Tijdschrift voor psychiatrie最新文献_第7页

[Moving from the medical model in the present towards human centered care in the future]. [从现在的医疗模式转向未来以人为本的医疗模式]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

F P Velders

引用次数: 0

[Tomorrow's psychiatry for older adults: solutions for a future-proof care]. [面向老年人的未来精神病学：面向未来的护理解决方案]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

G J Hendriks, S Sobczak, M L Oudega, H Jeuring, E van Exel, D Rhebergen, R C Oude Voshaar

{"title":"[Tomorrow's psychiatry for older adults: solutions for a future-proof care].","authors":"G J Hendriks, S Sobczak, M L Oudega, H Jeuring, E van Exel, D Rhebergen, R C Oude Voshaar","doi":"","DOIUrl":"","url":null,"abstract":"Backgrund: Psychiatric disorders in older adults are underdiagnosed and undertreated, despite their high prevalence and significant impact on medical care utilisation. Given demographic developments and the limited number of specialised psychiatrists, an age-based mental health care division is not sustainable for the future. Which solutions are future-proof?Aim: To describe solutions for a future-proof psychiatry for older adults.Method: Literature review and consideration.Results: Future-proof care requires a strategic positioning of old age psychiatrists, focusing on their specific expertise at the intersection of psychiatry and somatics, neurocognitive disorders, the psychosocial characteristics of the third and fourth stages of life, and end-of-life care. This includes an effective role in early detection and consultation in general practice, guidance during transitions in the psychosocial context of individuals, transitions from vitality to physical frailty in mental health care, and within the somatic care chain involving general hospitals and long-term care facilities.Conclusion: For future-proof care, strategic positioning of the old age psychiatrist is desirable, as well as investments in research, education, network-based care, and digital technology to flexibly respond to the evolving care demands.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"84-88"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574100","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

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

引用次数: 0

[Trauma-focused treatments in people with personality disorders: comments on the evidence and on often-heard claims]. [人格障碍患者的创伤治疗：对证据和经常听到的说法的评论]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

J Hutsebaut, L M C van den Bosch

{"title":"[Trauma-focused treatments in people with personality disorders: comments on the evidence and on often-heard claims].","authors":"J Hutsebaut, L M C van den Bosch","doi":"","DOIUrl":"","url":null,"abstract":"Background: For several years, especially in the Netherlands, there has been a lot of attention for the use of trauma-focused treatments, such as EMDR, in the treatment of personality disorders. Trauma-focused treatments are said to be shorter, more directly focused on the etiology of the personality disorder and less stigmatizing. What evidence do we have for the role of trauma-focused treatment and how should that evidence be interpreted?Aim: To discuss and interpret in a balanced way the evidence for the role of trauma treatment in people with personality disorder and to discuss some comments on the commonly made distinction between trauma-focused and personality disorder treatment.Method: A pragmatic literature search was conducted and the results were placed in the context of the broader evidence in the treatment of personality disorders RESULTS: Trauma-focused treatments show positive treatment outcomes for a subset of people with personality disorder. There is no evidence that those outcomes are better than the outcomes of other brief treatments, nor is there evidence that these studies show that people truly recover from personality disorder in the broader sense.Conclusion: Short-term treatments, including trauma-focused treatments, can achieve important positive outcomes in people with personality disorder in the short term. Perhaps the active mechanisms behind trauma-focused treatment are not fundamentally different from the working mechanisms behind personality disorder treatment. In this regard, one of the most important aspects is that people can actively relate to their history. Also, as professionals, we must be careful not to paint clients too rosy a picture of the possible outcomes of brief treatments.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 7","pages":"393-398"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138895","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 future of the Belgian psychiatric patient according to the WPA-Lancet Commission]. [根据WPA-Lancet委员会，比利时精神病患者的未来]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

K R Goethals, G Dom

{"title":"[The future of the Belgian psychiatric patient according to the WPA-Lancet Commission].","authors":"K R Goethals, G Dom","doi":"","DOIUrl":"","url":null,"abstract":"Background: In 2017, the World Psychiatric Association-Lancet Psychiatry Commission on the future of psychiatry identified several priority areas for the next decade. Six major domains were distinguished, namely the patient and his treatment, psychiatry and healthcare systems, psychiatry and society, the future of mental health legislation, digital psychiatry and training the psychiatrist of the future. This essay examines the state of affairs in Belgium seven years after the publication of the above-mentioned document.Method: Testing the situation in Belgium based on scientific literature and policy documents, and on experience and opinion of the authors.Results: Psychiatry training and research are slow to keep up with demographic changes such as aging and cultural diversity. There is also a stark lack of capacity and competencies in clinical practice. The reforms within Belgian mental health care have received international appreciation in recent years. However, multi-stage care is still not getting off the ground. There is also insufficient capacity for outpatient care for patients with serious psychiatric disorders. In addition to the law on compulsory admission, the law on patient rights was renewed. Digital psychiatric care has hardly been rolled out. Finally, the training and education for the future psychiatrist is still based too much on knowledge transfer and not enough on the acquisition of skills.Conclusion: The World Health Organization and Europe praise the Belgian reforms regarding the socialization of healthcare. However, compared to future expectations for our field, a lot still needs to be done.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574027","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

[Cracks in the glass ceiling: an increase in female professors in psychiatry in the Netherlands]. [玻璃天花板的裂缝：荷兰精神病学女教授的增加]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

A B Koopmans, M Lancee, M H Rubbens-Özgen, M H J Hillegers, J Zinkstok, A Dols

{"title":"[Cracks in the glass ceiling: an increase in female professors in psychiatry in the Netherlands].","authors":"A B Koopmans, M Lancee, M H Rubbens-Özgen, M H J Hillegers, J Zinkstok, A Dols","doi":"","DOIUrl":"","url":null,"abstract":"Background: Despite major progress in women’s emancipation, women remain underrepresented in the highest academic positions.Aim: To 1. determine the percentage of female psychiatry professors affiliated with a university medical center (UMC), 2. analyze the increase in female psychiatry professors over the years relative to the number of female psychiatrists, and 3. provide a prognosis for future trends.Method: For this descriptive study we utilized data from the Dutch Association of Psychiatry and the Dutch UMC, and research questions were answered with descriptive analyses, correlation tests with a Pearson correlation coefficient and group comparisons with a two-tailed t-test. Results were presented graphically.Results: Out of 40 psychiatry professors in UMC, 14 were women (35%) and 26 were men (65%). A cautious forecast suggested this will rise to 43% by 2030. The average age at appointment for male professors was 46.3 years (SD 5.4), compared to 49 years (SD 5.6) for female professors (p = 0.17).Conclusion: Over the past two years, the percentage of female psychiatry professors has increased significantly by 11%. Despite the increase, this percentage remains low compared to the 54% of female psychiatrists in 2024 and does not keep pace with the growing number of female psychiatrists. We advocate for policies that promote diversity and inclusion, as these lead to higher quality research and does justice to our diverse patient population.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"67 2","pages":"89-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573764","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

[SIADH in a patient receiving quetiapine therapy]. [接受喹硫平治疗的患者的SIADH]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

A L'Ecluse, Y Balthasar, M Destoop

引用次数: 0

[Manic psychosis as a complication of coercive treatment in severe anorexia nervosa]. [重度神经性厌食症强制治疗的并发症躁狂精神病]。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

M M A Nelissen, K Hua, J van der Spelt, A Maat

引用次数: 0

[Palliative psychiatry; .an exploration]. [缓和精神病学;,探索)。

Tijdschrift voor psychiatrie Pub Date : 2025-01-01

J M Havenaar

引用次数: 0