{"title":"[AI en psychiatrische wetenschappelijke literatuur: kans of uitdaging?]","authors":"T Pattyn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"153-154"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754524","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}
{"title":"[Wat ondeugd ons leert over professionaliteit].","authors":"J A Godschalx-Dekker, W N K A van Mook","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"157-158"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754620","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}
{"title":"[Consultation as a bridge between child and adolescent psychiatry and primary and secondary care].","authors":"E M Spruit, L A Nooteboom, E P L van Well","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Consultation from child and adolescent psychiatry (CAP) to primary and secondary mental health care providers offers a promising means of ensuring appropriate and timely care for youth with mental health problems. The possibility of (advisory) consultation can enhance the competencies of primary and secondary mental health care professionals, reduce (unnecessary) referrals to CAP, and thus improve continuity of care.</p><p><strong>Aim: </strong>Evaluate the consultation and advice team (CAT) within a CAP institution, to gain insight into its processes and the experiences of both consultees and consulters.</p><p><strong>Method: </strong>Thematic analysis was conducted on 9 semi-structured interviews with consultees and consulters and 5 observations of CAT meetings. Additionally, a descriptive analysis was conducted on data from 21 consultation forms.</p><p><strong>Results: </strong>The CAT was perceived as valuable by both consultees and consulters. Consultees felt more competent following consultation, while consulters were satisfied with CAT’s work process. Analysis of the consultation forms indicated that only one youth was referred to CAP after CAT consultation.</p><p><strong>Conclusion: </strong>The CAT appears to be a promising approach for bridging the gap between CAP and primary and secondary youth mental health care. This evaluation provides practical insights for further developing this form of consultation within CAP.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 6","pages":"321-326"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817459","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}
{"title":"[Neurosteroids as treatment of postpartum depression: a critical literature review].","authors":"J Sondervan, A Hostens, G Lemmens","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Brexanolone (Zulresso) and zuranolone (Zurzuvae) are two synthetic neuroactive steroids that were approved by the U.S. Food and Drug Administration in March 2019 (as an intravenous treatment) and August 2023 (as an oral treatment) respectively, for the treatment of postpartum depression. To date, these products are not available in Belgium and The Netherlands.</p><p><strong>Aim: </strong>To evaluate the effectiveness and side effects of brexanolone and zuranolone in the treatment of postpartum depression through the evaluation of previous double-blind placebo-controlled trials.</p><p><strong>Method: </strong>A clinically oriented literature study.</p><p><strong>Results: </strong>Brexanolone and zuranolone are effective in the treatment of postpartum depression with a clinically significant rapid response compared to placebo. The main reported side effects are dizziness, somnolence, and sedation.</p><p><strong>Conclusion: </strong>Placebo-controlled studies support the effectiveness of treatment with brexanolone and zuranolone in postpartum depression, showing a rapid and statistically significant improvement in mood symptoms. However, the place of neurosteroids in practice is still unclear and needs to be clarified by future research and clinical experience.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060822","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}
{"title":"[Methylphenidate and lisdexamfetamine toxicity in a patient with ADHD after gastric bypass].","authors":"A Doyle, S Stes, E Berkmans, M Destoop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effects of gastric bypass on the efficacy of methylphenidate remain underexplored. Existing postoperative reports predominantly describe either unchanged or diminished efficacy, with only one prior case report documenting intoxication. We describe the case of a female patient exhibiting clinical signs of methylphenidate intoxication several weeks after a Roux-en-Y gastric bypass, followed by a similar reaction to a low dose of lisdexamfetamine. This is followed by a summary of postoperative changes reported in the literature regarding the effectiveness of methylphenidate and lisdexamfetamine, alongside an exploration of potential mechanisms for altered methylphenidate efficacy. As these changes remain incompletely understood, it is advised to closely monitor patients restarting methylphenidate or lisdexamfetamine post-gastric bypass for up to six months.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 4","pages":"244-247"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209608","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}
{"title":"[De psychiater als activist].","authors":"G Glas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 6","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817460","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}
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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>To determine whether there is a difference in relapse rates between PD and NPD, and which treatment is associated with the lowest relapse rate.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}
{"title":"[Towards a future-proof psychotherapy: some recommendations].","authors":"W J M W Cuijpers","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Mental health care has improved considerably over the past decades, maar there are also still too many people who do not get better or too late.</p><p><strong>Results: </strong>In order to further improve psychological treatments, we can do several things. We can do more research on mechanisms of change, develop interventions that are scalable (for use in low- and middle-income countries), and we can personalize treatments with innovative machine learning techniques and ‘individual patient data’ (network) meta-analyses. We should not develop new general therapies, because they are typically not better than the ones that already existed. We should develop new therapies for more complex problems, like chronic conditions and comorbid disorders. We should also think of sequential treatments because many patients do not respond after the first treatment.</p><p><strong>Conclusion: </strong>If we could make all these improvements, we could much faster provide treatments to patients to which they respond, we could reduce drop-out and make mental health care much more efficient.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"68-71"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574006","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}
M Russcher, J van Breeschoten, R Moss, J G W Kosterink, F Mermi, B van de Lagemaat, M Bakker, S R T Veerman
{"title":"[Zorgen om de beschikbaarheid van het olanzapinedepot in Nederland].","authors":"M Russcher, J van Breeschoten, R Moss, J G W Kosterink, F Mermi, B van de Lagemaat, M Bakker, S R T Veerman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 4","pages":"216-219"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209609","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}
{"title":"[Triadic mirror meetings; experiences of clients, relatives and care professionals].","authors":"R Aarts, C Muusse, C Kuiper, M B de Koning","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The care for service users with severe mental illness is evolving. In this, feedback is indispensable for improving quality. At four locations for long-term inpatient treatment in Amsterdam, triadic mirror meetings have been implemented, in which service users and family give feedback on received care in a group discussion. To evaluate this method, we conducted a qualitative study.</p><p><strong>Aim: </strong>To investigate the experiences of service users, family and healthcare professionals who participated in the mirror meetings.</p><p><strong>Method: </strong>Service users, family and healthcare professionals participated in a semi-structured interview about their experiences with the mirror meeting. The interviews were analyzed thematically.</p><p><strong>Results: </strong>The experiences of service users, family and healthcare professionals with mirror meetings in the triad were positive: they mentioned an increase in understanding of everyone’s perspective and a sense of equality, connection and shared learning. Service users and family also mentioned obstacles, such as insufficient preparation and lack of time.</p><p><strong>Conclusion: </strong>Triadic mirror meetings with service users and family are a useful method in long-term clinical care to collect feedback and improve the quality of care in an atmosphere of joint learning.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"375-379"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138844","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}