Tijdschrift voor psychiatrie最新文献_第2页

[Wilsbekwaamheid beoordelen: houvast en nuance]. [判断意志:支持和细微差别]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

I Hein

引用次数: 0

[Rejection sensitivity dysphoria: a critical reflection]. [排斥敏感性焦虑：一种批判性反思]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

A van Asselt

{"title":"[Rejection sensitivity dysphoria: a critical reflection].","authors":"A van Asselt","doi":"","DOIUrl":"","url":null,"abstract":"Background: Rejection sensitivity dysphoria (RSD) is a term that has gained widespread recognition among people with ADHD and autism through social media. It refers to intense emotional responses to perceived rejection and criticism. American psychiatrist William Dodson introduced the concept based on clinical experience with clients with ADHD.Aim: To inform healthcare professionals about the background and emergence of RSD, critically reflect on this development, and offer practical advice.Method: I describe the origins of RSD and combine insights from my doctoral research on this term with lived experience in a critical reflection.Results: Although RSD can offer meaningful validation and connectedness, its use in clinical practice entails four risks: 1. an increase in (self-)stigmatisation; 2. the framing as innate, causing social-environmental influences to remain underemphasised; 3. terminological fragmentation and confusion; and 4. limited empirical evidence.Conclusion: The use of RSD in interprofessional communication is problematic. A better alternative is to use the established spectrum of rejection sensitivity. Narrative and neurodiversity-affirmative practice within a biopsychosocial or enactivist perspective may help tailor care to personal experiences, meaning-making, and needs. Structural changes, such as destigmatisation and inclusion, may further reduce experiences of RSD.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 3","pages":"127-130"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628666","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 importance of a DLMO-measurement when starting and stopping melatonin in minors]. [在未成年人开始和停止褪黑激素时dlmo测量的重要性]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

M Baens, M Danckaerts

{"title":"[The importance of a DLMO-measurement when starting and stopping melatonin in minors].","authors":"M Baens, M Danckaerts","doi":"","DOIUrl":"","url":null,"abstract":"Background: Melatonin is used as a chronobiotic in the treatment of sleeping disorders to correct disturbances in the circadian rhythm, including in children and adolescents. dim light melatonin onset (DLMO) and the peak in plasma concentration of melatonin contribute to this circadian rhythm. International research shows that the number of prescriptions for melatonin among children and adolescents is increasing significantly. However, there appears to be little empirical research on the best way to taper and/or discontinue melatonin in this population.Aim: To assess the available literature regarding the best way to taper and/or discontinue melatonin in minors with sleep problems, with or without autism spectrum disorder (ASD) or attention-deficit/hyperactivity disorder (ADHD).Method: A systematic review of the literature in the PubMed (Medline) and Embase databases.Results: Several effects of the melatonin therapy on sleep onset, sleep latency, sleep duration, sleep efficiency, and nocturnal activity disappear after discontinuation of the treatment. However, we cannot formulate evidence-based guidelines regarding treatment duration, timing of administration, dosage, or the method of discontinuation. DLMO prior to treatment does, however, have predictive value for the effect of discontinuing melatonin therapy.Conclusion: A DLMO-measurement prior to starting melatonin treatment provides clinicians with insight into the expected effects of melatonin during therapy. This allows for an estimation of whether melatonin will have not only a soporific but also a chronobiotic effect during treatment. Based on this information, clinicians can consider whether initiating or discontinuing melatonin therapy is appropriate. Consequently, our literature review provides a strong argument for reimbursement of DLMO-measurements by health insurance funds.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 2","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285136","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

[Lifelong antipsychotics? A qualitative analysis of questions about phasing out]. (终身抗精神病药物?关于逐步淘汰问题的定性分析]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

S Crutzen, J J van Os, S Castelein

{"title":"[Lifelong antipsychotics? A qualitative analysis of questions about phasing out].","authors":"S Crutzen, J J van Os, S Castelein","doi":"","DOIUrl":"","url":null,"abstract":"Background: Many antipsychotic users at some point want to stop. They mention side effects, functioning and experiencing no benefits.Aim: To explore questions antipsychotic users and their relatives have about stopping or tapering antipsychotics.Method: Data were used from a publicly available anonymous Q&A in which experts answered questions about mental health. Questions about stopping or tapering antipsychotics asked by antipsychotics users and their relatives were analysed using an inductive content analysis.Results: In total 3000 questions were screened, where 426 were about antipsychotics and 194 were about stopping or tapering. The most common question was whether it was sensible to stop. Questions focused on how fast to taper, about the minimum dose, where to find support and when withdrawal symptoms or side effects would subside. Motivations were side effects, difficulties in functioning and experiencing no benefits. Barriers were lack of support and return of symptoms. Facilitators were support from others and experiencing a relief from side effects and/or symptoms.Conclusion: Antipsychotic users and their relatives are left with many questions about stopping. These questions reveal attitudes, preferences and concerns that are important to address when discussing antipsychotic treatment.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 2","pages":"64-69"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285186","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

[From monitoring to improvement: a data-driven learning network in outpatient mental health care]. [从监测到改进：门诊精神卫生保健的数据驱动学习网络]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

M J M Merkx, B Dumas, A Seinen, N Gramberg, D Schwegler, V Karthaus, N Kakes, K M F Gorgels

{"title":"[From monitoring to improvement: a data-driven learning network in outpatient mental health care].","authors":"M J M Merkx, B Dumas, A Seinen, N Gramberg, D Schwegler, V Karthaus, N Kakes, K M F Gorgels","doi":"","DOIUrl":"","url":null,"abstract":"Background: The quality of Dutch mental healthcare is under pressure due to staff shortages and an increasing demand for care. To improve the quality of care, four outpatient mental healthcare institutions formed a learning network in 2022 for anxiety, mood and trauma en stressor related disorders. Within this network, data on treatment processes and outcomes were shared and systematically compared. This facilitated the identification of best practices and provided insights to optimize workflows, ensuring treatments are delivered more efficiently and effectively.Method: An observational cohort study was conducted across four mental healthcare institutions. Data on treatment efficiency and outcomes were collected using electronic patient record (EPR) and routine outcome monitoring (ROM).Results: Treatment efficiency (treatment duration), and treatment outcomes (symptomatic recovery) were analyzed across all four institutions. While effect sizes (Cohen’s d) varied between institutions, all effects were large to very large. However, substantial practice variation in treatment efficiency was observed, indicating potential areas for improvement.Conclusion: A learning network appears to make a valuable contribution to improving the quality of outpatient mental healthcare. Collaboration rather than competition has provided important insights into more efficient and effective treatment processes through systematic data comparison. Further improvements in the outpatient treatment of anxiety, mood, and trauma- en stressor-related disorders should primarily focus on enhancing treatment efficiency. Methods such as chat-based contact and routine outcome monitoring during treatment (within-treatment response) may play a key role in this process.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012466","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

[Assesment of patient competence in psychiatry: an overview of recent instruments]. [精神病学病人能力的评估：近期工具概述]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

K C E E R Catthoor, L Peetermans, R Willems, J Detraux, M De Hert

{"title":"[Assesment of patient competence in psychiatry: an overview of recent instruments].","authors":"K C E E R Catthoor, L Peetermans, R Willems, J Detraux, M De Hert","doi":"","DOIUrl":"","url":null,"abstract":"Background: Determining decision-making capacity is a difficult and complex process. Although the MacArthur Competence Assessment Tool (MacCAT) is widely considered the gold standard for capacity assessment, it suffers from shortcomings.Aim: To identify recently published instruments for assessing decision-making capacity of psychiatric patients and to determine whether these can provide added value compared to the MacCAT.Method: A systematic literature review of instruments for assessing patients’ decision-making capacity was conducted via PubMed, Embase, and Scopus.Results: Seven instruments were identified. These were all based on the four cognitive criteria (understanding, appreciation, logical reasoning, and expressing choice) that are considered, by consensus, to be necessary to assess decision-making capacity. However, two of these (relational-ethical model and U-Doc) offer added value by embracing very different basic principles when determining decision-making capacity, such as ethics and the social support of the patient. Next to cognitive factors, the patient’s personal context and possible bias on the part of the assessor are also taken into account.Conclusion: Although the MacCAT is still considered to be the gold standard, two recently developed instruments (relational-ethical model and U-Doc) offer an opportunity to overcome some of the shortcomings of this scale.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 3","pages":"118-126"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628518","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

[Overleeft de psychiater generatieve AI?] 精神病学家能在人工智能中生存吗?]

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

H L Van

引用次数: 0

['I became an adult last night': experiences with transitional care at a HIC]. “我昨晚成了成年人”：在一家医疗中心接受过渡性护理的经历。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

T Augustijn, K Hagoort, E Plokker, A Dols, D van Rappard, M D M Faay

{"title":"['I became an adult last night': experiences with transitional care at a HIC].","authors":"T Augustijn, K Hagoort, E Plokker, A Dols, D van Rappard, M D M Faay","doi":"","DOIUrl":"","url":null,"abstract":"Background: Adolescents admitted to psychiatric High Intensive Care (HIC) units typically transition to HIC-Adults upon turning 18 years. Little is known about how adolescents, parents, and healthcare providers experience this transition.Aim: To gain insight into the experiences of adolescents, parents, and healthcare providers regarding HIC care during the transitional age (here: 16-23 years).Method: Demographic and clinical data were extracted from patient records. Nine adolescents and ten parents were interviewed. Transcripts were analyzed using inductive thematic analysis. Seventeen healthcare providers participated in two focus groups.Results: The adolescents admitted between April 2020 and December 2023 on either HIC-Youth or HIC-Adult (N = 280), were mostly female (69%), living at home (78%) and admitted due to suicidality (54%). Four key themes were identified: placement and ward climate, autonomy and parental involvement, staff interactions, and attention to transition. Adolescents and parents reported absence of tailored care during the transition. Healthcare providers recognized differences between units but were unaware of the impact.Conclusion: Adolescents on HIC-units suffer from complex issues, and central components are autonomy, safety and developmental age. Although attention to transitional care is increasing, greater awareness of the pivotal role of a HIC unit in the transition is needed.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"68 1","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012456","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

[A psychotic decompensation after meningioma surgery]. [脑膜瘤手术后精神失代偿]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

F G P van Velthoven, I C de Graaf

引用次数: 0

[Taalmodellen grijpen altijd in]. [语言模型总是介入]。

Tijdschrift voor psychiatrie Pub Date : 2026-01-01

E van Dellen

引用次数: 0