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Volledige samenvatting van Klinische Psychiatrie
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KLINISCHE PSYCHIATRIE2BA Psychologie
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College 1: inleiding: de DSM ............................................................................................................. 9
1. Psychopathologie/psychiatrische stoornis .............................................................................. 9
1.1 Psychopathologie ............................................................................................................ 9
1.2 Psychiatrische stoornis.................................................................................................... 9
2. Classificatie .......................................................................................................................... 10
2.1 Classificatie/Algemeen .................................................................................................. 10
2.2 Classificatie – DSM/ICD ................................................................................................ 11
2.3 DSM-geschiedenis ........................................................................................................ 11
3. Diagnostiek .......................................................................................................................... 12
3.1 Verschillen tussen classificatie en diagnostiek .............................................................. 12
4. Globale veranderingen in de DSM-5 .................................................................................... 12
5. De opzet van de DSM-5 ....................................................................................................... 13
5.1 Classificatiecriteria ........................................................................................................ 14
5.2 Classificatiecategorieën ................................................................................................ 14
6. Stellingen over de DSM-5 .................................................................................................... 15
7. Conclusie ............................................................................................................................. 15
College 2: Inleiding ......................................................................................................................... 16
1. Normaliteit en psychopathologie .......................................................................................... 16
1.1 Normaliteit ..................................................................................................................... 16
1.2 Probleem van de subjectiviteit ....................................................................................... 17
2. Epidemiologie ...................................................................................................................... 17
3. Algemene prevalentie........................................................................................................... 18
4. Geschiedenis van de psychiatrie .......................................................................................... 18
5. Etiopathogenese .................................................................................................................. 20
6. Fysiopathogenese ................................................................................................................ 20
6.1 Genetica ....................................................................................................................... 20
6.2 Heritabiliteit ................................................................................................................... 21
6.3 Basisvragen bij genetische onderzoek .......................................................................... 21
6.4 Gen-omgeving-Gen....................................................................................................... 22
6.5 Neurotransmitters.......................................................................................................... 22
7. Psychopathogenese ............................................................................................................. 23
7.1 Psychologisch perspectief ............................................................................................. 23
7.2 Psychische functies....................................................................................................... 24
7.3 Stoornis in het psychisch functioneren .......................................................................... 24
8. Het Psychiatrisch Onderzoek ............................................................................................... 26
8.1 Anamnese ..................................................................................................................... 26
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, 8.2 Onderzoek .................................................................................................................... 27
8.3 Beeldvorming ................................................................................................................ 27
College 3: Neurocognitieve stoornissen .......................................................................................... 28
1. Demografische gegevens ..................................................................................................... 28
2. Neurocognitieve stoornissen ................................................................................................ 28
2.1 Vergrijzing van de bevolking in België ........................................................................... 28
2.2 Epidemiologie ............................................................................................................... 28
2.3 Het geheugen ............................................................................................................... 29
2.4 Ouderdom ..................................................................................................................... 29
3. Neuropsychologische testen ................................................................................................ 30
3.1 MMSE ........................................................................................................................... 30
3.2 Klok-test ........................................................................................................................ 30
4. Dementie.............................................................................................................................. 30
4.1 Informatienetwerk.......................................................................................................... 30
4.2 Geheugen en veroudering ............................................................................................. 30
4.3 Epidemiologie – Expertisecentrum dementie Vlaanderen.............................................. 30
4.4 Klinische kenmerken/symptomen .................................................................................. 31
4.5 Oorzaken van dementie ................................................................................................ 33
4.6 Diagnostiek ................................................................................................................... 35
4.7 Dementie-depressie ...................................................................................................... 35
4.8 Behandeling van dementie ............................................................................................ 36
4.9 Behandeling psychiatrische symptomen ....................................................................... 36
5. Delirium ................................................................................................................................ 36
5.1 Epidemiologie ............................................................................................................... 37
5.2 DSM .............................................................................................................................. 37
5.3 Subtypes ....................................................................................................................... 37
5.4 Delirium-dementie-depressie......................................................................................... 37
5.5 Oorzaken delier: I WATCH DEATH ............................................................................... 37
5.6 Behandeling van delirium .............................................................................................. 38
6. Amnestische stoornissen (amnesie = geheugen) ................................................................. 38
6.1 Etiologie (over welk aandoening/oorzaken spreken we) ................................................ 38
College 4: Middelen-gerelateerde en verslavingsstoornissen.......................................................... 39
1. Stoornissen in het gebruik .................................................................................................... 39
1.1 Misbruik van een middel................................................................................................ 39
1.2 Middelenafhankelijkheid ................................................................................................ 39
1.3 Intoxicatie door een middel ........................................................................................... 40
1.4 Onthouding van een middel .......................................................................................... 40
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, 2. Psychoactieve stoffen .......................................................................................................... 40
2.1 Algemene indeling......................................................................................................... 40
2.2 Eenheid van alcohol ...................................................................................................... 40
2.3 Alcoholgebruik – epidemiologie ..................................................................................... 41
2.4 Richtlijnen alcohol ......................................................................................................... 41
2.5 Stoornissen door het gebruik van alcohol ...................................................................... 41
3. Middelen-gerelateerde en verslavingsstoornissen ................................................................ 42
3.1 Diagnostiek ................................................................................................................... 42
3.3 Prognose....................................................................................................................... 44
3.4 Behandeling – algemeen............................................................................................... 44
College 5: Schizofrenie en andere psychotische stoornissen .......................................................... 46
1. Psychotische stoornissen ..................................................................................................... 46
2. Schizofrenie ......................................................................................................................... 46
2.1 Klinische criteria, DSM gewijs ....................................................................................... 46
2.2 Kenmerken.................................................................................................................... 46
2.3 Comorbiditeit ................................................................................................................. 48
2.4 Differentiële diagnostiek ................................................................................................ 48
2.5 Diagnostiek ................................................................................................................... 48
2.6 Epidemiologie ............................................................................................................... 49
2.7 Etiopathogenese ........................................................................................................... 49
2.8 Prodromen .................................................................................................................... 49
2.9 Neurobiologische afwijkingen ........................................................................................ 50
2.10 Preventie ....................................................................................................................... 50
2.11 Behandeling .................................................................................................................. 50
2.12 Beloop ........................................................................................................................... 51
3. Schizofreniforme stoornis ..................................................................................................... 52
3.1 Klinische criteria ............................................................................................................ 52
4. Schizoaffectieve stoornis...................................................................................................... 52
4.1 Klinische criteria ............................................................................................................ 52
5. Waanstoornis ....................................................................................................................... 52
5.1 Klinische criteria................................................................................................................. 52
6. Kortdurende psychotische stoornis....................................................................................... 52
6.1 Klinische criteria ............................................................................................................ 52
7. Gedeelde psychotische stoornis ........................................................................................... 53
7.1 Klinische criteria ............................................................................................................ 53
College 6: Stemmingsstoornissen ................................................................................................... 54
1. Stemmingsstoornissen ......................................................................................................... 54
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