder (PTSD) symptoms (avoidance, reexperiencing, and hyperarousal) and the presence, severity, and duration of neck complaints after motor vehicle accidents. Individuals who had been involved in traffic accidents and had initiated compensation claim procedures with a Dutch insurance company were sent questionnaires (Q1) containing complaint-related questions and the Self-Rating Scale for PTSD. Of the 997 questionnaires that were dispatched, 617 (62%) were returned. Only car accident victims were included in this study (n=240). Complaints were monitored using additional questionnaires that were administered 6 months (Q2) and 12 months (Q3) after the accident. PTSD was related to the presence and severity of concurrent post-whiplash syndrome. More specifically, the intensity of hyperarousal symptoms that were related to PTSD at Q1 was found to have predictive validity for the persistence and severity of post-whi...
Ned Tijdschr Geneeskd, 2009
Spine, 2008
Objective. This study investigates the role of pain catastrophizing and causal beliefs with regar... more Objective. This study investigates the role of pain catastrophizing and causal beliefs with regard to severity and persistence of neck complaints after motor vehicle accidents.
Spine, 2009
Study Design. Prospective cohort study. Objective. To investigate the consequences of neck pain a... more Study Design. Prospective cohort study. Objective. To investigate the consequences of neck pain after motor vehicle accidents in terms of disability for work and the relationship this has with symptom and work-related factors.
Psycho-Oncology, 1998
This study investigated differences in psychological distress and coping styles between fathers a... more This study investigated differences in psychological distress and coping styles between fathers and mothers of pediatric cancer patients, over a 1-year time period. Also examined were (dis)similarities in couples in distress and coping, and the relationship between (dis)similarities in coping and psychological functioning of both members of a couple. Parents (n= 124, 62 couples) were assessed at diagnosis, at 6 and 12 months. Fathers and mothers experienced higher levels of psychiatric symptomatology and psychological distress at diagnosis than men and women of a normgroup. Distress declined significantly with time. Although parents did not report more symptoms than the normgroup 12 months post-diagnosis, they still were psychologically out of balance. Contrary to findings in the general population, no differences were found between fathers and mothers in psychiatric symptoms or psychological distress on any of the measurements. Only a few gender differences in coping were found. Fathers used more active-problem focusing at diagnosis and a less palliative reaction pattern at 12 months than did mothers. Mothers used more social-support seeking on all measurements. A tendency for similarity in the use of the coping styles within couples was found. Discrepancies in coping in couples were positively related to distress in fathers at diagnosis. However, 12 months later, the more discrepant the couples were in their coping preferences the more distress the mothers indicated.
Psycho-Oncology, 2012
Objective: This prospective 5-year longitudinal study examined the use of coping styles of father... more Objective: This prospective 5-year longitudinal study examined the use of coping styles of fathers and mothers of pediatric cancer patients over time and the prospective effects of coping on distress.
Introduction: Strategies in case of high risk of breast cancer in BRCA1/2 mutation carriers are e... more Introduction: Strategies in case of high risk of breast cancer in BRCA1/2 mutation carriers are either intensive breast cancer screening or risk-reducing mastectomy (RRM). Both options have a high physical and psychosexual impact. The aim of this study is to investigate who chooses when to undergo RRM. Methods: BRCA1/2 mutation carriers have been prospectively registered at the family cancer clinic between 1994 and 2011. Analyses were performed to assess the relation between characteristics of the BRCA1/2 mutation carriers and an earlier decision for RRM. Results: A cumulative percentage of 35.6% of all women chose to undergo RRM within the first five years after disclosure of DNA test results. Women needed less time to choose for RRM measured from the first visit, if they were younger than 50 years of age (hazard ratio (HR) = 2.67, 95% confidence interval (CI) = 1.30-5.48) or had a mother who had had breast cancer (HR = 1.51 95% CI = 1.04-2.18). Also, women needed less time to choose for RRM in case of a previous breast cancer (HR = 2.25, 95% CI = 1.55-3.27). After a previous unilateral therapeutic mastectomy as a treatment for breast cancer, women needed less time to choose for RRM of the contralateral breast (HR = 2.69, 95% CI = 1.29-5.62) compared to women who had had breast-conserving therapy. Conclusion: BRCA1/2 mutation carriers aged under 50, having a mother with breast cancer, who had previous unilateral breast cancer and previous unilateral therapeutic mastectomy chose more often and earlier for RRM.
Hautarzt, 2001
Zusammenfassung Hintergrund und Fragestellung. Durch ein intensives Schulungs- und Behandlungsp... more Zusammenfassung Hintergrund und Fragestellung. Durch ein intensives Schulungs- und Behandlungsprogramms (ISBP) von Patienten mit atopischem Ekzem (AE) fr junge Erwachsene mit mig bis stark ausgeprgtem AE wurde versucht, das Krankheitsmanagement zu verbessern und die Abhngigkeit von hufigen Arztbesuchen zu reduzieren. Patienten/Methodik. In einer prospektiven Studie wurden 31 ISBP-Teilnehmer mit einer Kontrollgruppe von 20 nicht geschulten Patienten verglichen. Das Follow-up erstreckte
Journal of Marriage and Family
Der Hautarzt
By means of a 2-week intensive multidisciplinary training & treatment course in small gro... more By means of a 2-week intensive multidisciplinary training & treatment course in small groups (ISBP), young adults with atopic dermatitis may be able to achieve better self-management of their disease and reduce their number of doctor visits. Patients aged 18-35 with moderate to severe atopic dermatitis (SCORAD > 20) were randomized in a treatment (ISBP) group of n = 31 and a control group of n = 20. Follow-up was 9 months. The outcome was assessed using validated primary and secondary parameters, both specific for atopic dermatitis and more general. Participants in the ISBP scored significantly better at follow-up in the Marburger atopic dermatitis-specific questionnaire and the self-care parameter, needed less time for medical consultations, and used more emollients without corticosteroids. Absence from work/sick leave was less at 10 weeks follow-up, but equal at 9 months. The ISBP program can be judged successful because both the patients and their doctors perceive their interactions as more efficient, less time time-consuming and more satisfying.
Tijdschrift voor Psychotherapie, 1995
Samenvatting Het thema van de conferentie was dit jaar ‘Gedragstherapie en haar grensgebieden’. ... more Samenvatting Het thema van de conferentie was dit jaar ‘Gedragstherapie en haar grensgebieden’. De organisatoren van de conferentie waren erin geslaagd de 450 deelnemers een aantrekkelijk programma te bieden, waarbij zij zich overigens niet al te strikt aan het thema hadden gehouden. De conferentie werd geopend met twee plenaire lezingen van zeer verschillend gehalte.
Tijdschrift voor Medisch Onderwijs, 2003
Tijdschrift voor Psychotherapie, 1997
Dermatology and Psychosomatics / Dermatologie und Psychosomatik, 2000
Summary Background: Atopic dermatitis (AD) is a chronic skin disorder with multifactorial etiolog... more Summary Background: Atopic dermatitis (AD) is a chronic skin disorder with multifactorial etiology and with high medical, psychological, social, and financial impact. The aim of treatment is coping with this disease rather than cure. Adequate coping implies knowledge of the multifactorial etiology including psychological factors, compliance with dermatological treatment, and adjustment to the consequences of this chronic condition in daily
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2003
Aim of the study was to analyse quality of life and psychological functioning in patients with sp... more Aim of the study was to analyse quality of life and psychological functioning in patients with sprain of the neck, to analyse the relationship between complaints, quality of life, psychological functioning and personality factors, and to analyse the profile of patients with whiplash associated disorders (WAD), 4 years after trauma. From the University Hospital Groningen 193 patients with the diagnose sprain of the neck filled out a questionnaire. Of this group 100 subjects did not have complaints before the accident and were therefore at risk for the development of complaints as a result of sprain of the neck. Quality of life and psychological functioning were assessed using the RAND-36 and the SCL-90, respectively. Personality was assessed by means of the Dutch Personality Questionnaire. Of the group at risk (56% women and 44% men, mean age: 33.9, SD: 14.6) quality of life was significantly worse in subjects with complaints (mean: 78.4, SD: 15.5) compared to subjects without compla...
The American journal of psychiatry, 1997
The authors reviewed data involving the impact of providing psychotherapy for psychiatric disorde... more The authors reviewed data involving the impact of providing psychotherapy for psychiatric disorders on costs of care. In a search of the MEDLINE database limited to peer-reviewed papers published from 1984 through 1994, 686 articles were identified. Forty-one articles, covering 35 studies, were found in which the intervention tested was psychotherapeutic and the study included measures of outcome that had some implications for cost. The exclusion criteria for reviewing these studies included absence of a comparison group, a focus on medical disorders instead of psychiatric illnesses, and outcomes that did not include cost data or measures from which costs could be inferred. On this basis, 18 of the 35 studies were selected for analysis. The studies were categorized according to whether or not subjects were randomly assigned to study groups. Two reviewers independently read each study to identify the following characteristics: inclusion criteria, exclusion criteria, types of interven...
Tijdschrift voor Psychotherapie, 1993
Tijdschrift voor Psychotherapie, 1992
Het thema van de jaarlijkse conferentie was deze keer 'Nieuwe ontwikkelingen in theorie en prakti... more Het thema van de jaarlijkse conferentie was deze keer 'Nieuwe ontwikkelingen in theorie en praktijk van de gedragstherapie'. De opzet van de conferentie was enigszins anders dan in de voorgaande jaren. Dit jaar waren er een openingslezing en een slotlezing, waarbij de sprekers niet alleen op veel spreektijd, maar ook op een omvangrijk publiek konden rekenen, aangezien op die tijden geen andere programmaonderdelen waren gepland. Nadeel van deze wijziging in de opzet was wel dat op de overige dagdelen veel parallelsessies plaatsvonden.
Journal of psychosomatic research, 2006
This study investigates the relationship between posttraumatic stress disorder (PTSD) symptoms (a... more This study investigates the relationship between posttraumatic stress disorder (PTSD) symptoms (avoidance, reexperiencing, and hyperarousal) and the presence, severity, and duration of neck complaints after motor vehicle accidents. Individuals who had been involved in traffic accidents and had initiated compensation claim procedures with a Dutch insurance company were sent questionnaires (Q1) containing complaint-related questions and the Self-Rating Scale for PTSD. Of the 997 questionnaires that were dispatched, 617 (62%) were returned. Only car accident victims were included in this study (n=240). Complaints were monitored using additional questionnaires that were administered 6 months (Q2) and 12 months (Q3) after the accident. PTSD was related to the presence and severity of concurrent post-whiplash syndrome. More specifically, the intensity of hyperarousal symptoms that were related to PTSD at Q1 was found to have predictive validity for the persistence and severity of post-whi...
Ned Tijdschr Geneeskd, 2009
Spine, 2008
Objective. This study investigates the role of pain catastrophizing and causal beliefs with regar... more Objective. This study investigates the role of pain catastrophizing and causal beliefs with regard to severity and persistence of neck complaints after motor vehicle accidents.
Spine, 2009
Study Design. Prospective cohort study. Objective. To investigate the consequences of neck pain a... more Study Design. Prospective cohort study. Objective. To investigate the consequences of neck pain after motor vehicle accidents in terms of disability for work and the relationship this has with symptom and work-related factors.
Psycho-Oncology, 1998
This study investigated differences in psychological distress and coping styles between fathers a... more This study investigated differences in psychological distress and coping styles between fathers and mothers of pediatric cancer patients, over a 1-year time period. Also examined were (dis)similarities in couples in distress and coping, and the relationship between (dis)similarities in coping and psychological functioning of both members of a couple. Parents (n= 124, 62 couples) were assessed at diagnosis, at 6 and 12 months. Fathers and mothers experienced higher levels of psychiatric symptomatology and psychological distress at diagnosis than men and women of a normgroup. Distress declined significantly with time. Although parents did not report more symptoms than the normgroup 12 months post-diagnosis, they still were psychologically out of balance. Contrary to findings in the general population, no differences were found between fathers and mothers in psychiatric symptoms or psychological distress on any of the measurements. Only a few gender differences in coping were found. Fathers used more active-problem focusing at diagnosis and a less palliative reaction pattern at 12 months than did mothers. Mothers used more social-support seeking on all measurements. A tendency for similarity in the use of the coping styles within couples was found. Discrepancies in coping in couples were positively related to distress in fathers at diagnosis. However, 12 months later, the more discrepant the couples were in their coping preferences the more distress the mothers indicated.
Psycho-Oncology, 2012
Objective: This prospective 5-year longitudinal study examined the use of coping styles of father... more Objective: This prospective 5-year longitudinal study examined the use of coping styles of fathers and mothers of pediatric cancer patients over time and the prospective effects of coping on distress.
Introduction: Strategies in case of high risk of breast cancer in BRCA1/2 mutation carriers are e... more Introduction: Strategies in case of high risk of breast cancer in BRCA1/2 mutation carriers are either intensive breast cancer screening or risk-reducing mastectomy (RRM). Both options have a high physical and psychosexual impact. The aim of this study is to investigate who chooses when to undergo RRM. Methods: BRCA1/2 mutation carriers have been prospectively registered at the family cancer clinic between 1994 and 2011. Analyses were performed to assess the relation between characteristics of the BRCA1/2 mutation carriers and an earlier decision for RRM. Results: A cumulative percentage of 35.6% of all women chose to undergo RRM within the first five years after disclosure of DNA test results. Women needed less time to choose for RRM measured from the first visit, if they were younger than 50 years of age (hazard ratio (HR) = 2.67, 95% confidence interval (CI) = 1.30-5.48) or had a mother who had had breast cancer (HR = 1.51 95% CI = 1.04-2.18). Also, women needed less time to choose for RRM in case of a previous breast cancer (HR = 2.25, 95% CI = 1.55-3.27). After a previous unilateral therapeutic mastectomy as a treatment for breast cancer, women needed less time to choose for RRM of the contralateral breast (HR = 2.69, 95% CI = 1.29-5.62) compared to women who had had breast-conserving therapy. Conclusion: BRCA1/2 mutation carriers aged under 50, having a mother with breast cancer, who had previous unilateral breast cancer and previous unilateral therapeutic mastectomy chose more often and earlier for RRM.