Cognitive self-therapy A contribution to long-term treatment of depression and anxiety

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1 Cognitive self-therapy A contribution to long-term treatment of depression and anxiety

2 Uitgave in de RGOc-reeks, nummer 12 Copyright 2006 Peter C.A.M. den Boer, Groningen Cognitive self-therapy. A contribution to long-term treatment of depression and anxiety. Thesis in English with a summary in Dutch University Center Psychiatry, University Medical Center Groningen No parts of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without permission of the author. The research reported in this thesis was mainly conducted in the University Center Psychiatry of the University Medical Center Groningen in collaboration with Stichting Geestelijke Gezondheidszorg Groningen, Stichting Geestelijke Gezondheidszorg Drenthe (location Emmen), Stichting Geestelijke Gezondheidszorg Regio Breda, and Stichting Parnassia Psychomedisch Centrum (The Hague). The research described in this thesis was supported by grants from: the 'College voor Zorgverzekeringen' (Ontwikkelingsgeneeskunde) the University Medical Center Groningen 'Zorgvernieuwingsgelden': fl ,00 aiming at the development of a local self-help network, CST teacher education programme for collaborators of mental health care and self-help sector in Groningen (1995) 'Nationaal Fonds Geestelijke Volksgezondheid': fl ,00; pilot study on the effectiveness of CST among patients of the outpatient department of psychiatry (UMCG) (1998) 'College van Zorgverzekeraars' (previously 'Ziekenfondsraad'), 'Ontwikkelingsgeneeskunde' project; fl ,00; Multi-centre randomised controlled trial on the costeffectiveness of Cognitive Self-Therapy for treatment of chronic and remittant emotional disorders (1999). Printing: Grafisch Centrum, Facilitair Bedrijf (RuG) Cover design: IDG / Extra Bold, Groningen

3 RIJKSUNIVERSITEIT GRONINGEN Cognitive self-therapy A contribution to long-term treatment of depression and anxiety Proefschrift ter verkrijging van het doctoraat in de Medische Wetenschappen aan de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. F. Zwarts, in het openbaar te verdedigen op woensdag 18 oktober 2006 om uur door Petrus Cornelis Aloysius Maria den Boer geboren op 25 april 1951 te Bergen op Zoom

4 Promotores Prof. dr. R.J. van den Bosch Prof. dr. D. Wiersma Beoordelingscommissie Prof. dr. P. Cuijpers Prof. dr. A.H. Schene Prof. dr. W.A. Nolen ISBN: EAN: ISBN electronic:

5 Is God Love Or Love God Or Death But Not Science

6

7 Contents Chapter 1 Introduction 9 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Why is self-help neglected in the treatment of emotional disorders? A meta-analysis. Peter C.A.M. den Boer, Durk Wiersma & Robert J. van den Bosch. In: Psychological Medicine, 2004, 34, Paraprofessionals for anxiety and depressive disorders. A meta-analysis. Peter C.A.M. den Boer, Durk Wiersma, Sacha Russo & Robert J. van den Bosch. In: The Cochrane Database of Systematic Reviews, 2005, Issue 2. Art. No.: CD pub2. DOI: / CD pub2. Cognitive self-therapy. Results of a pilot study of an alternative treatment for psychiatric patients. Peter C.A.M. den Boer, Peter Paul Mersch & Durk Wiersma. In: Maandblad Geestelijke volksgezondheid, 2004, 59, Cognitive self-therapy for chronic depression and anxiety. A multi-centre randomised controlled trial. Peter C.A.M. den Boer, Durk Wiersma, Inge ten Vaarwerk, Mark M. Span, A. Dennis Stant & Robert J. van den Bosch. (Submitted)

8 Chapter 6 Cost-effectiveness of cognitive self-therapy for depression and anxiety disorders. A. Dennis Stant, Els M. ten Vergert, Peter C.A.M. den Boer & Durk Wiersma. (Submitted) 131 Chapter 7 Discussion 153 Chapter 8 Summary 169 Chapter 9 Summary in Dutch / Samenvatting 179 About the Author 191 Publications 193 Acknowledgements - Dankwoord 195

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