Summary

Samenvatting - Klinische psychiatrie (1002768BER)

12 views 0 purchase

Course
Klinische psychiatrie (1002768BER)

Institution
Vrije Universiteit Brussel (VUB)

Deze samenvatting bevat alle leerstof te kennen in het vak Klinische psychiatrie. Ik maakte deze op basis van mijn lesnotities, de slides van de prof en handboeken uit mijn vooropleiding. Ik slaagde meteen van de eerste keer voor dit vak gezien mijn samenvatting uitgebreid maar toch ook beknopt is....

[Show more]

Preview 4 out of 106 pages

View example

Uploaded on August 6, 2024
Number of pages 106
Written in 2023/2024
Type Summary

dsm 5
stemmingsstoornissen
angst en eetstoornissen
neurocognitieve stoornissen
middelengerelateerde stoornissen
schizofrenie en andere psychotische stoornissen
ontwikkelings en gedragsstoornissen
ex

Institution
Vrije Universiteit Brussel (VUB)
Education
Psychologie
Course
Klinische psychiatrie (1002768BER)

sarahawad

Member since 5 months 15 documents sold

$10.50

Added

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

KLINISCHE PSYCHIATRIE
2022-2023

INHOUDSOPGAVE
1. INLEIDING: GEBRUIK VAN DE DSM-5 ................................................................................................................................ 4
1.1. INLEIDING: PSYCHOPATHOLOGIE / PSYCHIATRISCHE STOORNIS ............................................................................ 4
1.2. CLASSIFICATIE ......................................................................................................................................................... 5
1.3. DIAGNOSTIEK .......................................................................................................................................................... 7
1.4. GLOBALE VERANDERINGEN DSM-5......................................................................................................................... 7
1.5. OPZET DSM-5 .......................................................................................................................................................... 8
1.6. STELLINGEN............................................................................................................................................................. 9
1.7. CONCLUSIE .............................................................................................................................................................. 9
2. INLEIDING ....................................................................................................................................................................... 10
2.1. NORMALITEIT EN SUBJECTIVITEIT ......................................................................................................................... 10
2.2. EPIDEMIOLOGIE .................................................................................................................................................... 11
2.3. PREVALENTIE......................................................................................................................................................... 12
2.4. GESCHIEDENIS VAN DE PSYCHIATRIE .................................................................................................................... 12
2.5. ETIOPATHOGENESE ............................................................................................................................................... 14
2.5.1. FYSIOPATHOGENESE ................................................................................................................................... 14
2.5.2. PSYCHOPATHOGENESE................................................................................................................................ 17
2.6. HET PSYCHIATRISCH ONDERZOEK ......................................................................................................................... 20
3. NEUROCOGNITIEVE STOORNISSEN ................................................................................................................................. 22
3.1. EPIDEMIOLOGIE .................................................................................................................................................... 22
3.2. HET GEHEUGEN..................................................................................................................................................... 22
3.3. OUDERDOM .......................................................................................................................................................... 23
3.4. DEMENTIE ............................................................................................................................................................. 23
3.4.1. KLINISCHE KENMERKEN............................................................................................................................... 24
3.4.2. INDELING DEMENTIE ................................................................................................................................... 25
3.4.3. ZIEKTE VAN ALZHEIMER (Dementie van het Alzheimer-Type) .................................................................... 25
3.4.4. VASCULAIRE DEMENTIE............................................................................................................................... 27
3.4.5. FRONTOTEMPORALE DEMENTIE ................................................................................................................. 27
3.4.6. DEMENTIE MET LEWY BODIES (DLB) ........................................................................................................... 27
3.4.7. ANDERE VORMEN VAN DEMENTIE.............................................................................................................. 28
3.4.8. DIAGNOSTIEK .............................................................................................................................................. 28
3.4.9. BEHANDELING ............................................................................................................................................. 29
3.5. DELIRIUM .............................................................................................................................................................. 30
3.6. AMNESTISCHE STOORNISSEN ............................................................................................................................... 31
4. MIDDELENGERELATEERDE STOORNISSEN ...................................................................................................................... 32
4.1. STOORNISSEN IN HET GEBRUIK............................................................................................................................. 32
4.1.1. MIDDELENMISBRUIK ................................................................................................................................... 32
4.1.2. MIDDELENAFHANKELIJKHEID ...................................................................................................................... 32
4.2. STOORNISSEN DOOR HET GEBRUIK ...................................................................................................................... 33
4.2.1. INTOXICATIE ................................................................................................................................................ 33
4.2.2. ONTHOUDING ............................................................................................................................................. 33
4.3. PSYCHOACTIEVE STOFFEN .................................................................................................................................... 34
4.3.1. INDELING ..................................................................................................................................................... 34
4.3.2. ALCOHOL ..................................................................................................................................................... 34
4.3.3. DRUGS: STOORNISSEN DOOR HET GEBRUIK ............................................................................................... 36
4.4. MIDDELENGERELATEERDE EN VERSLAVINGSSTOORNISSEN ................................................................................. 37
4.4.1. DIAGNOSTIEK .............................................................................................................................................. 37
4.4.2. ETIOPATHOGENESE ..................................................................................................................................... 37

1

, 4.4.3. PROGNOSE .................................................................................................................................................. 38
4.4.4. BEHANDELING ............................................................................................................................................. 38
5. SCHIZOFRENIE EN ANDERE PSYCHOTISCHE STOORNISSEN ............................................................................................ 40
5.1. PSYCHOTISCHE STOORNISSEN .............................................................................................................................. 40
5.2. SCHIZOFRENIE ....................................................................................................................................................... 40
5.2.1. KENMERKEN ................................................................................................................................................ 40
5.2.2. COMORBIDITEIT EN DIAGNOSTIEK .............................................................................................................. 43
5.2.3. EPIDEMIOLOGIE........................................................................................................................................... 44
5.2.4. ETIOPATHOGENESE ..................................................................................................................................... 44
5.2.5. BEHANDELING ............................................................................................................................................. 46
5.2.6. PROGNOSE EN BELOOP ............................................................................................................................... 48
5.3. SCHIZOFRENIFORME STOORNIS ............................................................................................................................ 48
5.4. SCHIZOAFFECTIEVE STOORNIS .............................................................................................................................. 48
5.5. WAANSTOORNIS ................................................................................................................................................... 49
5.6. KORTDURENDE PSYCHOTISCHE STOORNIS ........................................................................................................... 49
5.7. GEDEELDE PSYCHOTISCHE STOORNIS ................................................................................................................... 49
6. STEMMINGSSTOORNISSEN ............................................................................................................................................. 50
6.1. DEFINITIES EPISODES ............................................................................................................................................ 50
6.1.1. DEPSRESSIEVE EPISODE ............................................................................................................................... 50
6.1.2. HYPO-MANISCHE EPISODE .......................................................................................................................... 51
6.1.3. GEMENDE EPISODE ..................................................................................................................................... 52
6.2. KENMERKEN STEMMINGSSTOORNISEN................................................................................................................ 52
6.2.1. UNIPOLAIRE STEMMINGSSTOORNIS ........................................................................................................... 52
6.2.2. BIPOLAIR...................................................................................................................................................... 53
6.3. DIAGNOSTIEK EN COMORBIDITEIT ........................................................................................................................ 54
6.4. EPIDEMIOLOGIE EN ETIOPATHOGENESE .............................................................................................................. 55
6.5. BEHANDELING ....................................................................................................................................................... 57
6.6. SUÏCIDE ................................................................................................................................................................. 59
7. ANGST- EN EETSTOORNISSEN ......................................................................................................................................... 61
7.1. INLEIDING.............................................................................................................................................................. 61
7.2. ANGSTSTOORNISSEN ............................................................................................................................................ 62
7.2.1. SPECIFIEKE/ENKELVOUDIGE FOBIE .............................................................................................................. 62
7.2.2. PANIEKSTOORNIS EN AGORAFOBIE ............................................................................................................. 63
7.2.3. SOCIALE FOBIE ............................................................................................................................................. 65
7.2.4. OBSESSIEVE-COMPULSIEVE STOORNIS (OCD) ............................................................................................. 65
7.2.5. GEGENERALISEERDE ANGSTSTOORNIS........................................................................................................ 66
7.2.6. POSTTRAUMATISCHE STRESSTOORNIS ....................................................................................................... 67
7.2.7. ACUTE STRESSSTOORNIS ............................................................................................................................. 69
7.3. EETSTOORNISSEN.................................................................................................................................................. 69
7.3.1. ANOREXIA NERVOSA ................................................................................................................................... 69
7.3.2. BULIMIA NERVOSA ...................................................................................................................................... 70
7.3.3. DIAGNOSTIEK .............................................................................................................................................. 71
7.3.4. ETIOPATHOGENESE ..................................................................................................................................... 71
7.3.5. BEHANDELING ............................................................................................................................................. 72
8. ONTWIKKELINGS- EN GEDRAGSSTOORNISSEN ............................................................................................................... 73
8.1. INLEIDING.............................................................................................................................................................. 73
8.2. ADHD: ONTWIKKELINGSSTOORNIS ....................................................................................................................... 74
8.2.1. KLINISCH BEELD ........................................................................................................................................... 74
8.2.2. CLASSIFICATIE .............................................................................................................................................. 76
8.2.3. EPIDEMIOLOGIE........................................................................................................................................... 76
8.2.4. DIAGNOSTIEK .............................................................................................................................................. 77
8.2.5. BEHANDELING ............................................................................................................................................. 77
8.3. ASS: ONTWIKKELINGSSTOORNIS ........................................................................................................................... 78
8.3.1. KLINISCHE KENMERKEN............................................................................................................................... 78

2

, 8.3.2. VERKLARINGSMODEL: ETIOPATHOGENESE EN FYSIOPATHOGENESE ......................................................... 79
8.3.3. COMORBIDITEIT .......................................................................................................................................... 80
8.3.4. BEHANDELING ............................................................................................................................................. 80
8.4. EXTERNALISERENDE STOORNISSEN: GEDRAGSSTOORNISSEN .............................................................................. 81
8.4.1. ALGEMEEN .................................................................................................................................................. 81
8.4.2. OPPOSITIONELE-OPSTANDIGE STOORNIS ................................................................................................... 82
8.4.3. NORMOVERSCHRIJDEND-GEDRAGSSTOORNIS............................................................................................ 82
8.4.4. ETIOPATHOGENESE ..................................................................................................................................... 84
8.4.5. PREVENTIE ................................................................................................................................................... 85
8.4.6. BEHANDELING ............................................................................................................................................. 86
9. GEDWONGEN OPNAME ............................................................................................................................................. 86
10. SLAAP- EN SEKSUELE STOORNISSEN .......................................................................................................................... 87
10.1. SLAAPSTOORNISSEN......................................................................................................................................... 87
10.1.1. HET SLAAPPROCES....................................................................................................................................... 87
10.1.2. DYSSOMNIA: VERSTOORD SLAAPPROCES ................................................................................................... 87
10.1.3. PARASOMNIA: NORMAAL SLAAPPROCES .................................................................................................... 90
10.1.4. BEHANDELINGEN......................................................................................................................................... 91
10.2. SEKSUELE STOORNISSEN .................................................................................................................................. 92
10.2.1. SEKSUELE DISFUNCTIES ............................................................................................................................... 92
10.2.1. SEKSUELE DISFUNCTIES: DIAGNOSTIEK, ETIOPATHOGENESE, BEHANDELING .................................................... 94
10.2.2. PARAFILIEËN ................................................................................................................................................ 95
11. PERSOONLIJKHEIDSSTOORNISSEN ............................................................................................................................. 98
11.1. ALGEMEEN ....................................................................................................................................................... 98
11.2. CLUSTER A ........................................................................................................................................................ 99
11.2.1. PARANOÏDE PERSOONLIJKHEIDSSTOORNIS................................................................................................. 99
11.2.2. SCHIZOÏDE PERSOONLIJKHEIDSSTOORNIS ................................................................................................... 99
11.2.3. SCHIZOTYPISCHE PERSOONLIJKHEIDSSTOORNIS ....................................................................................... 100
11.3. CLUSTER B ...................................................................................................................................................... 100
11.3.1. ANTISOCIALE PERSOONLIJKHEIDSSTOORNIS ............................................................................................. 101
11.3.2. BORDERLINE PERSOONLIJKHEIDSSTOORNIS ............................................................................................. 101
11.3.3. THEATRALE PERSOONLIJKHEIDSSTOORNIS ............................................................................................... 102
11.3.4. NARCISTISCHE PERSOONLIJKHEIDSSTOORNIS ........................................................................................... 102
11.4. CLUSTER C ...................................................................................................................................................... 102
11.4.1. ONTWIJKENDE PERSOONLIJKHEIDSSTOORNIS .......................................................................................... 103
11.4.2. AFHANKELIJKE PERSOONLIJKHEIDSSTOORNIS........................................................................................... 103
11.4.3. OBSESSIEVE-COMPULSIEVE PERSOONLIJKHEIDSSTOORNIS ...................................................................... 103
11.5. PREVALENTIE, BELOOP, DIAGNOSTIEK, ETIOPATHOGENESE EN BEHANDELING ............................................ 104

3

, 1. INLEIDING: GEBRUIK VAN DE DSM-5
1.1. INLEIDING: PSYCHOPATHOLOGIE / PSYCHIATRISCHE STOORNIS
Psychopathologie:
→ Wetenschap of studie van het geestelijk of psychisch lijden
→ Logie = de leer
→ Pathos = last, lijden die patiënt zelf of omgeving heeft, een absolute vereiste om te kunnen spreken over
een psychiatrische aandoening.
→ Psyche = psychisch functioneren

→ Twee benaderingen :
1) Syndroombenadering
= psychologie van het pathologische (gegroepeerde entiteiten)
= samenhangend geheel van klachten en symptomen
Bv. wat een dokter doet bij een zieke patiënt, doet hier een psychiater met een cliënt.

2) Symptoombenadering
= pathologie van het psychische (algemene psychische processen of functies)
= psychisch functioneren van die specifieke patiënt gaan bestuderen

→ 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
1) Predisponerende of voorbeschikkende factoren
= Factoren die iemand kwetsbaar maken (genetica)
2) Precipiterende of uitlokkende factoren
= Factoren die de stoornis uitlokken
bv. cannabis die een psychose kan triggeren, die al een kwetsbaarheid voor psychosen heeft

3) Perpetuerende of onderhoudende factoren
= Factoren die de stoornis onderhouden

Psychiatrische stoornis:
→ Abnormaal’ verschijnsel
= Afwijkend van de sociale norm of van wat in de cultuur als ‘normaal’ gedrag geldt
→ Veroorzaakt ongemak, lijden of bezorgdheid bij de betrokkene en/of de omgeving
Zonder dit luik kan je niet spreken over een psychiatrische stoornis, dan is het een psychische klacht.

4

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 sarahawad. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.50. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64438 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

Popular Universities in the United States

Popular books

Find notes and summaries for these qualifications

Seller