Tijdschrift voor psychiatrie最新文献

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[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
{"title":"[Ernstige psychiatrie past niet in hokjes: hoe maken we ruimte voor de zorg voor de EPA-doelgroep?]","authors":"L Wunderink","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 7","pages":"343-345"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508553","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
[Development and learning outcomes of an e-learning ECT for psychiatry residents]. [为精神科住院医师提供的电子学习 ECT 的开发和学习成果]。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
E M Dijkstra, R J Duvivier, J A van Waarde
{"title":"[Development and learning outcomes of an e-learning ECT for psychiatry residents].","authors":"E M Dijkstra, R J Duvivier, J A van Waarde","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Education in electroconvulsive therapy (ECT) has become mandatory in the Dutch psychiatry training. ECT is still relatively rarely used. To increase knowledge about ECT, we have developed a training module about ECT for psychiatrist training. To promote flexible learning, we opted for e-learning, where educational principles have been applied in the design.</p><p><strong>Aim: </strong>In this article we discuss how this e-learning ECT was developed and analyze the learning outcomes for psychiatry residents.</p><p><strong>Method: </strong>The e-learning has been developed based on the ADDIE model and consists of an entrance test, various assignments and a final test. The learning outcomes of the first 216 residents have been analyzed quantitatively and qualitatively using test results, self-assessments of their expertise in ECT (before and after) and evaluations.</p><p><strong>Results: </strong>Of the participating residents, 94% found this education relevant to practice. The e-learning was rated with an average of 8.3. Afterwards, one&rsquo;s own knowledge about ECT was estimated to be significantly higher than before. Afterwards, 72% thought they can indicate ECT more quickly and 99% reported that they can better inform patients and families about ECT.</p><p><strong>Conclusion: </strong>The e-learning ECT is appreciated by residents and leads to an experienced improvement in knowledge about ECT.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 5","pages":"252-258"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005343","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 2024]. [2024 年的杂志]
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
H L Van
{"title":"[Het Tijdschrift in 2024].","authors":"H L Van","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 1","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913481","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 revised version of the Y-BOCS: responsivity and other psychometric properties]. [Y-BOCS修订版:反应性和其他心理测量特性]。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
A S de Leeuw, M Alić, J Selier, H J G M van Megen, H A Visser
{"title":"[The revised version of the Y-BOCS: responsivity and other psychometric properties].","authors":"A S de Leeuw, M Alić, J Selier, H J G M van Megen, H A Visser","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) is a widely used semi structured clinician-rated interview to assess the presence and severity of obsessive-compulsive disorder (OCD). The scale is revised (Y-BOCS-II) to overcome several psychometric limitations, for example by extending the scoring for better discrimination within higher severity levels.</p><p><strong>Aim: </strong>To examine the responsiveness and other psychometric properties of the Y-BOCS-II in a Dutch clinical sample.</p><p><strong>Method: </strong>The Y-BOCS-II was translated into Dutch (Y-BOCS-II) and administered to 110 patients seeking therapy for OCD. This was done twice, before and after treatment. The original Y-BOCS was simultaneously rated. Self-report measures regarding depression, symptom severity and OCD symptoms were assessed.</p><p><strong>Results: </strong>The Y-BOCS-II had a good internal consistency (Cronbach&rsquo;s <span class=\"CharOverride-1\">&alpha;</span> = 0.84), test-retest (ICC = 0.81) and inter-rater reliability (ICC = 0.94). The construct validity proved to be modest to good. The responsiveness over time was in favour of the Y-BOCS-II, compared with the YBOCS-I, particularly in the severely affected OCD patients.</p><p><strong>Conclusion: </strong>The Y-BOCS-II severity scale is a reliable and valid instrument for accurately assessing the severity of OCD symptoms and for measuring treatment-induced change. This second version also has clinical and psychometric advantages over the YBOCS-I. When these findings are sufficiently replicated, use of the YBOCS-II as the new common standard seems recommendable.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913486","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
[Ethics and law in the application of new technology in forensic psychiatry]. [法医精神病学新技术应用中的伦理与法律]。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
H Kip, S L T J Ligthart, G Meynen
{"title":"[Ethics and law in the application of new technology in forensic psychiatry].","authors":"H Kip, S L T J Ligthart, G Meynen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><span class=\"Bold\"> Background</span> Technological innovations often come hand in hand with ethical and legal challenges. This especially applies to forensic psychiatry due to its legal framework and the often accompanying obligatory nature of treatment. <span class=\"Bold\"> Aim</span> To identify ethical and legal considerations related to new, non-linguistic technologies in which little to no written language is used, in a forensic psychiatric context. <span class=\"Bold\"> Method</span> A concise ethical and legal analysis of several emerging technologies that can (potentially) be applied within forensic psychiatry, based on relevant scientific literature. <span class=\"Bold\"> Results</span> Technologies such as virtual reality, biosensors, and neuro-interventions offer possibilities to improve forensic psychiatric treatment. However, little is known about their effectiveness and integration into treatment, but also regarding ethical and legal aspects. For each technology, we discuss three important considerations, amongst which persuasiveness, informed consent, privacy, data ownership, and mental integrity. These topics serve as starting points for future research. <span class=\"Bold\"> Conclusion</span> To gain timely insight into ethical and legal considerations and incorporate them into development and implementation processes, it is important to integrate knowledge from ethicists, lawyers, healthcare providers, patients, researchers, technology developers, and policymakers.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 2","pages":"91-96"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176602","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
[Multiple sclerosis and bipolar disorder: an overlap between soma and psyche]. [多发性硬化症与双相情感障碍:肉体与精神的重叠]。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
K N Rennert, T J Verduijn, D G H Krol
{"title":"[Multiple sclerosis and bipolar disorder: an overlap between soma and psyche].","authors":"K N Rennert, T J Verduijn, D G H Krol","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This clinical vignette describes a 29-year-old woman who had her first neurological manifestations of multiple sclerosis (MS) on the same day as a second lifetime manic episode as part of a bipolar I disorder. The patient was stable for eight years before this episode. An MRI-scan conducted during admission showed multiple demyelinating lesions in the frontal cortex, which might have influenced the development and course of the manic episode. Her manic symptoms went into remission during the same time as her neurological symptoms. This clinical vignette with literature review is an illustration of the interesting, yet still unknown relationship between MS and affective disorders, where one might be influenced by the other but also have a common pathophysiology. This highlights that the dividing line between neurology and psychiatry, whose pathophysiology often takes place in the same organ, is often arbitrary.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 3","pages":"165-167"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858052","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
[Tieners, schermen en smartphones: wat zegt de wetenschap?] [青少年、屏幕和智能手机:科学怎么说?]
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
J Zinkstok
{"title":"[Tieners, schermen en smartphones: wat zegt de wetenschap?]","authors":"J Zinkstok","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 2","pages":"63-65"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176637","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
[Complex dynamical systems in psychiatry: an integrative approach]. [精神病学中的复杂动力系统:一种综合方法]。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
B G C Sabbe, E J Giltay
{"title":"[Complex dynamical systems in psychiatry: an integrative approach].","authors":"B G C Sabbe, E J Giltay","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Psychiatry may currently hold unprecedented knowledge in the diagnosis and treatment of psychiatric conditions. Yet, there is a widely held belief that this knowledge is not adequately integrated, nor does it fully account for the complexity of the phenomena under study.</p><p><strong>Objective: </strong>To assess the effectiveness of a system-oriented and network-focused approach in capturing and integrating the complexity of psychiatric disorders. Next, to explore the epistemological implications of such an approach.</p><p><strong>Method: </strong>Narrative literature review.</p><p><strong>Results: </strong>Psychiatric research is still too often characterized by reductionism, linear-causal pathogenesis, and traditional nosology. There appears to be a need for a different metatheoretical model in psychiatry.</p><p><strong>Conclusion: </strong>The development from General System Theory to complex dynamic systems thinking and network theory holds significant epistemological implications for the future of the field, how we conduct science, and the way we frame and structure our care systems.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 5","pages":"259-264"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005342","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
[Professionalism in psychiatry: looking both inward and outward]. 精神病学的专业性:向内和向外看。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
D W Strijbos
{"title":"[Professionalism in psychiatry: looking both inward and outward].","authors":"D W Strijbos","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Present challenges in (Dutch) mental health care touch upon the core of the social contract between the profession and society. This urges an explicit account of professionalism in psychiatry.</p><p><strong>Aim: </strong>To present an integral model of medical professionalism in psychiatry.</p><p><strong>Method: </strong>Conceptual analysis on the basis of sociological, philosophical and medical education literature.</p><p><strong>Results: </strong>Professionalism can be analyzed in terms of 1) a set of competences, 2) an internalized professional identity 3) a collective professional practice that embodies the social contract.</p><p><strong>Conclusion: </strong>Professionalism in psychiatry requires both an internal and an external focus &ndash; an attunement of one&rsquo;s expertise to both one&rsquo;s own professional values and ambitions and society&rsquo;s (future) needs.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 9","pages":"544-547"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923282","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
[Social media restriction: caselaw from the new Dutch Compulsory Mental Healthcare Act]. [社交媒体限制:荷兰新《强制精神保健法》判例]。
Tijdschrift voor psychiatrie Pub Date : 2024-01-01
J A Godschalx-Dekker, S A Pronk, F L Gerritse, J J C van der Spelt, W N K A van Mook
{"title":"[Social media restriction: caselaw from the new Dutch Compulsory Mental Healthcare Act].","authors":"J A Godschalx-Dekker, S A Pronk, F L Gerritse, J J C van der Spelt, W N K A van Mook","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Patients use social media on a daily basis, and they can be restricted under the new Dutch Compulsory Mental Healthcare Act.</p><p><strong>Aim: </strong>To describe which social media behaviors of psychiatric patients were rightfully restricted by health care professionals and reveal underlying reasons.</p><p><strong>Method: </strong>We searched for law cases of the courts of first instance and decisions of boards on patients&rsquo; complaints from implementation of the new act (2020-2023) about patients&rsquo; behaviors related to social media in two open source databases.</p><p><strong>Results: </strong>We found 38 cases on patients&rsquo; behaviors related to social media. Most cases included patients with (manic) psychotic episodes. Social media restrictions were applied to prevent or surcease several types of behaviors creating harm for self and others, such as exploitation, social decline, protection of privacy and safety of healthcare personal, or threats towards others. Altered patient&rsquo;s interactions on social media, signal early symptoms related to decompensation.</p><p><strong>Conclusion: </strong>Restrictions on the patient&rsquo;s use of social media are accepted by law in inpatients with manic psychotic episodes and effective in preventing several forms of detriment. Monitoring social media might be relevant for diagnostics or self-signaling. Self-binding statements should consider requirements to restrict social media use in times of decompensation or self-damaging tendencies.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 10","pages":"573-578"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923160","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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