ECT in Treatment-Resistant Depression

被引:210
作者
Kellner, Charles H. [1 ]
Greenberg, Robert M.
Murrough, James W.
Bryson, Ethan O.
Briggs, Mimi C.
Pasculli, Rosa M.
机构
[1] Mt Sinai Sch Med, Dept Psychiat, New York, NY 10029 USA
关键词
UNILATERAL ELECTROCONVULSIVE-THERAPY; ELECTRODE PLACEMENT; MAJOR DEPRESSION; PHARMACOTHERAPY; EFFICACY; OUTCOMES; SCALE;
D O I
10.1176/appi.ajp.2012.12050648
中图分类号
R749 [精神病学];
学科分类号
100204 [神经病学];
摘要
Electroconvulsive therapy (ECT), which has been in use for 75 years, is an important treatment for severe and treatment-resistant depression. Although it is acknowledged as the most effective acute treatment for severe mood and psychotic disorders, it remains controversial because of misperceptions about its use and lack of familiarity among health care professionals about modern ECT technique. The authors present an illustrative case of a patient for whom ECT is indicated. They review the basic and clinical science related to ECT's mechanism of action and discuss clinical issues in the administration of a course of ECT, including the-consent process. (Am J Psychiatry 2012; 169:1238-1244)
引用
收藏
页码:1238 / 1244
页数:7
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