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Editorial

Special issue on staging and profiling: reform of diagnostics

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
A.T.F. Beekman, J. van Os, H.J.C. van Marle, P.N. van Harten
Short report

Staging and profiling of psychiatric disorders

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
A.T.F. Beekman, J. van Os, H.J.C van Marle, P.N. van Harten

summary
background Diagnostic issues are at the heart of medicine. Although the existing systems to classify mental disorders have been of tremendous value to Psychiatry, there is growing pressure to reform psychiatric diagnosis. In other areas in...

Read more
Short report

Disease profiling in haemato-oncology

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
P.C. Huijgens

Summary
background
In the field of haemato-oncology the staging of disease began in the 1960s with the mapping of the extent of a disease in order to create opportunities for effective local treatment. This led to the characterisation of cancer cel...

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Short report

Psychotic disorders: the need for staging

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
L. de Haan, R. Klaassen, N. van Beveren, L. Wunderink, B.P.F. Rutten, J. van Os

Summary
background In psychotic disorders it is the stage of development of the disease which mainly determines the prognosis and the effectiveness of treatment.
aim To describe and to refine the current staging and profiling of psychotic disorder...

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Short report

The characterisation of anxiety disorders: staging and profiling based on common sense

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
A.J.L.M. van Balkom, D.B. Oosterbaan, N. Batelaan, D.C. Cath, G.-J. Hendriks, H.J.G.M. van Megen, K. Schruers, J. Spijker, N. van der Wee, I.M. van Vliet

Summary
background Clinicians need to be well informed about staging and profiling so that they can divide patients with anxiety disorders into groups according to the phase and severity of their illness. The group to which the patient is assigned...

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Short report

Staging and profiling in addication

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
W. van den Brink, G.M. Schippers

Summary
background
The existence or non-existence of the formal diagnosis ‘substance abuse’ or ‘dependence’ is in fact of little consequence in terms of the severity of the affliction, the course of the disorder and the response to a specific type ...

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Short report

Staging and profiling in bipolar disorders

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
R.W. Kupka, M.H.J. Hillegers


summary
background
Bipolar disorders are expressed in a wide variety of forms and last for different lengths of time. This has a major influence on diagnosis and treatment and on the interpretation of research findings.
aim To propose and describe...

Read more
Short report

Staging and profiling of unipolar depression

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
F.P.M.L. Peeters, H.G. Ruhé, A.T.F. Beekman, J. Spijker, R. Schoevers, F. Zitman, A. Schene

Summary
background Not only is the heterogeneous concept of depression too comprehensive, it is also insufficiently differentiated. This serves as a barrier to scientific research and obscures the symptoms that should indicate what treatment is re...

Read more
Short report

The challenge of staging developmental disorders

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
R.J. van der Gaag, P.J.M. van Wijngaarden-Cremers, W.G. Staal

summary
background On the basis of our current knowledge, developmental disorders can be divided into the following stages: stage 0: normal variation, stage 1: simple disorder of moderate severity, stage 2: complicating co-morbidity and/or harmful...

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Short report

Staging with profiles in offence analysis: diagnostic steps in forensic psychiatry

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
H.J.C. van Marle

summary
background
Forensic psychiatry is concerned particularly with accurate risk-assessment of offenders’ future behaviour.
aim To describe a staging and profiling system that is applicable to mentally-ill patients who have committed an offence....

Read more
Short report

Staging, profiling and routine outcome monitoring

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
F.G. Zitman

Summary
background
Staging and profiling can make a valuable contribution to more effective and tailor-made treatments. In psychiatry these techniques have so far played only a very limited role. Routine outcome monitoring (rom) may be able to alte...

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Short report

Can staging and profiling ensure that the costs of quality care are adequately reimbursed?

ISSUE 2012/11 themanummer Klinische Stagering en Profilering
6 november 2012
A. van der Lee, T. Stoop, P. Stam, L. Hakkaart-Van Roijen, J. van Busschbach

summary
background The current system for financing effective mental health can improve or reduce the quality of care provided. The system of financing includes reimbursing the care-provider, a risk-adjustment system for the health insurer and per...

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