Special issue

On perfusion and confusion

ISSUE 1992/9

H.N. Sno, R.A. Schoevers, E.H.H. Wiltink, D. Molenaar

In this article the authors detail two of the most common psychiatric disorders in dialysis-patients: depressive mood- and psycho-organic disorders. Special attention is given to the complex differential diagnostics, e.g. the differentiation betwe...

Paraphilias: A male problem?

ISSUE 1992/9

D. van Putte

Nearly all data concerning the sex ratio of paraphilias show a striking male predominance, suggesting that paraphilias are in some way linked to male sexual development.

In this paper we demonstrate that paraphilic elements constitute an integ...

Sleep Apnea Syndrome and psychiatry

M.A.R. Bosschaert, J.A. den Boer

The Sleep Apnea Syndrome (SAS) has recently become a topic much discussed in the scientific literature. Little attention has been given to psychiatric and psychosocial implications of this syndrome. In this article symptomatology, epidemiology, pa...

Lewy bodies, the frontal lobe, or Alzheimer's disease?

W.A. van Gool, H.C. Weinstein

A diagnosis of Alzheimer's disease (AD) is usually made after excluding more or less obvious other causes of dementia. The diagnostic criteria for AD of DSM-III-R and McKhann et al. (1984) are based upon such an approach. Recently two disorders ha...

Bipolar depression; an educational multi-family group programme approach

A. Hofman, A. Honig, M. Vossen

Unlike Schizophrenia, psychoeducation is as yet not implemented in regular day to day psychiatry. Yet arguments in favour of psychoeducation in Schizophrenia hold as well for Bipolar Disorder. In this study, preliminary results of an educational m...

Psychiatric psychotherapy: a long-winded term but a profound concept

C.F.A. Milders

In the last few years the concept of psychiatric psychotherapy has been more widely discussed, due to developments in the professional identity of psychiatrists and a reflection on the place of psychotherapy in psychiatric training. Although this ...

Day-treatment versus inpatient treatment for psychiatric patients in need of admission: longitudinal effects on social role-functioning studied by means of randomized trial

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

The level of social dysfunctioning of 64 experimental patients was compared with the same of 27 control patients on eight roles of social functioning at time of admission and one and two years after entry into the study. Regardless of the type of ...

Steroid withdrawal psychosis: a case report

S. Pollentier

A case report of a 59 years old woman who showed a corticosteroid withdrawal psychosis is presented. Clinical and diagnostical aspects of psychiatric syndromes during and after steroid therapy are discussed.

A multi-dimensional approach to axis II of the DSM-system

G. Hellinga

In an earlier contribution the author discussed the disadvantages of the current system of classification of personality disorders on axis II of DSM and the disadvantages a two-or three-dimensional approach would have. In this paper the disadvanta...

The epidemiology of obsessive compulsive disorders

P.P.G. Hodiamont

It has become apparent in recent years that obsessive compulsive disorder (OCD) is much more common than was previously recognised. According to the results of the Diagnostic Interview Schedule used in the Epidemiological Catchment Area Study, OCD...

A drug-robot in a general psychiatric hospital

R.J.P. Hazewinkel, W.J. Broekema

This article discusses an advanced automated drugdistribution system, used in a general psychiatric hospital, a drug robot. The system is described; a trial and the application of the system in a 800-bedded hospital is discussed.

According to ...

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

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?

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

ISSUE 1992/4