Joke Fleer

ORCID: 0000-0002-9116-9404
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About
Contact & Profiles
Research Areas
  • Childhood Cancer Survivors' Quality of Life
  • Cancer survivorship and care
  • Family Support in Illness
  • Mindfulness and Compassion Interventions
  • Testicular diseases and treatments
  • Optimism, Hope, and Well-being
  • Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Innovations in Medical Education
  • Resilience and Mental Health
  • Health and Wellbeing Research
  • COVID-19 and Mental Health
  • Diabetes Management and Education
  • Psychological Well-being and Life Satisfaction
  • Palliative Care and End-of-Life Issues
  • Cardiac Health and Mental Health
  • Schizophrenia research and treatment
  • Microscopic Colitis
  • Genital Health and Disease
  • Mental Health Research Topics
  • Fibromyalgia and Chronic Fatigue Syndrome Research
  • Inflammatory Bowel Disease
  • Migraine and Headache Studies
  • Psychological and Temporal Perspectives Research
  • Complementary and Alternative Medicine Studies
  • Health, psychology, and well-being

University of Groningen
2016-2025

University Medical Center Groningen
2016-2025

Government of Western Australia Department of Health
2017-2024

Creative Commons
2022

Dutch Cancer Society
2022

Research Network (United States)
2018

University of Amsterdam
2017

Department of Medical Sciences
2017

University of Twente
2017

Leiden University
2017

OBJECTIVE Depression is a common comorbidity of diabetes, undesirably affecting patients’ physical and mental functioning. Psychological interventions are effective treatments for depression in the general population as well patients with chronic disease. The aim this study was to assess efficacy individual mindfulness-based cognitive therapy (MBCT) behavior (CBT) comparison waiting-list control condition treating depressive symptoms adults type 1 or 2 diabetes. RESEARCH DESIGN AND METHODS...

10.2337/dc13-2918 article EN Diabetes Care 2014-06-05

The RAPIDO trial demonstrated a decrease in disease-related treatment failure (DrTF) and an increase pathological complete responses (pCR) locally advanced rectal cancer (LARC) patients receiving total neoadjuvant (TNT) compared to conventional chemoradiotherapy. This study examines health-related quality of life (HRQL), bowel function, late toxicity the trial.

10.1016/j.radonc.2022.04.013 article EN cc-by-nc-nd Radiotherapy and Oncology 2022-04-19

Abstract Objective This study investigated the course, predictors, and impact of caregiving stress on functioning primary caregivers children with cancer during first year after a child's diagnosis. Methods Primary ( N = 95, 100% mother, 86% response rate) consecutive newly diagnosed paediatric patients (0–18 years) completed measures stress, depressive symptoms, anxiety, self‐reported health at diagnosis, 3, 6, 12 months thereafter. Results indicated significant decrease in (especially 3...

10.1002/pon.3652 article EN Psycho-Oncology 2014-08-12

Depressive symptoms are commonly reported by individuals suffering from a chronic medical condition. Mindfulness-based cognitive therapy (MBCT) has been shown to be an effective psychological intervention for reducing depressive in range of populations. MBCT is traditionally given group format. The aim the current pilot RCT was examine effects group-based and individually based adults one or more somatic diseases. In this study, 56 people with condition comorbid (i.e., Beck Depression...

10.1007/s12671-016-0575-z article EN cc-by Mindfulness 2016-07-21

Background The transition from trainee to professional marks a key milestone in family doctor's career, bringing both emotional and mental challenges. This critical period of specialisation shapes how young doctors adapt influences their future career choices.

10.1080/13814788.2024.2443603 article EN cc-by European Journal of General Practice 2025-01-07

Abstract Background Medical students' professional identity formation (PIF) starts early in their academic journey and is shaped by diverse social influences. Research shows that while participation student organizations cultivates essential skills, it may also reinforce homogeneity prevent cultural change. However, the impact of on PIF remains under‐researched. This study aimed to investigate how a particular organization impacted novice students. Methods We conducted qualitative utilizing...

10.1111/medu.15609 article EN cc-by Medical Education 2025-02-10

To explore reasons why patients with inflammatory bowel disease (IBD) do (not) engage in fatigue-related care and their needs. A qualitative interview study, using a phenomenological methodological approach. We included 16 fatigued IBD remission. Data were collected between December 2021 March 2022, semi-structured interviews. Template analysis was performed. identified six themes regarding to seek for fatigue: (1) Cognitions about fatigue coping fatigue, (2) perceptions of previous...

10.1111/jan.16837 article EN cc-by Journal of Advanced Nursing 2025-02-25

The flexible goal adjustment (FLEX) and tenacious pursuit (TEN) scales are used regularly in aging research. current study examined their validity a sample of 517 women (30-75 years) multiple ways. Overall, the findings show that do not clearly distinguish between FLEX TEN. direction which items were formulated was just as important what being measured. Moreover, face inversely phrased particular appeared to be weak. On basis these findings, authors recommend revision concept definitions well items.

10.1037/a0021536 article EN Psychology and Aging 2011-02-07

Abstract Aims To investigate: (1) the willingness of patients with diabetes to participate in a screening programme; (2) extent which who screen positive endorse need for psychosocial care; (3) rate referral care during vs. usual care. Methods Four hundred and ninety‐nine were invited complete Center Epidemiologic Studies Depression Problem Areas Diabetes questionnaires. Patients on either instrument an interview. One year after was withdrawn, rates assessed from physician reports patient...

10.1111/dme.12001 article EN Diabetic Medicine 2012-08-27

Background Aim To gain insight into patient and doctor delay in testicular cancer (TC) factors associated with delay. Materials Methods Sixty of the 66 eligible men; median age 26 (range 17–45) years, diagnosed TC at University Medical Center Groningen completed a questionnaire on patients' delay: interval from symptom onset to first consultation general practitioner (GP) doctors' between GP specialist visit. Results Median reported was 30 1–365) days. Patient tumor stage were (p = .01)....

10.1371/journal.pone.0141244 article EN cc-by PLoS ONE 2015-11-25

Mexican breast cancer patients are generally diagnosed in advanced stages of the disease and often experience delays treatment delivery. Currently, little is known about these patients' psychological care needs. This study assessed levels correlates supportive needs around time diagnosis. One hundred seventy-three newly participated study. Supportive needs, anxiety, depression, sociodemographic clinical characteristics were assessed. Multiple regression analyses used to examine factors...

10.1007/s00520-017-3741-5 article EN cc-by-nc Supportive Care in Cancer 2017-05-17

Abstract Objectives Fatigue is a prevalent and burdensome problem in patients with inflammatory bowel disease (IBD), even when the remission. Evidence-based psychological interventions for managing IBD-related fatigue are still lacking. This study aimed to examine efficacy of Mindfulness-Based Cognitive Therapy (MBCT) reducing IBD Method A two-arm multicenter randomized controlled trial was conducted 113 outpatients remission elevated levels (i.e., Checklist Individual Strength — subjective...

10.1007/s12671-022-02057-5 article EN cc-by Mindfulness 2023-01-01

Abstract The COVID-19 pandemic affected student well-being through measures such as closing educational institutions and social distancing, which forced universities to adapt the learning environment. Previous research has demonstrated that environment influences by satisfying their basic psychological needs of autonomy, competence, relatedness. present study therefore aimed investigate, against background pandemic, (1) how related well-being, (2) students perceived interaction within...

10.1007/s10212-023-00680-x article EN cc-by European Journal of Psychology of Education 2023-03-02

Abstract Goal : To longitudinally investigate sexual functioning in testicular cancer patients during the first year, and examine effect of relationship status (with a partner or single) depressive symptoms on functioning. Patients methods 93 (39% treated two large referral centers for filled International Index Erectile Function (IIEF) CES‐D after orchiectomy (T1) 3 (T2) 12 (T3) months later. Results Orgasmic functioning, overall satisfaction total decreased between T1 T2 increased to an...

10.1002/pon.1560 article EN Psycho-Oncology 2009-03-24

This prospective study examines the cognitive and behavioural mediators of relation between personal control initial response to a breast cancer diagnosis as well subsequent psychological adjustment. A total 143 patients participated immediately after (T1), surgery (T2) 2 months end treatment (T3), whom 92 also completed questionnaire pre-diagnosis (T0). The buffering effect on distress shortly was mediated by cancer-specific cognitions, i.e. threat appraisal coping self-efficacy. Moreover,...

10.1080/08870440902935921 article EN Psychology and Health 2009-09-11

Introduction: Following the evidence, American Heart Association recently published a Science Advisory with recommendation that patients Coronary Disease (CHD) should be screened for depressive symptoms and depression. Also Failure Guidelines recommend routine screening symptoms. Screening anxiety was not included in these recommendations, despite findings literature suggesting cardiac are at risk high levels of anxiety. Objective: The aim current study is to obtain realistic estimation...

10.1016/j.ejcnurse.2010.08.005 article EN European Journal of Cardiovascular Nursing 2010-09-28

Objectives Dispositional optimism is often considered to be a unidimensional construct. Recent studies suggest, however, that and pessimism are separate dimensions. In this study we investigated two issues. First, the levels of in adolescents with cancer compared healthy controls second, individual effects on concurrent longitudinal well‐being. Design A matched case‐control design was used examine whether differed regard pessimism. The second part employed prospective assessments patient...

10.1111/j.2044-8287.2012.02096.x article EN British Journal of Health Psychology 2012-10-01
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