Tijdschrift voor psychiatrie最新文献_第5页

[Psychiatry connected to society: leading force in the socio-ecological crisis]. [精神病学与社会的联系：社会生态危机的主导力量]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

P M C Kraanen

{"title":"[Psychiatry connected to society: leading force in the socio-ecological crisis].","authors":"P M C Kraanen","doi":"","DOIUrl":"","url":null,"abstract":"Background: We are in the midst of a socio-ecological crisis that profoundly impacts collective well-being. Psychiatry, deeply intertwined with social contexts, faces the challenge of understanding and treating mental health issues in a world under structural pressure.Aim: To highlight the role of psychiatry in understanding, treating, and supporting patients experiencing the psychological effects of this polycrisis.Method: By analyzing current social and ecological developments, the article emphasizes the need for a contextual approach to psychiatry. It integrates theories from Arie Querido and Frantz Fanon with contemporary challenges.Results: The climate crisis is linked to increasing mental health issues, such as anxiety and depression. Collective action and social cohesion emerge as protective factors that promote resilience and well-being.Conclusion: The article asserts psychiatry’s crucial responsibility in addressing the mental health consequences of the socio-ecological crisis. It calls for renewed social engagement, emphasizing connection, community-based interventions, and the strengthening of social bonds.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 5","pages":"278-290"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555025","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

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

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

引用次数: 0

[The Pill Battle in psychiatry; past, present and future of the medication revolution in mental health care]. 精神病学中的药片之争；精神卫生保健药物革命的过去、现在和未来]。

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":"Background: The explosive growth after 1945 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.Aim: Sketching the impact of these developments on the field of work of Dutch mental health care.Method: Analysis of historiography of psychotropic drug use and its broader social context; supplemented with primary source material, mainly psychiatric medication narratives.Results: 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’ lack of medication adherence and their self-medication with alcohol and drugs.Conclusion: 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.","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

[Hoe stevig is de wetenschappelijke basis van het concept positieve gezondheid?] 积极健康概念的科学基础有多牢固?]

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

C H Vinkers, C L Chiu

引用次数: 0

[Hersteld of niet hersteld? Hoe cannabis mijn herstel van psychose bevorderd heeft]. [恢复还是没有恢复?大麻如何帮助我从精神病中恢复。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

P Tomlinson

引用次数: 0

[Towards public mental health care: the recovery-oriented chat of PsychoseNet.nl]. [走向公共精神卫生保健：《心理》杂志的康复对话]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

S van Duijn, J van Os

{"title":"[Towards public mental health care: the recovery-oriented chat of PsychoseNet.nl].","authors":"S van Duijn, J van Os","doi":"","DOIUrl":"","url":null,"abstract":"Background: E-health and e-communities, such as <a href=\"http://PsychoseNet.nl\">PsychoseNet.nl</a>, can play a central role in creating a sustainable public mental health care system. These platforms combine information sharing, peer support, and accessible help services, with the goal of promoting empowerment and recovery.Aim: To explore the impact of the recovery-supportive chat function of <a href=\"http://PsychoseNet.nl\">PsychoseNet.nl</a> as an accessible tool for individuals with mental health vulnerabilities, and to examine its potential role within the broader mental health care ecosystem.Method: An analysis of the recovery-supportive chat function, using conversation reports, user and staff evaluations, and a description of implementation and supervision processes. The approach is recovery- and development-oriented.Results: Between 2020 and 2024, the chat grew from 100 to 1,300 conversations per month. Visitors find the chat highly meaningful and useful. The ‘5x trajectory’ offers more in-depth support. The chat serves as a bridge to mental health care, an alternative during waitlists, and a low-threshold advice or self-help channel.Conclusion: The recovery-oriented chat of <a href=\"http://PsychoseNet.nl\">PsychoseNet.nl</a> provides a valuable addition to traditional mental health care by offering anonymous, accessible, and empowerment-enhancing support. A chat function focused on recovery and relational connection within an online community represents an innovative public mental health intervention. Further expansion and integration into other e-communities and mental health care models could contribute to a sustainable and accessible public mental health care system.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 5","pages":"273-279"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555027","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

[Systematic decision-making can help in ending long-term treatments]. [系统的决策可以帮助结束长期治疗]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

F Poolen, J Verhoeven, D J F van Schaik, M J Reinders, M T van der Wart, C H Vinkers

{"title":"[Systematic decision-making can help in ending long-term treatments].","authors":"F Poolen, J Verhoeven, D J F van Schaik, M J Reinders, M T van der Wart, C H Vinkers","doi":"","DOIUrl":"","url":null,"abstract":"Background: The professional literature places considerable emphasis on the content of treatments, yet relatively little attention is given to their conclusion. When should a treatment be terminated, and how? In practice, there are few guidelines for ending treatment, particularly in the case of long-term interventions that may no longer significantly contribute to further improvement. A careful conclusion is, however, an essential component of any treatment. Due to a lack of attention to the termination process, treatments may continue longer than necessary, resulting in higher costs. Consequently, patients on waiting lists experience delays in accessing care.Aim: To describe and evaluate a method by which long-term treatments can be systematically assessed and, when appropriate, brought to a conclusion.Method: A description of the multidisciplinary ‘outtake afternoon’ at the TOPGGz depression outpatient clinic of GGZ inGeest, the use of an outtake form, and the results of this approach.Results: A total of 65 patients were reviewed, with an average treatment duration of 79 weeks. In just over half of the cases (54%), the evaluation prompted the initiation of a discharge trajectory. Of the patients for whom such a trajectory was initiated, 50% were formally discharged from the outpatient clinic within three months. In addition, relevant problems and dilemmas could be clearly articulated, and clinicians reported feeling supported in their decision-making and actions through this approach.Conclusion: Periodic, systematic evaluation of long-term treatments can facilitate their timely and appropriate conclusion.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"403-406"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138848","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

[Liothyronine augmentation in depression]. [抑郁症中碘甲状腺原氨酸的增加]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

A Post, J H Hoogeveen

{"title":"[Liothyronine augmentation in depression].","authors":"A Post, J H Hoogeveen","doi":"","DOIUrl":"","url":null,"abstract":"Background: The revised Dutch Multidisciplinary Guideline for Depression recommends liothyronine (T3) augmentation to selective serotonin reuptake inhibitors (SSRIs) as one of several third-line treatment options for moderate to severe depression, the others being lithium and atypical antipsychotics. The guideline refers to two network meta-analyses demonstrating efficacy.Aim: To evaluate the evidence for efficacy of T3 augmentation to SSRIs in depression.Method: A PubMed and Cochrane Central search was conducted for controlled trials investigating T3 added to an SSRI.Results: Seven studies were identified, three assessing augmentation and four examining co-initiation. Among the augmentation studies, only one was placebo-controlled and found no significant T3 effect. Of the two active-controlled trials, one open-label study suggested better efficacy than lithium, while the other did not specify whether T3 or T4 was used (dose suggested T4) and showed similar efficacy to other augmentation options. The co-initiation trials reported conflicting results, ranging from better outcomes with T3 to no difference or trend toward worse outcomes.Conclusion: The efficacy of T3 augmentation to an SSRI is not yet sufficiently established. Network meta-analyses are based primarily on active-controlled studies. Given the potential role of T3, a long-term, placebo-controlled trial is needed to clarify the effectiveness of T3 augmentation to an SSRI.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"387-392"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138826","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