DT-30-4-233.pdf 511.34 KB 479 downloads
Speurtocht naar de voorboden van een psychose bij jongeren ...Samenvatting
In dit artikel wordt aan de hand van het voorbeeld psychose allereerst het concept staging uitgelegd.Vervolgens wordt in een casusbespreking een voorbeeld van behandeling van subklinische psychotische symptomen en gebleken risicosymptomen voor een eerste psychose, besproken. Behandeling met cognitieve gedragstherapie, zoals in deze casus wordt op dit moment onderzocht op de positieve effectiviteit ervan op het beloop van subklinische psychotische klachten. De groep patiënten met een verhoogd risico op een psychose zit vaak in de adolescentiefase, wat inhoudt dat rekening gehouden dient te worden met ontwikkelingsniveau, hetgeen uitgelegd wordt.
Summary
In this article we discuss the concept of staging of illness in relation to psychosis. In early detection of subclinical psychotic symptoms mostly a milder treatment like cognitive behavior therapy is sufficient; currently the effect of cognitive behavioral therapy on delaying or even preventing a psychosis is evaluated. Patients with an at risk mental state are mostly adolescents: this taking the developmental phase into account.
Referenties
Berg, D.A.M. van den & Gaag, M. van der (2010). Cognitieve gedragstherapie bij het voorkomen van ernstige psychiatrische klachten. Psychopraktijk, 2(1), 7-10.
Cannon, T.D., Cadenhead, K., Cornblatt, B., Woods, S.W., Addington, J., Walker, E., Seidman, L.J., Perkins, D., Tsuang, M., McGlashan, T., & Heinser, R. (2008). Prediction of Psychosis in Youth at High Clinical Risk: A Multisite Longitudinal Study in North America. Archives of General Psychiatry, 65, 28-37.
Cardno, A.G., Marshall E.J., Coid B., MacDonald, A.M., Ribchester T.R., Davies, N.J., Venturi P., Jones, L.A., Lewis, S.W., Sham, P.C., Gottesman I.I., Farmer, A.E., McGuffin, P., Reveley, A.M., & Murray, R.M. (1999). Heritability estimates for psychotic disorders: the Maudsley twin psychosis series. Archives of General Psychiatry, 56, 162-168.
Cornblatt, B., Lencz, T., Smith, C.W., Olsen, R., Auther, A.M., Nakayama, E., Lesser, M., Tai, J.Y., Shah, M.R., Foley, C.A., Kane, J.M., & Correl, C.U. (2007). Can antidepressants be used to treat the schizophrenia prodrome? Results of a prospective, naturalistic treatment study of adolescents. Journal of Clinical Psychiatry, 68(4), 546-557.
Fava, G.A., & Kellner, R. (1993). Staging: a neglected dimension in psychiatric classification. Acta Psychiatrica Scandinavia, 87, 225-230.
Hafner, H., Loffler, W., Maurer, K., Hambrecht, M., & Van der Heiden, W. (1999). Depression, negative symptoms, social stagnation and social decline in the early course of schizophrenia. Acta Psychiatrica Scandinavia, 100, 105-118.
Johnstone, E.C., Crow, T.J., Johnson, A.L., & McMillan, J.F. (1986). The Northwick Park Study of first episodes of schizophrenia. I. Presentation of the illness and problems relating to admission. The British Journal of Psychiatry,
148, 115-120.
Klaassen, M.C., Nieman, D.H., Becker, H.E., & Linszen, D.H. (2006). Wanneer heeft detectie van hoogrisicofactoren voor een eerste psychose zin? Tijdschrift voor psychiatrie, 48(6), 467-476.
Loebel, A.D., Lieberman, J.A., Alvir, J.M., Mayerhoff, D.I., Geisler, S.H., & Szymanski, S.R. (1992). Duration of psychosis and outcome in first-episode schizophrenia. The American Journal of Psychiatry, 149, 1183-1188.
McGlashan, T.H. (1996). Early detection and intervention with schizophrenia: research. Schizophrenia Bulletin, 22, 327-345.
McGlashan, T.H., Addington, J., Cannon, T., Heinimaa, M., McGorry, O’Brien, M., Penn, D., Perkins, D., Salonkangas, R.K.R., Walsh, B., Woods, S.W., & Yung, A. (2007). Recruitment and Treatment Practices for Help-Seeking ‘Prodromal’ Patients. Schizophrenia Bulletin, 33(3), 715-726.
McGorry, P.D., Yung, A.R., Yuen, H.P., Francey, S., Cosgrave, E.M., Germano, D., Bravin, J., McDonald, T., Blair, A., Adlard, S., & Jackson, H. (2002). Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms. Archives of General Psychiatry, 59(10), 921-928.
McGorry, P.D., Hickie, I.B., Yung, A.R., Pantelis, C., & Jackson, H.J. (2006). Clinical staging of psychiatric disorders: a heuristic framework for choosing earlier, safer and more effective interventions. Australian and New Zealand Journal of Psychiatry, 40, 616-622.
Morrison, A.P., French, P., Parker, S., Roberts, M., Stevens, H., Bentlall, R.P., & Lewis, S.W. (2007). Three-year follow-up of a randomized controlled trial of cognitive therapy for the prevention of psychosis in people at ultrahigh risk. Schizophrenia Bulletin, 33, 682-687.
Nieman, D.H., Rike, W.H., Becker, H.E., Dingemans, P.M., Amelsvoort, T.A. van, Haan, L. de, Gaag, M. van der, Denys, D.A.J.P., & Linszen, D.H. (2009). Prescription of antipsychotic medication to patients at ultra high risk of developing psychosis. International Clinical Psychopharmacology, 24(4), 223-228.
Schlosser, D.A., Zinberg, J.L., Loewy, R.L., Casey-Cannon, S., O’Brien, M.P., Bearden, C.E., Vinogradov, S., & Cannon, T.D. (2010). Predicting the longitudinal effects of the family environment on prodromal symptoms and functioning in patients at-risk for psychosis. Schizophrenia Research, 118, 69-75.
Strater, A. van & Gaag, M. van der (2010). Preventie van psychose door cognitieve gedragstherapie van invaliderende intrusies. Directieve therapie, elders in dit nummer.
Velthorst, E., Nieman, D.H., Becker, H.E., Fliert, R. van der, Dingemans, P.M., Klaassen, R., Haan, L. de, Amelsvoort, T. van, & Linszen, D.H. (2009). Baseline differences in clinical symptomatology between ultra high risk subjects with and without a transition to psychosis. Schizophrenia Research, 109, 60-65.
Yung, A.R. & McGorry, P.D. (1996). The prodromal phase of first-episode psychosis: Past and current conceptualizations. Schizophrenia Bulletin, 22, 353-370.
Yung, A.R., Phillips, L.J., Yuen, H.P., Francey, S.M., McFarlane, C.A., Hallgren, M., & McGorry, P.D. (2003). Psychosis prediction: 12-month follow-up of a high-risk (‘prodromal’) group. Schizophrenia Research, 60, 21-32.
Yung, A.R., Stanford, C., Cosgrave, E., Killackey, E., Phillips, L., Nelson, B., & McGorry, P.D. (2006). Testing the Ultra High Risk (prodromal) criteria for the prediction of psychosis in a clinical sample of young people. Schizophrenia Research, 84, 57-66.
Yung, A.R., Yuen, H.P., Berger G., Francey, S., Hung, T.C., Nelson, B., Phillips, L., & McGorry, P.D. (2007). Declining transition rate in Ultra High Risk (prodromal) services: dilution or reduction of risk? Schizophrenia Bulletin, 33, 673-681.
Wit, J. de, Slot, W., & Aken, M. van (2004). Psychologie van de adolescentie (pp. 12, 17-18). Baarn: HBuitgevers.