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Heeft wetenschappelijk onderzoek op het terrein van de kinder- en jeugdpsychiatrie opgeleverd wat we verwacht hadden?

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Transformaties in de jeugdzorg
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Samenvatting

In de somatische gezondheidszorg, vooral in de preventieve gezondheidszorg, heeft empirisch wetenschappelijk onderzoek bijgedragen aan het vergroten van de gezondheid. De vraag is of dit ook geldt voor de kinder- en jeugdpsychiatrie. Lange tijd speelde wetenschappelijk onderzoek in de kinder- en jeugdpsychiatrie immers geen rol, enkele uitzonderingen daargelaten. Dit artikel geeft een selectief overzicht over de rol van wetenschappelijk onderzoek in de kinder- en jeugdpsychiatrie. Dit vak heeft de afgelopen decennia weer aansluiting gevonden bij andere medische disciplines. Hierin heeft wetenschappelijk onderzoek een belangrijke rol gespeeld. Toch heeft wetenschappelijk onderzoek maar weinig bijgedragen aan verbetering van preventie en interventie van psychiatrische stoornissen bij kinderen en adolescenten. Blijkbaar is de etiologische en fenotypische heterogeniteit zo complex dat de toepassing van nieuwe technieken, zoals de genetica en (neuro)imaging, binnen de kinder- en jeugdpsychiatrie niet tot de grote successen heeft geleid die in de algemene geneeskunde plaatsvonden.

Abstract

In somatic healthcare, preventive healthcare in particular, empirical scientific research has helped improve health. The question is whether this also applies to psychiatry for children and adolescents. After all, there was a lengthy period during which scientific research played no part in child and adolescent psychiatry (with just a few exceptions). This article gives a selective overview of the role of scientific research in child and adolescent psychiatry. Over recent decades, this field has once again found its place in amongst other medical disciplines. Scientific research has played a key role in this. Nevertheless, scientific research has contributed little to improvements in prevention and interventions for psychiatric disorders in children and adolescents. It would seem that the aetiological and phenotypic heterogeneity is so complex that applying new techniques such as genetics, imaging and neuro-imaging has not led to the major successes in child and adolescent psychiatry that have been achieved in medicine in general.

Frank C. Verhulst MD, PhD is hoogleraar kinder- en jeugdpsychiatrie en afdelingshoofd van de afdeling Kinder- en Jeugdpsychiatrie/psychologie van het ErasmusMC te Rotterdam.

Deze bijdrage is grotendeels ook gepubliceerd in: Veertig Jaar Kinder- en Jeugdpsychiatrie: Terugblikken en Vooruitzien. Liber Amicorum voor Fop Verheij. Assen: Van Gorcum, 2014.

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Verhulst, F.C. (2016). Heeft wetenschappelijk onderzoek op het terrein van de kinder- en jeugdpsychiatrie opgeleverd wat we verwacht hadden?. In: Begeer, S., et al. Transformaties in de jeugdzorg. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-1495-9_1

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