{"title":"电痉挛成功治疗57岁女性重度抑郁症和分离性障碍1例报告并文献复习。","authors":"Hajimu Honda, Toshinori Nakamura, Naoaki Kubota, Saeko Yokotsuka-Ishida, Daimei Sasayama, Shinsuke Washizuka","doi":"10.1097/YCT.0000000000001146","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Patients with dissociative disorders may have comorbid major depressive disorder (MDD), which is often difficult to treat. We report the case of a 57-year-old female patient with dissociative disorder comorbid with MDD who did not respond to multiple medications and psychotherapy and was treated with electroconvulsive therapy (ECT). The patient showed a reduction of greater than 50% in both Hamilton Depression Rating Scale and Dissociative Experiences Scale-II scores after ECT, indicating a significant improvement in both depressive and dissociative symptoms. Electroconvulsive therapy was effective not only for MDD but also potentially for dissociative symptoms. Thus, ECT may be considered a treatment option for patients with MDD and comorbid dissociative disorders.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful Electroconvulsive Therapy for a 57-Year-Old Woman With Major Depressive Disorder and Dissociative Disorder: A Case Report and Literature Review.\",\"authors\":\"Hajimu Honda, Toshinori Nakamura, Naoaki Kubota, Saeko Yokotsuka-Ishida, Daimei Sasayama, Shinsuke Washizuka\",\"doi\":\"10.1097/YCT.0000000000001146\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Abstract: </strong>Patients with dissociative disorders may have comorbid major depressive disorder (MDD), which is often difficult to treat. We report the case of a 57-year-old female patient with dissociative disorder comorbid with MDD who did not respond to multiple medications and psychotherapy and was treated with electroconvulsive therapy (ECT). The patient showed a reduction of greater than 50% in both Hamilton Depression Rating Scale and Dissociative Experiences Scale-II scores after ECT, indicating a significant improvement in both depressive and dissociative symptoms. Electroconvulsive therapy was effective not only for MDD but also potentially for dissociative symptoms. Thus, ECT may be considered a treatment option for patients with MDD and comorbid dissociative disorders.</p>\",\"PeriodicalId\":54844,\"journal\":{\"name\":\"Journal of Ect\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-04-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ect\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/YCT.0000000000001146\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"BEHAVIORAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ect","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/YCT.0000000000001146","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"BEHAVIORAL SCIENCES","Score":null,"Total":0}
Successful Electroconvulsive Therapy for a 57-Year-Old Woman With Major Depressive Disorder and Dissociative Disorder: A Case Report and Literature Review.
Abstract: Patients with dissociative disorders may have comorbid major depressive disorder (MDD), which is often difficult to treat. We report the case of a 57-year-old female patient with dissociative disorder comorbid with MDD who did not respond to multiple medications and psychotherapy and was treated with electroconvulsive therapy (ECT). The patient showed a reduction of greater than 50% in both Hamilton Depression Rating Scale and Dissociative Experiences Scale-II scores after ECT, indicating a significant improvement in both depressive and dissociative symptoms. Electroconvulsive therapy was effective not only for MDD but also potentially for dissociative symptoms. Thus, ECT may be considered a treatment option for patients with MDD and comorbid dissociative disorders.
期刊介绍：
The Journal of ECT covers all aspects of contemporary electroconvulsive therapy, reporting on major clinical and research developments worldwide. Leading clinicians and researchers examine the effects of induced seizures on behavior and on organ systems; review important research results on the mode of induction, occurrence, and propagation of seizures; and explore the difficult sociological, ethical, and legal issues concerning the use of ECT.
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