When is electroconvulsive therapy appropriate for children and adolescents?

被引：39

作者：

Wachtel, Lee E. ^{[1
]}

Dhossche, Dirk M. ^{[2
]}

Kellner, Charles H. ^{[3
]}

机构：

[1] Johns Hopkins Sch Med, Kennedy Krieger Inst, Baltimore, MD 21209 USA

[2] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA

[3] Mt Sinai Sch Med, Icahn Med Inst, New York, NY 10029 USA

来源：

MEDICAL HYPOTHESES | 2011年 / 76卷 / 03期

关键词：

NEUROLEPTIC MALIGNANT SYNDROME; AUTISTIC SPECTRUM DISORDERS; PAST; 10; YEARS; COGNITIVE IMPAIRMENT; LETHAL CATATONIA; SELF-INJURY; FOLLOW-UP; ECT; DEPRESSION; CHILDHOOD;

D O I：

10.1016/j.mehy.2010.11.001

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

The indications for electroconvulsive therapy in children and adolescents are similar to those in adults, including severe affective, psychotic and catatonic pathology that has proven refractory to psychotropic medications and causes significant functional impairment. ECT may be indicated as well in specific pediatric neurological conditions. Multiple published reports demonstrate the safety and efficacy of ECT in pediatric patients with a wide range of psychopathology. ECT has also been successfully used in youth with autism and other neurodevelopmental disabilities who present with catatonic deterioration. However, resistance and stigma persist regarding the use of ECT in children and adolescents in both the professional and lay communities, creating barriers to pediatric ECT access. We argue that the use of ECT in children and adolescents is appropriate for specific clinical indications, and urge removal of impediments to ECT access in this population. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：395 / 399

页数：5

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