Verpleegkunde Nummer 1 , pp. 26-33
mrt 2022, jaargang 37
Verpleegkunde Nr. 1 , pp. 26-33
mrt 2022, jr. 37
Onderzoeksartikel

Evaluatie van een blended terugvalpreventieprogramma voor angst en depressie in de huisartsenpraktijk: kwalitatieve studie

DOEL
Het evalueren van het GET READY-terugvalpreventieprogramma voor patiënten met herstelde angst- of depressieve stoornissen in de huisartsenpraktijk.

METHODE
Er werden semigestructureerde interviews (n = 26) en focusgroepinterviews (n = 2) gehouden met patiënten en praktijkondersteuners huisarts GGZ (POH-GGZ). Patiënten met herstelde angst-of depressieve stoornissen en hun POH-GGZ die deelnamen aan de GET READY-studie werden individueel geïnterviewd. Bevindingen uit de interviews werden getoetst in focusgroepinterviews met patiënten en POH-GGZ. Data werden geanalyseerd door het toepassen van thematische analyse.

RESULTAAT
Patiënten waren positief over het programma omdat het bewustwording creëerde over terugvalrisico’s. Een gebrek aan motivatie, herkenbaarheid en steun van de POH-GGZ, samen met ernst van symptomen waren belemmerend in het gebruik van het programma.POH-GGZ spelen een onmisbare rol in het motiveren en steunen van patiënten bij terugvalpreventie. Opvattingen van patiënten en POH-GGZ kwamen grotendeels overeen, wel hadden zij andere opvattingen over de verantwoordelijkheid qua initiatief nemen.

DISCUSSIE
De implementatie van het GET READY programma was uitdagend. Begeleiding door de POH-GGZ moet bij terugvalpreventieprogramma’s worden aangeboden op basis van eHealth.

CONCLUSIE
Begeleiding door de POH-GGZ moet bij terugvalpreventieprogramma’s, die gebaseerd zijn op eHealth, worden aangeboden.

Literatuur

  1. World Health Organization. Investing in treatment for depression and anxiety leads to fourfold return . 2016 [cited 2017 Jun 27]. Available from: https://www.who.int/news.
  2. Bandelow B, Sagebiel A, Belz M, et al. Enduring effects of psychological treatments for anxiety disorders: metaanalysis of follow-up studies. Br J Psychiatry 2018 Jun 30;212(6):333–338. [doi: 10.1192/bjp.2018.49]
  3. Cuijpers P, Association AM. The Challenges of Improving Treatments for Depression. JAMA 2018 Dec 25;320(24):2529. [doi: 10.1001/jama.2018.17824]
  4. Cipriani A, Furukawa TA, Salanti G, et al. Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. Lancet 2018. p. 1357–1366. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29477251
  5. Bandelow B, Reitt M, Röver C, et al. Efficacy of treatments for anxiety disorders. Int Clin Psychopharmacol 2015 Jul;30(4):183–192. [doi:10.1097/YIC.0000000000000078]
  6. Scholten WD, Batelaan NM, Penninx BWJH, et al. Diagnostic instability of recurrence and the impact on recurrence rates in depressive and anxiety disorders. J Affect Disord ; 2016 [cited 2016 Jul 7];195:185–190. PMID:26896812
  7. Vos T, Haby MM, Barendregt JJ, et al. The Burden of Major Depression Avoidable by Longer-term Treatment Strategies. Arch Gen Psychiatry 2004 Nov 1;61(11):1097. [doi: 10.1001/archpsyc.61.11.1097]
  8. Biesheuvel-Leliefeld KEM, Kok GD, Bockting CLH, et al. Effectiveness of psychological interventions in preventing recurrence of depressive disorder: Meta-analysis and meta-regression. J Affect Disord; 2015 Mar 15 [cited 2016 Jul 7];174:400–410. PMID:25553400
  9. Hiss H, Foa EB, Kozak MJ. Relapse prevention program for treatment of obsessive-compulsive disorder. J Consult Clin Psychol 1994;62(4):801–808. [doi: 10.1037/0022-006X.62.4.801]
  10. Scholten WD, Batelaan NM, van Oppen P, et al. The Efficacy of a Group CBT Relapse Prevention Program for Remitted Anxiety Disorder Patients Who Discontinue Antidepressant Medication: A Randomized Controlled Trial. Psychother Psychosom 2018;87(4):240–242. [doi: 10.1159/000489498]
  11. White KS, Payne LA, Gorman JM, et al. Does maintenance CBT contribute to long-term treatment response of panic disorder with or without agoraphobia? A randomized controlled clinical trial. J Consult Clin Psychol 2013;81(1):47–57. [doi: 10.1037/a0030666]
  12. Wright J, Clum GA, Roodman A, et al. A Bibliotherapy Approach to Relapse Prevention in Individuals with Panic Attacks. J Anxiety Disord 2000 Sep;14(5):483–499. [doi: 10.1016/S0887-6185(00)00035-9]
  13. National Health Service. The Improving Access to Psychological Therapies Manual . Natl Collab Cent Ment Heal. 2019 [cited 2020 Apr 6]. Available from: https://www.england.nhs.uk.
  14. Holländare F, A. Anthony S, Randestad M, et al. Twoyear outcome of internet-based relapse prevention for partially remitted depression. Behav Res Ther; 2013 Nov [cited 2016 Jul 6];51(11):719–722. PMID:21401534
  15. Klein NS, Kok GD, Burger H, et al. No Sustainable Effects of an Internet-Based Relapse Prevention Program over 24 Months in Recurrent Depression: Primary Outcomes of a Randomized Controlled Trial. Psychother Psychosom 2018;87(1):55–57. PMID:29306953
  16. Kok G, Burger H, Riper H, et al. The Three-Month Effect of Mobile Internet-Based Cognitive Therapy on the Course of Depressive Symptoms in Remitted Recurrently Depressed Patients: Results of a Randomized Controlled Trial. Psychother Psychosom 2015 Feb 21;84(2):90–99.
    PMID:25721915
  17. Hoorelbeke K, Koster EHWW. Internet-delivered cognitive control training as a preventive intervention for remitted depressed patients: Evidence from a double-blind randomized controlled trial study. J Consult Clin Psychol 2017;85(2):135–146. PMID:27362792
  18. Urech A, Krieger T, Möseneder L, et al. A patient post hoc perspective on advantages and disadvantages of blended cognitive behaviour therapy for depression: A qualitative content analysis. Psychother Res 2019 Nov 8;29(8):986–998. [doi: 10.1080/10503307.2018.1430910]
  19. Baumeister H, Reichler L, Munzinger M, et al. The impact of guidance on Internet-based mental health interventions - A systematic review. Internet Interv 2014;1(4):205–215. [doi: 10.1016/j.invent.2014.08.003]
  20. Titzler I, Saruhanjan K, Berking M, et al. Barriers and facilitators for the implementation of blended psychotherapy for depression: A qualitative pilot study of therapists’ perspective. Internet Interv 2018;12:150–164.[doi: 10.1016/j.invent.2018.01.002]
  21. Krijnen-de Bruin E, Muntingh ADT, Hoogendoorn AW, et al. The GET READY relapse prevention programme for anxiety and depression: a mixed-methods study protocol. BMC Psychiatry 2019 Dec 11;19(1):64. [doi: 10.1186/s12888-019-2034-6]
  22. Muntingh ADT, Hoogendoorn AW, Van Schaik DJF, et al. Patient preferences for a guided selfhelp programme to prevent relapse in anxiety or depression: A discrete choice experiment. PLoS One 2019 Jul 18;14(7):e0219588. [doi: 10.1371/journal.pone.0219588]
  23. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Heal Care 2018 Sep 16;19(6):349–357. PMID:17872937
  24.  Magnée T, de Beurs DP, Schellevis FG, et al. Antidepressant prescriptions and mental health nurses: an observational study in Dutch general practice from 2011 to 2015. Scand J Prim Health Care 2018;36(1):47– 55. [doi: 10.1080/02813432.2018.1426145]
  25.  National Counsel Mental Health Professionals. Functie-& competentieprofiel “Praktijkondersteuner huisarts GGZ” 2020 [Job and competence profile “Mental Health Professional” 2020]. 2020. Available from: https://www.poh-ggz.nl.
  26. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009 Dec 7;4(1):50. PMID:19664226
  27. Boeije H. Analyseren in kwalitatief onderzoek. Amsterdam: Boom Lemma; 2014.
  28. Baarda B, Bakker E, Fisher T, et al. Basisboek Kwalitatief Onderzoek. Groningen/Houten: Noordhoff Uitgevers bv; 2013.
  29. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006 Jan;3(2):77–101. PMID:223135521
  30. VERBI Software. MAXQDA 12. Berling, Germany: VERBI Software; 2015.
  31. Boggs JM, Beck A, Felder JN, et al. Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: A qualitative study. J Med Internet Res 2014 [cited 2016 Jul 6];16(3):1–12. PMID:24662625
  32. Allen M, Bromley A, Kuyken W, et al. Participants’ Experiences of Mindfulness-Based Cognitive Therapy: “It Changed Me in Just about Every Way Possible.” Behav Cogn Psychother 2009 Jul 10;37(4):413–430. PMID:19508744
  33.  Lillevoll KR, Wilhelmsen M, Kolstrup N, et al. Patients’Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions. J Med Internet Res 2013 Jun 20;15(6):e126. [doi: 10.2196/jmir.2531]
  34.  Gerhards SAH, Abma TA, Arntz A, et al. Improving adherence and effectiveness of computerised cognitive behavioural therapy without support for depression: a qualitative study on patient experiences. J Affect Disord 2011;129. [doi: 10.1016/j.jad.2010.09.012]
  35. Cuijpers P, van Straten A, Warmerdam L, et al. Recruiting participants for interventions to prevent the onset of depressive disorders: Possible ways to increase participation rates. BMC Health Serv Res 2010 Dec 25 [cited 2016 Jul 6];10(1):181. PMID:20579332
  36. Biesheuvel-Leliefeld KEM, Dijkstra-Kersten SMA, van Schaik DJF, et al. Effectiveness of Supported Self-Help in Recurrent Depression: A Randomized Controlled Trial in Primary Care. Psychother Psychosom 2017;86(4):220–230. [doi: 10.1159/000472260]
  37. Kelders SM, Kok RN, Ossebaard HC, et al. Persuasive system design does matter: A systematic review of adherence to web-based interventions. J Med Internet Res 2012 Nov 14 [cited 2017 May 12];14(6):e152. PMID:23151820
  38. Apolinário-Hagen J, Kemper J, Stürmer C. Public Acceptability of E-Mental Health Treatment Services for Psychological Problems: A Scoping Review. JMIR Ment Heal 2017;4(2):e10. PMID:28373153
  39. Melville KM, Casey LM, Kavanagh DJ. Dropout from Internet-based treatment for psychological disorders. Br J Clin Psychol 2010 Nov;49(4):455–471. [doi: 10.1348/014466509X472138]
  40. Bosman RC, Huijbregts KM, Verhaak PF, et al. Long-term antidepressant use: a qualitative study on perspectives of patients and GPs in primary care. Br J Gen Pract 2016 [cited 2017 Sep 14];66(651):e708–e719. [doi: 10.3399/bjgp16x686641]
  41.  Shiffman S, Stone AA, Hufford MR. Ecological Momentary Assessment. Annu Rev Clin Psychol 2008 Apr;4(1):1–32. PMID:18509902
Onderzoeksartikel

Evaluatie van een blended terugvalpreventieprogramma voor angst en depressie in de huisartsenpraktijk: kwalitatieve studie

DOEL
Het evalueren van het GET READY-terugvalpreventieprogramma voor patiënten met herstelde angst- of depressieve stoornissen in de huisartsenpraktijk.

METHODE
Er werden semigestructureerde interviews (n = 26) en focusgroepinterviews (n = 2) gehouden met patiënten en praktijkondersteuners huisarts GGZ (POH-GGZ). Patiënten met herstelde angst-of depressieve stoornissen en hun POH-GGZ die deelnamen aan de GET READY-studie werden individueel geïnterviewd. Bevindingen uit de interviews werden getoetst in focusgroepinterviews met patiënten en POH-GGZ. Data werden geanalyseerd door het toepassen van thematische analyse.

RESULTAAT
Patiënten waren positief over het programma omdat het bewustwording creëerde over terugvalrisico’s. Een gebrek aan motivatie, herkenbaarheid en steun van de POH-GGZ, samen met ernst van symptomen waren belemmerend in het gebruik van het programma.POH-GGZ spelen een onmisbare rol in het motiveren en steunen van patiënten bij terugvalpreventie. Opvattingen van patiënten en POH-GGZ kwamen grotendeels overeen, wel hadden zij andere opvattingen over de verantwoordelijkheid qua initiatief nemen.

DISCUSSIE
De implementatie van het GET READY programma was uitdagend. Begeleiding door de POH-GGZ moet bij terugvalpreventieprogramma’s worden aangeboden op basis van eHealth.

CONCLUSIE
Begeleiding door de POH-GGZ moet bij terugvalpreventieprogramma’s, die gebaseerd zijn op eHealth, worden aangeboden.

Literatuur

  1. World Health Organization. Investing in treatment for depression and anxiety leads to fourfold return . 2016 [cited 2017 Jun 27]. Available from: https://www.who.int/news.
  2. Bandelow B, Sagebiel A, Belz M, et al. Enduring effects of psychological treatments for anxiety disorders: metaanalysis of follow-up studies. Br J Psychiatry 2018 Jun 30;212(6):333–338. [doi: 10.1192/bjp.2018.49]
  3. Cuijpers P, Association AM. The Challenges of Improving Treatments for Depression. JAMA 2018 Dec 25;320(24):2529. [doi: 10.1001/jama.2018.17824]
  4. Cipriani A, Furukawa TA, Salanti G, et al. Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. Lancet 2018. p. 1357–1366. Available from: https://www.ncbi.nlm.nih.gov/pubmed/29477251
  5. Bandelow B, Reitt M, Röver C, et al. Efficacy of treatments for anxiety disorders. Int Clin Psychopharmacol 2015 Jul;30(4):183–192. [doi:10.1097/YIC.0000000000000078]
  6. Scholten WD, Batelaan NM, Penninx BWJH, et al. Diagnostic instability of recurrence and the impact on recurrence rates in depressive and anxiety disorders. J Affect Disord ; 2016 [cited 2016 Jul 7];195:185–190. PMID:26896812
  7. Vos T, Haby MM, Barendregt JJ, et al. The Burden of Major Depression Avoidable by Longer-term Treatment Strategies. Arch Gen Psychiatry 2004 Nov 1;61(11):1097. [doi: 10.1001/archpsyc.61.11.1097]
  8. Biesheuvel-Leliefeld KEM, Kok GD, Bockting CLH, et al. Effectiveness of psychological interventions in preventing recurrence of depressive disorder: Meta-analysis and meta-regression. J Affect Disord; 2015 Mar 15 [cited 2016 Jul 7];174:400–410. PMID:25553400
  9. Hiss H, Foa EB, Kozak MJ. Relapse prevention program for treatment of obsessive-compulsive disorder. J Consult Clin Psychol 1994;62(4):801–808. [doi: 10.1037/0022-006X.62.4.801]
  10. Scholten WD, Batelaan NM, van Oppen P, et al. The Efficacy of a Group CBT Relapse Prevention Program for Remitted Anxiety Disorder Patients Who Discontinue Antidepressant Medication: A Randomized Controlled Trial. Psychother Psychosom 2018;87(4):240–242. [doi: 10.1159/000489498]
  11. White KS, Payne LA, Gorman JM, et al. Does maintenance CBT contribute to long-term treatment response of panic disorder with or without agoraphobia? A randomized controlled clinical trial. J Consult Clin Psychol 2013;81(1):47–57. [doi: 10.1037/a0030666]
  12. Wright J, Clum GA, Roodman A, et al. A Bibliotherapy Approach to Relapse Prevention in Individuals with Panic Attacks. J Anxiety Disord 2000 Sep;14(5):483–499. [doi: 10.1016/S0887-6185(00)00035-9]
  13. National Health Service. The Improving Access to Psychological Therapies Manual . Natl Collab Cent Ment Heal. 2019 [cited 2020 Apr 6]. Available from: https://www.england.nhs.uk.
  14. Holländare F, A. Anthony S, Randestad M, et al. Twoyear outcome of internet-based relapse prevention for partially remitted depression. Behav Res Ther; 2013 Nov [cited 2016 Jul 6];51(11):719–722. PMID:21401534
  15. Klein NS, Kok GD, Burger H, et al. No Sustainable Effects of an Internet-Based Relapse Prevention Program over 24 Months in Recurrent Depression: Primary Outcomes of a Randomized Controlled Trial. Psychother Psychosom 2018;87(1):55–57. PMID:29306953
  16. Kok G, Burger H, Riper H, et al. The Three-Month Effect of Mobile Internet-Based Cognitive Therapy on the Course of Depressive Symptoms in Remitted Recurrently Depressed Patients: Results of a Randomized Controlled Trial. Psychother Psychosom 2015 Feb 21;84(2):90–99.
    PMID:25721915
  17. Hoorelbeke K, Koster EHWW. Internet-delivered cognitive control training as a preventive intervention for remitted depressed patients: Evidence from a double-blind randomized controlled trial study. J Consult Clin Psychol 2017;85(2):135–146. PMID:27362792
  18. Urech A, Krieger T, Möseneder L, et al. A patient post hoc perspective on advantages and disadvantages of blended cognitive behaviour therapy for depression: A qualitative content analysis. Psychother Res 2019 Nov 8;29(8):986–998. [doi: 10.1080/10503307.2018.1430910]
  19. Baumeister H, Reichler L, Munzinger M, et al. The impact of guidance on Internet-based mental health interventions - A systematic review. Internet Interv 2014;1(4):205–215. [doi: 10.1016/j.invent.2014.08.003]
  20. Titzler I, Saruhanjan K, Berking M, et al. Barriers and facilitators for the implementation of blended psychotherapy for depression: A qualitative pilot study of therapists’ perspective. Internet Interv 2018;12:150–164.[doi: 10.1016/j.invent.2018.01.002]
  21. Krijnen-de Bruin E, Muntingh ADT, Hoogendoorn AW, et al. The GET READY relapse prevention programme for anxiety and depression: a mixed-methods study protocol. BMC Psychiatry 2019 Dec 11;19(1):64. [doi: 10.1186/s12888-019-2034-6]
  22. Muntingh ADT, Hoogendoorn AW, Van Schaik DJF, et al. Patient preferences for a guided selfhelp programme to prevent relapse in anxiety or depression: A discrete choice experiment. PLoS One 2019 Jul 18;14(7):e0219588. [doi: 10.1371/journal.pone.0219588]
  23. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Heal Care 2018 Sep 16;19(6):349–357. PMID:17872937
  24.  Magnée T, de Beurs DP, Schellevis FG, et al. Antidepressant prescriptions and mental health nurses: an observational study in Dutch general practice from 2011 to 2015. Scand J Prim Health Care 2018;36(1):47– 55. [doi: 10.1080/02813432.2018.1426145]
  25.  National Counsel Mental Health Professionals. Functie-& competentieprofiel “Praktijkondersteuner huisarts GGZ” 2020 [Job and competence profile “Mental Health Professional” 2020]. 2020. Available from: https://www.poh-ggz.nl.
  26. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009 Dec 7;4(1):50. PMID:19664226
  27. Boeije H. Analyseren in kwalitatief onderzoek. Amsterdam: Boom Lemma; 2014.
  28. Baarda B, Bakker E, Fisher T, et al. Basisboek Kwalitatief Onderzoek. Groningen/Houten: Noordhoff Uitgevers bv; 2013.
  29. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006 Jan;3(2):77–101. PMID:223135521
  30. VERBI Software. MAXQDA 12. Berling, Germany: VERBI Software; 2015.
  31. Boggs JM, Beck A, Felder JN, et al. Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: A qualitative study. J Med Internet Res 2014 [cited 2016 Jul 6];16(3):1–12. PMID:24662625
  32. Allen M, Bromley A, Kuyken W, et al. Participants’ Experiences of Mindfulness-Based Cognitive Therapy: “It Changed Me in Just about Every Way Possible.” Behav Cogn Psychother 2009 Jul 10;37(4):413–430. PMID:19508744
  33.  Lillevoll KR, Wilhelmsen M, Kolstrup N, et al. Patients’Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions. J Med Internet Res 2013 Jun 20;15(6):e126. [doi: 10.2196/jmir.2531]
  34.  Gerhards SAH, Abma TA, Arntz A, et al. Improving adherence and effectiveness of computerised cognitive behavioural therapy without support for depression: a qualitative study on patient experiences. J Affect Disord 2011;129. [doi: 10.1016/j.jad.2010.09.012]
  35. Cuijpers P, van Straten A, Warmerdam L, et al. Recruiting participants for interventions to prevent the onset of depressive disorders: Possible ways to increase participation rates. BMC Health Serv Res 2010 Dec 25 [cited 2016 Jul 6];10(1):181. PMID:20579332
  36. Biesheuvel-Leliefeld KEM, Dijkstra-Kersten SMA, van Schaik DJF, et al. Effectiveness of Supported Self-Help in Recurrent Depression: A Randomized Controlled Trial in Primary Care. Psychother Psychosom 2017;86(4):220–230. [doi: 10.1159/000472260]
  37. Kelders SM, Kok RN, Ossebaard HC, et al. Persuasive system design does matter: A systematic review of adherence to web-based interventions. J Med Internet Res 2012 Nov 14 [cited 2017 May 12];14(6):e152. PMID:23151820
  38. Apolinário-Hagen J, Kemper J, Stürmer C. Public Acceptability of E-Mental Health Treatment Services for Psychological Problems: A Scoping Review. JMIR Ment Heal 2017;4(2):e10. PMID:28373153
  39. Melville KM, Casey LM, Kavanagh DJ. Dropout from Internet-based treatment for psychological disorders. Br J Clin Psychol 2010 Nov;49(4):455–471. [doi: 10.1348/014466509X472138]
  40. Bosman RC, Huijbregts KM, Verhaak PF, et al. Long-term antidepressant use: a qualitative study on perspectives of patients and GPs in primary care. Br J Gen Pract 2016 [cited 2017 Sep 14];66(651):e708–e719. [doi: 10.3399/bjgp16x686641]
  41.  Shiffman S, Stone AA, Hufford MR. Ecological Momentary Assessment. Annu Rev Clin Psychol 2008 Apr;4(1):1–32. PMID:18509902
Over dit artikel
Auteurs
Esther Krijnen-de Bruin, Jasmijn A Geerlings, Anna DT Muntingh, Willemijn D Scholten, Otto R Maarsingh, Annemieke van Straten, Neeltje M Batelaan, Berno van Meijel
Over de auteurs

Dr. Esther Krijnen-de Bruin1,2,5 (gedeelde eerste auteur); Jasmijn A Geerlings2, MSc (gedeelde eerste auteur); Dr. Anna DT Muntingh1,2; Dr. Willemijn D Scholten1,2 ; Dr. Otto R Maarsingh3, MD;  Prof. dr. Annemieke van Straten4; Dr. Neeltje M Batelaan1,2, MD; Prof. dr. Berno van Meijel1,5,6 , PhD.

Correspondentieadres: esther.krijnendebruin@inholland.nl

  1. Amsterdam UMC, Vrije Universiteit Amsterdam, afdeling psychiatrie, onderzoeksinstituut Amsterdam Public Health, Amsterdam
  2. GGZ inGeest, Amsterdam
  3. Vrije Universiteit Amsterdam, afdeling Huisartsgeneeskunde, onderzoeksinstituut Amsterdam Public Health, Amsterdam
  4. Vrije Universiteit Amsterdam, Afdeling Klinische Neuro en Ontwikkelingspsychologie, onderzoeksinstituut Amsterdam Public Health, Amsterdam
  5. Hogeschool Inholland, domein Gezondheid, Sport en Welzijn, Cluster Nursing, lectoraat GGZ GGZ verpleegkunde, Amsterdam
  6. Parnassia, Parnassia Academie, Den Haag
Printdatum
11 maart 2022
E-pubdatum
14 maart 2022
ISSN print
0920-3273
ISSN online
2468-2225
DOI
https://doi.org/10.24078/vpg.2022.3.128649


Over dit artikel
Auteurs
Esther Krijnen-de Bruin, Jasmijn A Geerlings, Anna DT Muntingh, Willemijn D Scholten, Otto R Maarsingh, Annemieke van Straten, Neeltje M Batelaan, Berno van Meijel
Over de auteurs

Dr. Esther Krijnen-de Bruin1,2,5 (gedeelde eerste auteur); Jasmijn A Geerlings2, MSc (gedeelde eerste auteur); Dr. Anna DT Muntingh1,2; Dr. Willemijn D Scholten1,2 ; Dr. Otto R Maarsingh3, MD;  Prof. dr. Annemieke van Straten4; Dr. Neeltje M Batelaan1,2, MD; Prof. dr. Berno van Meijel1,5,6 , PhD.

Correspondentieadres: esther.krijnendebruin@inholland.nl

  1. Amsterdam UMC, Vrije Universiteit Amsterdam, afdeling psychiatrie, onderzoeksinstituut Amsterdam Public Health, Amsterdam
  2. GGZ inGeest, Amsterdam
  3. Vrije Universiteit Amsterdam, afdeling Huisartsgeneeskunde, onderzoeksinstituut Amsterdam Public Health, Amsterdam
  4. Vrije Universiteit Amsterdam, Afdeling Klinische Neuro en Ontwikkelingspsychologie, onderzoeksinstituut Amsterdam Public Health, Amsterdam
  5. Hogeschool Inholland, domein Gezondheid, Sport en Welzijn, Cluster Nursing, lectoraat GGZ GGZ verpleegkunde, Amsterdam
  6. Parnassia, Parnassia Academie, Den Haag
Printdatum
11 maart 2022
E-pubdatum
14 maart 2022
ISSN print
0920-3273
ISSN online
2468-2225
DOI
https://doi.org/10.24078/vpg.2022.3.128649