The Role of Electroconvulsive and Neuromodulation Therapies in the Treatment of Geriatric Depression

被引:25
作者
Riva-Posse, Patricio [1 ]
Hermida, Adriana P. [1 ]
McDonald, William M. [2 ]
机构
[1] Emory Univ, Dept Psychiat & Behav Sci, Atlanta, GA 30322 USA
[2] Emory Univ, Dept Psychiat & Behav Sci, Fuqua Ctr Late Life Depress, Atlanta, GA 30322 USA
关键词
Electroconvulsive therapy; Neuromodulation; Geriatric depression; Treatment-resistant depression; DEEP BRAIN-STIMULATION; TRANSCRANIAL MAGNETIC STIMULATION; VAGUS NERVE-STIMULATION; TREATMENT-RESISTANT DEPRESSION; MAJOR DEPRESSION; ELECTRODE PLACEMENT; DOUBLE-BLIND; ELDERLY-PATIENTS; MAINTENANCE ECT; BIPOLAR DISORDER;
D O I
10.1016/j.psc.2013.08.007
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Geriatric depression is associated with increased mortality because of suicide and decreases in functional and physical health. Many elders' depression is resistant to psychotherapy and medication and can become chronic. Electroconvulsive therapy (ECT) is increasingly used in the treatment of medication-resistant or life-threatening geriatric depression. Neuromodulation therapies (subconvulsive, focal, or subconvulsive and focal) are alternatives for the management of treatment-resistant depression in the elderly. Therapies that combine both strategies could be safer but may not be as effective as ECT. This review covers the evidence on the safety and efficacy of ECT and the neuromodulation therapies in geriatric depression.
引用
收藏
页码:607 / +
页数:25
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