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Tijdschrift voor psychiatrie最新文献

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[Symptoms of adjustment disorder during the COVID-19 pandemic: A longitudinal study].
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
G T M Mooren, L Reitsma, J Mouthaan, M J van Hoof, S P N Groen, L I M Lenferink
{"title":"[Symptoms of adjustment disorder during the COVID-19 pandemic: A longitudinal study].","authors":"G T M Mooren, L Reitsma, J Mouthaan, M J van Hoof, S P N Groen, L I M Lenferink","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This longitudinal study focuses on the question to what extent symptoms of adjustment disorder (AD) occurred in the Dutch population in response to the corona pandemic.</p><p><strong>Aim: </strong>To explore which (a) personal characteristics and which (b) pandemic, (c) health or (d) trauma-related factors are related to symptoms of AD.</p><p><strong>Method: </strong>2079 people (time 1) and 777 people (time 2) participated in an online questionnaire since 2020. Prevalence of adjustment disorder and the concurrent and longitudinal associations between the factors (a-d) and AD severity were determined.</p><p><strong>Results: </strong>A third experienced severe adjustment problems at the beginning of the pandemic and half a year later. However, there were changes in the course of adjustment: a large group of people did not meet the criteria for AD at time 1, while they did so at time 2, and vice versa. The observed factors (a-d) contributed to explaining the variation in adjustment disorder severity between participants (27% at time 1 and 44% at time 2, respectively), but did not do so completely.</p><p><strong>Conclusion: </strong>A more person-centered approach to study predictors of transitions in symptom patterns over time is needed. While a minority developed symptoms of AD, the majority has been able to cope well with the pandemic.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"159-163"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754617","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
{"title":"[Herwaardering van klinische intuïtie].","authors":"H L Van","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012009","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
[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
{"title":"[Compulsory care for a mental incompetent pregnant woman: a case-report].","authors":"B Schreuders, L Saleh, A-M den Hertog-de Visser, S Morsink, A G M G J Mulders, K M Koorengevel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The compulsory Mental Healthcare Act (Dutch: Wvggz) provides, in exceptional cases, a legal framework for the implementation of psychiatric and somatic treatment without the patients consent. We describe a pregnant patient with a psychotic disorder who was compulsorily admitted to a psychiatric ward and treated with antipsychotic medication. She was unable to give informed consent regarding obstetric care. The care authorization did provide a legal framework for compulsory obstetric care to prevent serious harm for herself and/or her unborn child. A good relationship of trust, frequent counseling and the presence of an acquaintance ensured that the patient agreed with a caesarean section when this became necessary. This case describes how the Wvggz can provide psychiatric and obstetric care for a pregnant patient with a severe psychiatric disorder as well as the importance of continuing to look for options for voluntary care in a multidisciplinary manner.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011665","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
[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
{"title":"[Erotomania as a symptom of pathological grief].","authors":"F Janssens, F Auwerkerken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We describe a 23-year-old woman with erotomania as a symptom of complicated grief. The delusional disorder emerged after a breakup with her partner, during a period of complicated grief following the unexpected loss of her twin brother. The delusion potentially functioned as a protection against a recurrent depressive disorder. Treatment usually consists of starting psychopharmaceuticals, however, often with limited results. Therefore, psychotherapeutic treatment is also important because an erotomanic delusion often arises from feelings of rejection, loneliness or worthlessness. Erotomania has been mentioned in texts and stories since ancient times. However, a case report on erotomania as a potential buffer against complex grief has not previously been described in the literature. We discuss the erotomania, contextualized in her life course and the existing literature.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011902","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].
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":"<p><strong>Background: </strong>The explosive growth after 1945&nbsp;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.</p><p><strong>Aim: </strong>Sketching the impact of these developments on the field of work of Dutch mental health care.</p><p><strong>Method: </strong>Analysis of historiography of psychotropic drug use and its broader social context; supplemented with primary source material, mainly psychiatric medication narratives.</p><p><strong>Results: </strong>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&rsquo; lack of medication adherence and their self-medication with alcohol and drugs.</p><p><strong>Conclusion: </strong>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.</p>","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
[The nurse practitioner as responsible clinician: opportunities and challenges]. 【护士作为负责任临床医生：机遇与挑战】。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
M J van Til, J M C van Dam, D G Hollands, M B de Koning
{"title":"[The nurse practitioner as responsible clinician: opportunities and challenges].","authors":"M J van Til, J M C van Dam, D G Hollands, M B de Koning","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The Compulsory Mental Health Care Act in the Netherlands (CMHCA) came into effect in 2020. Mental health nurse practitioners have since been allowed to be &lsquo;responsible clinician&rsquo; However, there seems to be diversity in the implementation of the role in practice.</p><p><strong>Aim: </strong>To investigate the state of affairs regarding the role of the mental health nurse practitioners as &lsquo;responsible clinician&rsquo; within the CMHCA and reflecting on this topic.</p><p><strong>Method: </strong>Legislative texts, guidelines and professional associations have been consulted. The quality and professional statutes of eighteen large mental health institutions in the Netherlands were also studied, using the search terms &lsquo;responsible clinician&rsquo;, &lsquo;Compulsory Mental Health Care Act&rsquo;, &lsquo;nurse practitioner&rsquo;, &lsquo;CMHCA&rsquo;.</p><p><strong>Results: </strong>The CMHCA leaves room for precise interpretation of the role of responsible clinician. In more than half of the quality and professional statutes examined (N=10), the role of responsible clinician is not specified. The other statutes (N = 8) include various frameworks for the role of a mental health nurse practitioner as responsible clinician.</p><p><strong>Conclusion: </strong>The role of the nurse practitioner as responsible clinician is not clearly described in the statutes and guidelines reviewed. The CMHCA leaves room for how to fulfill this. We recommend a broad field consultation to arrive at clearer advice about which discipline is responsible clinician in which situation.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011953","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
[On the future relevance of mental health care for population mental health].
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
P Bracke
{"title":"[On the future relevance of mental health care for population mental health].","authors":"P Bracke","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Opinions differ on the societal importance of mental health care (GGZ) and the direction it should take. Is there a need for prevention targeting high-risk health groups, should more attention be paid to precision psychiatry, or is the focus better placed on promoting a mentally healthy lifestyle or accessible care in disadvantaged neighborhoods?</p><p><strong>Aim: </strong>To outline the social importance of mental health care from three perspectives: the biomedical-clinical approach, the moral-philosophical, social-critical perspective and an approach that emphasizes social inequality and disadvantage. Further I reflect on the possible importance of some innovations in mental health care for future general mental health.</p><p><strong>Method: </strong>Literature review and consideration.</p><p><strong>Results: </strong>Questions about the social importance of mental health care and the future direction of mental health care are typically viewed from a biomedical and clinical perspective, with the assumption that what benefits patients is also the most direct path to improved public mental health. However, other narratives also dominate the discussion, such as socio-critical approaches or perspectives emphasizing social inequality and marginalization.</p><p><strong>Conclusion: </strong>Anyone who examines these approaches from a public health perspective must conclude that many innovations in mental health care are largely irrelevant to public mental health, despite their impact on the relationship between society and mental health care.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"124-128"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574060","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 psychiatry residency program: looking 10 years ahead].
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
D W Strijbos, A W Braam, P K H Deschamps, G Glas, U Klumpers
{"title":"[The psychiatry residency program: looking 10 years ahead].","authors":"D W Strijbos, A W Braam, P K H Deschamps, G Glas, U Klumpers","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Against the background of societal, technological and scientific developments, residency training programs anticipate changes in mental health care and its implications for the professional role of psychiatrists.</p><p><strong>Aim: </strong>To sketch expected developments in (inter)national residency training programs in psychiatry the next ten years.</p><p><strong>Method: </strong>Literature study and extrapolation of (inter)national plans regarding medical residency training programs.</p><p><strong>Results: </strong>The next ten years we expect more emphasis on the following topics: a new balance between generalist and specialist medical competences and a shift towards more interdisciplinary learning, sustainable employability (&lsquo;lifelong learning&rsquo;, psychological safety, professional balance), scientific education with a focus on translation and pluriformity, and international collaboration CONCLUSION: New (inter)national plans for residency programs in psychiatry aim to prepare psychiatrists to appropriately respond to the increasing societal demand for mental health care while keeping an eye on their own sustained employability.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"110-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574096","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
[Verplichte zorg bij een wilsonbekwame zwangere: maatwerk met respect voor mensenrechten]. [对有能力的孕妇的强制性照顾:尊重人权的定制工作]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
J A Godschalx-Dekker, W Duijst
{"title":"[Verplichte zorg bij een wilsonbekwame zwangere: maatwerk met respect voor mensenrechten].","authors":"J A Godschalx-Dekker, W Duijst","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"13-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011956","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 2025]. [2025年的杂志]。
Tijdschrift voor psychiatrie Pub Date : 2025-01-01
H L Van
{"title":"[Het Tijdschrift in 2025].","authors":"H L Van","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012013","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
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