Tijdschrift voor psychiatrie最新文献

{"title":"[Later is too late: why psychiatrists must take action today for patients and the climate].","authors":"D S Everaerd, P Lagerweij, L Klok, J Zinkstok","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Climate change is a pressing issue, with significant effects also in Europe. In particular younger generations will face negative consequences of climate change, including impact on mental health. Therefore, climate change is relevant to psychiatrists.</p><p><strong>Aim: </strong>In this article, we explain how climate change leads to mental health problems and what psychiatrists can do.</p><p><strong>Method: </strong>Overview based on a recent European position paper on the consequences of climate change for mental health and recent literature RESULTS: Climate change leads to mental health problems on multiple levels: through direct consequences of disasters (for example, traumatization), as well as the effects of heat on mental health and adverse effects on social and societal determinants of mental health. These effects are most likely greatest in non-Western countries, where resources are limited. Additionally, there are mental complaints due to an increase in climate anxiety, especially among young people.</p><p><strong>Conclusion: </strong>We call on the field of psychiatry to increase and share interdisciplinary knowledge and take actions to prepare for the consequences of climate change. Actions are needed at multiple levels including preparing direct patient care for effects of climate change (e.g., preparing for heatwaves), reducing further climate change (moving towards sustainable health care systems), and by influencing the public debate.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"129-133"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573881","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":"[ECT in patients with deep brain stimulation: The first cases in the Netherlands].","authors":"G J J Mol, T Goedemans, S Rutten, I O Bergfeld, M S Oudijn, F de Wit, L Aben, D S Scheepens, K W F Scheepstra, E C Puts, V J J Odekerken, R H N Prins, M Bot, P van den Munckhof, A Lok, R J T Mocking","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Electroconvulsive therapy (ECT) is among the most effective treatments for severe depression. However, there is a lack of research regarding its safety and efficacy in patients with deep brain stimulation (DBS). While the available clinical data does not indicate safety concerns, clinicians are often cautious due to theoretical risks and manufacturer warnings. However with a growing number of patients receiving DBS, the group that could benefit from ECT is expanding. In this report, we present the first two cases in the Netherlands in which ECT was administered to patients with DBS. Our findings suggest that ECT can be safely and effectively administered when the DBS system is switched off during ECT-stimulus. Clinically, this means that these patients should not be excluded from ECT but instead referred to specialized centers for evaluation and care.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 5","pages":"291-295"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555021","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":"[Extent of consensus on the occurrence of violence among couples undergoing treatment for partner violence].","authors":"J Wilpert, H Schepers, J van Horn, N Buitelaar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>In relationships where partner violence occurs, the agreement between partners about the violence is often low. This can have various causes and implications.</p><p><strong>Aim: </strong>To investigate what partners in outpatient forensic treatment for intimate partner violence report about the occurring violence and if indications for psychopathology are related to differences in reporting.</p><p><strong>Method: </strong>Seventy couples, of which the man had entered intimate partner violence treatment, completed questionnaires about the severity and frequency of different types of violence by themselves and their partners and psychopathology.</p><p><strong>Results: </strong>There was poor to moderate agreement between intimate partner violence reports of women and men. Women reported more violence than their partners attributed to them, men less. There was more agreement about violence by women than about violence by men. In addition, some indications of psychopathology appear to be moderately or weakly positively correlated with differences in reporting.</p><p><strong>Conclusion: </strong>It&rsquo;s valuable to gather information from both partners regarding any violence involved and to explore how differences in their accounts might impact (both the content and approach of) the treatment.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 6","pages":"327-332"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817461","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":"[Oyster care: a qualitative study to explore the experiences of caregivers].","authors":"A van den Bosch, N Martens, M Destoop, K Van den Broeck","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Deinstitutionalization of care is an important trend in the mental healthcare landscape. However, due to the severity and chronicity of their condition, treating persons with a severe and persistent mental illness (SPMI) in community services is difficult. This puts them at risk of being the victim of therapeutic persistence in residential care: they are repeatedly exposed to the same treatment, without achieving the desired results. To counter this, the concept of oyster care was developed.</p><p><strong>Aim: </strong>To explore the experiences of caregivers who work with patients with an SPMI, and how they integrate oyster care into their work based on these experiences.</p><p><strong>Method: </strong>12 caregivers working at a ward for patients with an SPMI participated in an individual, qualitative, semi-structured interview. The interviews were subjected to a thematic analysis.</p><p><strong>Results: </strong>Caregivers indicated that they found working with SPMI patients challenging but experience job satisfaction at the same time. Regarding the concept of oyster care, it appeared this concept was mainly developed &lsquo;bottom-up&rsquo;, and that various tools and guidelines had already been distilled from good practices. From the results of this study, several recommendations could be made to improve the quality of care to patients with an SPMI.</p><p><strong>Conclusion: </strong>At policy level, there are still several opportunities regarding oyster care. These opportunities mainly concern a more targeted organization of people and resources. This encompasses offering non-verbal therapies (music therapy, creative therapy, psychomotor therapy, etc.), expanding the presence of physicians on the ward, converting isolation rooms into seclusion areas, and providing sufficient trained staff so that care providers can take the time that patients with an SPMI need. Validating these opportunities could contribute to providing a higher quality of care that better meets the needs of patients who, because of complex mental suffering with resistance to standard treatments, find it difficult to find their place within (and outside) long-term mental healthcare. In addition, such initiatives could have a positive impact on the workload experienced by caregivers and, consequently, on staff retention, which is currently problematic at wards for patients with an SPMI.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 6","pages":"333-339"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817463","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":"[Network care: what are we waiting for?]","authors":"K Hagoort, J J van Os, F E Scheepers","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>For years, enhanced collaboration within networks has been frequently suggested as a solution to the challenges in mental health care. Nevertheless, the practical implementation has been slow.</p><p><strong>Aim: </strong>To understand why the translation of network care from policy to practice is so challenging, and to identify entry points to overcome these obstacles.</p><p><strong>Method: </strong>We examine the intended transformation and its bottlenecks from the perspectives of care, innovation, change, and governance to gain insights into useful action perspectives.</p><p><strong>Results: </strong>From a care perspective, a shared understanding of what network care demands from all network members is helpful. Network care proves to be a complex innovation that requires courage from the board of directors and perseverance of all stakeholders. An incremental change approach within the existing organizational structure will facilitate the transition to network care. From a governance perspective, it is important to place the fundamental principles of quality care at the forefront and to reflect on previous mental healthcare reforms.</p><p><strong>Conclusion: </strong>To establish network care as the new standard practice, sustained efforts are required from both organizations and individual professionals within care networks.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"80-83"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573959","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":"[The psychiatric trainees are the future of psychiatry in Europe].","authors":"L Gezels, M J Konings","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The European Federation of Psychiatric Trainees (EFPT) connects national trainees&rsquo; associations across Europe, fostering collaboration and knowledge exchange among psychiatric trainees. Currently, significant variations exist in training duration, examination requirements, and supervision methods, impacting both training quality and access to mental healthcare.</p><p><strong>Aim: </strong>To inform about the EFPT, as today&rsquo;s psychiatric trainees represent Europe&rsquo;s future psychiatrists. By exploring trainees&rsquo; experiences and training structures, a clearer view of psychiatry&rsquo;s future can emerge.</p><p><strong>Method: </strong>To describe the EFPT organization (including member states, annual forum, working groups, and exchange programs), as well as the structure and content of psychiatric training across various European countries.</p><p><strong>Results: </strong>The EFPT organizes an annual forum that serves as a platform for knowledge exchange and policy development. Its working groups address specific themes within psychiatry, thereby offering valuable insight into training across different European countries.</p><p><strong>Conclusion: </strong>The EFPT plays an essential role in improving training quality through knowledge sharing and collaboration. Developing a standardized, competency-based curriculum that considers the diverse healthcare needs of member states is crucial for harmonizing training standards and improving mental healthcare across Europe.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"115-119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574084","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 effective public mental health care in the 21st century].","authors":"A Popma","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>For long, people have been advocating for an overarching national long-term plan for prevention of mental health problems. However, such a plan is still lacking in the Netherlands.</p><p><strong>Aim: </strong>An exercise was conducted exploring societal trends that may support the idea that a public movement strong enough to make on overarching long-term plan could be feasible in the coming years, notwithstanding the current political climate in which prevention doesn&rsquo;t seem to be high on the agenda.</p><p><strong>Method: </strong>A literature search for elements that could facilitate this overarching multi-tier plan.</p><p><strong>Results: </strong>Ten factors could contribute to the development of a collective plan: enormous burden of disease due to mental problems; great public awareness; ready-made conceptual framework; focus on well-being and health; the anchoring of the calculation of the costs and benefits for prevention in law; compelling scarcity; broadly supported prevention plan; digital personalized prevention; broad leadership and resistance among professionals; shift of attention: from individual to system.</p><p><strong>Conclusion: </strong>There are sufficient reasons to assume that on overarching plan for prevention prevention of mental health problems could be currently feasible. Therefore, collective action of the broad field of psychiatry is warranted.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"72-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574008","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":"[Diagnosis and treatment of conversion symptoms in the 1960s in Amsterdam].","authors":"M Vermeulen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>According to Piet Kuiper, professor of psychiatry, conversion phenomena are more common in films and novels in Amsterdam in the 1960s than in outpatient clinics.</p><p><strong>Aim: </strong>To find out whether the neurologist Waterman has observed conversion phenomena in the 1960s; how he made this diagnosis, and what therapy did he use?</p><p><strong>Method: </strong>Research of Waterman&rsquo;s patient files from the 1960s in Amsterdam.</p><p><strong>Results: </strong>In a group of 3372 patients, Waterman diagnosed hysterical or psychogenic neurological symptoms in 555 (16%) patients. Of these patients, 6.85% was eligible for psychoanalytic therapy. Waterman treated 54.95% of these patients with benzodiazepines and 25.77% with tricyclic antidepressants.</p><p><strong>Conclusion: </strong>In the 1960s, Waterman cannot refer 93% of his patients for psychoanalytic therapy, which according to Kuiper is necessary for the diagnosis and therapy of conversion disorder. This explains why the psychoanalyst Kuiper hardly sees patients with conversion symptoms. Waterman opts for symptomatic therapy for psychogenic neurological symptoms. He treats 4 out of 5 of his patients with pharmaceuticals. The beneficial effect he has observed may be a result of removing the concern about the symptoms by prescribing medication.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 3","pages":"164-168"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754608","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":"[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}

{"title":"[Recurrent fugues, also consider epilepsy].","authors":"J Broekmeulen, J Schulkens, C de Leeuw, E I Hoff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We discuss an interesting case of a 65-year-old man with multiple dissociative episodes which previously had been assessed as fugues. After evaluation in the memory clinic these episodes appeared to be generalized epileptic seizures, with an electro-encephalographic diagnosis of non-convulsive status epilepticus. Throughout this case, the different features that characterize an epileptic versus a psychiatric etiology are being discussed as well as other differential diagnostic considerations. A non-convulsive status epilepticus is a treatable disease which can being missed often. With this case, we intend to create awareness and clues to recognize this disease.</p>","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012029","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}