Summary
Klinische Psychiatrie - Samenvatting
- Course
- Institution
Dit zijn alle colleges en lesnotities (incl. alle informatie op de slides) van het vak Klinische Psychiatrie, aangevuld met illustraties ter verduidelijking.
[Show more]
Seller
Follow
Nora275
Reviews received
Content preview
Klinische PsychiatriePROF. DR. D. VAN WEST
Academiejaar 2021-2022
Vrije Universiteit Brussel
, Inhoudstafel
COLLEGE 1: INLEIDING (DSM-5) ...................................................................................................... 1
1. Inleiding ............................................................................................................................... 1
1.1 Psychopathologie .................................................................................................................................. 1
1.2 Psychiatrische stoornis........................................................................................................................... 2
1.2.1 Het bio-psycho-(cultureel)-sociaal model .................................................................................................................... 2
2. Classificatie........................................................................................................................... 3
2.1 Algemeen .............................................................................................................................................. 3
2.2 DSM/ICD................................................................................................................................................ 3
2.3 Voor-en nadelen ..................................................................................................................................... 4
2.4 Geschiedenis ......................................................................................................................................... 4
3. Diagnostiek ........................................................................................................................... 4
4. Globale veranderingen DSM-5 ................................................................................................. 5
5. Opzet DSM-5 (I-II-III) ............................................................................................................... 6
5.1 Deel II .................................................................................................................................................... 6
5.2 Deel III ................................................................................................................................................... 6
6. Stellingen.............................................................................................................................. 7
7. Conclusie .............................................................................................................................. 7
COLLEGE 2: INLEIDING .................................................................................................................. 8
1. Normaliteit en psychopathologie ............................................................................................ 8
1.1 Normaliteit ............................................................................................................................................ 8
1.2 Criteria normaliteit ................................................................................................................................ 8
1.3 Probleem van subjectiviteit .................................................................................................................... 8
2. Epidemiologie ....................................................................................................................... 9
2.1 Wat is epidemiologie? ............................................................................................................................. 9
2.2 Beloop in de epidiomologie (belangrijk!): 4 types...................................................................................... 9
2.3 Belangrijke factoren in epidemiologie...................................................................................................... 9
3. Algemene prevalentie .......................................................................................................... 10
3.1 Cijfers ................................................................................................................................................. 10
3.2 Prevalentie Psychiatrische stoornissen .................................................................................................. 10
4. Geschiedenis van de psychiatrie (niet kennen) ....................................................................... 11
4.1 Hippocrates (ca. 460-366 v.C.) ............................................................................................................... 11
4.2 Exorcisme en heksenvervolgingen (“drijftest”) (ca. Middeleeuwen/Dark Ages) ......................................... 11
4.3 Gekkenhuizen ...................................................................................................................................... 11
4.4 Vanaf 1800: hervormingen .................................................................................................................... 11
Klinische Psychiatrie – AJ2021-2022
1
, 4.5 Tweede wereldoorlog ........................................................................................................................... 12
4.6 De antipsychiatrische beweging (ca. 1970): door de minder humane omstandigheden ............................... 12
4.7 Evidence-based medicine...................................................................................................................... 12
4.8 Samengevat ........................................................................................................................................ 12
5. Etiopathogenese (EXAMEN) .................................................................................................. 13
5.1 Fysiopathogenese (neurobiologische mechanismen) .............................................................................. 13
5.1.1 Genetica (heritabiliteit) ................................................................................................................................................ 13
5.1.2 Neurotransmitters........................................................................................................................................................ 18
5.2 Psychopathogenese (psychische mechanismen) ..................................................................................... 19
5.2.1 Psychologisch perspectief ........................................................................................................................................... 19
5.2.2 Psychische functies ...................................................................................................................................................... 19
5.2.3 Stoornis in het psychisch functioneren ...................................................................................................................... 20
6. Het Psychiatrisch Onderzoek ................................................................................................ 22
6.1 Anamnese............................................................................................................................................ 22
6.2 Onderzoek ........................................................................................................................................... 22
7. Beeldvorming ...................................................................................................................... 23
COLLEGE 3: NEUROCOGNITIEVE STOORNISSEN ............................................................................. 24
1. Neurocognitieve stoornissen: wat?........................................................................................ 26
1.1 Epidemiologie: Algemeen – Vergrijzing van de bevolking in België............................................................ 26
1.2 Fysiologisch gegeven: het geheugen & geheugenfuncties ........................................................................ 26
1.3 Ouderdom ........................................................................................................................................... 26
1.4 Neuropsychologische testen = SCREENING ............................................................................................. 27
1.4.1 MMSE: mini-mental state examination = vroegtijdige detectie ................................................................................. 27
1.4.2 Kloktest ......................................................................................................................................................................... 28
2. Dementie ............................................................................................................................ 28
2.1 Informatie netwerk .............................................................................................................................. 28
2.2 Geheugen en veroudering ..................................................................................................................... 28
2.3 Epidemiologie – Expertisecentrum dementie Vlaanderen ........................................................................ 28
2.4 Klinische kenmerken = DIAGNOSTIEK (spec. voor Alzheimer) .................................................................. 29
2.4.1 Oriëntatieproblemen ................................................................................................................................................... 29
2.4.2 Geheugenstoornissen .................................................................................................................................................. 29
2.4.3 Stoornis in abstract denken en het oordeelsvermogen............................................................................................. 29
2.4.4 Corticale functiestoornissen = SPECIFIEK ALZHEIMER .............................................................................................. 30
2.4.5 Gedragsveranderingen (secundair gelinkt) ................................................................................................................ 30
2.4.6 Bijkomende symptomen (secundair gelinkt) ............................................................................................................. 30
2.5 Indeling .............................................................................................................................................. 31
2.5.1 Ziekte van Alzheimer (belangrijkste type) .................................................................................................................. 31
2.5.2 Vasculaire dementie..................................................................................................................................................... 32
2.5.3 Frontotemporale dementie ......................................................................................................................................... 33
2.5.4 Dementie met Lewy Bodies (DLB) ............................................................................................................................... 33
2.5.5 Andere vormen van dementie: Parkinson .................................................................................................................. 33
2.5.6 Andere vormen van dementie: De ziekte van Jacob Creutzfeldt............................................................................... 33
Klinische Psychiatrie – AJ2021-2022
2
, 2.5.7 Andere vormen van dementie: Aids ............................................................................................................................ 33
2.6 Diagnostiek ......................................................................................................................................... 34
2.7 Dementie – depressie ........................................................................................................................... 34
2.8 Behandeling ........................................................................................................................................ 35
2.8.1 Overzicht....................................................................................................................................................................... 35
2.8.2 Behandeling psychiatrische symptomen ................................................................................................................... 35
3. Delirium .............................................................................................................................. 36
3.1 Epidemiologie ...................................................................................................................................... 36
3.2 DSM .................................................................................................................................................... 36
3.3 Subtypes ............................................................................................................................................. 36
3.4 Delirium-dementie-depressie ................................................................................................................ 36
3.5 Oorzaken delirium: I WATCH DEATH ....................................................................................................... 37
3.6 Behandeling ........................................................................................................................................ 37
4. Amnestische stoornissen ...................................................................................................... 37
COLLEGE 4: MIDDELENGERELATEERDE EN VERSLAVINGSSTOORNISSEN .......................................... 38
1. Stoornissen in het gebruik .................................................................................................... 38
1.1 Misbruik van een middel: DSM ............................................................................................................... 38
1.2 Middelenafhankelijkheid ...................................................................................................................... 38
2. Stoornissen door het gebruik ................................................................................................ 39
2.1 Intoxicatie door een middel .................................................................................................................. 39
2.2 Onthouding van een middel .................................................................................................................. 39
3. Psychoactieve stoffen .......................................................................................................... 39
3.1 Alcohol ............................................................................................................................................... 40
3.1.1 Eenheid ......................................................................................................................................................................... 40
3.1.2 Alcoholgebruik ............................................................................................................................................................. 40
3.2 Drugs .................................................................................................................................................. 41
3.2.1 Stoornissen door het gebruik ..................................................................................................................................... 41
4. Diagnostiek ......................................................................................................................... 42
5. Ethiopathogenese ................................................................................................................ 42
6. Aan middelen gebonden stoornissen ..................................................................................... 43
6.1 Ethiopathogenesis ............................................................................................................................... 43
6.2 Prognose ............................................................................................................................................. 43
6.3 Behandeling ........................................................................................................................................ 44
6.3.1 Preventie....................................................................................................................................................................... 44
6.3.2 Behandeling - algemeen .............................................................................................................................................. 44
College 5: schizofrenie en andere psychotische stoornissen ........................................................... 45
1. Schizofrenie (spectrum!) ...................................................................................................... 45
1.1 Klinische criteria .................................................................................................................................. 45
Klinische Psychiatrie – AJ2021-2022
3
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nora275. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.04. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now