Physiotherapy in mental health care and
society
Inhoud
Diversity in health care
Definities.......................................................................................................................................... 7
Cultuur ............................................................................................................................................. 7
2.1 Managing cultural differences................................................................................................. 8
2.2 Intercultural competence ........................................................................................................ 9
2.2.1 Intercultural Knowledge and Competence VALUE Rubric............................................... 9
2.2.2 Cross-culturele communicatie....................................................................................... 11
Gender ........................................................................................................................................... 11
3.1 Pathways through which gender norms affect lifelong health ............................................. 11
3.2 Gender identiteit ................................................................................................................... 14
3.2.1 Voornaamwoorden gebruiken ...................................................................................... 15
3.3 Physiotherapy and gender .................................................................................................... 15
Socio-economische status (SES) .................................................................................................... 16
4.1 Impact of SES op gezondheidszorg ........................................................................................ 17
4.2 Intersectionaliteit .................................................................................................................. 18
Child and adolescents psychotherapy
Introductie ..................................................................................................................................... 19
1.1 Specificiteit van kinder en volwassenen psychiatrie ............................................................. 19
1.1.1 Categorieën – DSM 5 ..................................................................................................... 19
1.1.2 Dimensionele benadering ............................................................................................. 19
1.1.3 Assesment (CAPA) ......................................................................................................... 20
1.1.4 Soorten .......................................................................................................................... 21
Ontwikkelingsaandoeningen ......................................................................................................... 22
2.1 ADHD ..................................................................................................................................... 22
2.1.1 Primary features ............................................................................................................ 22
2.1.2 Klinische manifestaties DSM 5 ...................................................................................... 22
2.1.3 Klinische manifestaties – extra ...................................................................................... 23
2.1.4 Ontwikkelings psychopathologie................................................................................... 23
2.1.5 Development course ..................................................................................................... 24
1
, 2.1.6 Classificaties subtypes ................................................................................................... 25
2.1.7 Prevalentie..................................................................................................................... 25
2.1.8 Fysiopahtogenesis ......................................................................................................... 25
2.1.9 Psychopathogenesis ...................................................................................................... 25
2.1.10 Comorbiditeit ................................................................................................................ 26
2.1.11 Diagnose ........................................................................................................................ 26
2.1.12 Behandeling ................................................................................................................... 26
2.2 ASS ......................................................................................................................................... 29
2.2.1 Klinische symtomen DSM 5 ........................................................................................... 29
2.2.2 Screening ....................................................................................................................... 30
2.2.3 Etiopathogenesis ........................................................................................................... 30
2.2.4 Comorbiditeiten ............................................................................................................ 30
2.2.5 Behandeling ................................................................................................................... 31
Gedragsstoornissen ....................................................................................................................... 32
Externalizing disorders .................................................................................................................. 32
4.1 Oppositional Defiant Disorder (ODD) .................................................................................... 33
4.1.1 Klinische manifestatie DSM 5 (Clusters) ........................................................................ 33
4.1.2 Classificatie .................................................................................................................... 33
4.2 Conduct disorder (CD) ........................................................................................................... 34
4.2.1 Klinische manifestatie DSM 5 ........................................................................................ 34
4.2.2 Classificatie .................................................................................................................... 34
4.2.3 Subtypes ........................................................................................................................ 36
4.3 Etiopathogenesis ................................................................................................................... 37
4.3.1 Individuele risico factoren ............................................................................................. 37
4.3.2 Contextuele risicofactoren ............................................................................................ 37
4.3.3 Sociale factoren ............................................................................................................. 37
4.3.4 Residentiele omgeving .................................................................................................. 37
4.3.5 Biopsychosociaal model ................................................................................................ 38
4.3.6 Ontwikkelingsmodel / Patterson ................................................................................... 39
4.3.7 Ouders skilss .................................................................................................................. 40
4.4 Preventie ............................................................................................................................... 40
4.5 Behandeling ........................................................................................................................... 40
4.5.1 Algemeen....................................................................................................................... 40
4.5.2 Medicatie ....................................................................................................................... 40
2
, Internalizing disorders ................................................................................................................... 41
5.1 Mood disorders ..................................................................................................................... 41
5.1.1 Introductie ..................................................................................................................... 41
5.1.2 Depressie ....................................................................................................................... 41
5.2 Anxiety disorders ................................................................................................................... 46
5.2.1 Normale ontwikkeling ................................................................................................... 46
5.2.2 Behandeling ................................................................................................................... 47
Eating disorders ............................................................................................................................. 48
6.1 Voedingsstoornissen ............................................................................................................. 48
6.1.1 Pica ................................................................................................................................ 48
6.1.2 Herkauwstoornis ........................................................................................................... 48
6.1.3 Avoidant / restrictive food intake disorder (ARFID) ...................................................... 49
6.2 Eetstoornissen ....................................................................................................................... 49
6.2.1 Anorexia nervosa ........................................................................................................... 50
6.2.2 Bulimia nervosa ............................................................................................................. 58
6.2.3 Binge-eating aandoening............................................................................................... 61
6.2.4 Ander gespecificeerde aandoeningen ........................................................................... 63
6.2.5 Niet specifiek voeden of eetstoornis............................................................................. 63
6.3 Overgewicht/obesitas ........................................................................................................... 63
Relaxatie therapie
Load-carriability (laadvermogen) model ....................................................................................... 66
Emoties en stress........................................................................................................................... 66
Emotie ........................................................................................................................................... 66
2.2 Stress ..................................................................................................................................... 67
2.2.1 Fysiologische stressrespons........................................................................................... 67
Fysiologisch effect van korte en lange termijn stress ................................................................... 68
Relaxatie therapie ......................................................................................................................... 71
5.1 Biopsychosociaal model ........................................................................................................ 71
5.2 Actieve methode ................................................................................................................... 71
5.2.1 Abdominale ademhaling ............................................................................................... 71
5.2.2 Progressieve ontspanning ............................................................................................. 71
5.2.3 Toegepaste ontspanning ............................................................................................... 72
5.3 Passieve methode ................................................................................................................. 72
5.3.1 Autogene training .......................................................................................................... 72
3
, 5.4 Specifieke populatie .............................................................................................................. 73
5.4.1 Kinderen ........................................................................................................................ 73
5.4.2 Zwangerschap................................................................................................................ 74
Mindfulness ................................................................................................................................... 74
Therapie......................................................................................................................................... 75
Ouder-kind interacties, familie interventies
1. Introductie ..................................................................................................................................... 76
2. Ouder-kind interacties................................................................................................................... 76
2.1 Interne problemen ................................................................................................................ 77
2.2 Externe problemen ................................................................................................................ 77
3. Wat gebeurd er wanneer een chronische zieke interfereert met ouder-kind interacties............ 79
Children of parents with a mental illness (COPMI) ....................................................................... 80
4. Hoe werken met ouders en kinderen............................................................................................ 81
5. Psychomotorische therapie met families ...................................................................................... 82
Levensstijl, stress en mentale gezondheid
1. Mental health ................................................................................................................................ 83
2. Stress ............................................................................................................................................. 84
2.1 Occupational stress ............................................................................................................... 84
2.2 Austress VS. Distress ............................................................................................................. 85
2.3 Psychologische symptomen .................................................................................................. 85
2.4 Fysieke symptomen ............................................................................................................... 85
2.5 Gedrags symtomen ............................................................................................................... 86
2.6 Systemen geactiveerd door stress ........................................................................................ 86
2.7 Stress en generale Adaptatie syndroom ............................................................................... 87
2.8 Imuunsysteem ....................................................................................................................... 87
2.9 Microbiota-gut-brain-axis...................................................................................................... 88
2.10 Stress-geralateerde gastroinestinale symtomen .................................................................. 88
2.11 Stress gevoeligheids model ................................................................................................... 89
2.12 Kinder risico’s ........................................................................................................................ 89
2.13 Weerstand ............................................................................................................................. 89
2.14 Coping .................................................................................................................................... 89
2.15 Emoties .................................................................................................................................. 90
2.16 Self-management .................................................................................................................. 93
3 Lifestyle.......................................................................................................................................... 94
4
society
Inhoud
Diversity in health care
Definities.......................................................................................................................................... 7
Cultuur ............................................................................................................................................. 7
2.1 Managing cultural differences................................................................................................. 8
2.2 Intercultural competence ........................................................................................................ 9
2.2.1 Intercultural Knowledge and Competence VALUE Rubric............................................... 9
2.2.2 Cross-culturele communicatie....................................................................................... 11
Gender ........................................................................................................................................... 11
3.1 Pathways through which gender norms affect lifelong health ............................................. 11
3.2 Gender identiteit ................................................................................................................... 14
3.2.1 Voornaamwoorden gebruiken ...................................................................................... 15
3.3 Physiotherapy and gender .................................................................................................... 15
Socio-economische status (SES) .................................................................................................... 16
4.1 Impact of SES op gezondheidszorg ........................................................................................ 17
4.2 Intersectionaliteit .................................................................................................................. 18
Child and adolescents psychotherapy
Introductie ..................................................................................................................................... 19
1.1 Specificiteit van kinder en volwassenen psychiatrie ............................................................. 19
1.1.1 Categorieën – DSM 5 ..................................................................................................... 19
1.1.2 Dimensionele benadering ............................................................................................. 19
1.1.3 Assesment (CAPA) ......................................................................................................... 20
1.1.4 Soorten .......................................................................................................................... 21
Ontwikkelingsaandoeningen ......................................................................................................... 22
2.1 ADHD ..................................................................................................................................... 22
2.1.1 Primary features ............................................................................................................ 22
2.1.2 Klinische manifestaties DSM 5 ...................................................................................... 22
2.1.3 Klinische manifestaties – extra ...................................................................................... 23
2.1.4 Ontwikkelings psychopathologie................................................................................... 23
2.1.5 Development course ..................................................................................................... 24
1
, 2.1.6 Classificaties subtypes ................................................................................................... 25
2.1.7 Prevalentie..................................................................................................................... 25
2.1.8 Fysiopahtogenesis ......................................................................................................... 25
2.1.9 Psychopathogenesis ...................................................................................................... 25
2.1.10 Comorbiditeit ................................................................................................................ 26
2.1.11 Diagnose ........................................................................................................................ 26
2.1.12 Behandeling ................................................................................................................... 26
2.2 ASS ......................................................................................................................................... 29
2.2.1 Klinische symtomen DSM 5 ........................................................................................... 29
2.2.2 Screening ....................................................................................................................... 30
2.2.3 Etiopathogenesis ........................................................................................................... 30
2.2.4 Comorbiditeiten ............................................................................................................ 30
2.2.5 Behandeling ................................................................................................................... 31
Gedragsstoornissen ....................................................................................................................... 32
Externalizing disorders .................................................................................................................. 32
4.1 Oppositional Defiant Disorder (ODD) .................................................................................... 33
4.1.1 Klinische manifestatie DSM 5 (Clusters) ........................................................................ 33
4.1.2 Classificatie .................................................................................................................... 33
4.2 Conduct disorder (CD) ........................................................................................................... 34
4.2.1 Klinische manifestatie DSM 5 ........................................................................................ 34
4.2.2 Classificatie .................................................................................................................... 34
4.2.3 Subtypes ........................................................................................................................ 36
4.3 Etiopathogenesis ................................................................................................................... 37
4.3.1 Individuele risico factoren ............................................................................................. 37
4.3.2 Contextuele risicofactoren ............................................................................................ 37
4.3.3 Sociale factoren ............................................................................................................. 37
4.3.4 Residentiele omgeving .................................................................................................. 37
4.3.5 Biopsychosociaal model ................................................................................................ 38
4.3.6 Ontwikkelingsmodel / Patterson ................................................................................... 39
4.3.7 Ouders skilss .................................................................................................................. 40
4.4 Preventie ............................................................................................................................... 40
4.5 Behandeling ........................................................................................................................... 40
4.5.1 Algemeen....................................................................................................................... 40
4.5.2 Medicatie ....................................................................................................................... 40
2
, Internalizing disorders ................................................................................................................... 41
5.1 Mood disorders ..................................................................................................................... 41
5.1.1 Introductie ..................................................................................................................... 41
5.1.2 Depressie ....................................................................................................................... 41
5.2 Anxiety disorders ................................................................................................................... 46
5.2.1 Normale ontwikkeling ................................................................................................... 46
5.2.2 Behandeling ................................................................................................................... 47
Eating disorders ............................................................................................................................. 48
6.1 Voedingsstoornissen ............................................................................................................. 48
6.1.1 Pica ................................................................................................................................ 48
6.1.2 Herkauwstoornis ........................................................................................................... 48
6.1.3 Avoidant / restrictive food intake disorder (ARFID) ...................................................... 49
6.2 Eetstoornissen ....................................................................................................................... 49
6.2.1 Anorexia nervosa ........................................................................................................... 50
6.2.2 Bulimia nervosa ............................................................................................................. 58
6.2.3 Binge-eating aandoening............................................................................................... 61
6.2.4 Ander gespecificeerde aandoeningen ........................................................................... 63
6.2.5 Niet specifiek voeden of eetstoornis............................................................................. 63
6.3 Overgewicht/obesitas ........................................................................................................... 63
Relaxatie therapie
Load-carriability (laadvermogen) model ....................................................................................... 66
Emoties en stress........................................................................................................................... 66
Emotie ........................................................................................................................................... 66
2.2 Stress ..................................................................................................................................... 67
2.2.1 Fysiologische stressrespons........................................................................................... 67
Fysiologisch effect van korte en lange termijn stress ................................................................... 68
Relaxatie therapie ......................................................................................................................... 71
5.1 Biopsychosociaal model ........................................................................................................ 71
5.2 Actieve methode ................................................................................................................... 71
5.2.1 Abdominale ademhaling ............................................................................................... 71
5.2.2 Progressieve ontspanning ............................................................................................. 71
5.2.3 Toegepaste ontspanning ............................................................................................... 72
5.3 Passieve methode ................................................................................................................. 72
5.3.1 Autogene training .......................................................................................................... 72
3
, 5.4 Specifieke populatie .............................................................................................................. 73
5.4.1 Kinderen ........................................................................................................................ 73
5.4.2 Zwangerschap................................................................................................................ 74
Mindfulness ................................................................................................................................... 74
Therapie......................................................................................................................................... 75
Ouder-kind interacties, familie interventies
1. Introductie ..................................................................................................................................... 76
2. Ouder-kind interacties................................................................................................................... 76
2.1 Interne problemen ................................................................................................................ 77
2.2 Externe problemen ................................................................................................................ 77
3. Wat gebeurd er wanneer een chronische zieke interfereert met ouder-kind interacties............ 79
Children of parents with a mental illness (COPMI) ....................................................................... 80
4. Hoe werken met ouders en kinderen............................................................................................ 81
5. Psychomotorische therapie met families ...................................................................................... 82
Levensstijl, stress en mentale gezondheid
1. Mental health ................................................................................................................................ 83
2. Stress ............................................................................................................................................. 84
2.1 Occupational stress ............................................................................................................... 84
2.2 Austress VS. Distress ............................................................................................................. 85
2.3 Psychologische symptomen .................................................................................................. 85
2.4 Fysieke symptomen ............................................................................................................... 85
2.5 Gedrags symtomen ............................................................................................................... 86
2.6 Systemen geactiveerd door stress ........................................................................................ 86
2.7 Stress en generale Adaptatie syndroom ............................................................................... 87
2.8 Imuunsysteem ....................................................................................................................... 87
2.9 Microbiota-gut-brain-axis...................................................................................................... 88
2.10 Stress-geralateerde gastroinestinale symtomen .................................................................. 88
2.11 Stress gevoeligheids model ................................................................................................... 89
2.12 Kinder risico’s ........................................................................................................................ 89
2.13 Weerstand ............................................................................................................................. 89
2.14 Coping .................................................................................................................................... 89
2.15 Emoties .................................................................................................................................. 90
2.16 Self-management .................................................................................................................. 93
3 Lifestyle.......................................................................................................................................... 94
4
