Rob H. S. van den Brink

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OBJECTIVE The presence of depressive symptoms after myocardial infarction (MI) is a risk factor for new cardiovascular events. The importance of the course of post-MI depressive symptoms for cardiac prognosis is not clear. We therefore set out to investigate whether different courses of post-MI depressive symptoms can be identified and determine their(More)
OBJECTIVE The reporting of depressive symptoms following myocardial infarction may be confounded by complaints originating from the myocardial infarction. Therefore, it is difficult to estimate the effects of post-myocardial infarction depression and its treatment on cardiovascular prognosis. The authors' goal was to study the relationship between(More)
BACKGROUND Patient-clinician communication is central to mental healthcare but neglected in research. AIMS To test a new computer-mediated intervention structuring patient-clinician dialogue (DIALOG) focusing on patients' quality of life and needs for care. METHOD In a cluster randomised controlled trial, 134 keyworkers in six countries were allocated(More)
OBJECTIVE The aim of this study was to identify cardiologic, psychologic, and demographic risk factors in two groups of patients with post-myocardial infarction (MI) depressive symptoms (in-hospital and during the postdischarge year). METHODS Patients admitted for MI were assessed for depressive symptoms with the Beck Depression Inventory (BDI) during(More)
BACKGROUND We developed a comprehensive, 20-hour training programme for primary-care physicians, that sought to improve their ability to detect, diagnose and manage depression. We evaluated the effects of physician training on patient outcomes, using a pre-post design. METHODS In the pre-training phase of the study, we sampled 1834 consecutive patients of(More)
The aim of the present study was to investigate help-seeking for hearing impairment in the elderly, and to compare groups showing dissimilar help-seeking on their attitude toward hearing loss and hearing aids. Attitude factors were based on a revised version of the Health Belief Model, and included beliefs about: the severity of the hearing problems, the(More)
We have examined the role of socio-demographic variables, cognitive and affective functioning, and personality in discrepancies between performance-based and self-report measures within three domains of physical limitations: motor functioning, hearing and vision. Data are drawn from a community-based sample of 624 persons of 57 years of age and older. The(More)
Objective - To determine factors influencing help-seeking behaviour in hearing-impaired persons aged ⪭ 55 years. Materials and Methods - The study comprised 1,419 persons (480 females, 939 males) aged ⪭ 55 years who participated voluntarily in a driving test. Pure-tone audiometry was performed in all subjects. Participants without a hearing aid with an(More)
BACKGROUND Forensic psychiatry aims to reduce recidivism and makes use of risk assessment tools to achieve this goal. Various studies have reported on the predictive qualities of these instruments, but it remains unclear whether their use is associated with actual prevention of recidivism in clinical care. AIMS To test whether an intervention combining(More)
BACKGROUND AND AIMS As part of an RCT in six European sites, the direct mental health care cost for 422 patients with schizophrenia was analysed according to how total and medication costs differed across sites and which variables were likely to predict total or service-specific costs. METHOD Service use was recorded continuously during a 12-month(More)