Tijdschrift voor psychiatrie最新文献_第9页

[Priapism associated to zuclopentixol and the choice for an alternative]. [与祖氯芬妥有关的尿失禁和替代品的选择]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

F H A Corsten, B Meijer, S Vreugdenhil, E H Horwitz

引用次数: 0

[Worden patiënten steeds complexer?] [病人是否变得越来越复杂？］

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

H L Van

引用次数: 0

[The use of lived experiences among psychiatrists: a qualitative empirical exploration]. [精神病医生使用生活经验：定性实证探索]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

S Karbouniaris, M Boomsma-van Holten, A Oostindiër, C C Prins-Aardema, P C C Raats, A Weerman, J P Wilken, T A Abma

{"title":"[The use of lived experiences among psychiatrists: a qualitative empirical exploration].","authors":"S Karbouniaris, M Boomsma-van Holten, A Oostindiër, C C Prins-Aardema, P C C Raats, A Weerman, J P Wilken, T A Abma","doi":"","DOIUrl":"","url":null,"abstract":"Background: Psychiatrists generally make little use of lived experiences in addition to clinical and scientific knowledge, even while its use may make services more humane.Aim: This study aims to explore psychiatrists’ lived experience perspectives and their considerations when integrating the personal into the professional domain.Methods: As part of a qualitative participatory research approach, peer supervision sessions were followed for 2 years and additional interviews and a focus group were organised which were then analysed thematically.Results: The participating psychiatrists had three main considerations for using their own experiences in clinical practice: personal, professional and clinical relevance. We identified 11 facilitating and 9 hindering factors in working with lived experiences related to clinical practice. In addition to the high workload and responsibility as a practitioner, a barrier is the lack of experience and recognition of this as a type of knowledge within the profession, including misconceptions about possible harmful effects. Facilitating factors included the opportunity to share with peers, a warm working relationship with patients and being able to create openness and destigmatisation among colleagues.Conclusion: Psychiatrists appreciated the integration of lived experiences into the professional domain, even though still in its infancy. The peer supervision setting in this study was experienced as a safe space to share personal experiences with vulnerability and explore how they can harness lived experiences in the work context.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 3","pages":"144-150"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868746","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

[Tapering maintenance treatment for bipolar disorders]. [双相情感障碍的减量维持治疗]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

A Dols, H Mathijssen, R W Kupka, E J Regeer

引用次数: 0

[The Psychiatrist and patients with mild intellectual disability or borderline intellectual functioning]. [精神科医生和轻度智力残疾或边缘性智力功能障碍患者]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

J Voeten-van de Louw, A Ruissen, M Sielk

{"title":"[The Psychiatrist and patients with mild intellectual disability or borderline intellectual functioning].","authors":"J Voeten-van de Louw, A Ruissen, M Sielk","doi":"","DOIUrl":"","url":null,"abstract":"Background: A substantial proportion of patients within regular Mental Health Services have a mild intellectual disability (MID) or borderline intellectual functioning (BIF). Previous research has shown that psychiatrists are ambivalent about their own knowledge and skills in providing care to these patients.Aim: To gain insight into factors that play a role in how psychiatrists experience the provision of care to patients with MID/BIF and comorbid psychiatric disorders.Methods: Exploratory qualitative research by semi-structured interviews with nine psychiatrists.Results: The results can be divided into five themes; perception, recognition, interaction, cooperation and knowledge and skills. Inhibition and feelings of inadequacy were expressed throughout the themes. Prejudices came to the fore. Mental Health Services were already seen as playing a role in the care of patients with a MID/BIF and comorbid psychiatric conditions. Nonetheless we heared a desire for cooperation and referral options to Intellectual Disability Physicians or Services.Conclusion: How psychiatrists experience the provision of care to patients with MID/BIF is influenced by psychological processes such as stigmatization and transference phenomena. These processes are primarily unconscious. Awareness of these processes and their role in the contact between psychiatrist and patients in this group is needed to improve their care.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 10","pages":"591-596"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923164","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

[Mental health after treatment with elexacaftor/tezacaftor/ivacaftor in end-stage cystic fibrosis]. [终末期囊性纤维化患者接受 elexacaftor/tezacaftor/ivacaftor 治疗后的心理健康]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

I Ausloos, T Vanbrabant, M Paeps, T Havermans, J Vandenberghe, L Dupont

{"title":"[Mental health after treatment with elexacaftor/tezacaftor/ivacaftor in end-stage cystic fibrosis].","authors":"I Ausloos, T Vanbrabant, M Paeps, T Havermans, J Vandenberghe, L Dupont","doi":"","DOIUrl":"","url":null,"abstract":"Background: Studies showed significant physical improvement after starting elexacaftor/tezacaftor/ivacaftor (ETI). However, some patients reported new mental health symptoms.Aim: This study explores the impact of ETI on end-stage cystic fibrosis patients, focusing on mental health.Method: A mixed-method study was conducted at the cystic fibrosis reference center, University Hospital Leuven (Belgium). Patients were eligible for ETI in a compassionate use program. Data collection included clinical records providing demographic, medical, and psychological data, and semi-structured interviews for qualitative insights.Results: Post ETI-initiation, all 27 patients demonstrated physical improvement, of which 18 reported positive or no mental health changes and 9 negative changes. Clinical records revealed specific mental health issues, including increased depressive symptoms (n=7), anxiety (n=5), suicidal tendencies (n=4), emotion-regulation difficulties (n=4), and manic episodes (n=2). Semi-structured interviews with 15 patients identified three main themes and four subthemes: revitalizing health, emotional adaption (embracing hope, confronting shadows), and personal development (second lease of life, dealing with the unknown).Conclusion: Despite remarkable improvements from ETI, 9/27 patients experienced new mental health symptoms, ranging from mild anxiety to suicide attempts. Our study underscores the importance of proactive psychological support and integrated psychiatric care during ETI-initiation.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 10","pages":"579-585"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923225","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

[On 'confused persons' and misunderstood behaviour: leads for health and safety services]. [关于 "困惑的人 "和被误解的行为：健康与安全服务的线索]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

B Koekkoek

{"title":"[On 'confused persons' and misunderstood behaviour: leads for health and safety services].","authors":"B Koekkoek","doi":"","DOIUrl":"","url":null,"abstract":"Background: For some ten years now the term ‘confused persons’ has gained prominence in the Netherlands. Introduced by the police, it gathered attention due to rising numbers of police calls, to become entangled with broader sentiments of unsafety due to serious incidents with people with mental disorders. Mental health services have struggled with the term, since it is no diagnosis and it often leads to misunderstandings and controversies.Aim: To explain 1. the origins of the term, 2. the numbers, 3. the impact on police, juicidal system and society, 4. possible explanations for misunderstood behaviour, and 5. leads for both health and safety services.Method: Overview of recent sources and previous own research.Results: It is important to differentiate across type and severity of behaviours, between people with (serious) social difficulties and people with severe mental disorders, so they are not needlessly medicalized (too much professional involvement), legalized (resulting in punishment) or normalized (too little professional involvement). More attention is needed for the ‘normal life’ of people that are faced with intensive and often restrictive professional services, so more differentiated housing, working and living becomes available. Last, for some people it is necessary to maintain (professional) surveillance and/or guidance for their entire lives, both from a safety and human perspective.Conclusion: Confused or misunderstood behaviour is a broad concept that includes many causes with varying causes: from micro-organizational and collaboration problems to (macro) the social structure and culture in society. Focusing on a few well-defined groups, collaboration and system problems can be useful. The existing problems are not easy to solve and require sustainable investments in human willingness and expertise.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 8","pages":"470-476"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508568","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

[Pharmacotherapy in sexual behavior disorders and intellectual disability]. [性行为障碍和智力障碍的药物治疗]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

R Roels, K Goethals, I Jeandarme

{"title":"[Pharmacotherapy in sexual behavior disorders and intellectual disability].","authors":"R Roels, K Goethals, I Jeandarme","doi":"","DOIUrl":"","url":null,"abstract":"Background: Sexual behavior disorders in intellectual disability form several challenges, despite evolutions in treatment options and risk assessment. The use of antilibidinal pharmacotherapy in this population is controversial and research is inconclusive about the most appropriate treatment strategy.Aim: To highlight pharmacotherapeutic management of sexual behavior disorders in intellectual disability, its medical and ethical considerations.Method: A literature review to provide an overview of the available literature, which was elaborated based on clinical experience.Results: We found a lack of scientific evidence on the efficacy of pharmacotherapy specifically for sexual behavior disorders in people with intellectual disabilities. The routine use of antilibidinal medication is contraindicated. Medical and ethical guidelines have been published as well as contraindications for initiating androgen deprivation therapy in the general population. The necessity of pharmacotherapy should be closely monitored and supplemented with psychotherapeutic care to cultivate the patient’s sexual skills, attitudes and knowledge. A distinction should be made between sexual behavior disorders of the ‘paraphilic type’ and of the ‘sexually maladjusted or naive type’.Conclusion: Multidisciplinary evaluation, risk assessment and an individualized approach are the cornerstones of high-quality treatment of sexual behavior disorders in persons with intellectual disability.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 1","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913483","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

[Disulfiram encephalopathy: an underrecognized complication of accidental overdose]. [双硫仑脑病：一种未被充分认识到的意外用药过量并发症]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

A De Decker, J De Fruyt

引用次数: 0

[Aftershocks; about the psychological consequences of gas extraction in Groningen]. [余震；格罗宁根天然气开采的心理后果]。

Tijdschrift voor psychiatrie Pub Date : 2024-01-01

Y Meesters, R A Schoevers

{"title":"[Aftershocks; about the psychological consequences of gas extraction in Groningen].","authors":"Y Meesters, R A Schoevers","doi":"","DOIUrl":"","url":null,"abstract":"Background: In recent decades, gas extraction in Groningen has led to a lot of material and immaterial damage, including much psychological suffering, which was ignored by policymakers for years. With the publication of the report of the Parliamentary Inquiry into Natural Gas Extraction in Groningen, this is recognized and suggestions are made to repair the damage caused in the broadest sense.Aim: Description of current and expected psychological consequences, and research and treatment to be conducted focused on this specific regional phenomenon.Method: Describing the Groningen situation based on various sources, and identifying current and expected mental consequences based on currently available data and scientific literature.Results: Psychological consequences are largely known and identified, but not yet quantified. It is most important for the well-being of inhabitants that the government takes its care task seriously and supports victims in a practical sense. Subsequently, a targeted treatment offer must be developed.Conclusion: The knowledge available within psychiatry and psychology about the development and treatment of psychological complaints should play a role in researching and improving the well-being and the mental health of those affected by the gas extraction problem, now and in the future.","PeriodicalId":23100,"journal":{"name":"Tijdschrift voor psychiatrie","volume":"66 3","pages":"156-160"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855215","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