Tijdschrift voor psychiatrie最新文献_第10页

[Systematic decision-making can help in ending long-term treatments]. [系统的决策可以帮助结束长期治疗]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

F Poolen, J Verhoeven, D J F van Schaik, M J Reinders, M T van der Wart, C H Vinkers

{"title":"[Systematic decision-making can help in ending long-term treatments].","authors":"F Poolen, J Verhoeven, D J F van Schaik, M J Reinders, M T van der Wart, C H Vinkers","doi":"","DOIUrl":"","url":null,"abstract":"Background: The professional literature places considerable emphasis on the content of treatments, yet relatively little attention is given to their conclusion. When should a treatment be terminated, and how? In practice, there are few guidelines for ending treatment, particularly in the case of long-term interventions that may no longer significantly contribute to further improvement. A careful conclusion is, however, an essential component of any treatment. Due to a lack of attention to the termination process, treatments may continue longer than necessary, resulting in higher costs. Consequently, patients on waiting lists experience delays in accessing care.Aim: To describe and evaluate a method by which long-term treatments can be systematically assessed and, when appropriate, brought to a conclusion.Method: A description of the multidisciplinary ‘outtake afternoon’ at the TOPGGz depression outpatient clinic of GGZ inGeest, the use of an outtake form, and the results of this approach.Results: A total of 65 patients were reviewed, with an average treatment duration of 79 weeks. In just over half of the cases (54%), the evaluation prompted the initiation of a discharge trajectory. Of the patients for whom such a trajectory was initiated, 50% were formally discharged from the outpatient clinic within three months. In addition, relevant problems and dilemmas could be clearly articulated, and clinicians reported feeling supported in their decision-making and actions through this approach.Conclusion: Periodic, systematic evaluation of long-term treatments can facilitate their timely and appropriate conclusion.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"403-406"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138848","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

[Herwaardering van klinische intuïtie]. [重新评估临床直觉]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

H L Van

引用次数: 0

[Liothyronine augmentation in depression]. [抑郁症中碘甲状腺原氨酸的增加]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

A Post, J H Hoogeveen

{"title":"[Liothyronine augmentation in depression].","authors":"A Post, J H Hoogeveen","doi":"","DOIUrl":"","url":null,"abstract":"Background: The revised Dutch Multidisciplinary Guideline for Depression recommends liothyronine augmentation to selective serotonin reuptake inhibitors (SSRIs) as one of several third-line treatment options for moderate to severe depression, the others being lithium and atypical antipsychotics. The guideline refers to two network meta-analyses demonstrating efficacy.Aim: To evaluate the evidence for efficacy of augmentation to SSRIs in depression.Method: A PubMed and Cochrane Central search was conducted for controlled trials investigating added to an SSRI.Results: Seven studies were identified, three assessing augmentation and four examining co-initiation. Among the augmentation studies, only one was placebo-controlled and found no significant effect. Of the two active-controlled trials, one open-label study suggested better efficacy than lithium, while the other did not specify whether or was used (dose suggested) and showed similar efficacy to other augmentation options. The co-initiation trials reported conflicting results, ranging from better outcomes with to no difference or trend toward worse outcomes.Conclusion: The efficacy of augmentation to an SSRI is not yet sufficiently established. Network meta-analyses are based primarily on active-controlled studies. Given the potential role of a long-term, placebo-controlled trial is needed to clarify the effectiveness of augmentation to an SSRI.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"387-392"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138826","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 Pill Battle in psychiatry; past, present and future of the medication revolution in mental health care]. 精神病学中的药片之争；精神卫生保健药物革命的过去、现在和未来]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

G Blok

{"title":"[The Pill Battle in psychiatry; past, present and future of the medication revolution in mental health care].","authors":"G Blok","doi":"","DOIUrl":"","url":null,"abstract":"Background: The explosive growth after 1945 in the production and use of substances that act on the central nervous system. The possibilities for drug intervention on mood, cognition and behaviour became much greater. Meanwhile, the non-medical use of psychoactive substances also increased. Alcohol consumption tripled after 1960 and drug use increased.Aim: Sketching the impact of these developments on the field of work of Dutch mental health care.Method: Analysis of historiography of psychotropic drug use and its broader social context; supplemented with primary source material, mainly psychiatric medication narratives.Results: The medication revolution in mental health care led to therapeutic optimism, but also to conflict. Patients struggled with the profound physical and emotional side effects of psychotropic drugs. They also experienced problems with dependency and discontinuation of medication. Within the counterculture of the 1960s and 1970s, psychiatric medication was seen as an oppression of the free individual. Practitioners struggled with patients’ lack of medication adherence and their self-medication with alcohol and drugs.Conclusion: It is argued that the tension in the past and present of mental health care around the use of substances for the mind could possibly be alleviated in the future through the practice of autonomous medication management.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"120-123"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574080","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

[How many TBS patients give informed consent for retrospective file research?] [有多少TBS患者对回顾性档案研究给予知情同意？］

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

F D A den Besten, E Schuringa, V de Vogel, M J F van der Wolf

{"title":"[How many TBS patients give informed consent for retrospective file research?]","authors":"F D A den Besten, E Schuringa, V de Vogel, M J F van der Wolf","doi":"","DOIUrl":"","url":null,"abstract":"Background: In practice, it is assumed that because of the psychopathology and the coercive context, obtaining informed consent from forensic psychiatric patients for retrospective file research, without direct reward, is difficult and could result in selection bias. However, this has not been studied before.Aim: To explore the willingness of forensic psychiatric patients to give informed consent for retrospective file research.Method: A explorative pilot study in which patients from the resocialization units of FPC Mesdag were informed by the clinician responsible for their care about a retrospective file study into the position of trauma treatment in the treatment process. It was registered how many patients could have been informed, how many were informed, how many agreed to be approached by a researcher and how many gave informed consent.Results: Of the 96 patients, 74% (n = 71) were informed. 32% (n = 23) agreed to be approached by a researcher. 31% (n = 22) gave informed consent.Conclusion: The willingness of forensic psychiatric patients appears to be limited. The fact that a small group from a presumably very heterogeneous population gives informed consent provides a strong indication that asking for informed consent in retrospective file research could lead to selection bias. Also, the group that gives informed consent turns out to be too small to conduct thorough research.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 10","pages":"588-593"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858088","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 impact of the menopausal transition on the course of bipolar disorder]. 绝经期过渡对双相情感障碍病程的影响。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

S M Hendriks, B Geerling, I Scholten

引用次数: 0

[Compulsory care for a mental incompetent pregnant woman: a case-report]. [一例精神不健全孕妇的强制护理：个案报告]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

B Schreuders, L Saleh, A-M den Hertog-de Visser, S Morsink, A G M G J Mulders, K M Koorengevel

引用次数: 0

[Erotomania as a symptom of pathological grief]. [情欲狂是病理性悲伤的症状]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

F Janssens, F Auwerkerken