认知功能障碍维持与恢复的电休克疗法:以复发性抑郁症为例

Q4 Medicine

Psiquiatria Biologica Pub Date : 2021-09-01 DOI:10.1016/j.psiq.2021.100332

Jorge López-Álvarez , Montserrat Caballero González , Luis F. Agüera Ortiz

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引用次数: 0

摘要

目的挑战电痉挛疗法(ECT)对复发性抑郁症患者中期和长期认知损害的观点。临床病例:我们介绍一名75岁女性复发性重度抑郁症，对各种抗抑郁药物有耐药性和不耐受，先前因怀疑认知能力下降而排除电痉挛治疗，但在10次急性电痉挛治疗后，于2016年6月纳入维持电痉挛治疗(M-ECT计划)。结果:在30多次M-ECT治疗后，患者仍保持心境平和，每季度接受一次ECT治疗，并在主观评估和筛选测试中显示认知功能障碍的恢复。主要发现sm - ect对老年重度抑郁症患者有效，可改善甚至使认知功能正常化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Terapia electroconvulsiva de mantenimiento y recuperación de la disfunción cognitiva: a propósito de un caso de trastorno depresivo recurrente

Aim

Challenge the idea that electroconvulsive therapy (ECT) is cognitively detrimental in the medium and long term in recurrent depressive disorder.

Clinical case

We introduce the case of a 75-year-old woman with recurrent major depressive disorder, resistant and intolerant to various antidepressant drugs, previously ruled out for ECT due to suspected cognitive decline, but included in June 2016 in the maintenance-electroconvulsive therapy (M-ECT program), after 10 sessions of acute ECT.

Outcomes

After more than 30 sessions of M-ECT, the patient remains euthymic, receiving a quarterly session of ECT and showing recovery from cognitive dysfunction both in the subjective assessment and through the screening test.

Main findings

M-ECT is effective in the elderly with major depression, and may improve and even normalize cognitive function.

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来源期刊

Psiquiatria Biologica Medicine-Psychiatry and Mental Health

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.