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De TOR-J: Tevredenheidlijst voor ouders van in (semi-)residentiële jeugdhulpverlening en GGZ behandelde adolescenten

Measurement of parents satisfaction with their child’s treatment in (semi) residential adolescent mental health care When their children are admitted to (semi-)residential care parents have to transfer their parental role to professional health care workers. Existing Dutch instruments to measure the satisfaction of parents with the treatment of their child in mental health care, do not acknowledge this very important aspect. Therefore the Tevredenheidlijst Ouders Residentiële Jeugdhulpverlening (TOR-J) was developed to measure parent satisfaction focusing on three aspects of the residential treatment: ‘Transference of parental care’, ‘Treatment result’ and ‘Communication with the parents’. The instrument was tested in a residential (184 parents) and a semi residential (49 parents) setting. A 3-factor solution was found with 6 items loading on ‘Transference of parental care’, 4 items on ‘Treatment result’. The third factor contained 6 items of which 2 items were not initially written for the ‘Communication with the parents’ subscale. This result broadened the domain of the scale, therefore it was relabeled ‘Parent guidance’. Significant correlations were found between the TOR-J scale ‘Treatment results’ and the results of the client satisfaction scale that was administered to the adolescent patients.

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Een goed begin van de dag: een experimentele studie naar imitatie-effecten van ontbijtgedrag

Social modeling effects on young women’s breakfast intake Numerous studies have shown that the presence of others influences young women’s food intake. They eat more when the other eats more, and eat less when the other eats less. However, most of these studies have focused on snack situations. The present study assesses the degree to which young women model the breakfast intake of a same-sex peer in a semi-naturalistic setting. The study took place in a laboratory setting at the Radboud University Nijmegen, the Netherlands, during the period January – April 2009. After completing three cover tasks, normal-weight participants (N=57) spent a 20-min break with a peer who ate a large amount or a small amount of breakfast or no breakfast at all. The participants’ total amount of energy consumed (in kilocalories) during the break was measured. An analysis of variance was used to examine whether young women modeled the breakfast intake of same-sex peers. Results indicate a main effect of breakfast condition, (F(2,54)=8.44, p<.01). Participants exposed to a peer eating nothing ate less than did participants exposed to peer eating a small (d=.85) or large amount of breakfast (d=1.23). Intake in the Small-Breakfast condition did not differ significantly from intake in the Large-Breakfast condition. The findings from the present study provide evidence for the assumption that modeling effects of food intake are weaker in eating contexts in which scripts or routines may guide an individual’s eating behavior.

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Stoppen met drinken kan je leren

Learning to quit drinking: An impulsive and reflective route to behavioral change According to contemporary dual-process theories, alcohol misuse is the result of an imbalance between two distinct cognitive systems: An impulsive system and a reflective system. While the automatic impulsive system becomes hypersensitive to alcohol-related reward with prolonged alcohol abuse, the slower reflective system is weakened and is no longer able to inhibit automatic impulses to drink alcohol. The clinical implication of these insights is that interventions might benefit from procedures that either change the impulsive system or strengthen inhibitory control abilities. These two potential routes to behavioral change were examined in two separate studies. The first study demonstrates that the reward value assigned to alcohol can be reduced via an evaluative conditioning procedure that consistently pairs alcohol-related stimuli with negative affect. Moreover, this procedure did not only change alcohol-related affect, but also resulted in a significant decrease in alcohol intake. The second study aimed to increase response inhibition by having participants consistently stopping or inhibiting responses to alcohol-related stimuli. This inhibition training also decreased alcohol-related affective value and significantly reduced alcohol consumption. Together these two studies demonstrate that evaluative conditioning and strengthening response inhibition can be effective strategies to reduce excessive alcohol use. These two studies, therefore, provide initial data suggesting the potential utility of two novel, conceptually-derived interventions for reducing drinking.

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