Karlein M G Schreurs

Karlein M G Schreurs
University of Twente | UT · Department of Psychology, Health and Technology (PHT)

33.93
 · 
PhD
About
109
Research items
8,227
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2,490
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Research Experience
Feb 2003
Roessingh Research and Development
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  • Senior Health Psychologist
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Research items (109)
Article
Full-text available
Objectives The conceptual approach of compassion underlying compassion‐focused therapy (CFT) is based on theoretical rather than empirical grounds. The aim of the present study was to seek empirical support for components of compassion as outlined in the theoretical model underpinning CFT, and to explore which components, if any, matter most for im...
Article
Full-text available
BACKGROUND: A growing body of evidence supports the potential effectiveness of electronic health (eHealth) interventions in managing chronic pain. However, research on the needs and preferences of patients with chronic pain in relation to eHealth interventions is scarce. Eliciting user input in the development of eHealth interventions may be a cruc...
Article
Full-text available
In the Netherlands, all schools are required to develop a wellbeing and social safeness policy. Despite this legislation, there is currently no adequate instrument available to measure the wellbeing and social safeness. Therefore, the present study investigates the psychometric properties of the Wellbeing and Social Safeness Questionnaire (WSSQ). T...
Article
Full-text available
Objectives The aim of this study was to study measurement properties of the Dutch Language Version of the Brief Resilience Scale (BRS‐DLV) in blue and white collar workers employed at multiple companies and to compare the validity and factor structure to other language versions. Methods Workers (n = 1023) were assessed during a cross‐sectional hea...
Chapter
Meetinstrumenten kunnen gebruikt worden om de verschillende biopsychosociale factoren die bijdragen aan het ontstaan of in stand houden van chronische pijn zo goed mogelijk in kaart te brengen. De uitkomsten van meetinstrumenten dragen niet alleen bij aan een goede communicatie tussen patiënt en behandelteam, maar ook aan de communicatie tussen de...
Chapter
Psychologische factoren spelen een grote rol bij de kwetsbaarheid voor en het blijven bestaan van chronische pijnklachten en beïnvloeden pijnbeleving en het functioneren van patiënten met chronische pijn. In dit hoofdstuk wordt uitgelegd hoe onveilige hechting kan leiden tot disfunctionele coping met pijn en tot gebrekkig mentaliseren, wat pijnreva...
Chapter
Pijn hoort bij het leven. Wanneer pogingen om pijn te controleren of te bestrijden niet of niet afdoende slagen, maakt dit verdrietig, machteloos en opstandig. Dit leidt op den duur tot meer klachten en beperkingen. Bovendien komen patiënten in hun gevecht met de steeds terugkerende pijn dikwijls niet meer toe aan dat wat het leven voor hen de moei...
Book
Dit boek is een naslagwerk op het gebied van pijnrevalidatie. Als pijn niet weg te nemen is, moeten patiënten ondersteund worden op hun weg naar beter functio­neren. Het boek is onmisbaar voor profes­sionals in de eerste-, tweede- en derde­lijnszorg die werken met patiënten met (chronische) pijn, zoals fysiotherapeuten, oefentherapeuten, ergotherap...
Preprint
BACKGROUND A growing body of evidence supports the potential effectiveness of e-health interventions in managing chronic pain. However, research on patients with chronic pain’s needs and preferences in relation to e-health interventions is scarce. Eliciting user input in the development of e-health interventions may be a crucial step towards develo...
Article
Full-text available
Objective: The working mechanisms of compassion-focused therapy (CFT) remain understudied. Drawing on the theoretical model underlying CFT, we examined four putative working mechanisms – self-reassurance, self-criticism, positive/negative affect – in relation to changes in well-being and psychological distress. Methods: Data of a waitlist randomise...
Article
Full-text available
This article presents findings from a meta-analysis which sought to determine the effectiveness of interventions adopting a whole school approach to enhancing children and young people’s social and emotional development. Whole school interventions were included if they involved a coordinated set of activities across curriculum teaching, school etho...
Article
Full-text available
Mindfulness based stress reduction (MBSR) training has been proposed to improve attentional skills by modulating thalamo-cortical loops that affect the sensitivity of relevant cortical areas like the somatosensory cortex. This modulation may be reflected in the electroencephalographic (EEG) alpha rhythm, and could affect the processing of subsequen...
Data
F-values (with F(1,26)) for deviations from zero (the intercept) for lateralized power spectra (LPS) in the α1 band for central (C4/3), lateral central (C6/5), centro-parietal (CP4/3), lateral centro-parietal (CP6/5), parietal (P4/3), lateral parietal (P6/5), occipito-parietal (PO4/3), and lateral occipital sites (PO8/7). Effects demonstrate a cont...
Data
F-values (with F(1,26)) for deviations from zero (the intercept) for lateralized power spectra (LPS) in the α2 band for central (C4/3), lateral central (C6/5), centro-parietal (CP4/3), lateral centro-parietal (CP6/5), parietal (P4/3), lateral parietal (P6/5), occipito-parietal (PO4/3), and lateral occipital sites (PO8/7). Effects demonstrate a cont...
Data
F-values (with F(1,26)) for the effect of Attention Condition on lateralized power spectra (LPS) in the α1 band for central (C4/3), lateral central (C6/5), centro-parietal (CP4/3), lateral centro-parietal (CP6/5), parietal (P4/3), lateral parietal (P6/5), occipito-parietal (PO4/3), and lateral occipital sites (PO8/7). (PDF)
Data
F-values (with F(1,26)) for the effect of Attention Condition on lateralized power spectra (LPS) in the α2 band for central (C4/3), lateral central (C6/5), centro-parietal (CP4/3), lateral centro-parietal (CP6/5), parietal (P4/3), lateral parietal (P6/5), occipito-parietal (PO4/3), and lateral occipital sites (PO8/7). (PDF)
Article
This study examined partners of cancer patients intention to use a web-based psychological intervention, their preferences regarding its preconditions, functionalities and topics, and factors related to their intention. One hundred and sixty-eight partners completed a questionnaire about these aspects. Forty-eight percent of the partners would (may...
Article
Objective: Despite promising results for compassion-focused therapy (CFT) as self-help, larger-scale trials including long-term follow-up data are needed to establish its effectiveness in the context of public mental health. Empirical evidence supporting its effectiveness in improving well-being is lacking. In a randomized controlled trial, the ef...
Article
Studies investigating the effectiveness of compassion-focused therapy (CFT) are growing rapidly. As CFT is oriented toward helping people deal with internal processes of self-to-self-relating, having instruments to measure these processes is important. The 22-item Forms of Self-Criticizing/Attacking and Self-Reassuring Scale (FSCRS) has been found...
Conference Paper
Background Fatigue is a common symptom in patients with a rheumatic disease. Resilience, the ability to bounce back or recover from stress, has been found to be related to lower fatigue in patients with cancer, traumatic brain injury, cardiac disease and fibromyalgia (see e.g. [1]) Objectives To study the relationships of resilience and the resili...
Article
Purpose The purpose of this paper is to report on a process and impact evaluation of the Positief Educatief Programma (Positive Education Programme (PEP)), a whole school approach to supporting children’s well-being and creating a positive school climate in primary schools in the Netherlands. PEP adopts a competence skill enhancement approach with...
Article
Full-text available
Background Partners of cancer patients are the cornerstone of supportive cancer care. They assume different roles and responsibilities that optimally support the patient. Such support is highly demanding, and many partners report (mental) health problems. However, many of them do not use professional supportive care themselves. Offering a Web-based...
Article
Full-text available
Background Acceptance and Commitment Therapy (ACT) has been demonstrated to be effective in reducing depressive symptoms. However, little is known how and for whom therapeutic change occurs, specifically in web-based interventions. This study focuses on the mediators, moderators and predictors of change during a web-based ACT intervention. Methods...
Article
Full-text available
Background: No core set of measurement tools exists to collect data within clinical practice. Such data could be useful as reference data to guide treatment decisions and to compare patient characteristics or treatment results within specific treatment settings. Methods: The Dutch Dataset Pain Rehabilitation was developed which included the six...
Article
Full-text available
Objectives: The 0–10 Numeric Rating Scale (NRS) is often used in pain management. The aims of our study were to determine the cut-off points for mild, moderate, and severe pain in terms of pain-related interference with functioning in patients with chronic musculoskeletal pain, to measure the variability of the optimal cut-off points, and to determ...
Article
Full-text available
The web-based delivery of psychosocial interventions is a promising treatment modality for people suffering from chronic pain, and other forms of physical and mental illness. Despite the promising findings of first studies, patients may vary in the benefits they draw from self-managing a full-blown web-based psychosocial treatment. We lack knowledg...
Article
The number of acceptance- and mindfulness-based interventions for chronic pain, such as acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT), increased in recent years. Therefore an update is warranted of our former systematic review and meta-analysis of studies that repo...
Article
Full-text available
Background: Evidence-based, easily accessible, supportive interventions for partners of cancer patients are limited, despite the fact that they often suffer from diminished emotional, social, physical, and relational functioning. To develop a new intervention that will fit their demands, it is important to consult potential users. Objective: To...
Article
The underlying mechanisms of the effectiveness of cognitive behavioural interventions for chronic pain need further clarification. The role of, and associations between, pain-related psychological flexibility (PF) and pain catastrophizing (PC) were examined during a randomized controlled trial on internet-based Acceptance & Commitment Therapy (ACT)...
Article
Background Depression is a highly prevalent disorder, causing a large burden of disease and substantial economic costs. Web-based self-help interventions seem promising in promoting mental health.AimsTo compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing...
Chapter
Alleen al in Nederland hebben op enig moment miljoenen mensen te maken met milde psychische klachten of stoornissen zoals angst en depressie of met chronische pijn. Het grootschalig en laagdrempelig aanbieden van preventieve of (begeleide) zelfhulpinterventies kan daarom tot veel gezondheidswinst leiden. Ook op dit gebied kan het ACT-model worden i...
Article
Background: There is a growing recognition that cancer not only affects the lives of the patients, but also the lives of their partners. Partners of cancer patients are highly involved in the illness trajectory by providing informal care and they often experience distress. However, supporting interventions for this group are scarce and existing int...
Article
Full-text available
Background There is a growing recognition that cancer not only affects the lives of the patients, but also the lives of their partners. Partners of cancer patients are highly involved in the illness trajectory by providing informal care and they often experience distress. However, supporting interventions for this group are scarce and existing inte...
Article
Full-text available
Background: A significant number of chronic pain patients experience a decline in therapeutic effects after rehabilitation. As face-to-face contacts with health care professionals are not always feasible after treatment, new, innovative, fully automated relapse-prevention programs are highly needed. Objective: In this study an online, automated rel...
Article
Acceptance-based psychological interventions can potentially minimize the burden of chronic pain. This randomized controlled trial evaluated an internet-delivered, guided self-help intervention based on Acceptance and Commitment Therapy (ACT). A total of 238 chronic pain sufferers from the general population were randomly allocated to either ACT (n...
Article
Objective: This study evaluates the implementation of Acceptance & Commitment Therapy (ACT) in Dutch chronic pain rehabilitation centers. Changes in multidisciplinary professionals' self-perceived competencies in working with ACT were evaluated and corroborated with patients' ratings of treatment adherence. To inform subsequent implementation effor...
Article
Psychometric research on widely used questionnaires aimed at measuring experiential avoidance of chronic pain has led to inconclusive results. To test the structural validity, internal consistency, and construct validity of a recently developed short questionnaire: the Acceptance and Action Questionnaire II-pain version (AAQ-II-P). Cross-sectional...
Article
Full-text available
Psychological flexibility receives increasing attention as the overarching process in Acceptance and Commitment Therapy (ACT). This study investigates the psychometric properties of the Psychological Inflexibility in Pain Scale (PIPS), measuring ''avoidance'' and ''cognitive fusion'' with pain, in a heterogeneous clinical sample of 428 chronic pain...
Article
Dat mensen chronisch vermoeid kunnen zijn, werd al aan het begin van de vorige eeuw beschreven. Toch noemt men het chronischevermoeidheidssyndroom (CVS) nogal eens een modeziekte. Dit komt eerder door de toegenomen aandacht, dan doordat chronische vermoeidheid vaker voorkomt. Wie zich wil verdiepen in de huidige stand van zaken, kan goed terecht in...
Article
Full-text available
Het lichaam is alles wat we hebben: we ondergaan onszelf, ons lichaam ontwikkelt zich in verwevenheid met ons 'Ik', we verenigen ons ermee, verzorgen of overvragen het, we takelen af, we sterven. Antonie Ladan, Ons vege lijf (1997) Ons dagelijks leven is een voortdurende stroom van zelfbeleving, waarin we meestal onopgemerkt pendelen tussen lichaam...
Article
This article describes the development and evaluation of the Engaged Living Scale (ELS) as a new self-report, process-specific measure to assess an engaged response style as conceptualized in acceptance and commitment therapy (ACT). The psychometric properties of the ELS test scores were evaluated in both a nonclinical sample (N = 439) and a clinic...
Chapter
Acceptance and Commitment Therapy (ACT) is een behandelvorm waarin inzichten uit de gedragstherapie, cognitieve gedragstherapie en therapieën gebaseerd op mindfulness worden geïntegreerd. Centraal uitgangspunt van ACT is dat pijn, ongewenste sensaties, emoties en gedachten bij het leven horen en dat het vermijden ervan juist meer lijden meebrengt....
Article
This study examined the role of psychological flexibility, as a risk factor and as a process of change, in a self-help Acceptance and Commitment Therapy (ACT) intervention for adults with mild to moderate depression and anxiety. Participants were randomized to the self-help programme with e-mail support (n = 250), or to a waiting list control group...
Article
Acceptance of pain: Psychometric problems of the Chronic Pain Acceptance Questionnaire - Dutch Version Acceptance of pain appears as an important factor in pain research and in practice. Different measurement instruments were developed, among which the Chronic Pain Acceptance Questionnaire (CPAQ;McCracken, Vowles & Eccleston, 2004). In this study...
Article
Cognitive behavioural therapy (CBT) was combined with graded exercise therapy (GET) for patients with chronic fatigue syndrome (CFS) in an uncontrolled implementation study of an inpatient multidisciplinary group therapy. During the intake procedure, 160 CFS patients completed a questionnaire on fatigue related measurements, physical impairment, de...
Article
Full-text available
In order to reduce the high prevalence of depression, early interventions for people at risk of depression are warranted. This study evaluated the effectiveness of an early guided self-help programme based on acceptance and commitment therapy (ACT) for reducing depressive symptomatology. Participants with mild to moderate depressive symptomatology...
Article
Acceptance-based interventions such as mindfulness-based stress reduction program and acceptance and commitment therapy are alternative therapies for cognitive behavioral therapy for treating chronic pain patients. To assess the effects of acceptance-based interventions on patients with chronic pain, we conducted a systematic review and meta-analys...
Article
Concerning chronic low back pain (CLBP), different cognitive-behavioral models have hypothesized that coping strategies play a role in the chronification of pain by changes in physical activity. Strategies such as avoidance - or persistent coping may be related to changes in (lumbar) muscle activity. Investigate the different coping strategies pres...
Article
Despite intensive outpatient care and optimized medical treatment, some patients with chronic illnesses experience prolonged difficulties in the self-management of their illness and fail to attain optimal disease control. The present study describes the effects of an intervention programme aimed at improving self-management and quality of life amon...
Article
Full-text available
This repeated-measures study explores how self-efficacy and overprotection relate to psychological well-being, health-related quality of life and self-management. Eighty-two cardiac patients, suffering from congestive heart failure (CHF) or myocardial infarction (MI), completed questionnaires at T1 and three months later. Perceived overprotection i...
Article
In dit artikel worden aan de hand van het Biopsychosociaal Whiplashmodel de meest recente inzichten met betrekking tot het ontstaan van een chronisch Whiplash Associated Disorder (WAD) beschreven. Onderzoek heeft aangetoond dat behalve fysieke factoren, ook verschillende psychosociale factoren verantwoordelijk zijn voor het ontstaan van langdurige...
Article
This study examined the effects of daily support exchanges in couples facing multiple sclerosis (MS). Two issues were examined: the imbalance between received and provided support, and the extent to which reciprocal exchanges of received and provided support are associated with end-of-day well-being (positive and negative mood and self-esteem). Gui...
Article
To determine whether a specific course of interdisciplinary rehabilitation might lead to clinically significant changes in fatigue, experienced disability and physical function in patients with the chronic-fatigue syndrome (CFS). Prospective and uncontrolled. 'Het Roessingh', a rehabilitation centre in Enschede, the Netherlands, has developed an in...
Article
The current study examined effects of three ways of providing spousal support (active engagement, protective buffering, and overprotection) on self-efficacy and physical and mental health in patients with diseases imposing a high demand on self-management routines (36 asthma patients and 21 diabetic patients). Employing a nine-month prospective des...
Article
Full-text available
The assumption that disease-related stressors are exclusive for particular diagnoses characterizes many studies of chronically ill patients. In this study the perceptions of 1305 patients from 10 different chronic disease categories were compared with respect to a number of important stressors. Differences were found in the amount and type of stres...
Article
Many patients with asthma, diabetes, and heart failure do not succeed in integrating the required self-management behaviours into their lives, and fail to attain optimal disease control. The purpose of this study was to describe the development of a theory-driven intervention to enhance self-management that would be appreciated and accepted by part...
Article
Full-text available
Reliable and sensitive measures are needed to evaluate the quality of life (QoL) in patients with systemic lupus erythematosus (SLE). No lupus specific questionnaires are available. This study describes the development and validation of a disease-specific questionnaire for lupus patients, which assesses the presence and burden of 38 disease- and tr...
Article
To explore relations of fatigue, physical disabilities, and depression in patients with multiple sclerosis (MS) cross-sectionally and over time. Ninety-eight MS patients were interviewed twice at an interval of a year. Relationships of physical and mental fatigue, and reduced activity and motivation with depression and physical disabilities were es...
Article
Full-text available
Objective : Adaptive tasks, referring to the subjective evaluation of disease-related stressors in relation to personal concerns, have been neglected in the extensive literature on coping with chronic disease. In this study, the development of an instrument for measuring adaptive tasks is described: the Questionnaire Adaptive Tasks in Multiple Scle...
Article
To compare the stressors accompanying chronic disease as perceived by patients and their GPs and to explore how incongruence in patients' and GPs' ideas influences patients' health status and use of health care. A total of 580 patients with a diagnosis of diabetes or osteoarthritis and their GPs were interviewed by questionnaire about the stressors...
Article
In this review, the role of coping in the development of psychosocial interventions for chronically ill patients is discussed. After summarizing the theoretical issues involved in the translation of the coping concept into an intervention, a review is undertaken of 35 studies concerned with the impact of interventions aimed at improving coping on p...
Article
Objective. To explore two issues involving the relationship between optimism and adaptation in chronically ill patients. The first issue involves the question whether the impact of optimism on adjustment is disease-specific, that is whether patients who are confronted with extreme levels of uncontrollability and unpredictability generated by their...
Article
Full-text available
The aim of this study was to examine which patient-related factors predicted: (1) fatigue, (2) the intention to discuss fatigue and (3) the actual discussion of fatigue during consultation with a GP in a women's general health care practice. Patients were asked to complete two questionnaires: one before and one after consultation. The patient-relat...
Article
Full-text available
The role of coping and social support in the quality of life for Parkinson's Disease (PD) patients is not well understood. Most studies are cross-sectional and concentrate on depression as an outcome measure. The aim of the present study was to explore the role of coping and social support in quality of life for patients with PD. Self-report measur...
Article
In the present study, it is hypothesized that both low quality and high quantity of external stimulation are related to elevated levels of fatigue. This is proposed by the Quality-Quantity model for understanding fatigue (QQuF model). The relations between the quality and quantity of external information and the Multidimensional Fatigue Inventory (...
Article
Full-text available
Fatigue has been acknowledged as a widespread problem associated with a variety of factors. In the present paper, we attempt to explain fatigue complaints on the basis of Pennebaker's (1982) "competition of cues" notion. Competition of cues suggests that both extremely low and extremely high levels of external stimulation in daily life may be relat...
Article
Fatigue is a common problem, which is found more frequently among women than men. To date, neither the etiology of fatigue nor the factors that explain the gender difference in its incidence are still fully understood. In a sample of men (n = 4,681) and women (n = 4,698) (age range, 15-64 years) in the Dutch National Survey of Morbidity and Interve...