Tijdschrift voor psychiatrie最新文献_第8页

[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

[Police and judicial actors on complex mental health care needs and judicial protection measures]. [关于复杂精神健康护理需求和司法保护措施的警察和司法行为者]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

L Van Suetendael, T Schrijvers, K Van den Broeck, J Michielsen, G Dom, M Destoop

{"title":"[Police and judicial actors on complex mental health care needs and judicial protection measures].","authors":"L Van Suetendael, T Schrijvers, K Van den Broeck, J Michielsen, G Dom, M Destoop","doi":"","DOIUrl":"","url":null,"abstract":"Background: People with severe mental illness frequently experience difficulties in other life domains, such as physical health conditions, comorbid substance abuse, unstable housing or structural poverty. The interaction between these difficulties creates a complex care need that often goes unmet. In addition, they regularly come into contact with the legal system and police, through penal as well as protective measures.Aim: To gain insight into the vision of actors from the judiciary and police into complex mental health care needs and judicial protective measures.Method: Qualitative semi-structured interviews were conducted with 15 actors from the judiciary system and police.Results: Participants see the interaction of difficulties in different life domains as complex. They are critical of the provision of care for this population. Participants are very open towards intersectoral collaboration, but confidentiality and a lack of structural partnerships hinders this. Involuntary admission and legal guardianship are generally considered meaningful protective measures.Conclusion: In line with the vision of the mental health services, actors from the police and justice system consider the interaction between difficulties in different life domains as complex. They see a need for intensive, long-term and assertive care and a wide range of assisted living forms where integrated care is offered to people with complex mental health care needs. Judicial actors and police are willing to play a role in this. Further research into and development of accessible and, where necessary assertive, intersectoral care is necessary.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 8","pages":"477-482"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508469","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

[Help-seeking behaviour of Chinese individuals in Western mental health care: A systematic review]. [中国人在西方精神卫生保健中的求助行为：系统综述]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

S Y C V Pols, J D Blom

{"title":"[Help-seeking behaviour of Chinese individuals in Western mental health care: A systematic review].","authors":"S Y C V Pols, J D Blom","doi":"","DOIUrl":"","url":null,"abstract":"Background: Chinese migrants in the Netherlands have a higher prevalence of psychological complaints and on average report lower levels of happiness compared to the native Dutch. Meanwhile, they utilise mental health services less often. Which factors play a role in this is not fully clear.Aim: To provide an overview of the factors that influence help-seeking behaviour among the Chinese population concerning Western mental health services.Method: We conducted a systematic literature review in Embase, MEDLINE, PreMEDLINE and PsycINFO, following the Prisma guidelines. We included original studies on factors that influence the help-seeking behaviour of immigrant Chinese individuals regarding Western mental health care.Results: We included 14 studies, among which 10 quantitative, three qualitative, and one mixed-method study. These were univocal about several cultural, practical, and demographic factors that influence the help-seeking behaviour of Chinese with mental problems in Western countries, although especially the demographic factors we found showed substantial differences among studies.Conclusion: The Chinese population in the Netherlands shows a number of common factors that delay access to Western mental health services, with often more severe symptoms compared to non-Chinese individuals. Given the identified practical factors, in addition to making mental health care more accessible, maintaining an open, individual and cultural sensitive approach remains of cardinal importance.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 7","pages":"373-379"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508554","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