Electroconvulsive Therapy in Depression Current Practice and Future Direction

被引:82
作者
Hermida, Adriana P. [1 ]
Glass, Oliver M. [1 ]
Shafi, Hadia [1 ]
McDonald, William M. [1 ]
机构
[1] Emory Univ, Sch Med, Dept Psychiat & Behav Sci, 12 Execut Pk Dr Northeast, Atlanta, GA 30329 USA
关键词
Electroconvulsive therapy; Neuromodulation; Treatment-resistant depression; Major depression; Review; Electrode placement; Cognitive side effects; AMPLITUDE SEIZURE THERAPY; NEUROTROPHIC FACTOR BDNF; MAJOR DEPRESSION; ELECTRODE PLACEMENT; ECT; CONTINUATION; EFFICACY; PHARMACOTHERAPY; CONSORTIUM; DISORDERS;
D O I
10.1016/j.psc.2018.04.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The current practice of electroconvulsive therapy (ECT) has evolved over several decades with the implementation of safer equipment and advancement of techniques. In addition, modifications in the delivery of ECT, such as the utilization of brief and ultrabrief pulse widths and individualization of treatment parameters, have improved the safety of ECT without sacrificing efficacy. This article provides psychiatrists with a balanced, in-depth look into the recent advances in ECT technique as well as the evidence of ECT for managing depression in special populations and patients with comorbid medical problems.
引用
收藏
页码:341 / +
页数:14
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