Dike van de Mheen

Tilburg University | UVT · "Tranzo" Scientific Center for Care and Welfare

Background Hazardous alcohol use and alcohol use disorder (AUD) are highly prevalent among clients in mental health services, yet significant gaps remain in the adequate assessment of alcohol use and provision of appropriate alcohol interventions. The aim of this study was to conduct an exploration of (i) alcohol intervention elements used in menta...

We aimed to investigate whether the dialogue tools My Positive Health (MPH) and Individual Recovery Outcomes Counter (I.ROC) tools were useful for quantitively measuring the positive health construct for monitoring and scientific purposes as well. An observational cross-sectional study was conducted in a representative general Dutch population (the...

Objectives This study set out to understand how (which elements), in what context and why (which mechanisms) interventions are successful in reducing (problematic) alcohol use among older adults, from the perspective of professionals providing these interventions. Design Guided by a realist evaluation approach, an existing initial programme theory...

Introduction Using the ‘positive health’ perspective has emerged in general healthcare. Conceptual similarities exist with the ‘recovery’ perspective in mental healthcare. Both concepts are multidimensional and focus on capability. The My Positive Health (MPH) and Individual Recovery Outcomes Counter (I.ROC) tools were developed for dialogues . The...

Background Recovery Colleges (RCs) have spread across the globe as a new way of supporting people with mental vulnerabilities in their recovery journey. RCs focus on ‘learning’ rather than ‘curing’ and in that line facilitate a transition from being a passive, dependent patient/client to an active, empowered student learning to live life, despite v...

This study aimed to examine the unique predictive validity of debt regarding recidivism and what elements are specifically predictive. This was done based on a Dutch sample of 250 people on probation using an explorative research tool, the Finances, Debt, and Offending Scale (FDOS). Cox survival regression and receiver operating characteristics ana...

Samenvatting Inleiding Problematisch alcoholgebruik neemt toe onder ouderen (55+). Veel interventies om alcoholgebruik te voorkomen of te verminderen, zijn gericht op volwassenen. Het is onduidelijk of deze interventies ook werken voor ouderen. Het doel van deze review was om te begrijpen hoe het komt (welke elementen), in welke context en waarom...

We aimed to examine determinants of criminal victimization (i.e. both personal and property crime victimization) in outpatients with severe mental illness.Data was collected using a multisite epidemiological survey including a random sample of 956 adult outpatients with SMI. Data on 12-month victimization prevalence and frequency were obtained usin...

Background: The COVID-19 pandemic and measures have placed various burdens on societies and individuals. Emerging evidence suggests that people in drug addiction recovery were negatively affected. This study investigates whether risk and protective factors associated with return to problematic substance use differed between the periods before and...

Purpose Disclosure of mental illness to a supervisor can have positive (e.g. supervisor support) and negative consequences (e.g. stigma). However, research on the association between disclosure and sustainable employability and well-being at work is scarce. The aim of this study was to investigate the association between the disclosure decision (ye...

Purpose - Little is known about effective supervision of offenders with debt. This multiple case study aims to gain insight into working elements in offender supervision on debt. This is important for probation officers to choose the most effective interventions in daily offender supervision. Design/methodology/approach - This study included five...

Background Palliative care for persons experiencing homelessness who reside in social service facilities is often late or lacking. A threefold intervention was implemented to improve palliative care for this population by increasing knowledge and collaboration between social service and palliative care professionals. This consultation service compr...

Samenvatting Introductie Alcoholproblematiek komt vaker voor bij ziekenhuispatiënten dan bij de algemene bevolking. Veel ziekenhuizen slagen er echter niet in om mensen met alcoholproblematiek op te sporen en hierbij te interveniëren. Het doel van dit onderzoek was een verkenning van belemmerende en bevorderende factoren die zorgprofessionals erva...

Samenvatting Inleiding Hoewel overmatig alcoholgebruik onder ouderen voorkomt, zijn de groepsbehandelprogramma’s niet gestandaardiseerd. In dit onderzoek staan vier programma’s voor ouderen met alcoholproblematiek centraal, met als koepelnaam Fris Verder . Het doel is een verkenning uit te voeren naar kenmerken en overeenkomsten/verschillen, mogel...

Problematic alcohol use has been increasing in older adults (55+) in recent decades. Many of the effective interventions that are available to prevent or reduce the negative effects of alcohol consumption are aimed at adults in general. It is unclear whether these interventions also work for older adults. The objective of this review was to underst...

Previous studies have found evidence for a relationship between debt and crime, and for problems in childhood, education, work, and mental and physical health as underlying risk factors. However, insight into the interplay between these possible risk factors is limited. Therefore, a mixed methods approach was applied by both creating a quantitative...

Background Often, military personnel do not seek treatment for mental illness or wait until they reach a crisis point. Effective, selective, and indicated prevention is best achieved by seeking treatment early. Aims We aimed to examine military personnel's attitudes, beliefs, and needs around seeking treatment for mental illness. We compared those...

Background: Quality of Life (QoL) assessment in people with severe mental health problems may benefit from improved personalization and accessibility. Therefore, an innovative, digital, visual, and personalized QoL assessment app for people with severe mental health problems was recently developed: the QoL-ME. The aim of this study was to evaluate...

Background Substance use disorders (SUDs) are prevalent in the general population, tend to follow a chronic course, are associated with many individual and social problems, and often have their onset in adolescence. However, the knowledge base from prospective population surveys and treatment-outcome studies on the course of SUD in adolescents is l...

Objectives Many workers in high-risk occupations, such as soldiers, are exposed to stressors at work, increasing their risk of developing mental health conditions and substance abuse (MHC/SA). Disclosure can lead to both positive (eg, support) and negative (eg, discrimination) work outcomes, and therefore, both disclosure and non-disclosure can aff...

Following the paradigm shift to recovery in the Anglophone world, recovery is also gaining momentum in drug policy and practice in Flanders (Belgium) and the Netherlands. Since the meaning of recovery is being debated internationally, broadening the assessment of how the recovery framework is applied in policy discourse and how it is implemented in...

There is a well-established relationship between isolation and both morbidity and mortality in the context of addiction recovery, yet the protective effects of intimate and familial relationships have not been adequately assessed. The current paper uses the European Life In Recovery database to assess the association between relationship status and...

Little research exists on what works in the supervision of offenders with debt problems. This qualitative study aims to provide insight into the barriers probation officers and clients experience during supervision regarding debt and the support that clients need. Interviews were conducted with 33 Dutch probation officers and 16 clients. The result...

We aimed to obtain reliable reference charts for sleep duration, estimate the prevalence of sleep complaints across the lifespan and identify risk indicators of poor sleep. Studies were identified through systematic literature search in Embase, Medline and Web of Science (9 August 2019) and through personal contacts. Eligible studies had to be publ...

Herstelondersteunend werken is de doelstelling van de verslavingszorg in Nederland en Vlaanderen, maar tot dusver gebeurde bij ons weinig onderzoek naar personen in herstel van een drugverslaving. Voor deze studie gebruikten we de Life in Recovery (LiR) vragenlijst om veranderingen na te gaan op belangrijke leefgebieden die beïnvloed worden door ve...

Although studies point to a relationship between debt and crime, there is a limited understanding of their reciprocal relationship and possible mediating risk factors. Moreover, knowledge about the prevalence and scope of debt among offenders is lacking. Therefore, the present study analyzed 250 client files including risk assessment data from the...

An increasing body of evidence shows that informal mutual aid groups benefit those in addiction recovery. However, attention for mutual aid groups in practice and policy varies internationally and is only recently emerging in continental Europe. Existing evidence is mostly limited to studies of Alcoholics Anonymous groups in the United States. The...

Background Globally, millions are exposed to stressors at work that increase their vulnerability to develop mental health conditions and substance misuse (such as soldiers, policemen, doctors). However, these types of professionals especially are expected to be strong and healthy, and this contrast may worsen their treatment gap. Although the treat...

Compared to macroeconomic factors, the financial situation of the individual may provide better insight into the relationship between debt and crime. However, the relationship between debt and crime is still unclear and little is known about the causality of this relationship and the factors that influence it. To obtain more insight into this relat...

BACKGROUND The QoL-ME is a digital, visual and personalized QoL assessment App for people with severe mental health problems. Research reveals that e-mental health Apps such as the QoL-ME frequently fall short of expectations regarding their impact on daily practice. Studies often indicate that e-mental health Apps ought to respect the needs and pr...

Background QoL-ME is a digital visual personalized quality of life assessment app for people with severe mental health problems. Research reveals that e-mental health apps frequently suffer from low engagement and fall short of expectations regarding their impact on patients’ daily lives. Studies often indicate that e-mental health apps ought to re...

Background: To reduce homelessness, it is important to gain a better understanding of the differences between homeless people who remain in institutions and those who gain and can sustain independent housing. This longitudinal study explores differences in housing transitions and differences in changes in health and self-determination between form...

Persons with mental health problems and/or substance addictions (MHPSA) are stigmatised more than persons with physical conditions. This includes stigmatisation by care professionals. Stigma is considered one of the most important barriers for recovery from these conditions. There is an ongoing debate that use of language can exacerbate or diminish...

For the last 15 years, alcohol policy in the Netherlands has shifted focus from adults (and predominantly students) to younger people aged 10–18 years old (mainly secondary school students).

This study explored factors that contribute to an alcohol intoxication resulting in Emergency Room (ER) admission among underage adolescents. We conducted qualitative interviews with 14 adolescents (14–18 years old) who experienced an alcohol intoxication requiring ER admission. Motivations for drinking were individual (e.g. curiosity) or social (e...

Hazardous alcohol use remains a significant global public health problem. A better understanding of relapse may assist the development of new interventions. Low levels of dispositional mindfulness may be a risk factor for craving and alcohol use, but few studies have examined these associations prospectively in an alcohol-dependent sample. In an ec...

This qualitative study investigates urban at-risk youths’ perspectives on their multiproblem situations and explores their needs for support. Semi-structured interviews were conducted with 23 at-risk youths with varied (externalizing) problems and risk factors. The data analysis was carried out using an inductive thematic approach. Four main themes...

The number of older homeless people with a limited life expectancy is increasing. European studies on their health‐related characteristics are lacking. This study compared self‐reported health, healthcare service use and health‐related needs of older and younger homeless people in the Netherlands. It is part of a cohort study that followed 513 home...

Purpose Quality of life (QoL) is a broad outcome that is often used to assess the impact of treatment and care interventions in mental health services. QoL, however, is known to be influenced by individual values and preferences. To investigate this heterogeneity on the individual level, this study aimed to distinguish classes with distinct QoL pro...

BACKGROUND Quality of Life (QoL) is a prominent outcome measure in mental health. Conventional methods for QoL assessment, however, rely heavily on language‐based communication, and may therefore not be optimal for all individuals with severe mental health problems. Additionally, QoL assessment is usually based on a fixed number of life domains. Th...

Background Quality of life (QoL) is a prominent outcome measure in mental health. However, conventional methods for QoL assessment rely heavily on language‐based communication and therefore may not be optimal for all individuals with severe mental health problems. In addition, QoL assessment is usually based on a fixed number of life domains. This...

Figure S1. A copy of the visual concept map presented in Figure 2 that provides more detail. Figure S2. In this concept map, every visual statement is replaced by its respective number. The corresponding visual statements can be found below

Although there has been a growth in recent years in recovery research, much of this has been from the United States, and there is very little comparative research in this area. This article describes the rationale, conceptual foundations and methods for a prospective, multicountry, cohort study aimed to map pathways to recovery from problematic ill...

Youths' help-seeking orientation on the individual level, and the presence of bonding and bridging social capital at the contextual level, are important factors in explaining at-risk urban youths' self-sufficiency. We conducted semi-structured interviews with 22 at-risk youths aged 15–25 years in an urban area, to study youths' perceptions of help-...

Objectives Conventional approaches to quality of life (QoL) measurement rely heavily on verbal, language‐based communication. They require respondents to have significant cognitive and verbal ability, making them potentially unsuitable for people with severe mental health problems. To facilitate an alternative approach to QoL assessment, the curren...

Background: Negative affective states and alcohol-related stimuli increase risk of relapse in alcohol dependence. In research and in clinical practice, craving is often used as another important indicator of relapse, but this lacks a firm empirical foundation. Objectives: The goal of the present study is to explore and compare determinants for r...

Resultaten van de tweede meting naar beleving van overlast en veiligheid onder inwoners van Den Dolder

Background Children’s activity level, including physical activity (PA) and screen sedentary time (SST), is influenced by environmental factors in which parents play a critical role. Different types of parenting styles may influence children’s activity level. Inconsistent results were found on the association between parenting styles and PA, and few...

Objectives We explored whether changes in the perceived health of homeless people after entering the social relief system (SRS) in The Netherlands were predicted by housing, income, hours of work, social support, unmet care needs, arrests, physical and mental health, substance use, and experiences of autonomy, competence and relatedness, in additio...

Objectives: Hardcore smokers have smoked for many years and do not intend to quit. They also seem unreceptive to information about smoking cessation. We developed a 30-min, tailored web-based intervention that includes motivational interviewing principles. It aims to increase hardcore smokers' intention to quit and their receptivity to information...

Previously, a Dutch randomized controlled trial evaluating an intervention aimed at changing adolescents' cannabis use, called Moti-4, has shown its efficacy. A secondary analysis of the Moti-4 data investigated the process of change specified by the Stage of Change (SOC) model in cannabis use during the trial. Seventy-one Moti-4 participants and 6...

Objective: Problematic video-gaming or social media use may seriously affect adolescents’ health status. However, it is not very well known which health-related problems are most strongly related to these issues. To inform the development of prevention and intervention strategies, this study aims to gain a better understanding of the health-related...

Objective: There have long been indications that those with problems controlling their Internet use manifest those problems in relation to specific applications. The current study empirically explores the option of abandoning a unified approach to problematic ‘Internet use’, by splitting the concept into more specific application level measurement....

Very little is known about the personal goals of homeless people and how these relate to their quality of life (QoL). By using survey data on 407 homeless adults upon entry to the social relief system in 2011, we examined the personal goals of homeless adults and the association between their perceived goal-related self-efficacy and their QoL. A hi...

Dit artikel beschrijft de resultaten van een kwalitatief onderzoek naar de situatie van mensen met schulden en verslavingsproblematiek. Door het vergroten van inzicht in hun kenmerken en problematiek kan de hulpverlening aan deze doelgroep verbeterd worden. Het onderzoek laat zien dat er sprake is van een wederkerige relatie tussen schulden en vers...

Aims: Clinicians struggle with the identification of video gaming problems. To address this issue, a clinical assessment tool (C-VAT 2.0) was developed and tested in a clinical setting. The instrument allows exploration of the validity of the DSM-5 proposal for 'internet gaming disorder'. Method: Using C-VAT 2.0, the current study provides a sen...

Aims: Examining online social interactions along with patterns of video gaming behaviors and game addiction symptoms has the potential to enrich our understanding of disorders related to excessive video game play. Methods: We performed latent class analysis in a sample of 9733 adolescents based on heavy use of games, social networking and instant m...

Background: Previous studies have shown that alcohol screening and brief intervention (ASBI) in general practices can lead to significant reductions in alcohol consumption among patients, yet ASBI is rarely implemented into routine clinical practice. The aim of this paper is to describe the development and evaluation of an ASBI implementation prog...

Background Hardcore smokers are smokers who have smoked for many years and who do not intend to quit smoking. The “hardening hypothesis” states that light smokers are more likely to quit smoking than heavy smokers (such as hardcore smokers). Therefore, the prevalence of hardcore smoking among smokers would increase over time. If this is true, the s...

Objective: Cross-sectoral alcohol policy is recommended to reduce youth alcohol consumption, but little evidence is available on its effectiveness. Therefore, we examined whether regions and municipalities in the Dutch province of Noord-Brabant with stronger cross-sectoral alcohol policy showed larger reductions in alcohol consumption among adoles...

We found that when combinations of online and gaming behaviors are considered as part of a PG syndrome, gamers could be clearly separated into social and non-social subgroups, with social classes reporting fewer feelings of problematic use at similar levels of play. These findings suggest that patterns of symptoms and gaming behavior thought to del...

Housing stability is an important focus in research on homeless people. Although definitions of stable housing differ across studies, the perspective of homeless people themselves is generally not included. Therefore, this study explored the inclusion of satisfaction with the participant's current housing status as part of the definition of housing...

Background and aims. Clinicians struggle with the identification of video gaming problems. Addressing this issue, a clinical assessment tool (C-VAT 2.0) was developed and tested in a clinical setting. The instrument allows exploration of the validity of the DSM-5 proposal for 'internet gaming disorder'. Method. Using C-VAT 2.0, the current study pr...

In this literature review, a summary of research into the relationship between alcohol and cannabis use and the commission of domestic violence and child maltreatment is presented. Research among different groups of people found that alcohol consumption is associated with committing domestic violence and child maltreatment. The studies on cannabis...

The Moti-4 intervention, in which motivational interviewing, self–monitoring, and strengthening behavioural control are used, was developed in the Netherlands in response to several rapid assessments of problematic use of cannabis among vulnerable adolescents. The main goal of the study reported in this article was to determine whether the Moti-4 i...

Cognitive impairment is a prevalent problem among the homeless and seems related to more psychosocial problems. However, little is known about the care needs of the subgroup of homeless people with an intellectual disability compared to those without an intellectual disability and how their care needs develop over time. This study explores self-rep...

In de jeugdzorg wordt steeds vaker intersectoraal samengewerkt om de veiligheid te waarborgen van kinderen die te maken krijgen met kindermishandeling. Het behandelprogramma Veilig, sterk en verder (VSV), een geïntegreerde dader- en slachtofferbehandeling, is hiervan een voorbeeld. Hoe verloopt een dergelijke samenwerking in de praktijk? Wij beschr...

This review examines the association between alcohol and illicit drug use and the perpetration of intimate partner violence (IPV) and child maltreatment (CM). In clinical populations, alcohol use is related to IPV, although other variables are also known to influence this relationship. Studies in specialized social/health care and in the community...

Background Implicit processes such as attentional bias (AB) and automatic approach/avoidance tendencies (AA) play a role in substance use disorders. Whether these processes can predict a relapse in alcohol‐dependent patients is still unclear and must be examined in more detail than has been done previously. We aimed to establish whether AB and AA m...

Previous studies have shown that substance use among homeless people is a prevalent problem that is associated with longer durations of homelessness. Most studies of substance use among the homeless were carried out outside Europe and have limited generalizability to European countries. This study therefore aimed to address the prevalence of substa...

Introduction: Hardcore smokers are smokers who have little to no intention to quit. Previous research suggests that there are distinct subgroups among hardcore smokers and that these subgroups vary in the perceived pros and cons of smoking and quitting. Identifying these subgroups could help to develop individualized messages for the group of hard...

The Clinical Video game Addiction Test (C-VAT 2.0) is a clinical tool for assessing game addiction. In the current study, the C-VAT 2.0 was validated in a sample of 32 game-addicted patients aged 12 to 23 years. The game addicted patients reported spending extensive amounts of time playing video games. The new Clinical Video game Addiction Test 2.0...