100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Complete samenvatting Klinische psychiatrie $7.29   Add to cart
Quickly navigate to
Preview
  2.  
  3. Vrije Universiteit Brussel (VUB)
  4.  
  5. Bachelor In De Psychologie
  6.  
  7. Klinische Psychiatrie (000816)

Summary

Complete samenvatting Klinische psychiatrie

6 reviews
 370 views  20 purchases
  • Course
  • Klinische Psychiatrie (000816)
  • Institution
  • Vrije Universiteit Brussel (VUB)

Complete samenvatting van het vak Klinische psychiatrie, academiejaar , prof. Dirk Van West aan de VUB. De 10 lessen zijn samengevat op basis van de slides, uitleg tijdens de les & samenvattingen van vorige jaren. Inclusief aanduiding (in het groen) van welke onderdelen hij vorige jaren heeft ...

[Show more]

Preview 9 out of 85  pages

Document information

  • January 30, 2022
  • 85
  • 2021/2022
  • Summary

Subjects

  • klinische psychiatrie
  • psychologie
  • dsm v
  • dsm 5
  • klinische psychologie
  • psychiatrische ziekteleer
  • vub

Written for

  • Vrije Universiteit Brussel (VUB)
  • Bachelor In De Psychologie
  • Klinische Psychiatrie (000816)
All documents for this subject (8)

6  reviews

review-writer-avatar

By: liuloubry • 3 months ago

review-writer-avatar

By: arnetercaefs • 1 year ago

review-writer-avatar

By: 33922 • 1 year ago

review-writer-avatar

By: kalaaiilhem2003 • 11 months ago

review-writer-avatar

By: haneve • 1 year ago

review-writer-avatar

By: LEBE • 1 year ago

Seller

avatar-seller
emmavanneste1

Reviews received

Content preview

2021-
2022




Klinische psychiatrie
SAMENVATTING VUB
EMMA VANNESTE

,Inhoud
1. gebruik van de DSM-V ........................................................................................................................ 7
1.1 inleiding ........................................................................................................................................ 7
1.1.1 psychopathologie................................................................................................................... 7
1.1.2 psychiatrische stoornis .......................................................................................................... 7
1.2 classificatie.................................................................................................................................... 8
1.2.1 algemeen ............................................................................................................................... 8
1.2.2 DSM/ICD ................................................................................................................................ 9
1.2.3 voor- en nadelen.................................................................................................................... 9
1.3 diagnostiek.................................................................................................................................... 9
1.4 globale veranderingen DSM-V .................................................................................................... 10
1.5 opzet DSM-V ............................................................................................................................... 10
1.6 stellingen .................................................................................................................................... 11
2. inleiding ............................................................................................................................................ 12
2.1 inleiding ...................................................................................................................................... 12
2.1.1 normaliteit en psychopathologie ......................................................................................... 12
2.1.2 probleem met subjectiviteit ................................................................................................ 12
2.1.3 epidemiologie ...................................................................................................................... 13
2.2 geschiedenis van de psychiatrie ................................................................................................. 13
2.3 etiopathogenese ......................................................................................................................... 14
2.3. fysiopathogenese....................................................................................................................... 14
2.3.1 genetica ............................................................................................................................... 14
2.3.2 heritabiliteit ......................................................................................................................... 14
2.3.3 gen-omgeving-gen ............................................................................................................... 14
2.3.4 neurotransmitters................................................................................................................ 15
2.4 Psychopathogense ...................................................................................................................... 15
2.4.1 psychologisch perspectief: niet te kennen .......................................................................... 15
2.4.2 psychische functies .............................................................................................................. 15
2.4.3 stoornis in het psychisch functioneren ................................................................................ 16
2.4.4 psychiatrisch onderzoek ...................................................................................................... 17
2.4.4 beeldvorming ....................................................................................................................... 18
3. neurocognitieve stoornissen ............................................................................................................ 19
3.1 algemeen .................................................................................................................................... 19
3.1.1 het geheugen ....................................................................................................................... 19
3.1.2 neurocognitieve testen ........................................................................................................ 19
3.1.3 Wat is een normaal ouderdomsproces? .............................................................................. 20

, 3.2 dementie..................................................................................................................................... 20
3.2.1 algemeen ............................................................................................................................. 20
3.2.2 klinische kenmerken Alzheimer ........................................................................................... 20
3.2.3 Indeling ................................................................................................................................ 22
3.2.3 ziekte van alzheimer, prognose ........................................................................................... 22
3.2.4 vasculaire dementie............................................................................................................. 22
3.2.5 fronto-temporale dementie ................................................................................................ 22
3.2.6 diagnostiek dementie .......................................................................................................... 23
3.2.7 dementie-depressie ............................................................................................................. 23
3.2.8 Behandeling dementie......................................................................................................... 24
3.2.8 Behandeling psychiatrische symptomen (medicijnen niet te kennen) ................................ 24
3.3 delirium....................................................................................................................................... 25
3.3.1 klinische kenmerken DSM ................................................................................................... 25
3.3.2 subtypes............................................................................................................................... 25
3.3.3 delirium-depressie-dementie .............................................................................................. 25
3.3.4 oorzaken delier: I WATCH DEAD .......................................................................................... 25
3.3.5 behandeling ......................................................................................................................... 26
3.4 amnestische stoornissen ............................................................................................................ 26
4. middelengerelateerde en verslavingsstoornissen ............................................................................ 26
4.1 stoornissen in het gebruik .......................................................................................................... 26
4.1.1 misbruik van een middel: DSM ............................................................................................ 26
4.1.2 middelenafhankelijkheid ..................................................................................................... 27
4.2 stoornissen door het gebruik...................................................................................................... 27
4.2.1 intoxicatie door een middel ................................................................................................. 27
4.2.2 onthouding van een middel ................................................................................................. 27
4.3 psychoactieve stoffen ................................................................................................................. 27
4.3.1 algemeen ............................................................................................................................. 27
4.3.2 alcoholgebruik ..................................................................................................................... 28
4.4 middelengerelateerde en verslavingsstoornissen ...................................................................... 29
4.4.1 diagnostiek........................................................................................................................... 29
4.4.2 etiopathogenese .................................................................................................................. 29
4.4.3 progose ................................................................................................................................ 29
4.4.3 behandeling - algemeen ...................................................................................................... 30
5. schizofrenie en andere psychotische stoornissen ............................................................................ 31
5.1 schizofrenie................................................................................................................................. 31
5.1.1 klinische criteria ................................................................................................................... 31

, 5.1.2 kenmerken ........................................................................................................................... 31
5.1.3 differentiële diagnostiek ...................................................................................................... 33
5.1.4 epidemiologie ...................................................................................................................... 34
5.1.6 Ethiopathogenese: stresskwetsbaarheidsmodel ................................................................. 34
5.1.5 prodromen ........................................................................................................................... 34
5.1.6 genetische factoren ............................................................................................................. 35
5.1.7 preventie.............................................................................................................................. 36
5.1.8 behandeling ......................................................................................................................... 36
5.1.9 beloop .................................................................................................................................. 37
5.2 verwante stoornissen ................................................................................................................. 38
5.2.1 schizofreniforme stoornis .................................................................................................... 38
5.2.2 schizoaffectieve stoornis ..................................................................................................... 38
5.2.3 waanstoornis ....................................................................................................................... 38
5.2.4 kortdurende psychotische stoornis ..................................................................................... 39
5.2.5 gedeelde psychotische stoornis ........................................................................................... 39
6. stemmingsstoornissen ...................................................................................................................... 39
6.1 unipolaire stemmingsstoornissen............................................................................................... 39
6.1.1 depressieve stoornis ............................................................................................................ 39
6.1.2 dysthyme stoornis ............................................................................................................... 40
6.1.3 andere.................................................................................................................................. 40
6.2 bipolaire stemmingsstoornissen ................................................................................................. 41
6.2.1 Manische episode (type I).................................................................................................... 41
6.2.2 hypomane episode (type II) ................................................................................................. 41
6.2.3 cyclothyme stoornis ............................................................................................................. 42
6.2.4 andere.................................................................................................................................. 42
6.3 gemende episode ....................................................................................................................... 42
6.4 Manisch (bipolair) vs. Depressief (unipolair) .............................................................................. 42
6.4 diagnostiek en Comorbiditeit ..................................................................................................... 43
6.5 epidemiologie ............................................................................................................................. 43
6.6. Etiopathogenese en fysiopathogenese...................................................................................... 43
6.7 etiopathogenese en psychopathogenese ................................................................................... 44
6.8 behandeling ................................................................................................................................ 44
6.8.1 psychotherapie .................................................................................................................... 45
6.8.2 psychofarmaca..................................................................................................................... 45
.......................................................................................................................................................... 46
6.9 suïcidaal proces .......................................................................................................................... 46

, 6.9.1 ontremmende factoren ....................................................................................................... 46
6.9.2 beschermende factoren....................................................................................................... 46
6.9.3 Waarschuwingssignalen (niet besproken tijdens de les) ..................................................... 46
7. angststoornissen ............................................................................................................................... 47
7.1 inleiding ...................................................................................................................................... 47
7.2 angststoornissen ......................................................................................................................... 47
7.2.1 cerebraal hersen-angstcircuit .............................................................................................. 47
7.2.2 behandeling ......................................................................................................................... 47
7.3 soorten angststoornissen ........................................................................................................... 48
7.3.1 specifieke of enkelvoudige fobieën ................................................................................... 48
7.3.2 paniekstoornis ..................................................................................................................... 49
7.3.3 agorafobie............................................................................................................................ 49
7.3.4 sociale fobie ......................................................................................................................... 50
7.3.5 obsessief-impulsieve stoornis (OCD) ................................................................................... 51
7.3.6 gegeneraliseerde angststoornis (GAS) ................................................................................. 51
7.3.7 posttraumatische stressstoornis (PTSD/PTSS) ..................................................................... 52
7.3.8 acute stresstoornis .............................................................................................................. 53
7.4 Angststoornissen: epidemiologie............................................................................................... 53
8. eetstoornissen .................................................................................................................................. 54
8.1 Anorexia nervosa ........................................................................................................................ 54
8.1.1 klinische kenmerken ............................................................................................................ 54
8.2 bulimia nervosa .......................................................................................................................... 54
8.2.1 klinische kenmerken ............................................................................................................ 54
8.2.2 eetstoornissen: diagnostiek ................................................................................................. 55
8.2.3 etiopathogenese .................................................................................................................. 56
8.2.4 behandeling ......................................................................................................................... 56
9. ontwikkelingsstoornissen ................................................................................................................. 57
9.1 ADHD .......................................................................................................................................... 57
9.1.1 klinische kenmerken ............................................................................................................ 57
9.1.2 ontwikkelingspathologie ...................................................................................................... 57
9.1.4 classificatie........................................................................................................................... 58
9.1.5 epidemiologie ...................................................................................................................... 59
9.2 ASS .............................................................................................................................................. 59
9.2.1 klinische kenmerken ............................................................................................................ 59
9.2.2 screening.............................................................................................................................. 60
9.2.3 epidemiologie ...................................................................................................................... 61

, 9.2.4 etiopathogenese en fysiopathogenese................................................................................ 61
9.2.5 etiopathogenese en psychopathogenese ............................................................................ 61
9.2.5 behandeling ......................................................................................................................... 62
10. gedragsstoornissen ......................................................................................................................... 63
10.1 externaliserende stoornissen ................................................................................................... 63
10.1.1 oppositionele-opstandige stoornis (ODD) ......................................................................... 63
10.1.2 normoverschrijdend gedragsstoornis (conduct disorder) ................................................. 63
10.1.3 epidemiologie .................................................................................................................... 64
10.1.4 etiopathogenese ................................................................................................................ 65
10.1.5 preventie............................................................................................................................ 66
10.1.6 Behandeling ....................................................................................................................... 66
11. slaapstoornissen ............................................................................................................................. 67
11.1 het slaapproces......................................................................................................................... 67
11.2 dyssomnia ................................................................................................................................. 68
11.2.1 primaire insomnia .............................................................................................................. 68
11.2.2 primaire hypersomnia ....................................................................................................... 68
11.2.3 narcolepsie ........................................................................................................................ 68
11.2.4 slaapgebonden ademhalingsstoornissen........................................................................... 69
11.2.5 slaapstoornissen gebonden aan de circadiaanse ritmiek .................................................. 69
11.2.6. Dyssomnia Niet Anderszins Omschreven (dit is een soort restcategorie) ........................ 70
11.3 parasomnia ............................................................................................................................... 70
11.3.1 nachtmerries...................................................................................................................... 70
11.3.2 pavor nocturnus................................................................................................................. 71
11.3.3 slaapwandelen ................................................................................................................... 71
(11.3.4 behandeling ) .................................................................................................................... 72
11.4 Insomnia/hypersomnia in samenhang met een psychiatrische stoornis ................................. 72
12. seksuele stoornissen ....................................................................................................................... 72
12.1 seksuele disfuncties .................................................................................................................. 72
12.1.1 De seksuele respons cyclus ................................................................................................ 72
12.1.2 algemene kenmerken ........................................................................................................ 73
12.1.3 stoornis in het seksuele verlangen .................................................................................... 73
12.1.4 seksuele opwindingsstoornissen ....................................................................................... 73
12.1.5 orgasmestoornissen........................................................................................................... 74
12.1.6 seksuele pijnstoornissen .................................................................................................... 74
12.1.7 diagnostiek......................................................................................................................... 74
12.1.8 etiopathogenese & behandeling ....................................................................................... 75

, 12.2 parafilie ..................................................................................................................................... 75
12.2.1 drangstoornis ..................................................................................................................... 75
12.2.2 behandeling ....................................................................................................................... 77
13. persoonlijkheidsstoornissen ........................................................................................................... 77
13.1 Algemeen à indeling niet kennen, wel weten dat het categoriaal / prototypische indeling is77
13.1.1 Kenmerken......................................................................................................................... 78
13.2 cluster A .................................................................................................................................... 78
13.2.1 Algemeen ........................................................................................................................... 78
13.2.2 Paranoïde persoonlijkheidsstoornis .................................................................................. 78
13.2.3 Schizoïde persoonlijkheidsstoornis.................................................................................... 79
13.2.4 Schizotypische persoonlijkheidsstoornis ........................................................................... 79
13.3 cluster B .................................................................................................................................... 79
13.3.1 Algemeen ........................................................................................................................... 79
13.3.2 antisociale persoonlijkheidsstoornissen ............................................................................ 80
13.3.3 borderline persoonlijkheidsstoornissen ............................................................................ 80
13.3.4 theatrale persoonlijkheidsstoornissen .............................................................................. 80
13.3.5 narcistische persoonlijkheidsstoornissen .......................................................................... 81
13.4 cluster C .................................................................................................................................... 81
13.4.1 algemeen ........................................................................................................................... 81
13.4.2 Ontwijkende persoonlijkheidsstoornis .............................................................................. 81
13.4.3 Afhankelijke persoonlijkheidsstoornis ............................................................................... 82
13.4.3 Obsessieve-compulsieve persoonlijkheidsstoornis............................................................ 82
13.5 Prevalentie`............................................................................................................................... 82
13.6 Ontwikkeling, beloop, gevolgen ............................................................................................... 83
13.7 Diagnostiek ............................................................................................................................... 83
13.8 Diagnostische instrumenten - niet te kennen.......................................................................... 83
13.9 Comorbiditeit / differentiële diagnostiek ................................................................................. 83
13.10 Etiopathogenese ..................................................................................................................... 83
13.11 Behandeling ............................................................................................................................ 84

,1. gebruik van de DSM-V

1.1 inleiding

1.1.1 psychopathologie
• = ‘Wetenschap of studie van het geestelijk of psychisch lijden’
• Twee benaderingen:
o Syndroombenadering: psychologie van het pathologische (gegroepeerde entiteiten):
samenhangend geheel van klachten en symptomen. (DSM-V)
o Symptoombenadering: pathologie van het psychische (algemene psychische processen
of functies), communiceren met cliënt
• Twee typen diagnosen:
o Syndroomdiagnose of descriptieve diagnose: deze diagnose is alleen beschrijvend en
geeft geen informatie over de redenen en manier van ontstaan
o Structuurdiagnose: deze diagnose geeft naast een beschrijving van de symptomatologie
aan waardoor en op welke wijze het syndroom ontstaan is (m.a.w. niet enkel een
diagnose)
§ Factoren die iemand kwetsbaar maken
(predisponerende of voorbeschikkende factoren)
§ Factoren die de stoornis uitlokken
(precipiterende of uitlokkende factoren)
§ Factoren die de stoornis onderhouden
(perpetuerende of onderhoudende factoren)

1.1.2 psychiatrische stoornis
• ‘Abnormaal’ verschijnsel
o Afwijkend van de sociale norm of van wat in de cultuur als ‘normaal’ gedrag geldt.
o Veroorzaakt ongemak, lijden of bezorgdheid bij de betrokkene en/of de omgeving
• Medisch model (‘disease’)
o Etiologie (ontstaan)
o Oorzakelijke factoren (predispositie)
o Uitlokkende factoren (precipitatie)
o In standhoudende factoren (perpetuatie)
o Pathogenese (ontwikkeling)
o Prognose (natuurlijk beloop)
o Behandeling (Preventie/Therapie)
• Psychologisch model
o Ziektebeleving (‘illness’)
• Sociologisch model
o Ziekterol
o Alle factoren die niet per se vast staan verklaren samen de ziekte
• Klinische psychiatrie = care, quality of life

, • Bio-psycho-sociaal model




Kwetsbaarheid ó resilience of veerkrachtigheid

1.2 classificatie

1.2.1 algemeen
• Doel:
o Orde scheppen
o Fenomenen groeperen
o Gemeenschappelijke taal ontwikkelen
• Ideaal:
o Perfecte representatie van onderliggende realiteit en diversiteit
o Voorspelt verloop, oorzaken, reacties op behandeling
• Nuttig:
o Communicatiemiddel
o Registratiemiddel
• Kritiek: men kan enkel diagnoses stellen, men kan met een classificatie nooit verklaren.

Cut-off waarde volgens DSM-V




• Categoriaal: dichtomen pathologieën
• Dimensionaal: spectrum benadering DSM-V
• Profielbeschrijving of prototypisch: bv. persoonlijkheidsstoornissen a.d.v. traits
• * = onderdeel psychiatrie waarin behandeling afhangt van ernst stoornis

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 emmavanneste1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.29. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67474 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.29  20x  sold
  • (6)
  Add to cart