Articles

Is there a place for benzodiazepines in the treatment of depression?

ISSUE 1992/7

T.K. Birkenhäger, W.A. Nolen, P. Moleman

Although tricyclic antidepressants are considered the treatment of choice in major depression, patients more often receive benzodiazepines than tricyclic antidepressants.

All studies, comparing the efficacy in depression of benzodiazepines ver...

The borderline syndroom, subaffective disorder or separate diagnosis?

ISSUE 1992/7

T.J.M. Ingenhoven, W.A. Nolen, W. van den Brink

The last ten years have evidenced a rapidly growing body of empirical research on the validity of borderline personality disorder (BPS). Since its operationalization by Gunderson and the DSM-III, doubts have been raised to the validity of BPD as a...

Prevalence and long-term course of psychological disorders in primary care

This article examines the prevalence and long-term course of psychological disorders in primary care. A random sample of 215 attenders of 25 general practitioners (GPs) was interviewed three times: within two weeks after index-consultation, after ...

The classification of personality disorders: problems for practitioners

G. Hellinga

Although the introduction of the five axes of DSM-III has meant a significant step forward towards adequate diagnostic procedures, there are many disadvantages of the current, categorical, system of Axis II. In this paper these disadvantages are d...

The course of psychopathology in an experimental day treatment group and a control group

F.J. Nienhuis, R. Giel, H. Kluiter, M. Rüphan, D. Wiersma

The course of the psychopathology of an experimental day treatment group, accepted for admission in a psychiatric hospital, was compared with that of a control group, receiving standard clinical care. In a follow up period of two years the subject...

Psychiatric caseness and the degree of urbanisation

P.P.G. Hodiamont, A.E.S. Sijben, M.W.J. Koeter, A.J. Oldehinkel

The Health Area Survey Nijmegen interviewed 3232 residents (aged 18-64) in a Dutch region, encompassing one major city (Nijmegen) and ten villages.

The prevalence of PSE cases estimated with logistic regression was nearly three times more comm...

ICD-10 en de classificatie van psychische stoornissen

T.A. van Yperen, G.L.G. Couturier, H.M.J.A. Gerritzen

In 1993, the tenth revision of the International Classification of Diseases (ICD-10) will be implemented. In this paper, a brief introduction is offered on chapter V (Mental and Behavioural Disorders) of the ICD-10. Furthermore, the contribution o...

Psychology and psychopathology during expecting and young fatherhood

E.S.H.M. de Boer, W.K. van Dijk

The couvade syndrome in western society has psychodynamic similarities with the couvade rites, in primitive cultures earlier reported by anthropologists. To the best of our knowledge this is the first report in the Dutch medical literature, on thr...

Detection of psychopathology in young adults

M. Wiznitzer, M. Koeter, W. van den Brink, R. Giel, F.C. Verhulst, H.M. Koot, J. van der Ende

Within the framework of longitudinal (cohort) research, in which children are followed into adulthood, we compared the results of a `child' questionnaire adjusted for age (Young Adult Self Report) with two existing `adult' ones (General Health Que...

Depression in Parkinson's Disease

C.J.M. Frijns, G.F. Koerselman

In the past decades much research has been done to increase our knowledge about the prevalence of depression in Parkinson's Disease, about existing correlations between these diseases and about possible causes of a depressive syndrome in parkinson...

Anorexia nervosa and genetics: the significance of twin studies

A.C. van Reekum, J. Dirkx, G. Nabarro

This article reviews the literature on genetic factors in anorexia nervosa. Twin studies in which monozygotic and dizygotic twins are compared concerning the concordance of anorexia nervosa, show certain methodological shortcomings.

Neverthele...

The value of casemanagement for psychiatry in The Netherlands

H. van de Beek, P. van Lieshout

In this article we discuss the possible benefits of casemanagement for psychiatric services in The Netherlands. To answer this question several models of casemanagement are described. Then we review the developments in especially the US. The concl...

Recent developments in autism research II: neurobiology

J.K. Buitelaar

Most investigators agree that autistic disorders have a biological basis with a heterogeneous and varying etiology. Autopsy studies report as the most consistent finding a decrease in the number of Purkinje cells in the cerebellum. Neuroanatomic r...

Women's care in the mental hospital

J. Egtberts, K. van der Marel, R. Rijkschroeff, J. Soetenhorst de Savornin Lohman

The research shows that in 34 of the 43 general mental hospitals activities exist in the field of women's care. The integration of these activities is not yet very advanced. In 7 mental hospitals women's care is in the experimental or implementati...

Chronic psychiatric patients in a health catchment area in the Netherlands: An epidemiological study on functioning and need for care

M. Schreurs, D. Wiersma

Findings of an epidemiological study on chronic psychiatric patients in a relatively small health catchment area in the eastern part of the Netherlands are presented. The volume and the nature of this patient group is determined. Psychosocial func...

De seksuologie nu

P. Nijs

There still exists much scepticism about the scientific quality of sexology. Both modern medicine and psychotherapy have developed in a technical, i.e. unilateral direction.

The scattered knowledge in a fragmented world asks for an interdiscip...

On déjà vu experiences in belles-lettres

H.N. Sno, D.H. Linszen, F. de Jonghe

A few literary descriptions serve to illustrate the ability of literary authors to depict a subjective experience like the déjà vu experience. These descriptions appear to be consistent with the phenomenological, etiological and psychopathogenetic...

In search of a common method in the prediction of dangerousness

H.J.C. van Marle

Research in the area of dangerousness shows a lot of factors concerning prediction. Till now there is no consensus about the balance between these factors. At this moment the most important way for progression in assessments and further scientific...

Verslag van het Nederlands-Tsjechoslowaaks Psychiatrisch Symposium in Haarlem

M. Kabela

The author reports on a symposium on the state of psychiatry in Tcheckoslovakia. He makes a plea for more intensive communication between Dutch psychiatrists and their collegues in Eastern Europe.

The clinical diagnosis of personality pathology

H. Groen, W. van den Brink

In this paper the authors discuss the clinical diagnosis of personality disorders, using a multi-conceptual, multi-instrumental approach. This approach requires data collection from different conceptual domains with multiple assessment instruments...

Recent developments in Autism-research _ part I: Classification, epidemiology, genetics, social behavior and social cognitions

J.K. Buitelaar

Systematic research into the precise nature and the correlates of the social deficits of the autistic syndrome is only of recent date. A survey is presented of developments in research in diagnostics and epidemiology, genetics, social behavior and...

Anxiety disorders

M. Hebbrecht

The author summarizes his impressions of an international course, held in Maastricht (The Netherlands) and in Caen (France), on the most recent developments in experimental research, biological treatments and psychotherapeutic approaches in the fi...

The costs of day-treatment with additional case management, as a substitution for hospitalization

D. Wiersma, R. Giel, F.J. Nienhuis, M. Rüphan

Costs of the admission replacing day-treatment (experimental condition) during first and second year of the follow-up are compared to those of standard hospitalization, including ambulatory and extramural care. Day treatment appeared to be feasibl...