Nynke Boonstra

Stenden University of Applied Sciences · Departement of care and social studies

Student mental health is a challenging topic in higher education, with institutions aiming to develop policies and practices to support students’ personal and professional development. This study examined students’ expectations of their tutors regarding mental health support. An adaptation of the Mentor-Q questionnaire, focusing on tutor role perce...

Clinical outcomes after a first-episode of psychosis (FEP) are heterogeneous. Many patient-related factors such as gender and comorbidity have been studied to predict symptomatic outcomes. However, psychiatrist-related factors such as prescription behaviour and gender have received little attention. We assessed the relationship between patients’ ps...

Objective: In this meta-analysis, we evaluated changes in cognition for patients with schizophrenia spectrum disorders (SSD) with different durations of illness (DOIs). Data Sources: Records were identified through searches in PubMed, PsycINFO, CINAHL, and Cochrane until December 2021. We used terms related to SSDs, chronicity, course, and recovery...

In deze bijdrage de bevindingen uit een evaluatieonderzoek naar een methodiek om jongeren met psychische problemen te begeleiden bij het kiezen en verkrijgen van een reguliere opleiding, tegen de achtergrond van het tegengaan van voortijdig schoolverlaten bij jongeren met psychische problemen. Zowel de ervaringen van de jongeren als van hun begelei...

Background: Eye contact is one of the most fundamental forms of interhuman communication. However, to date, there has been no comprehensive research comparing how eye contact is made and interpreted in all possible populations worldwide. This study presents a summary of the existing literature on these modalities stratified to social categorization...

The Diagnostic and Statistical Manual of Mental Disorders, abbreviated as the DSM, is one of mental health care’s most commonly used classification systems. While the DSM has been successful in establishing a shared language for researching and communicating about mental distress, it has its limitations as an empirical compass. In the transformatio...

In the original publication of this article, the age of visitors was given wrongly as ‘12- to 15-year-olds’ in the abstract section of the paper. This should have been ’12- to 25-year-olds’. This has now been corrected and this erratum published. The publisher apologises for the error.

Background: Highly accessible youth initiatives worldwide aim to prevent worsening of mental health problems, but research into outcomes over time is scarce. Aims: This study aimed to evaluate outcomes and support use in 12- to 25-year-old visitors of the @ease mental health walk-in centres, a Dutch initiative offering free counselling by trained...

Patients with psychotic disorders frequently report oral health problems, while mental health nurses (MHNs) seem not to be fully aware of these problems and the risk factors. Therefore, this study aimed to develop supportive tools for MHNs regarding oral health to increase sensitisation among MHNs and provide MHNs with the knowledge to recognise (p...

Background and Hypothesis In schizophrenia spectrum disorders (SSD) personal recovery and subjective quality of life (S-QOL) are crucial and show conceptual overlap. There is limited knowledge about how these outcomes change over time. Therefore, we investigated changes in personal recovery or S-QOL for patients with SSD. We specifically focused on...

Student mental health is a relevant aspect of the current academic context due to concerns regarding escalating mental health issues and because of an increasingly holistic perspective on education, learning, and personal development. This research investigates the perceptions of teachers in higher education regarding their roles in promoting stude...

Clinical outcome after a first episode psychosis (FEP) is heterogeneous. Many patient-related factors such as gender and comorbidity have been studied to predict outcome. However, psychiatrist-related factors, such as the therapeutic relationship and prescription behaviour, have received little attention. We assessed the psychiatrist effect on psyc...

Background: Psychiatric-mental health nurse practitioners (PMHNPs) in the Netherlands have been allowed to perform the role of coordinating practitioner (CP) since 2018. This role is reserved for mental health care specialists who are trained and qualified at the master’s degree level. Earlier studies have not addressed how PMHNPs perform that role...

This study examined and reflected on the frequency of people with psychotic symptoms and features as the target population in design studies for mental health care innovation.

Aim A first episode of psychosis (FEP) is a stressful, often life‐changing experience. Scarce information is available about personal preferences regarding their care needs during and after a FEP. Whereas a more thorough understanding of these preferences is essential to aid shared decision‐making during treatment and improve treatment satisfaction...

UNSTRUCTURED This study examined and reflected on the frequency of people with psychotic symptoms and features as the target population in design studies for mental health care innovation.

This study addresses the role of teachers in students’ well-being in higher education, which has not been well defined in the literature. A qualitative study was conducted at a Dutch university of applied sciences. It explores student beliefs about educators’ roles in their well-being, and the requirements to fulfil such roles. In total, 27 student...

Background Clients with severe mental illness (SMI) have overall poor physical health. SMI reduces life expectancy by 5–17 years, primarily due to physical comorbidity linked to cardiometabolic risks that are mainly driven by unhealthy lifestyle behaviours. To improve physical health in clients with SMI, key elements are systematic somatic screenin...

Background: Mental health care faces challenges that not only necessitate innovation but also require the involvement of service users and people with lived experience in developing and evaluating mental health care services. As the development of digital interventions is becoming more prevalent, design approaches are increasingly finding their way...

Background To improve recovery in mental health, validated instruments are needed. Aims This study evaluates psychometric properties of the Individual Recovery Outcomes Counter (I.ROC) in a Dutch population of participants with a schizophrenia spectrum disorder (SSD). Methods 326 participants completed the I.ROC at baseline (n = 326), six months...

Background Impaired cognitive insight and increased self-stigma have been consistently reported in individuals diagnosed with schizophrenia spectrum disorders, but little is known about its presence in individuals at ultra-high risk of developing a psychosis, although self-stigma is associated with transition.to psychosis. The current study examine...

Recently, there has been an increased interest in the well-being of students in higher education. Despite the widespread consensus on the importance of student well-being, a clear definition continues to be lacking. This study qualitatively examined the student perspective on the topic through semi-structured interviews at a university of applied s...

BACKGROUND Mental health care faces challenges that not only necessitate innovation but also require the involvement of service users and people with lived experience in developing and evaluating mental health care services. As the development of digital interventions is becoming more prevalent, design approaches are increasingly finding their way...

In mental health, oral health is often given little attention. Mental health nurses (MHNs) are professionally the appropriate target group to support maintaining and increasing oral health. We aimed to develop and validate personas that reflect the attitudes and needs of MHNs regarding oral health in patients with a psychotic disorder. We used a hu...

Background Receiving the label of a psychotic disorder influences self-perception and may result in negative outcomes such as self-stigma and decreased self-esteem. The way the diagnosis is communicated to individuals may affect these outcomes. Aims This study aims to explore the experiences and needs of individuals after a first episode of psycho...

Many have suggested different ways of conceptualizing mental health conditions in mental health services. However, eliciting the unicity of the individual experience of mental health conditions in the diagnostic process remains challenging. In this position paper, we describe the diagnostic process in psychiatry and outline three challenges for whi...

Deteriorated functioning is a part of the clinical-high risk (CHR) criteria for psychosis. Diminished social, educational and occupational functioning in the phase of late adolescence and early adulthood are associated with long-term social, economic and health consequences, which stresses the importance of early intervention to stimulate functioni...

Introduction No research is available about the oral health risk factors and oral health-related quality of life (OHRQoL) in patients diagnosed with a psychotic disorder. Aim To compare oral health risk factors and OHRQoL in patients diagnosed with a psychotic disorder (first-episode) to people with no history of psychotic disorder. Method A case...

In this meta-analysis we investigated changes in social functioning and its moderators in patients with a psychotic disorder but different durations of illness at baseline. We included longitudinal studies assessing the course of five domains of social functioning in patients with a psychotic disorder. Effect sizes of change between baseline and fo...

Background Studies show that the trauma-sensitivity of professionals working with patients with psychosis is insufficient. As a result, trauma-related problems remain undetected and untreated, which may impede recovery in this group. This explored the effects of specialised staff training on six trauma-sensitivity factors (i.e. knowledge, credibili...

Introduction: Social functioning is often impaired in the ultra-high-risk (UHR) phase of psychosis. There is some evidence that empathy is also impaired in this phase and that these impairments may underlie difficulties in social functioning. The main aim of this study was to investigate whether cognitive and affective empathy are lower in people i...

The design choices for the development of an Augmented Reality gamr for people with visuospatial neglect.

Background Cognitive deficits may be characteristic for only a subgroup of first-episode psychosis (FEP) and the link with clinical and functional outcomes is less profound than previously thought. This study aimed to identify cognitive subgroups in a large sample of FEP using a clustering approach with healthy controls as a reference group, subseq...

Poor oral health affects quality of life and daily functioning in the general population and especially in patients with mental health disorders. Due to the high burden of oral health-related quality of life in patients with a mental health disorder, it is important for nurses to know how they can intervene in an early phase. The aim of this system...

Aanleiding voor de Friese leernetwerken voor samen werking rond personen met onbegrepen gedrag, is de complexiteit van de aanpak en de behoefte aan meer samenwerking. Vaak begrijpen we het gedrag niet van mensen met ongewoon gedrag. Daarom noemen we ze verward. En daarmee leggen we het probleem buiten onszelf. De sleutel voor meer succes in de aanp...

Worldwide, an increasing number of students in higher education have mental health problems. Talking about these problems at the university is often not that easy. Students fear to be stigmatised if they disclose their problems to others. However, if they do not disclose their problems, they may not get the support they often need. Existing interve...

Background: Conspiracy theories are popular during the COVID-19 pandemic. Conspiratorial thinking is characterised by the strong conviction that a certain situation that one sees as unjust is the result of a deliberate conspiracy of a group of people with bad intentions. Conspiratorial thinking appears to have many similarities with paranoid delus...

Background In first episode psychosis (FEP) baseline negative symptoms (BNS) and relapse both predict less favorable functional outcome. Relapse-prevention is one of the most important goals of treatment. Apart from discontinuation of antipsychotics, natural causes of relapse are unexplained. We hypothesized that BNS, apart from predicting worse fu...

Introduction Visuospatial neglect (VSN) is common after stroke and can seriously hamper everyday life. One of the most commonly used and highly recommended rehabilitation methods is Visual Scanning Training (VST) which requires a lot of repetition which makes the treatment intensive and less appealing for the patient. The use of eHealth in healthca...

Abstract Background Most severe mental disorders have their onset between the age of 17 and 27, a time when many young adults begin participating in secondary or post-secondary education. The cognitive deficits typically associated with psychiatric disorders, especially psychotic disorders, increase the risk of leaving school early, which can lead...

In de diagnostiek en behandeling van mensen met een psychotische stoornis of een verhoogd risico daarop, wordt uitgegaan van klinische stadiëring. Afhankelijk van de fase waarin de patiënt zit in zijn ziekteproces, is er behoefte aan andere interventies en verschillende intensiteit van behandeling. In de behandeling is er niet alleen aandacht voor...

De psychiatrische verpleegkunde is een relatief jong vak, dat dateert van eind negentiende eeuw, toen her en der krankzinnigengestichten van de grond kwamen. De ‘krankzinnigenverpleegkundige’ was lange tijd vooral somatisch georiënteerd. Pas na WO II ontstond een waterscheiding tussen de A-verpleegkundige (voor het lichaam) en de B-verpleegkundige...

Background: In first episode psychosis (FEP) baseline negative symptoms (BNS) and relapse both predict less favorable functional outcome. Relapse-prevention is one of the most important goals of treatment. Apart from discontinuation of antipsychotics, natural causes of relapse are unexplained. We hypothesized that BNS, apart from predicting worse...

Aim: Early intervention programs for first-episode psychosis have led to the awareness that the period before onset of a first episode is important in light of early intervention. This has induced a focus on the so-called 'at risk mental state' (ARMS). Individuals with ARMS are at increased risk for later psychotic disorder, but also for other psy...

Background: The Clinical High Risk state for Psychosis (CHR-P) has become the cornerstone of modern preventive psychiatry. The next stage of clinical advancements rests on the ability to formulate a more accurate prognostic estimate at the individual subject level. Individual Participant Data Meta-Analyses (IPD-MA) are robust evidence synthesis met...

LEERDOELEN Na het lezen van dit artikel weet/kunt u: • vanuit welke visie de zorgstandaard Psychotische stoornissen is opgebouwd; • wat herstel inhoudt en hoe herstelgericht gewerkt kan worden; • wat klinische stadiëring inhoudt; • welke interventies ingezet kunnen worden bij mensen met een psychotische stoornis; • wat dimensionele diagnostiek inho...

Purpose of review: Relapse is common in patients with anorexia nervosa. The aim of this study is to systematically review the existing literature on relapse in anorexia nervosa. Recent findings: A systematic literature search was conducted in PubMed, PsychInfo and CINAHL published up to April 2018. Of the 1527 studies screened, 16 studies were i...

Mondzorg. De betekenis van het alledaagse voor de vitale regio.

Vragenlijsten zijn geliefd en gehaat. Voor de ene POH-GGZ zijn ze niet uit de praktijk weg te denken, de ander heeft moeite de meerwaarde ervan te zien. Al doende leert de POH-GGZ de voor- en nadelen van het gebruik van meetinstrumenten ter ondersteuning van het werk kennen. Hoeveel voordelen de toepassing van vragenlijsten ook kent, de klinische b...

Childhood adversity is associated with a range of mental disorders, functional impairment and higher health care costs in adulthood. In this study we evaluated if childhood adversity was predictive of adverse clinical and functional outcomes and health care costs in a sample of patients at ultra-high risk (UHR) for developing a psychosis. Structura...

Background. This study aims to evaluate the long-term cost-effectiveness of add-on cognitive behavior therapy (CBT) for the prevention of psychosis for individuals at ultrahigh risk (UHR) of psychosis. Method. The Dutch Early Detection and Intervention randomized controlled trial was used, comparing routine care (RC; n = 101) with routine care plu...

In het boek Ggz-verpleegkunde in de praktijk worden interventies uitgewerkt waarmee ggz-verpleegkundigen een essentiële bijdrage kunnen leveren aan de kwaliteit van de zorg. Hierbij komen ook grensgebieden van de ggz-verpleegkunde aan bod: de psychogeriatrie en de zorg voor mensen met een verstandelijke beperking. De afzonderlijke interventies word...

Background: Previously, we demonstrated that cognitive behavior therapy for ultra-high risk (called CBTuhr) halved the incidence of psychosis over an 18-month period. Follow-up data from the same study are used to evaluate the longer-term effects at 4 years post-baseline. Method: The Dutch Early Detection and Intervention Evaluation study was a ra...

Background: Current ultra-high-risk (UHR) criteria appear insufficient to predict imminent onset of first-episode psychosis, as a meta-analysis showed that about 20% of patients have a psychotic outcome after 2 years. Therefore, we aimed to develop a stage-dependent predictive model in UHR individuals who were seeking help for co-morbid disorders....

De praktijkondersteuner GGZ is op zijn gebied – net als de huisarts – een generalist. Hij krijgt te maken met patiënten die een grote diversiteit van klachten en problemen presenteren; de leeftijd van de patiënten kan eveneens sterk variëren. Deze verscheidenheid maakt het werk van de POH-GGZ uitdagend en afwisselend, maar stelt ook hoge eisen aan...

De POH-GGZ dient zowel in de breedte als in de diepte over generalistische vaardigheden en behandelmethoden te beschikken om hoogwaardige begeleiding of behandeling te bieden voor de meest voorkomende psychische klachten. Uitgangspunt is dat de POH-GGZ huisartsenzorg biedt. Dit handboek biedt een leidraad voor deze dagelijkse werkzaamheden van de P...

Background: Although there is evidence for the effectiveness of interventions for psychosis among ultra-high-risk (UHR) groups, health economic evaluations are lacking. This study aimed to determine the cost effectiveness and cost-utility of cognitive-behavioural therapy (CBT) to prevent first-episode psychosis. Method: The Dutch Early Detection...

Background. Although there is evidence for the effectiveness of interventions for psychosis among ultra-high-risk (UHR) groups, health economic evaluations are lacking. This study aimed to determine the cost effectiveness and cost–utility of cognitive–behavioural therapy (CBT) to prevent first-episode psychosis. Method. The Dutch Early Detection an...

BACKGROUND: Longer duration of untreated psychosis (DUP) is often associated with poorer outcome, in terms of positive symptoms, increased chance of relapse, and longer time till remission. In contrast, the association with negative symptoms has been less consistently substantiated. AIM: To determine the relationship between DUP and negative sympto...

Verschillende studies hebben aangetoond dat een kortere duur van onbehandelde psychose (dop) samengaat met een gunstigere prognose: een snellere en betere remissie (Malla e.a. Vroegtijdige onderkenning van een psychose; meta-analyse naar verband tussen duur van onbehandelde psychose en beloop van negatieve symptomen 1 N. BOONSTRA, R. KLAASSEN, L. W...

Mental health policy makers encourage the development of electronic decision aids to increase patient participation in medical decision making. Evidence is needed to determine whether these decision aids are helpful in clinical practice and whether they lead to increased patient involvement and better outcomes. This study reports the outcome of a r...

In dit artikel wordt een project beschreven waarin een computergame is ontwikkeld voor patiënten met een eerste psychose op basis van een traditionele psychologische interventie. Op dit moment worden de voorbereidingen getroffen voor een effectstudie.

Background: Longer duration of untreated psychosis (DUP) is associated with poorer outcome in terms of positive symptoms, relapse rate, and time to remission. In contrast, the association with negative symptoms is less consistent. Aims: The study had three aims. First, to arrive at a more precise estimate of the correlation between DUP and negat...

Psychotische stoornissen blijken niet altijd zo degeneratief als lange tijd werd gedacht: de prognose verschilt enorm tussen patiënten. Eén van de factoren die hierbij een rol speelt, is de onbehandelde psychoseduur. Een kortere onbehandelde psychoseduur lijkt een positief effect te hebben op de prognose. In dit artikel ga ik hier nader op in en ge...

Vroegtijdige herkenning van eerste-episode psychosepatiënten speelt een belangrijke rol in het herstelproces. Patiënten met een kortere onbehandelde psychoseduur hebben een gunstigere prognose dan patiënten met een langere onbehandelde psychoseduur. Door systematische screening met een zelfrapportagevragenlijst worden psychotische patiënten sneller...

Background: Antipsychotic medication is not easily accepted by a substantial number of first episode patients. Only few studies have been done to examine the need for maintenance treatment after remission of a first psychotic episode. An RCT in the Netherlands comparing maintenance treatment with discontinuation strategy (DS) showed twice higher re...