Electroconvulsive therapy in autism spectrum disorders: an update to the literature.

IF 7.5 2区医学 Q1 PSYCHIATRY

Current Opinion in Psychiatry Pub Date : 2025-03-01 Epub Date: 2024-12-20 DOI:10.1097/YCO.0000000000000985

Lee Wachtel, James Luccarelli, John Michael Falligant, Joshua Ryan Smith

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引用次数: 0

Abstract

Purpose of review: Over the last quarter century, the clinical evidence surrounding the use of electroconvulsive therapy (ECT) in individuals with autism spectrum disorder (ASD) has expanded. This review provides the most up-to-date findings on the usage of ECT in ASD and discusses these results within the historical context and direct patient care experience.

Recent findings: ECT is typically implemented for psychotropic-refractory catatonic, affective, psychotic, and combined pathology for individuals across the lifespan. Although highly stigmatized, ECT is well tolerated, efficacious, and potentially lifesaving for select individuals. A case presentation of an individual with autism as well as a summary of legal restrictions hampering his ECT access is presented.

Summary: ECT is increasingly used in individuals with ASD who present with a wide range of ECT-responsive psychopathology, as well as repetitive self-injury and late, autistic-like regression for which no cause is found. ECT is well tolerated and offers real hope for many ASD individuals with devastating, treatment-refractory conditions.

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自闭症谱系障碍的电痉挛治疗：文献更新。

综述目的：在过去的四分之一个世纪中，围绕自闭症谱系障碍（ASD）患者使用电休克疗法（ECT）的临床证据不断增加。本综述提供了电休克疗法用于自闭症谱系障碍的最新研究结果，并结合历史背景和患者的直接护理经验对这些结果进行了讨论：电痉挛疗法通常用于治疗精神药物难治性紧张症、情感性、精神病性和合并病症，适用于整个生命周期的患者。尽管电痉挛疗法备受鄙视，但其耐受性良好、疗效显著，对于某些特定患者来说，电痉挛疗法有可能挽救他们的生命。摘要：ECT 越来越多地应用于自闭症患者，这些患者表现出广泛的 ECT 反应性精神病理学，以及重复性自伤和找不到原因的晚期自闭症样回归。电痉挛疗法耐受性良好，为许多患有破坏性、难治性疾病的 ASD 患者带来了真正的希望。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Psychiatry 医学-精神病学

CiteScore

12.20

自引率

1.40%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.