Tijdschrift voor psychiatrie最新文献_第2页

[Het Tijdschrift in 2025]. [2025年的杂志]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

H L Van

引用次数: 0

[Evidence for the non-evidenced: A methodological argument for an inclusive evidence-base]. [无证据的证据：包容性证据基础的方法论论证]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

F L Truijens, M M De Smet, M Desmet, R Meganck

引用次数: 0

[Denial of addiction as a mental disorder in the Dutch Compulsory Care Act]. [荷兰强制护理法》否认成瘾是一种精神障碍]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

H A de Haan, A Neven, C Reurich, K Reijgwart, A Batalla

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[Medical disciplinary law in Belgium]. [比利时的医疗纪律法］

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

P Cosyns

{"title":"[Medical disciplinary law in Belgium].","authors":"P Cosyns","doi":"","DOIUrl":"","url":null,"abstract":"Background: Disciplinary law is regulated differently in Belgium than in the Netherlands. The Belgian Order of Physicians is responsible for the disciplinary supervision of physicians. The order is an institution with legal personality and has a three-tiered structure, two of which have judicial authority, namely the ten provincial councils and the two appeal councils. The third structure, the national council, has normative authority with the task of drafting the Code of Medical Ethics.Aim: To describe disciplinary law in Belgium.Method: To provide an overview of the main characteristics and to outline some current developments.Results: The provincial council initially handles complaints behind closed doors, and the complainant can appeal to the appeal council through a public procedure. The Code of Medical Ethics does not have legally binding force but is regularly updated, taking into account both international and national relevant legislation. The domain of medical practice has become more extensive in recent decades and is increasingly regulated by law with new control bodies. The Order of Physicians retains its deontological powers but must take into account the legal powers of these new bodies.Conclusion: Both the Order of Physicians and the political authorities agree that the 1967 law (Royal Decree No. 79) needs to be revised and updated, but no submitted bill has succeeded in doing so to date. Key concepts for revision are: multidisciplinary structure, more openness and transparency.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 8","pages":"457-460"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508567","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 application of rTMS in OCD in the Netherlands and Belgium: consensus statement]. [经颅磁刺激在荷兰和比利时强迫症中的应用：共识声明]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

O A van den Heuvel, H L N Tandt, K Scheepstra, I van Oostrom, C Bervoets, E Dijkstra, K Schruers, I Tendolkar, N M Batelaan, G-J Hendriks, A T Sack, N Vulink, I M van Vliet, P van Eijndhoven, S M D D Fitzsimmons, T S Postma, Y D van der Werf, M Arns, C Baeken

{"title":"[The application of rTMS in OCD in the Netherlands and Belgium: consensus statement].","authors":"O A van den Heuvel, H L N Tandt, K Scheepstra, I van Oostrom, C Bervoets, E Dijkstra, K Schruers, I Tendolkar, N M Batelaan, G-J Hendriks, A T Sack, N Vulink, I M van Vliet, P van Eijndhoven, S M D D Fitzsimmons, T S Postma, Y D van der Werf, M Arns, C Baeken","doi":"","DOIUrl":"","url":null,"abstract":"Background: Non-invasive brain stimulation, such as repetitive transcranial magnetic stimulation (rTMS), is increasingly used in the treatment of neurological diseases and psychiatric disorders. Where rTMS is already an accepted treatment option for depression, in the Netherlands/Belgium, no consensus exist on the application of rTMS for (obsessive-compulsive disorder (OCD). People with OCD who do not respond enough to exposure therapy and serotonergic antidepressants are in great need for treatment alternatives.Aim: Consensus statement on the application of rTMS as treatment for OCD METHOD: Evaluation of the current literature on the efficacy of rTMS for OCD, mainly based on recent meta-analysis, by a broad group of experts in the field of rTMS, OCD and treatment guidelines.Results: rTMS is a potentially effective treatment for OCD with a medium effect size (g ≈ 0,5). Based on the current literature it is not yet clear which rTMS protocol is the most effective.Conclusion: based on the evidence for rTMS in OCD, and the non-invasive nature of the treatment modality, rTMS can considered in cases with OCD who do not respond enough to exposure therapy and serotonergic antidepressants, prior to the start of more invasive treatment alternatives, such as deep brain stimulation or lesion surgery.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 7","pages":"380-386"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508558","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

[Effects of a smoke-free policy on healthcare staff attitudes and aggression in psychiatry]. [无烟政策对精神科医护人员态度和攻击行为的影响]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

C van den Berg, C J M van Berkel, P B van der Meer, B W A Tijsterman, A W M van Balkom, F E Scheepers, A Batalla

{"title":"[Effects of a smoke-free policy on healthcare staff attitudes and aggression in psychiatry].","authors":"C van den Berg, C J M van Berkel, P B van der Meer, B W A Tijsterman, A W M van Balkom, F E Scheepers, A Batalla","doi":"","DOIUrl":"","url":null,"abstract":"Background The prevalence of smoking among patients with psychiatric disorders is 3-4 times higher than the general population. However, smoking is still permitted in many psychiatric clinics. The National Prevention Agreement (2018) mandates that all psychiatric wards be smoke-free by 2025. The UMC Utrecht clinics have been smoke-free since November 2020. Aim To examine healthcare workers’ attitudes before and after implementing the smoke-free policy. Method In an observational study with quantitative data analysis, data were collected in one center from healthcare workers in psychiatry departments with surveys. We collected demographic information, smoking status, attitudes towards the smoke-free policy, and its impact on patients and care. Incidents of aggression were prospectively recorded and reported in the MAP (aggression incidents in patient care). Results Out of 172 healthcare workers invited to participate, 30% (n = 52) completed the pre-implementation survey, and 20% (n = 34) completed the post-implementation survey. Prior to implementation, 62% (n = 32/52) of healthcare workers had a positive attitude towards the smoke-free policy, which increased to 77% (n = 26/34) post-implementation. Expectations of increased aggression incidents were reported by 62% (n = 32/52) during the pre-implementation phase. The number of aggression incidents was 46 in the one-year period before implementation (November 2019 – February 2020) and 45 incidents after implementation (November 2020 – February 2021). Conclusion This study supports the implementation of a smoke-free policy in psychiatric clinics due to the lack of a significant increase in aggression incidents. Healthcare workers perceived this outcome and observed quicker granting of ‘green’ freedoms.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 2","pages":"70-75"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176601","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

[Autonomy promoting policy for complex chronic suicidality]. [针对复杂慢性自杀问题的自主促进政策]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

M Michiels, D Steentjes, N Mook-Spermon, S F Lotgering, D van Dijk, R Scholma, L Kalma, C C van Velzen, R F P de Winter

引用次数: 0

[What do detained psychiatric patients write in seclusion cells and why?] [被拘留的精神病人在隔离囚室里写什么，为什么？］

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

Y de Kok

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[Reform of the law on compulsory admission in Belgium: more tailored healthcare?] [比利时强制入学法的改革：更有针对性的医疗保健？］

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

J Vandenberghe, S Tielens, R De Rycke, K Catthoor, H Demunter

{"title":"[Reform of the law on compulsory admission in Belgium: more tailored healthcare?]","authors":"J Vandenberghe, S Tielens, R De Rycke, K Catthoor, H Demunter","doi":"","DOIUrl":"","url":null,"abstract":"Background: The law regulating the forced or protective admission of the mentally ill person in Belgium is 34 years old. The parliament recently agreed on an extensive legislative amendment to better adapt the law to the changing mental health care system and society.Aim: Outlining the epidemiological, clinical and legal developments regarding forced admissions in Belgium.Method: Analysis of epidemiological data, evolutions in clinical practice and the previous and new legislative framework.Results: The incidence of forced admission in Flanders rised, with large provincial differences. Care for involuntarily admitted patients has evolved significantly in recent years, including the establishment of High and Intensive Care Units. The amended law allows a more thorough clinical evaluation before forced admission. More diversification and customization of protective measures become possible.Conclusion: The new law addresses a number of problems with the previous legislative framework. A number of points for improvement remain, which will hopefully be picked up by policy makers in further initiatives.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 8","pages":"489-494"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508471","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

[Ernstige psychiatrie past niet in hokjes: hoe maken we ruimte voor de zorg voor de EPA-doelgroep?] [严肃的精神病学不适合框框：我们如何为 EPA 目标群体的护理腾出空间？］

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

L Wunderink

引用次数: 0