Clemens M H Hosman

• PhD
• Professor Emeritus at Radboud University

This meta-analysis looks at the effect of preventive parenting interventions and which categories of behaviour change techniques are effective in preventing adverse parenting behaviour and child psychosocial development outcomes. A three-level meta-analysis was conducted on studies with a randomised controlled trial or controlled trial design repor...

Strengthening social support has been recognized as a potentially effective strategy to enhance parenting self-efficacy, but empirical evidence is limited. This study examined the association between perceived social support and parenting self-efficacy. Data of 647 parents of children aged 0–8 years, gathered in the CIKEO cohort study in the Nether...

Many children with mild intellectual disabilities who have parents with mental health concerns suffer from social-emotional problems. The ‘You are Okay’ program is the first to support these children and their parents. An effect study showed first promising results in decreasing children’s emotional and behavioural problems. The current study was c...

Background Social support has been associated with numerous positive outcomes for families’ health, wellbeing and empowerment. This study examined which socio-demographic characteristics are associated with perceived social support among parents of children aged 0–7 years. Method Cross-sectional data of 1007 parents of children aged 0–7 years, gat...

Samenvatting De afgelopen decennia is vooral aandacht besteed aan het ontwikkelen van de inhoud van het vak van preventie en gezondheidsbevordering (GB). Er is nauwelijks geïnvesteerd in de professional zelf en in voldoende professionals om preventie en GB impact te laten hebben. De huidige complexe volksgezondheidsproblemen vragen echter om kundig...

Background Dyssomnias, are the most common parent-reported sleep complaints in young children. The present study investigated the prevalence, one-year development (incidence and persistence) of dyssomnia in early childhood, and the parent, child, and family factors associated with dyssomnia. Methods Longitudinal data of 700 children aged 0–8, gath...

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...

Objective The purpose of this study was to evaluate a collaborative community-based program that aims to a) increase the health, safety and talent development of youth, and b) contribute to the reduction of socioeconomic inequalities. Methods A difference-in difference design with two separate cross-sectional samples in 2018 (n = 984) and 2021 (n...

Background A high parenting self-efficacy (PSE) has been associated with positive parenting and positive child development. However, there is limited and inconsistent information on factors associated with PSE. Objective To investigate factors associated with PSE in parents of children aged 0–7 years old, and to explore whether the associations we...

Background: Stressful life events (SLEs) are recognized risk factors for emotional and behavioral problems, but the association is understudied among young children. Our aim was to examine the association between exposure to SLEs and emotional and behavioral problems in young children up to 7 years old. Methods: We analyzed baseline data from 95...

Aim Media use may strengthen parents’ capacities to deal with parenting issues. This study examined which factors are associated with media use for parenting information. Design Cross-sectional data of 658 parents of children aged 0–8 years, gathered in the CIKEO cohort study in the Netherlands, were analysed. Methods Multivariable logistic regre...

Children whose parents have mental illnesses are among the most vulnerable in our communities. There is however, much that can be done to prevent or mitigate the impact of a parent’s illness on children. Notwithstanding the availability of several evidence‐based interventions, efforts to support these children have been limited by a lack of adequat...

This chapter describes the background of the Communities That Care strategy in the Netherlands and the results of the Communities That Care Youth Survey. This was administered in 2011 as part of an effect study which was going on at that time. In this chapter we studied violence and youth delinquency, other problem behaviours, 20 risk factors and 1...

Background: The 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 appli...

Background Reducing socioeconomic health inequalities among youth is a major challenge for governments around the world and reports on successful attempts are scarce. Socioecological and integral approaches with collaborative partnerships and community engagement are recommended but knowledge about the effectiveness and effective and ineffective el...

For use in mental epidemiological survey research, a short self-report questionnaire measuring current disability is needed to assess the severity of health symptoms of respondents. A questionnaire, measuring current disability at the somatic, mental, and social domains in the environments of work, family (social) life, and leisure time was made al...

Der diesjährige Schweizer Psychiatriekongress thematisierte erstmals die psychische Gesundheit aus der Generationenperspektive. Die gemeinsam von den Verbänden der Schweizer Psychiater sowie der Kinder- und Jugendpsychiater, dem Netzwerk Psychische Gesundheit Schweiz, der Stifung Pro Mente Sana sowie dem Institut Kinderseele Schweiz organisierte Ve...

Background: The children of parents with a mental illness (COPMI) are at increased risk for developing costly psychiatric disorders because of multiple risk factors which threaten parenting quality and thereby child development. Preventive basic care management (PBCM) is an intervention aimed at reducing risk factors and addressing the needs of CO...

Background: Children of parents with a mental illness or substance use disorder (COPMI) have an increased risk of developing social-emotional problems themselves. Fear of stigmatisation or unawareness of problems prevents children and parents from understanding each other. Little is known about COPMI with mild intellectual disabilities (ID), excep...

Children of mentally ill parents are at high risk of developing problems themselves. They are often identified and approached as a homogeneous group, despite diversity in parental diagnoses. Some studies demonstrate evidence for transgenerational equifinality (children of parents with various disorders are at risk of similar problems) and multifina...

While the availability of mental health promotion and prevention programs worldwide is growing, there is divergence in their level of effectiveness that has led to increasing interest in the development of ‘effect management’ strategies. Mental health promotion and prevention science and practice has a relatively young history in Croatia, but major...

A solid base of knowledge has been developed over the last two decades regarding the inter-generational risks in children of parents with a mental illness and ways to intervene to reduce poor outcomes in these vulnerable families. There are ongoing challenges however, with the service system's response to meet the needs of these families where a pa...

When adolescents live with a parent with mental illness, they often partly take over the parental role. Little is known about the consequences of this so-called parentification on the adolescents' internalizing and externalizing problems. This survey study examined this effect cross-sectionally and longitudinally in a sample of 118 adolescents livi...

De inzet van de auteurs van het Centrum Gezond Leven (CGL) om werkzame elementen van effectieve interventies op te sporen en deze hanteerbaar te maken voor de praktijk met het oog op het behoud en verbetering van de effectiviteit en kosteneffectiviteit van gezondheidsbevorderende interventies verdient steun. Het kan één van de antwoorden zijn op de...

Parental Psychiatric Disorder presents an innovative approach to thinking about and working with families where a parent has a mental illness. With 30 new chapters from an internationally renowned author team, this new edition presents the current state of knowledge in this critically important field. Issues around prevalence, stigma and systems th...

Children of parents with a mental illness (COPMI) are at increased risk for developing psychiatric disorders, especially when parenting is compromised by multiple risk factors. Due to fragmented services, these families often do not get the support they need. Can coordination between services, as developed in the Preventive Basic Care Management (P...

Background Children of parents with mental illness have an elevated risk of developing a range of mental health and psychosocial problems. Yet many of these children remain mentally healthy. Objective The present study aimed to get insight into factors that protect these children from developing internalizing and externalizing problems. Methods...

This chapter aims to explore the possibilities of preventing comorbid mental and physical disorders. It presents a framework of optional preventive strategies based on four explanatory models of comorbidity and six strategic dimensions. Addressing common early risk factors is discussed as one of these preventive strategies. Some examples of evidenc...

For use in epidemiological surveys, short self-report questionnaires measuring psychotic symptoms were not available in 1995, when we started a multi-wave epidemiological study. This paper presents such an instrument, using the epidemiological data of the 1996 and 2000 waves of a longitudinal study. Relevant items from the Dutch Abbreviated MMPI an...

Background Most disadvantaged women are exposed to risk factors for depression, but not all necessarily have an identical risk for this mental health problem. A better prediction of which low socioeconomic status (SES) women are most at risk for depressive symptoms can help target preventive interventions at high-risk subgroups most in need of supp...

Topic: The Preventive Basic Care Management (PBCM) program is a Dutch service coordination program for parents with mental illnesses, which focuses on organizing tailored support from various services for parents and their children from a preventive perspective. Purpose: The article discusses our efforts to make PBCM evidence-based, as well as t...

Discussing depressive symptoms Despite the extent of people suffering from depression many do not receive treatment and the reach of preventative activities is limited. Although professionals and volunteers have an increasing role in identifying persons with depressive symptoms and leading them to appropriate care, it is rarely done. Our study amo...

In the Netherlands, preventive support groups are offered to children of mentally ill parents. Given the variety of parental diagnoses it might be questionable if offering a standardized program for all these children is the most effective response. While no overall knowledge exists about the type of parental disorder and varying risk levels and su...

Children of parents with a mental illness are often found to be at high risk of developing psychological problems themselves. Little is known about the role of family factors in the relation between parental and adolescent mental health. The current study focused on parent-child interaction and family environment. This cross-sectional questionnaire...

In various countries preventive support groups are offered to children of mentally ill and/or addicted parents to reduce the risk that they will develop problems themselves. This study assessed the effectiveness of Dutch support groups for children aged 8-12 years old in terms of reducing negative cognitions; improving social support, competence, a...

The large number of children with mentally ill or addicted parents calls for efficient provision of preventive support: interventions should be offered to children most at risk and attune to their risk levels and needs. This study provided insight in the (heterogeneous) needs of children participating in preventive support groups. Questionnaires we...

A series of meta-analyses and detailed assessments of the strength of research findings for certain practices and programs may help a consumer, agency, or community to select a program. However, more data on program outcomes will not help implement that program: implementation is an entirely different process. Likewise, implementation of an interve...

De Monitor Aard en Omvang GGZ-preventie geeft inzicht in de organisatie, capaciteit en financiering van preventieafdelingen in de tweedelijns GGZ, de door hen uitgevoerde preventieve interventies en het bereik daarvan. Dit artikel schetst de ontwikkelingen die in de afgelopen tien jaar hebben plaatsgevonden in de GGZ-preventie. De resultaten interp...

De financiering van preventieve interventies voor kinderen van ouders met psychische en/of verslavingsproblemen ligt momenteel onder vuur vanwege de veranderingen in het financieringsstelsel voor preventie. Het is onduidelijk of de interventies binnen de selectieve of geïndiceerde preventie vallen en wie (WMO of Zorgverzekeringswet) daarmee verantw...

Mental and behavioural disorders account for about one-third of the world's disability due to all ill health amongst adults, with unipolar depressive disorders set to be the world's number one cause of ill health and premature death in 2030, affecting high- and low-income countries alike. There is a range of evidence-based cost-effective interventi...

Previous studies of the long-term effects of maternal postpartum depression (PPD) on child development have mostly focused on a limited set of outcomes, and have often not controlled for risk factors associated with maternal depression. The present study compared children of postpartum depressed mothers (n = 29) with children from a community sampl...

Rationale, aims and objectives: Stress-related complaints and depressive symptoms are highly prevalent mental health problems among low-SES women. This paper describes the theoretical background, program content and process evaluation of the Exercise without Worries (EWW) course, a new exercise-enhanced psycho-educative intervention that targets co...

Improving depressed mothers' sensitivity is assumed to be a key element in preventing adverse outcomes for children of such mothers. This meta-analysis examines the short-term effectiveness of preventive interventions in terms of enhancing depressed mothers' sensitivity toward their child and investigates what type of intervention is most effective...

Whereas preventive interventions for depressed mothers and their infants have yielded positive short-term outcomes, few studies have examined their long-term effectiveness. The present follow-up of a randomised controlled trial (RCT) is one of the first to examine the longer-term effects of an intervention for mothers with postpartum depression and...

Recruitment, willingness to participate, and retention in interventions are indispensable for successful prevention. This study investigated the effectiveness of different strategies for recruiting and retaining low-SES women in depression prevention, and explored which sociodemographic characteristics and risk status factors within this specific t...

Women who have low socioeconomic status (SES) or live in disadvantaged circumstances are a vulnerable group at risk for depression. Little is known about the efficacy of preventive interventions to reduce depressive symptoms in low-SES women. The aim of this study is to provide an overview of controlled outcome studies and to investigate the overal...

Children of parents with a mental illness are at significant risk of developing mental disorders and other adverse outcomes at some point in their lives compared to children of healthy parents. During the last 20 years, a comprehensive preventive program for children of parents with a mental illness has been developed in the Netherlands through a l...

Children of parents with a mental illness are at significant risk of developing mental disorders and other adverse outcomes at some point in their lives compared to children of healthy parents. During the last 20 years, a comprehensive preventive program for children of parents with a mental illness has been developed in the Netherlands through a l...

This study examined the effects of a universal stress management program (Learn Young, Learn Fair) on stress, coping, anxiety and depression in fifth and sixth grade children. Fifty-two schools (1467 children) participated in a clustered randomized controlled trial. Data was collected in the fall of 2002, the spring of 2003, and the winter of 2004....

This study examined the effect of a mother-baby intervention on the quality of mother-child interaction, infant-mother attachment security, and infant socioemotional functioning in a group of depressed mothers with infants aged 1-12 months. A randomized controlled trial compared an experimental group (n = 35) receiving the intervention (8-10 home v...

We review the evidence on effectiveness of interventions for the treatment and prevention of selected mental disorders in low-income and middle-income countries. Depression can be treated effectively in such countries with low-cost antidepressants or with psychological interventions (such as cognitive-behaviour therapy and interpersonal therapies)....

To examine various maternal, child, and contextual characteristics, as well as the number of risk factors present, to distinguish which factors explain variance in the sensitivity of depressed mothers toward their infants. Participants were depressed mothers (n = 84) with their infants ages 1 month up to 1 year. Mothers were videotaped while bathin...

People with subclinical depressive symptoms are at increased risk of depressive disorder, little is known on the prevention of depressive disorder in this population. This study evaluates the long-term preventive effects of an effective depression treatment, the Coping with Depression (CWD) course. This paper describes the effect of the CWD course...

Although the dual function of condom use (preventing pregnancy and preventing STDs) is well known, little is known about the determinants of condom use for STD prevention when contraception is not an issue. We compared two intentions to use condoms with a new sex partner: one based on a vignette not mentioning pregnancy risk and one on a vignette e...

Preffi 2.0 is an evidence-based Dutch quality assessment instrument for health promotion interventions. It is mainly intended for both planning and assessing one's own projects but can also be used to assess other people's projects (external use). This article reports a study on the reliability of Preffi as an external quality assessment instrument...

There is sufficient evidence indicating the efficacy of interventions in reducing risk factors, increasing protective factors, preventing psychiatric symptoms and new cases of mental disorders. Macro-policy interventions to improve nutrition, housing and education or to reduce economic insecurity have proven to reduce mental health problems. Specif...

About 450 million people all over the world suffer from psychiatric disorders. Limitations and handicaps are caused especially by unipolar depression, excessive alcohol consumption, schizophrenia and manic-depressive disorder. It is expected that the importance of psychiatric disorders for public health will increase in the coming decades. Psychiat...

The findings of many meta-studies into the effects of health promotion programmes indicate that there is still much room for improvement in the quality of these programmes. Insights gained from research are rarely applied in practice. Practitioners and policymakers often find it hard to assess the value of the many and sometimes contradictory resea...

IntroductionThis meta-analysis evaluates the effect of school programs targeting stress management or coping skills in school children.MethodsArticles were selected through a systematic literature search. Only randomized controlled trials or quasi-experimental studies were included. The standardized mean differences (SMDs) between baseline and fina...

This paper describes the design and outcomes of implementing Preffi 1.0, a quality assurance instrument for health promotion (HP) interventions, among Dutch HP professionals. The Preffi instrument promotes a systematic way of working that is driven by evidence, which is expected to lead to high-quality projects and better outcomes. Implementation i...

Positive mental health is a value in its own right; it contributes to the individual’s well-being and quality of life; and also contributes to society and the economy by increasing social functioning and social capital. Positive mental health refers to human qualities and life skills such as cognitive functioning, positive self-esteem, social and p...

Many studies have reported on the adverse effects of maternal depression on offspring. Infants of depressed mothers are found to be more likely at risk to develop mental and socioemotional problems. In this study, an early intervention program is presented that aims to improve the interaction between depressed mothers and their infants to prevent d...

Self-evaluation is crucial to mental and social well-being. It influences aspirations, personal goals and interaction with others. This paper stresses the importance of self-esteem as a protective factor and a non-specific risk factor in physical and mental health. Evidence is presented illustrating that self-esteem can lead to better health and so...

The Nijmegen Motivation List for Prevention (NML-P) is a new instrument to assess the motivation of participants for involvement in preventive group interventions. The aim of the current study was to explore the underlying dimensions of the NML-P and the predictive potential of the instrument for those participating in a psychoeducational preventiv...

Preffi is a set of guidelines with items relevant to the effectiveness of health promotion projects, reflecting scientific and practical knowledge. Preffi is used to assess quality at various stages of an intervention, either to critically evaluate one's own project or to comment on projects proposed by others. This article describes the Preffi mod...

Worldwide, 340 million people are affected by depression, with high comorbid, social and economic costs. To identify potential predictors of effect in prevention programmes. A meta-analysis was made of 69 programmes to reduce depression or depressive symptoms. The weighted mean effect size of 0.22 was effective for different age groups and differen...

This article reports on a randomized controlled trial investigating the short-term effectiveness of the Coping With Depression course in a sample of adults seriously at risk of developing major depression. In addition, possible mediating properties of several proximal outcome variables were assessed. Participants (N = 110) were adults with subclini...

The last decade has shown a boom in international networks and projects in health promotion and prevention. The growth of international collaboration is considered to be of crucial importance for the future development of the field. Several arguments are discussed in support of a further expansion of collaboration across countries and regions. The...

This article discusses the state of the art concerning the meaning and value of model programmes in mental health promotion and mental disorder prevention. Model programmes are considered an important instrument for improving the quality, social impact and cost-effectiveness of promotion and prevention. However, there is a lack of conceptual clarit...

ODIN aims (a) to provide data on the prevalence, risk factors and outcome of depressive disorders in rural and urban settings within the European Union (EU) based on an epidemiological sampling frame; and (b) to assess the impact of two psychological interventions on the outcome of depression and on service utilisation and costs. Five centres acros...