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Hoorcollege stemming- en angststoornissen

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Kennislijn Jaar 1 OP4 Geen paniek hoorcollege

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  • October 14, 2020
  • 4
  • 2017/2018
  • Class notes
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Stemming- en angststoornissen
Depressie: je ziet het leven even allemaal niet meer zitten, je bent moe, voelt je verdrietig en kan je
nergens toe zetten

Symptomen belemmeren dagelijks functioneren
- Verlies van eetlust, concentratieverlies, vermoeidheid en slapeloosheid: kunnen oorzaken
zijn van somatische aandoeningen
Symptomen:
- Psychologische symptomen:
o Depressieve stemming, vermoeidheid, angst, cognitieve stoornissen
- Gedragsmatige symptomen:
o Isoleren
o Huilbuien
o Psychomotorische agitatie of remming
o Verlies van vermogen om plezier te vinden in bezigheden
o Verminderde productiviteit
o Denken aan of praten over de dood
- Functionele symptomen:
o Eetstoornissen, gewichtsverandering
o Seksuele stoornissen
o Slaapstoornissen
o Obstipatie, lichamelijke klachten
- Symptomen van een depressieve stoornis volgens DSM V
o Sombere stemming
o Interesseverlies
o Verlies van eetlust, gewichtsverlies
o Moeite met in- of doorslapen
o Snel geïrriteerd, vijandige houding of juist geremd en apathisch
o Moe en lusteloos, verlies van energie
o Schuldgevoelens en gevoelens van waardeloosheid
o Zich moeilijk kunnen concentreren en/of beslissingen kunnen nemen
o Telkens aan de dood denken of dood willen
Diagnose: >- 5 symptomen binnen 2 weken

Epidemiologie
Stemmingsstoornissen 1 van de belangrijkste problemen in de gezondheidszorg
WHO: depressie 1 van de 4 meest invaliderende ziekten
- Hoge prevalentie
- Grote kans op recidief
- Chroniciteit
- Psychiatrische en somatische comorbiditeit

Etiologische factoren bij depressie:
- Biologische verklaring
• Erfelijke aanleg
• Disbalans neurotransmitters
• Somatische factoren
- Psychosociaal
• Persoonlijkheidsstructuur

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