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‘Het zit allemaal tussen mijn oren!’

De neuropsychologie van verslavingsproblematiek bij mensen met een lichte verstandelijke beperking

‘It’s all between my ears!’

The neuropsychology of substance use disorders in individuals with mild to borderline intellectual disability

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Verslaving

Samenvatting

Verslavingsproblematiek gaat gepaard met allerlei neuropsychologische veranderingen in de hersenen. Dit artikel presenteert de conclusies van een onderzoeksproject gericht op deze veranderingen bij problematische drinkers met een lichte verstandelijke beperking (LVB). Gebaseerd op dit onderzoek wordt het gebruik van indirecte maten (zoals computertaken) voor klinische doeleinden afgeraden. Het verdient aanbeveling om vroeg in het behandeltraject een uitgebreid neuropsychologisch onderzoek te doen en het behandeltraject hierop aan te passen. De complexiteit van verslavingsproblematiek bij deze doelgroep vraagt om een gespecialiseerde aanpak, waarbij kennis van de LVB en van verslavingsproblematiek noodzakelijk is. Samenwerking tussen verstandelijk-gehandicaptenzorg en verslavingszorg is daarom essentieel.

Abstract

Substance use disorders (SUD) are associated with several neuropsychological deficiencies in the brain. This paper provides a summary of the main findings of a research project aimed at studying these deficiencies in problematic drinkers with mild to borderline intellectual disability (MBID). Based on our results, we discourage the use of implicit or indirect measures for clinical purposes. We also advise practitioners to consider neurocognitive assessment of cognitive and executive functioning in an early phase of the diagnostic and treatment procedure, and adapt the course of treatment accordingly. To conclude, SUD is a complex disorder that requires specialised treatment from multidisciplinary teams with sufficient knowledge on both MBID and SUD. A close collaboration between addiction medicine and ID service providers is therefore vital.

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Dankbetuiging

Wij willen de volgende organisaties bedanken voor hun deelname aan het onderzoeksproject. Binnen de verstandelijk-gehandicaptenzorg: Arduin, Aveleijn, Ipse de Bruggen, Koraal Groep, Leekerweide, Pluryn en Trajectum. Binnen de verslavingszorg: Brijder, IrisZorg, Omnizorg en Tactus.

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Authors and Affiliations

  1. Nijmegen, Nederland

    Neomi van Duijvenbode & Hubert P. L. M. Korzilius

  2. Nijmegen/Zwolle, Nederland

    Robert Didden

  3. Utrecht, Nederland

    Rutger C. M. E. Engels

Authors
  1. Neomi van Duijvenbode
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  2. Robert Didden
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  3. Hubert P. L. M. Korzilius
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  4. Rutger C. M. E. Engels
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Corresponding author

Correspondence to Neomi van Duijvenbode.

Additional information

Dit artikel is een bewerking van Van Duijvenbode et al. (2016). ‘Het zit allemaal tussen mijn oren!’ De neuropsychologie van verslavingsproblematiek bij mensen met een licht verstandelijke beperking’ Onderzoek & Praktijk, 14, 32–42.

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van Duijvenbode, N., Didden, R., Korzilius, H.P.L.M. et al. ‘Het zit allemaal tussen mijn oren!’. Verslaving 12, 278–288 (2016). https://doi.org/10.1007/s12501-016-0083-9

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