Simone A. Onrust

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BACKGROUND Little is known about the cost-effectiveness of preventing mental disorders. AIMS To study the cost-effectiveness of care as usual plus minimal contact psychotherapy relative to usual care alone in preventing depressive disorder. METHOD An economic evaluation was conducted alongside a randomised clinical trial. Primary care patients with(More)
BACKGROUND Depression in older adults is a serious health problem with a poor prognosis. There is a need for indicated preventive psychological interventions for older adults, that show to be promising in preventing depressive disorders. METHODS/DESIGN This manuscript describes the design of a study evaluating 'Looking for Meaning', a newly developed(More)
BACKGROUND We developed an indicated preventive life-review course, "Looking for Meaning", based on the assumption that reminiscence styles influence coping with depressive symptoms. This study describes the impact of this course in a pragmatic randomized controlled trial. METHODS Inclusion criteria were >50 years, a score of 5 or higher on the Center for(More)
BACKGROUND Despite a growing understanding of the effectiveness of bereavement interventions and the groups that benefit most from them, we know little about the cost-effectiveness of bereavement interventions. METHODS We conducted a cost-utility analysis alongside a randomized clinical trial on a visiting service for older widowed individuals (n=110)(More)
BACKGROUND Children of parents with mental illness (COPMI) are at greater risk of developing mental disorders themselves. Since impaired parenting skills appear to be a crucial factor, we developed a facilitated 8-session preventative group course called KopOpOuders (Chin Up, Parents) delivered via the Internet to Dutch parents with psychiatric problems.(More)
BACKGROUND The impact of spousal bereavement on mental health varies among the widowed. More information is needed on factors influencing bereavement outcome. METHOD We conducted a cross-sectional study on a sample of 216 widowed individuals. Initial non-response was high, with only 8% of all approached persons participating in the study. The influence of(More)
BACKGROUND Findings from systematic reviews and meta-analyses about the effectiveness of school-based programmes to prevent or reduce substance abuse are inconclusive. We hypothesise that in order to be effective, programmes have to be aligned with the developmental stages of the intended target group (childhood, early, middle, or late adolescence). The(More)
BACKGROUND The Dutch healthcare system and the roles of the government and citizens are changing. The government will be limiting its role in care and assistance, while citizens will be expected to increasingly care for themselves and each other. An important instrument to support this transformation involves utilizing people's social network, in the form(More)
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