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University of Groningen Factors associated with the persistence of medically unexplained symptoms in later life van Driel-de Jong, Dorine

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University of Groningen

Factors associated with the persistence of medically unexplained symptoms in later life

van Driel-de Jong, Dorine

DOI:

10.33612/diss.136429372

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2020

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

van Driel-de Jong, D. (2020). Factors associated with the persistence of medically unexplained symptoms in later life. University of Groningen. https://doi.org/10.33612/diss.136429372

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Factors associated with the persistence of

medically unexplained symptoms in later life

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© T.J.W. van Driel-de Jong, the Netherlands, 2020

Cover design, lay-out and printing: Richard van Driel, Drukwerk ABC, Doornenburg. All rights reserved. No part of this thesis may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the written permission from the author or, when appropriate from the publishers of publications.

Financial support for this dissertation was given by SeniorBeter, praktijk voor ouderen met psychische klachten, Gendt en de Rijksuniversiteit Groningen.

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Factors associated with the persistence of

medically unexplained symptoms in later life

Proefschrift

ter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen

op gezag van de

rector magnificus, prof. dr. C. Wijmenga en volgens besluit van het College voor Promoties.

De openbare verdediging zal plaatsvinden op woensdag 11 november 2020 om 12.45 uur

door

Theodora Johanna Wilhelmina de Jong

geboren op 3 april 1966

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Promotores

Prof. dr. R.C. Oude Voshaar Prof. dr. J.G.M. Rosmalen Copromotores

Dr. D.J.C. Hanssen Dr. P.H. Hilderink Beoordelingscommissie Prof. dr. A.M. Pot Prof. dr. A.V. Ranchor Prof. dr. S. Visser

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5

Paranimfen Harm van Driel Cas van Driel Mark van Driel

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CHAPTER 0

Chapter 1 General introduction 9

Chapter 2 Assessment of somatization and medically unexplained symptoms 21 in later life

Chapter 3 Psychiatric characteristics of older persons with medically 53 unexplained symptoms; a comparison with older patients suffering from medically explained symptoms

Chapter 4 Perpetuating factors of medically unexplained symptoms 71 in specialized care: a comparison of three age groups and both sexes

Chapter 5 Illness cognitions in later life: development and validation of the 85 extended illness cognition questionnaire (ICQ-plus)

Chapter 6 Illness cognitions in older patients with physical symptoms; 105 natural course and determinants of change

Chapter 7 The role of age, education, and digital health literacy in usability 119 of internet-based Cognitive Behavioural Therapy for chronic pain: mixed-methods study

Chapter 8 Feasibility of an internet-based Cognitive Behavioural Therapy for 135 older treatment seeking patients

Chapter 9 Summary and general discussion 149

Appendices 167

Nederlandse samenvatting 175

Dankwoord 181

Curriculum vitae 185

List of publications 187

Research institute share 189

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