Tijdschrift voor psychiatrie最新文献

[Het Tijdschrift in 2026]. [2026年的杂志]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

H L Van

引用次数: 0

[Promoting autonomy in the treatment of chronic suicidality and self-harm: a psychotherapeutic perspective]. [促进慢性自杀和自残治疗的自主性：心理治疗的视角]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

M K de Sonnaville, H L Van, N Kooiman, P van Wijngaarden

引用次数: 0

[Personality in psychosis: clinically relevant? Links with clinical insight and symptom distress]. 精神病的人格：临床相关吗？与临床洞察力和症状困扰的联系]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

A N Scholte-Stalenhoef, L L Boyette, G H M Pijnenborg

{"title":"[Personality in psychosis: clinically relevant? Links with clinical insight and symptom distress].","authors":"A N Scholte-Stalenhoef, L L Boyette, G H M Pijnenborg","doi":"","DOIUrl":"","url":null,"abstract":"Background: Little is known about the relationship of Five-Factor Model (FFM) personality and therapeutically relevant variables in psychosis.Aim: To examine the relationship between personality traits and both clinical insight and distress due to (subclinical) positive symptoms.Method: Cross-sectional and longitudinal data from the Genetic Risk and Outcome of Psychosis (GROUP) study were analyzed. Associations between patients’ personality traits and clinical insight was examined using multiple regression. Logistic regression was used to assess the relationship between personality and symptom-related distress in patients, their siblings, and controls. All analyses controlled for symptom levels.Results: Greater self-reported insight was associated with higher agreeableness, higher neuroticism, lower extraversion, and greater severity of depressive symptoms. Researcher-rated insight was only related to symptom severity, as were changes in insight over time for both forms of insight. Higher openness was associated with a weaker relationship between the frequency of (subclinical) positive symptoms and symptom-related distress in both patients and siblings.Conclusion: FFM personality traits are associated with both clinical insight and positive symptom distress, independently of symptom severity. In clinical practice, personality and symptoms are difficult to distinguish. This supports the use of integrated, personalized treatment approaches.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 2","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Cognitive functioning in psychotic spectrum disorders: current status and clinical implications]. [精神病谱系障碍的认知功能：现状和临床意义]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

G H M Pijnenborg, N Boonstra, L de Haan, L van der Meer

{"title":"[Cognitive functioning in psychotic spectrum disorders: current status and clinical implications].","authors":"G H M Pijnenborg, N Boonstra, L de Haan, L van der Meer","doi":"","DOIUrl":"","url":null,"abstract":"Background: Although cognitive impairments occur in approximately 70% of individuals with a psychotic spectrum disorder (PSS) and have a substantial impact on daily functioning, they are often underrecognized in clinical practice. Due to their limited specificity, they are not included in the DSM classification criteria. Historically, cognitive deficits were already central to the concept of dementia praecox.Aim: To provide an overview of the literature on cognition in psychosis.Method: This article summarizes the existing literature on cognition in PSS.Results: Patients with PSS generally score lower than the general population across nearly all cognitive domains, although no specific cognitive deficit is unique to PSS, and variability between patients is considerable. The article further discusses the prevalence and course of cognitive dysfunction, as well as findings from neuroimaging and genetic studies. After a first psychotic episode, it is recommended to screen cognitive functioning, for instance using the MATRICS battery. Pharmacological treatment typically shows only modest positive effects on cognitive impairment. In contrast, cognitive remediation (CR) – aimed at improving or compensating cognitive functions through strategies and training – has shown beneficial effects. Although clinical guidelines recommend CR, its availability in practice remains limited.Conclusion: Integrating systematic cognitive screening and CR into treatment may contribute to improved functioning and quality of life...","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[HoNOS norms for SMI-patients in acute and long-term clinical care and in FACT care]. [严重精神障碍患者急性和长期临床护理及FACT护理的HoNOS规范]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

E de Beurs, J Peen, U Nabitz, M B de Koning

{"title":"[HoNOS norms for SMI-patients in acute and long-term clinical care and in FACT care].","authors":"E de Beurs, J Peen, U Nabitz, M B de Koning","doi":"","DOIUrl":"","url":null,"abstract":"Background: In the Netherlands the Health of the Nation Outcome Scale (HoNOS) has been used for over 20 years, but norms for the HoNOS have not been updated since 2004.Aim: To establish metropolitan HoNOS norm scores for patients with a severe mental illness (SMI) in various types of care.Method: Anonymized data from a large cohort (n = 7566) from the years 2012-2021 of patients with SMI in acute clinical care (n = 4309), long-term clinical care (n = 822) and in care at flexible assertive community treatment (FACT; n = 2435) were used to establish norms for the index (total) score as well as the scores for clinically meaningful and serious problem areas.Results: There were significant differences in HoNOS scores between the three types of care: patients in acute clinical care had higher scores, long-term clinical care patients scored intermediate, and FACT patients had lower scores. Legal status did not influence the HoNOS score in a meaningful way. Norm tables with raw scores, normalised T-scores and percentile scores were created.Conclusion: The new norms enable clinicians to estimate the severity of psychopathology and level of functioning in individual patients compared to appropriate reference groups.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 3","pages":"111-117"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Differentiating crises in people with intellectual disabilities]. [区分智障人士的危机]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

J Wieland

{"title":"[Differentiating crises in people with intellectual disabilities].","authors":"J Wieland","doi":"","DOIUrl":"","url":null,"abstract":"Background: Crises in people with intellectual disabilities often occur at the intersection of mental health care (MHC) and intellectual disability care (IDC). Different actors and crisis regulations with their own definitions and agreements make appropriate care challenging. Effective collaboration between MHC and IDC is essential but often not structurally organized.Aim: To distinguish between different types of crises in order to promote shared perceptions and a common language between MHC and IDC. This will improve the coordination of interventions and make cooperation between professionals more effective.Method: Based on clinical experience and scientific background, I propose a model with four types of crises: contextual crisis, somatic crisis, overburdening, and psychiatric crisis.Results: Better differentiation between different types of crises can be advantageous for people with intellectual disabilities. It ensures a shared perception and common language across domains, leading to better task distribution and cooperation between the various professionals involved.Conclusion: Better differentiation of crises can improve collaboration between MHC and IDC. This model provides tools for joint crisis management and can further improve care in the future.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 3","pages":"131-134"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Diagnostic dilemmas in persistent nutritional complaints and the need for integrated care]. [持续营养抱怨的诊断困境和综合护理的需要]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

M J Besjes, J J E Rovers

{"title":"[Diagnostic dilemmas in persistent nutritional complaints and the need for integrated care].","authors":"M J Besjes, J J E Rovers","doi":"","DOIUrl":"","url":null,"abstract":"In patients with longstanding nutritional problems and gastrointestinal symptoms, underweight or with significant weight loss, mostly without an identifiable somatic cause, a diagnostic dilemma arises. There is considerable symptomatic overlap between anorexia nervosa (AN), avoidant/restrictive food intake disorder (ARFID), and somatic symptom disorder (SSD) in such cases, which can lead to divergent clinical interpretations, delayed interventions, and lack of therapeutical direction. We describe a 49-year-old patient who had been treated for several years by gastroenterologists for nausea, vomiting, and weight loss. Extensive diagnostics revealed no abnormalities, and pharmacotherapy had little effect. After several second opinions, both somatic and psychiatric, her symptoms were classified as SSS, and the patient began psychotherapeutic treatment. Although the DSM-5 allows for classification, there is a lack of consensus regarding the nature of this clinical presentation and appropriate treatment strategies. We identify factors that may help differentiate between the above-mentioned classifications, though further research into underlying mechanisms remains essential. Current healthcare structures often fail to meet the complex needs of these patients. Moreover, the somatic features of this condition lead to exclusion from treatment programs. We advocate for cross-domain diagnostics and integrated care, in which biological, psychological and social aspects are regarded as equally essential components.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Pseudobulbar affect in the prodromal phase of psychosis: a case report]. 精神病前驱期假球影响1例。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

P Vanbrabant, L van Hilst, S Estercam

引用次数: 0

[A unique hallucination in the context of Parkinson's disease: reduplication or misidentification?] 帕金森氏症背景下的独特幻觉：重复还是错误识别？]

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

A C van Zadelhoff, J T H van Asseldonk, J J D Tilanus

引用次数: 0

[Women's experiences with a pregnancy relapse prevention plan to prevent mental health symptom relaps]. [妇女怀孕复发预防计划预防心理健康症状复发的经验]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

J W Verboom, S M Hendriks, B Geerling

{"title":"[Women's experiences with a pregnancy relapse prevention plan to prevent mental health symptom relaps].","authors":"J W Verboom, S M Hendriks, B Geerling","doi":"","DOIUrl":"","url":null,"abstract":"Background: For women with a known psychiatric disorder, the perinatal period carries an increased risk of mental health relapse. Drawing up and using a signal plan for pregnancy and the postpartum period (SPPP) can be an important intervention.Aim: Pregnant women with a mental health diagnosis have an increased risk of relapse and are at risk for the development of postpartum psychopathology. During this period a pregnancy relapse prevention plan (PRPP) can be made that describes the risks, symptoms of relapse and related interventions. The main goal of this study is to describe the lived experiences of women with a mental health diagnosis with making and using the PRPP.Method: A qualitative study to examine the experiences of women with a mental health diagnosis with making and using the PRPP. Participants were recruited from an outpatient clinic within a ‘Psychiatry and Pregnancy’ mental health institute in the Netherlands. Twelve women with a mental health diagnosis who gave birth participated in this study. Data were collected by individual semi structured interviews supported by a topic list.Results: Four categories/themes of findings emerged from the data; referral and starting up, making and advantage of the PRPP, care after childbirth, using the PRPP, and cooperation.Conclusion: The pregnancy relapse prevention plan provide pregnant women overview, predictability and tranquillity on all aspects according to the pregnancy, childbirth and the postpartum period. The support and the recognition were appreciated. The signal function of the plan was described as an added value. The involvement of the partner and caretakers were essential.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0