Tijdschrift voor psychiatrie最新文献_第10页

[Social media restriction: caselaw from the new Dutch Compulsory Mental Healthcare Act]. [社交媒体限制：荷兰新《强制精神保健法》判例]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

J A Godschalx-Dekker, S A Pronk, F L Gerritse, J J C van der Spelt, W N K A van Mook

{"title":"[Social media restriction: caselaw from the new Dutch Compulsory Mental Healthcare Act].","authors":"J A Godschalx-Dekker, S A Pronk, F L Gerritse, J J C van der Spelt, W N K A van Mook","doi":"","DOIUrl":"","url":null,"abstract":"Background: Patients use social media on a daily basis, and they can be restricted under the new Dutch Compulsory Mental Healthcare Act.Aim: To describe which social media behaviors of psychiatric patients were rightfully restricted by health care professionals and reveal underlying reasons.Method: We searched for law cases of the courts of first instance and decisions of boards on patients’ complaints from implementation of the new act (2020-2023) about patients’ behaviors related to social media in two open source databases.Results: We found 38 cases on patients’ behaviors related to social media. Most cases included patients with (manic) psychotic episodes. Social media restrictions were applied to prevent or surcease several types of behaviors creating harm for self and others, such as exploitation, social decline, protection of privacy and safety of healthcare personal, or threats towards others. Altered patient’s interactions on social media, signal early symptoms related to decompensation.Conclusion: Restrictions on the patient’s use of social media are accepted by law in inpatients with manic psychotic episodes and effective in preventing several forms of detriment. Monitoring social media might be relevant for diagnostics or self-signaling. Self-binding statements should consider requirements to restrict social media use in times of decompensation or self-damaging tendencies.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 10","pages":"573-578"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923160","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

[The Open-Doors Policy in Oslo: both the starting point and the final chord]. [奥斯陆的门户开放政策：起点和终点]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

K H Westen, E de Bruijn, E Velthorst, H Kroon, Ph Delespaul

{"title":"[The Open-Doors Policy in Oslo: both the starting point and the final chord].","authors":"K H Westen, E de Bruijn, E Velthorst, H Kroon, Ph Delespaul","doi":"","DOIUrl":"","url":null,"abstract":"Background: The Lovisenberg Diakonal Hospital recently introduced an Open-Door Policy in their (formerly) closed psychiatric admission wards for people with a forced admission to an acute psychiatric crisis. Their modern mental health care system is remarkably similar to the Dutch healthcare organization, with shared values and standards, and provides good grounds for an implementation of an Open-Doors Policy in the Netherlands.Aim: Gaining inspiration to reduce seclusion and create a new quality development and assessment process for closed admission departments in the Dutch mental health care system.Method: A delegation of mental health professionals paid a working visit to the Lovisenberg Diakonal Hospital in Oslo to observe and reflect on the Open-Door Policy.Results: The basis of the working method in Oslo is the pragmatic introduction of the Open-Door Policy with an implementation strategy based on the dialogue and an actual implementation combined with evaluations and creativity. The preliminary results are positive and do not seem to lead to more incidents.Conclusion: The introduction of an Open-Door Policy is a clear decision based on universal human rights and requires ample room for exploration and creativity during its implementation. Those involved commit to data-driven innovation and to distinguish recovery and team outcomes. This method stimulates a process of developmental learning.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 9","pages":"522-526"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923360","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

[Het Tijdschrift in 2024]. [2024 年的杂志］

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

H L Van

引用次数: 0

[Necessity for relaxation techniques in individuals diagnosed with bipolar disorder: a thematic analysis]. [躁郁症患者使用放松技巧的必要性：主题分析]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

D M J Hoogenboom, M de Leeuw

{"title":"[Necessity for relaxation techniques in individuals diagnosed with bipolar disorder: a thematic analysis].","authors":"D M J Hoogenboom, M de Leeuw","doi":"","DOIUrl":"","url":null,"abstract":"Background: In the management of bipolar disorder, the search for appropriate non-pharmacological interventions as adjuncts to pharmacotherapy is underway. Various lifestyle interventions focusing on relaxation contribute to mood stabilization. However, the specific needs and preferences of individuals with bipolar disorder concerning relaxation interventions remain unexplored.Aim: To gain insight into the relaxation needs and preferences of individuals undergoing treatment for bipolar disorder.Method: Qualitative research was conducted through ten interviews with individuals diagnosed with bipolar disorder. Thematic analysis was applied to analyze the collected data.Results: Mindfulness and physical activity were identified by all participants as effective means of achieving relaxation. The timing of intervention within the course of the illness was deemed crucial. Seven participants emphasized that relaxation-oriented activities should be enjoyable. All participants expressed a need for stimulation, preferably with tailored advice. A structured and consistent offering of relaxation interventions was found to increase participation. A group-based approach with guidance to acquire relaxation skills was universally favored by the participants. All within and beyond the clinical setting.Conclusion: Individuals with bipolar disorder require relaxation-focused interventions that are presented in a structured and clear manner within the treatment context. Particularly during depressive or manic episodes, individuals seek guidance and motivation from clinicians to engage in relaxation-focused activities. Participants expressed a preference for structured group interventions led by experts with relaxation expertise. Integrating relaxation-focused approaches into treatment strategies is shown to be essential.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 7","pages":"362-366"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508555","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

[Back space in regulations: legal frameworks of research with existing patient data]. [法规中的后备空间：利用现有患者数据进行研究的法律框架]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

M B de Koning, T J Burger, A Vellinga, R M Van Eck, M J Kikkert, L de Haan, H J de Haas

{"title":"[Back space in regulations: legal frameworks of research with existing patient data].","authors":"M B de Koning, T J Burger, A Vellinga, R M Van Eck, M J Kikkert, L de Haan, H J de Haas","doi":"","DOIUrl":"","url":null,"abstract":"Background: A subgroup of patients with severe mental illness (SMI) is underrepresented in scientific research, in part due to barriers around giving informed consent. This may lead to response bias and lack of knowledge about this group. Retrospective research with existing patient data is the only way to increase our knowledge for some patient groups.Aim: To make recommendations to exploit the possibility of retrospective research with existing patient data, taking into account applicable laws and regulations.Method: After a review of relevant laws and regulations, recommendations are made.Results: Factors that determine the possibilities for retrospective research are 1) whether the researcher works with directly traceable, pseudonymized or anonymized data; 2) whether there is a high risk of response bias when asking for informed consent; 3) whether information is collected within the treatment relationship. Depending on the situation, there are several alternatives to an informed consent procedure.Conclusion: Knowledge of the relevant regulations and collaboration with specialists in the field often makes retrospective research with existing data in those patients with SMI who cannot give informed consent possible.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 8","pages":"437-442"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508562","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

[Impairments in neurocognitive functions in patients with long COVID: A systematic review]. [长期 COVID 患者的神经认知功能损伤：系统综述]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

N Warnaerts, K Beeckmans, M Morrens, L De Picker

{"title":"[Impairments in neurocognitive functions in patients with long COVID: A systematic review].","authors":"N Warnaerts, K Beeckmans, M Morrens, L De Picker","doi":"","DOIUrl":"","url":null,"abstract":"Background: Studies have shown impairments in neurocognitive functions which persist more than 3 months after COVID-19 (long COVID). It remains unclear what these impairments entail, how long they persist and what proportion of the patients exhibit them.Aim: To define the specific neurocognitive profile and to determine the proportion of deficits in at least one cognitive domain in patients with long COVID.Method: We conducted a systematic search in PubMed according to PRISMA 2020 guidelines with the following inclusion criteria: peer reviewed publications in which patients were assessed more than 3 months following acute COVID-19 by means of a test battery for different domains of neurocognition.Results: We found a total of 1178 papers, of which 7 cohort studies and 1 case-control study were selected. The proportion of patients having deficits in at least one domain of neurocognition ranged from 23% to 100%. Most frequent impairments were found in attention and speed of information processing, anterograde memory, working memory and executive function. Quality of the included studies was moderate.Conclusion: Impairments in neurocognitive functions are highly prevalent among patients with long COVID and include various cognitive domains. We encourage further research to continue studying the complex interaction of COVID-19, neurocognitive impairments and neuropsychiatric syndromes.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 1","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913482","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

[Kennis over radicalisering relevant voor de ggz]. [与ggz相关的激进化知识]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

B Sizoo

引用次数: 0

[Off-label psychopharmacological prescription in thirteen forensic outpatient clinics]. [13家法医门诊的超说明书精神药理学处方]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

D H M Lefrandt, J C Hutten, E A Maas, J E van Horn, M J Eisenberg, N J L Buitelaar

{"title":"[Off-label psychopharmacological prescription in thirteen forensic outpatient clinics].","authors":"D H M Lefrandt, J C Hutten, E A Maas, J E van Horn, M J Eisenberg, N J L Buitelaar","doi":"","DOIUrl":"","url":null,"abstract":"Background: Outpatient forensic treatment is generally more focused on diminishing transgressive behavior, rather than the treatment of a specific disorder. However, the indications for prescribing psychotropic medication are usually a specific disorder. Although guidelines are used a large portion of psychopharmacological prescription is off-label.Aim: To explore the extent of off-label prescribing. The study aimed to address three main questions: What is the percentage of off-label prescribing? Which part of off-label prescribing is based on guidelines and formularies? What is the frequency of pharmacist consultation before prescribing off-label medication?Method: Data for the study were collected by 17 psychiatrists working in the thirteen forensic outpatient clinics of de Waag. The study focused on a sample of 202 adult patients, who were treated between October 2022 and May 2023.Results: 72.0% of 350 prescriptions were prescribed off-label. From these 72.0%, 51.4% was based on guidelines and formularies and 20.6% not. In 84,7% off the off-label prescription not based on guidelines and formularies a pharmacist wasn’t consulted.Conclusion: This study confirms the high percentage of off-label prescriptions in the forensic psychiatry. However, more than 70% was based on guidelines and formularies.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 9","pages":"527-531"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923280","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

[Discussing survey results in client panels appears a beneficial approach for a client counsel]. [在客户小组中讨论调查结果似乎是一种对客户顾问有益的方法]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

M Riemersma, C Maagd, N de Rooy, N M Lommerse, I Visch, H Kronemeijer, E de Beurs

{"title":"[Discussing survey results in client panels appears a beneficial approach for a client counsel].","authors":"M Riemersma, C Maagd, N de Rooy, N M Lommerse, I Visch, H Kronemeijer, E de Beurs","doi":"","DOIUrl":"","url":null,"abstract":"Background: The Client Participation Act in Healthcare Institutions prescribes that information must be collected as low as possible in the organization. To meet this need, Arkin’s client council started experimenting with a new way to get in touch with clients.Method: We regularly send a short survey to clients about a number of themes and we invite clients to discuss these in a client panel. Two rounds of surveys and panel discussions have now been organized on the following themes: waiting times, participation in treatment, stigma, ROM, eHealth and relative or friend.Results: The experiences with the chosen approach were favorable. The collection of quantitative survey data and qualitative information from the panel discussion complemented each other and led to further professionalization of the work of the client council. Clients were happy to be involved in the work of the client council in this way. A better insight was gained into how they experience policy decisions and the client council was better able to present this information to the board of directors and the executive board of Arkin.Conclusion: The new approach has strengthened the position of the client council within Arkin. We consider this a good approach to implement the Client Participation Act.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 4","pages":"188-194"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871221","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

[Ga mee met uw tijd: denk ook aan verslaving bij uw oudere patiënt]. [与时俱进：也要考虑老年患者的成瘾问题]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

D S Everaerd

引用次数: 0