Electroconvulsive Therapy for Comorbid Major Depressive Disorder and Posttraumatic Stress Disorder
Electroconvulsive Therapy for Comorbid Major Depressive Disorder and Posttraumatic Stress Disorder
复制标题
共病重度抑郁症和创伤后应激障碍的电惊厥疗法
作者：
B. Watts
目的：创伤后应激障碍（PTSD）和重度抑郁症经常同时发生。电休克疗法（ECT）是治疗难治性重度抑郁症最有效的方法。我们研究了 ECT 对同时患有重度抑郁症和 PTSD 的患者的影响。方法：通过回顾性图表审查，我们检查了 26 名接受 ECT 疗程的重度抑郁症和并发 PTSD 患者的结果。患者接受阈上右侧单侧、双侧或两者组合的治疗。通过配对 t 检验分析，我们使用蒙哥马利-阿斯伯格抑郁量表和 PTSD 检查表比较了治疗前和治疗后的症状。结果：接受 ECT 的患者重度抑郁症状显着减轻，创伤后应激障碍 (PTSD) 症状也有所改善。结论：电休克治疗可能是治疗难治性抑郁症和并发 PTSD 患者的有效方法。
Objective: Posttraumatic stress disorder (PTSD) and major depressive disorder frequently co-occur. Electroconvulsive therapy (ECT) is the most effective treatment for refractory major depressive disorder. We examined the effect of ECT in patients with co-occurring major depression and PTSD. Method: Using a retrospective chart review, we examined the outcome of the cases of 26 patients with major depression and co-occurring PTSD who received a course of ECT. The patients received either suprathreshold right unilateral, bilateral, or a combination of both. Using paired t test analysis, we compared the pretreatment and the posttreatment symptoms using the Montgomery-Asberg Depression Rating Scale and the PTSD Checklist. Results: The patients receiving ECT had a significant reduction in the symptoms of major depression and some amelioration in PTSD symptoms. Conclusions: Electroconvulsive therapy may be an effective treatment for patients with refractory depression and co-occurring PTSD.
登录
查看更多内容
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
DOI：
--
发表时间：
2001
期刊：
The Journal of clinical psychiatry
影响因子：
--
作者：
H. Sackeim
通讯作者：
H. Sackeim
影响因子：
17.7
作者：
Shalev, AY;Freedman, S;Pitman, RK
通讯作者：
Pitman, RK
对治疗有抵抗力的患者进行电休克治疗。
DOI：
--
发表时间：
1991
期刊：
The Psychiatric clinics of North America
影响因子：
--
作者：
Devanand,DP;Sackeim,HA;Prudic,J
通讯作者：
Prudic,J