Tijdschrift voor psychiatrie最新文献_第7页

[Recovery measure Individual Recovery Outcomes Counter (I.ROC): scoring on common metrics]. [康复措施个人康复成果计数器 (I.ROC)：通用指标评分]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

E de Beurs, M J Metz, L M W Nahar-van Venrooij

{"title":"[Recovery measure Individual Recovery Outcomes Counter (I.ROC): scoring on common metrics].","authors":"E de Beurs, M J Metz, L M W Nahar-van Venrooij","doi":"","DOIUrl":"","url":null,"abstract":"Background: In this article we provide norm scores for the I.ROC, an instrument for measuring recovery. Normative data from the general population are presented in the form of two common metrics: percentile rank (PR-)scores and T-scores. The pros and cons of both metrics are discussed and their relationship is considered.Method: The literature on the psychometric characteristics of the I.ROC is summarized. Data from a large sample from the Dutch general population were used to calculate T- and PR-scores. Two approaches for converting raw scores into T-scores were compared: a simple linear conversion and a conversion based on the curvilinear relationship of raw scores with normalized (rankit) T-scores.Results: The frequency distribution of raw scores on the I.ROC was approximately normal and a linear formula was sufficient for most raw scores. Only for very low scores did we find substantial differences between linear and normalized T-scores. A crosswalk table and figure are provided to convert raw scores to T-scores and PR-scores.Conclusion: The I.ROC appears to be an instrument well aligned with a comprehensive recovery paradigm. Employment of common metrics (T-scores and PR-scores) is recommended for a clear presentation of results to both the client and professional. For occasional conversion of raw scores to T-scores, a straightforward linear formula suffices; for scoring software, a more precise and sophisticated curvilinear formula for normalized T-scores is advised.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 7","pages":"356-361"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508557","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

[Study participation in clozapine-resistant psychosis: a case study on decision-making capacity]. [氯氮平耐药精神病的研究参与：关于决策能力的案例研究]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

M den Toom, J B Zantvoord, A L Sutterland, J J Luykx, L M E Blanken, R Aarts, M B de Koning

引用次数: 0

[Zorg voor clozapinegebruikers hoort in de tweede lijn]. [氯氮平使用者的护理属于二线护理]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

S R T Veerman, J P A M Bogers, D Cohen, A Jongkind, M M Beex-Oosterhuis, A Ramlal, P F J Schulte

引用次数: 0

[Lifestyle in young adults with and without a psychotic disorder]. [患有和未患有精神障碍的年轻人的生活方式]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

W E Swildens, J Kranenburg, W van Ens, D van Rijswijk, W Cahn

{"title":"[Lifestyle in young adults with and without a psychotic disorder].","authors":"W E Swildens, J Kranenburg, W van Ens, D van Rijswijk, W Cahn","doi":"","DOIUrl":"","url":null,"abstract":" Background Patients with psychotic disorders have a higher risk of physical illnesses on account of genetic predisposition, poorer access to healthcare, medication use, environmental factors and lifestyle. Because healthy lifestyle behaviour is established at young age, it is important to signal problems in good time. A lifestyle screening might be useful in this respect. Aim To describe the lifestyle characteristics of patients in a mental health clinic for young adults (age: 18-28 years) with early psychotic disorder based on parts of the instrument ‘Lifestyle-in-the-picture’ compared to healthy controls. We also discuss experiences of lifestyle coaches in applying ‘Lifestyle-in-the-picture’. Method Lifestyle characteristics and lifestyle behaviour of 90 patients with a psychotic disorder and 137 young adults from the general population were compared quantitatively. Additionally, interviews were held with lifestyle coaches as to the use of the instrument ‘Lifestyle-in-the-picture’. Results The young adult patients had considerably poorer results on lifestyle aspects than controls: increased body mass index (BMI 53% versus 18%), smoking, addiction and unhealthy eating and activity patterns. They were more dissatisfied with their physical and mental health. According to the lifestyle coaches, the ‘Lifestyle-in-the-picture’ instrument was a good starting point to work on improvement with patients since the instrument provided insight in the healthy and unhealthy aspects of their lifestyle and gave directions to set goals. Conclusions Young adults with a psychotic disorder have an unhealthy lifestyle and also more risk factors compared to controls. Lifestyle screening programmes are important to discuss health risks in time and which steps for improvement can be taken. The step from insight to actual more healthy behaviour is challenging.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 2","pages":"76-83"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176633","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

[Prevalence and factors associated with benzodiazepine use in children and adult inpatients]. [儿童和成人住院病人使用苯并二氮杂卓的流行率和相关因素]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

M G M Mullink, J N de Boer, L E M Koomen

{"title":"[Prevalence and factors associated with benzodiazepine use in children and adult inpatients].","authors":"M G M Mullink, J N de Boer, L E M Koomen","doi":"","DOIUrl":"","url":null,"abstract":"Background: Given the growing focus on deprescribing, it is crucial to thoroughly evaluate our benzodiazepine prescribing practices considering the potential risks.Aim: To investigate the prevalence and predictors of benzodiazepine prescriptions during psychiatric hospitalization and as discharge medication.Method: This retrospective electronic patient file study included psychiatric admissions at the UMC Utrecht between 12/01/01 and 21/04/01. Descriptive statistics were used to evaluate prevalence of benzodiazepine prescriptions in youth and adults. Multivariate regression analyses were performed to predict factors associated with benzodiazepine prescriptions and dosage.Results: In total, we analyzed data from 856 admissions of youth and 4002 admissions of adults. 36.0% of the youth were prescribed benzodiazepines during admission and 14.8% at discharge. Associated factors were age (OR: 1.38) and bipolar disorder (OR: 3.98). In adults, 69.7% were prescribed benzodiazepines during admission and 37.6% at discharge. Associated factors were length of hospital stay (OR: 1.01) and anxiety disorders (OR: 2.53). Male sex, age (resp. higher and lower), and a longer length of stay predicted benzodiazepine dosages for both youth (B = 3.48; 95% CI: 0.83-0.07) and adults (B = 2.17; 95% CI: -0.04-0.05).Conclusion: Benzodiazepines are frequently prescribed during inpatient stays and at discharge in youth and adults, offering opportunities for deprescribing.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 4","pages":"202-208"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874873","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

[Perinatale thuisbehandeling; ggz in verbondenheid met het gezin]. [围产期家庭治疗；与家庭有关的心理健康]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

R Evrard, K Plasmans, I Mestdagh, V Wyckaert, H Peeters

引用次数: 0

[Onmacht: inherent aan de opleiding tot psychiater]. [无力感：精神病学培训中固有的问题]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

A W Braam, J J Voogt

引用次数: 0

[Auditory hallucinations in a pregnant patient caused by autoimmune encephalitis]. [由自身免疫性脑炎引起的孕妇幻听]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

E M Beeldman, J J Ribbens, I M van Vliet

引用次数: 0

[The same agent, no response upon restart: tachyphylaxis with psychotropic medications]. [同样的药物，重新启动后无反应：精神药物的快速反应]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

W Pörtzgen, N M Batelaan, A van Bergen, C H Vinkers, A J L M van Balkom

{"title":"[The same agent, no response upon restart: tachyphylaxis with psychotropic medications].","authors":"W Pörtzgen, N M Batelaan, A van Bergen, C H Vinkers, A J L M van Balkom","doi":"","DOIUrl":"","url":null,"abstract":"Background: This scoping review focuses on the occurrence of tachyphylaxis, defined as reduced responsiveness upon reinitiating a previously effective medication. This phenomenon is previously documented in antidepressants and mood stabilizers.Aim: To explore the frequency, treatment strategies, and predictability of tachyphylaxis across all psychotropic medications.Method: The review adheres to PRISMA-ScR guidelines, employing a PubMed search to identify relevant articles.Results: A total of 22 articles were included: eleven on mood stabilizers (lithium carbonate), eight on antidepressants (SSRIs and TCAs), and three on antipsychotics (aripiprazole, clozapine, olanzapine, paliperidone, quetiapine, and risperidone). No literature on benzodiazepines was found. The incidence varied (8.3-40.2% for antidepressants, 10.8-43.2% for mood stabilizers), with limited evidence for antipsychotics. Some articles discussed potential mechanisms of action, treatment strategies, and risk factors.Conclusion: Tachyphylaxis was predominantly reported in mood stabilizers and antidepressants. Indications of tachyphylaxis were noted in antipsychotics, except for clozapine. Clear conclusions were hindered by insufficient methodological research. The scarcity of literature emphasizes the need for further investigation into the prevalence, pathophysiology, and risk factors of tachyphylaxis. Until more clarity emerges, clinicians should consider the risk of tachyphylaxis when discontinuing and restarting mood stabilizers and antidepressants.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 9","pages":"537-543"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923363","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

[Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk]. [全科医学中持续存在的顽固性身体不适]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

S Rutten, M Hulscher, R E Boeschoten, I Keuning, J F van Eck van der Sluijs, M Rikkers, C den Boer, J Maarseveen, T Olde Hartman, L M Tak

{"title":"[Hardnekkige aanhoudende lichamelijke klachten in de huisartsenpraktijk].","authors":"S Rutten, M Hulscher, R E Boeschoten, I Keuning, J F van Eck van der Sluijs, M Rikkers, C den Boer, J Maarseveen, T Olde Hartman, L M Tak","doi":"","DOIUrl":"","url":null,"abstract":"Background: In the care of patients with persevering (‘treatment-resistant’) persistant physical symptoms (PPS), problems are common. With this study, we want to identify starting points for improvement of care, including suggestions for the role of mental health care.Aim: Using the profile for persevering PPS we will estimate the prevalence, describe characteristics of this patient group and map problems encountered in their care.Method: Online survey in general practitioners (GPs).Results: The response rate to the survey was 12.8%. The mean estimated prevalence of persevering PPS in general practice was 0.7% (corresponding to an estimated 122,500 patients throughout the Netherlands). Many patients encountered iatrogenic harm, experience societal problems and limitations in mobility and ADL independence. Although there was a general increased use of health care in these patients, some also avoided care or were under-treated. In the persistence of symptoms, patient-related factors played a role (like insisting on further somatic diagnostic tests, lack of motivation for PPS-specific treatment), but health-care related factors, like rejection for care or a lack of regional treatment options for patients with PPS, also had a causal role.Conclusion: Almost every GP experiences problems in the care for patients with persevering PPS. Mental health care professionals can support the GP better, by optimizing options for consultation and referral.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 4","pages":"195-201"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860480","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