Personalised psychiatry: No substitute for personal care (2024)

Van Os, J. (2018). Personalised psychiatry: Geen vervanger van persoonlijke psychiatrie. Tijdschrift voor Psychiatrie, 60(3), 199-204.

Van Os, J. / Personalised psychiatry : Geen vervanger van persoonlijke psychiatrie. In: Tijdschrift voor Psychiatrie. 2018 ; Vol. 60, No. 3. pp. 199-204.

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title = "Personalised psychiatry: Geen vervanger van persoonlijke psychiatrie",

abstract = "Background: Personalised psychiatry is the promise that biological stratification and analysis of'big'data will enable clinical prediction. aim: To analyse promises and problems regarding personalised medicine in the psychiatry. method Analysis of current challenges. results: Essential challenges are:i. Biological psychiatry yields weak findings and clinically negligible diagnostic likelihood ratios. 2.The impact of biological stratification in medicine is relatively small yet may result in explosive health care costs. 3. Equivalent investment in public mental health may result in considerably higher health gains. 4. Data quality may be more important than data density. 5.The promise of biological stratification detracts from a hermeneutic approach and a focus on connectedness, meaning and identity. CONCLUSION: Personal care with a focus on the unique narrative development and the non-linear process of enhancing resilience, in combination with within-person (n=1) predictive measurements (emotional, biological or other), may represent the best way to link the practice of psychiatry with the promise of personalised medicine.",

keywords = "Big data, Mental health care, N=1 research, Personal care, Personalised medicine",

author = "{Van Os}, J.",

year = "2018",

month = mar,

day = "1",

language = "Dutch",

volume = "60",

pages = "199--204",

journal = "Tijdschrift voor Psychiatrie",

issn = "0303-7339",

publisher = "Uitgeverij Boom",

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Van Os, J 2018, 'Personalised psychiatry: Geen vervanger van persoonlijke psychiatrie', Tijdschrift voor Psychiatrie, vol. 60, no. 3, pp. 199-204.

Personalised psychiatry: Geen vervanger van persoonlijke psychiatrie. / Van Os, J.
In: Tijdschrift voor Psychiatrie, Vol. 60, No. 3, 01.03.2018, p. 199-204.

Research output: Contribution to journal › Article › Academic › peer-review

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T1 - Personalised psychiatry

T2 - Geen vervanger van persoonlijke psychiatrie

AU - Van Os, J.

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Background: Personalised psychiatry is the promise that biological stratification and analysis of'big'data will enable clinical prediction. aim: To analyse promises and problems regarding personalised medicine in the psychiatry. method Analysis of current challenges. results: Essential challenges are:i. Biological psychiatry yields weak findings and clinically negligible diagnostic likelihood ratios. 2.The impact of biological stratification in medicine is relatively small yet may result in explosive health care costs. 3. Equivalent investment in public mental health may result in considerably higher health gains. 4. Data quality may be more important than data density. 5.The promise of biological stratification detracts from a hermeneutic approach and a focus on connectedness, meaning and identity. CONCLUSION: Personal care with a focus on the unique narrative development and the non-linear process of enhancing resilience, in combination with within-person (n=1) predictive measurements (emotional, biological or other), may represent the best way to link the practice of psychiatry with the promise of personalised medicine.

AB - Background: Personalised psychiatry is the promise that biological stratification and analysis of'big'data will enable clinical prediction. aim: To analyse promises and problems regarding personalised medicine in the psychiatry. method Analysis of current challenges. results: Essential challenges are:i. Biological psychiatry yields weak findings and clinically negligible diagnostic likelihood ratios. 2.The impact of biological stratification in medicine is relatively small yet may result in explosive health care costs. 3. Equivalent investment in public mental health may result in considerably higher health gains. 4. Data quality may be more important than data density. 5.The promise of biological stratification detracts from a hermeneutic approach and a focus on connectedness, meaning and identity. CONCLUSION: Personal care with a focus on the unique narrative development and the non-linear process of enhancing resilience, in combination with within-person (n=1) predictive measurements (emotional, biological or other), may represent the best way to link the practice of psychiatry with the promise of personalised medicine.

KW - Big data

KW - Mental health care

KW - N=1 research

KW - Personal care

KW - Personalised medicine

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Van Os J. Personalised psychiatry: Geen vervanger van persoonlijke psychiatrie. Tijdschrift voor Psychiatrie. 2018 Mar 1;60(3):199-204.