Tijdschrift voor psychiatrie最新文献_第2页

[AI en psychiatrische wetenschappelijke literatuur: kans of uitdaging?]

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

T Pattyn

引用次数: 0

[Relapse in psychotic depression and comparison with non-psychotic depression].

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

L Cools, O Jennen, S Lambrichts, K Vansteelandt, P Sienaert

{"title":"[Relapse in psychotic depression and comparison with non-psychotic depression].","authors":"L Cools, O Jennen, S Lambrichts, K Vansteelandt, P Sienaert","doi":"","DOIUrl":"","url":null,"abstract":"Background: Psychotic depression (PD) is a severe disease with a lifetime prevalence between 0.35 and 1%. The guidelines recommend combination therapy with an antidepressant and an antipsychotic, whereas in non-psychotic depression (NPD) an antidepressant is advised as monotherapy.Aim: To determine whether there is a difference in relapse rates between PD and NPD, and which treatment is associated with the lowest relapse rate.Methods: A systematic literature search across 6 databases (PubMed, Web of Science, Scopus, Embase, Cochrane, and CINAHL) and a meta-analysis were conducted to compare relapse rates between PD and NPD.Results: Eight studies with a total of 468 patients and 147 relapse events were included in the meta-analysis. No statistically significant difference could be demonstrated in relapse rates between PD and NPD. The difference in relapse rates in PD between various treatments was not statistically analyzed, but qualitatively described. There was a wide variation in treatment methods and a broad range of relapse rates.Conclusions: Based on our findings, there is no statistically significant difference in relapse rates between patients with PD and NPD. However, caution is warranted with this conclusion, as the meta-analysis is based on a limited number of studies with high variability in the outcome measure. It seems important to continue acute treatment after response or remission, but which treatment modality best prevents relapse remains unclear.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"175-183"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754613","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

[Wat ondeugd ons leert over professionaliteit].

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

J A Godschalx-Dekker, W N K A van Mook

引用次数: 0

[Towards a future-proof psychotherapy: some recommendations]. [面向未来的心理疗法：一些建议]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

W J M W Cuijpers

引用次数: 0

[Later is too late: why psychiatrists must take action today for patients and the climate].

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

D S Everaerd, P Lagerweij, L Klok, J Zinkstok

{"title":"[Later is too late: why psychiatrists must take action today for patients and the climate].","authors":"D S Everaerd, P Lagerweij, L Klok, J Zinkstok","doi":"","DOIUrl":"","url":null,"abstract":"Background: Climate change is a pressing issue, with significant effects also in Europe. In particular younger generations will face negative consequences of climate change, including impact on mental health. Therefore, climate change is relevant to psychiatrists.Aim: In this article, we explain how climate change leads to mental health problems and what psychiatrists can do.Method: Overview based on a recent European position paper on the consequences of climate change for mental health and recent literature RESULTS: Climate change leads to mental health problems on multiple levels: through direct consequences of disasters (for example, traumatization), as well as the effects of heat on mental health and adverse effects on social and societal determinants of mental health. These effects are most likely greatest in non-Western countries, where resources are limited. Additionally, there are mental complaints due to an increase in climate anxiety, especially among young people.Conclusion: We call on the field of psychiatry to increase and share interdisciplinary knowledge and take actions to prepare for the consequences of climate change. Actions are needed at multiple levels including preparing direct patient care for effects of climate change (e.g., preparing for heatwaves), reducing further climate change (moving towards sustainable health care systems), and by influencing the public debate.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"129-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573881","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

[Recurrent fugues, also consider epilepsy]. [反复发作的赋格，也可考虑癫痫]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

J Broekmeulen, J Schulkens, C de Leeuw, E I Hoff

引用次数: 0

[Network care: what are we waiting for?]

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

K Hagoort, J J van Os, F E Scheepers

{"title":"[Network care: what are we waiting for?]","authors":"K Hagoort, J J van Os, F E Scheepers","doi":"","DOIUrl":"","url":null,"abstract":"Background: For years, enhanced collaboration within networks has been frequently suggested as a solution to the challenges in mental health care. Nevertheless, the practical implementation has been slow.Aim: To understand why the translation of network care from policy to practice is so challenging, and to identify entry points to overcome these obstacles.Method: We examine the intended transformation and its bottlenecks from the perspectives of care, innovation, change, and governance to gain insights into useful action perspectives.Results: From a care perspective, a shared understanding of what network care demands from all network members is helpful. Network care proves to be a complex innovation that requires courage from the board of directors and perseverance of all stakeholders. An incremental change approach within the existing organizational structure will facilitate the transition to network care. From a governance perspective, it is important to place the fundamental principles of quality care at the forefront and to reflect on previous mental healthcare reforms.Conclusion: To establish network care as the new standard practice, sustained efforts are required from both organizations and individual professionals within care networks.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"80-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573959","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

[Towards effective public mental health care in the 21st century].

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

A Popma

{"title":"[Towards effective public mental health care in the 21st century].","authors":"A Popma","doi":"","DOIUrl":"","url":null,"abstract":"Background: For long, people have been advocating for an overarching national long-term plan for prevention of mental health problems. However, such a plan is still lacking in the Netherlands.Aim: An exercise was conducted exploring societal trends that may support the idea that a public movement strong enough to make on overarching long-term plan could be feasible in the coming years, notwithstanding the current political climate in which prevention doesn’t seem to be high on the agenda.Method: A literature search for elements that could facilitate this overarching multi-tier plan.Results: Ten factors could contribute to the development of a collective plan: enormous burden of disease due to mental problems; great public awareness; ready-made conceptual framework; focus on well-being and health; the anchoring of the calculation of the costs and benefits for prevention in law; compelling scarcity; broadly supported prevention plan; digital personalized prevention; broad leadership and resistance among professionals; shift of attention: from individual to system.Conclusion: There are sufficient reasons to assume that on overarching plan for prevention prevention of mental health problems could be currently feasible. Therefore, collective action of the broad field of psychiatry is warranted.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"72-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574008","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 psychiatric trainees are the future of psychiatry in Europe].

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

L Gezels, M J Konings

{"title":"[The psychiatric trainees are the future of psychiatry in Europe].","authors":"L Gezels, M J Konings","doi":"","DOIUrl":"","url":null,"abstract":"Background: The European Federation of Psychiatric Trainees (EFPT) connects national trainees’ associations across Europe, fostering collaboration and knowledge exchange among psychiatric trainees. Currently, significant variations exist in training duration, examination requirements, and supervision methods, impacting both training quality and access to mental healthcare.Aim: To inform about the EFPT, as today’s psychiatric trainees represent Europe’s future psychiatrists. By exploring trainees’ experiences and training structures, a clearer view of psychiatry’s future can emerge.Method: To describe the EFPT organization (including member states, annual forum, working groups, and exchange programs), as well as the structure and content of psychiatric training across various European countries.Results: The EFPT organizes an annual forum that serves as a platform for knowledge exchange and policy development. Its working groups address specific themes within psychiatry, thereby offering valuable insight into training across different European countries.Conclusion: The EFPT plays an essential role in improving training quality through knowledge sharing and collaboration. Developing a standardized, competency-based curriculum that considers the diverse healthcare needs of member states is crucial for harmonizing training standards and improving mental healthcare across Europe.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"115-119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574084","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

[Diagnosis and treatment of conversion symptoms in the 1960s in Amsterdam].

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

M Vermeulen

{"title":"[Diagnosis and treatment of conversion symptoms in the 1960s in Amsterdam].","authors":"M Vermeulen","doi":"","DOIUrl":"","url":null,"abstract":"Background: According to Piet Kuiper, professor of psychiatry, conversion phenomena are more common in films and novels in Amsterdam in the 1960s than in outpatient clinics.Aim: To find out whether the neurologist Waterman has observed conversion phenomena in the 1960s; how he made this diagnosis, and what therapy did he use?Method: Research of Waterman’s patient files from the 1960s in Amsterdam.Results: In a group of 3372 patients, Waterman diagnosed hysterical or psychogenic neurological symptoms in 555 (16%) patients. Of these patients, 6.85% was eligible for psychoanalytic therapy. Waterman treated 54.95% of these patients with benzodiazepines and 25.77% with tricyclic antidepressants.Conclusion: In the 1960s, Waterman cannot refer 93% of his patients for psychoanalytic therapy, which according to Kuiper is necessary for the diagnosis and therapy of conversion disorder. This explains why the psychoanalyst Kuiper hardly sees patients with conversion symptoms. Waterman opts for symptomatic therapy for psychogenic neurological symptoms. He treats 4 out of 5 of his patients with pharmaceuticals. The beneficial effect he has observed may be a result of removing the concern about the symptoms by prescribing medication.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"164-168"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754608","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