[Continuation ECT]

Sartorius, A., Henn, F. A. (November 2005) [Continuation ECT]. Psychiatr Prax, 32 (8). pp. 408-11. ISSN 0303-4259 (Print)0303-4259 (Linking)

URL: http://www.ncbi.nlm.nih.gov/pubmed/16308805
DOI: 10.1055/s-2003-814824

Abstract

A renaissance of electroconvulsive therapy in psychiatry can be observed in Germany. Here, ECT was named as a first line therapy for treating psychotic depression, depressive stupor, schizoaffective psychoses with severe depressive symptoms. Suprisingly, ECT is most commonly not used as a continuation therapy after achieving acute remission. With rare exceptions, antidepressive medication is chosen for this purpose. The use of continuation ECT (cECT) and subsequent maintenance ECT (mECT) is not (or just marginally) mentioned in practice guidelines. In our case report we report a successful cECT and mECT of a geriatric patient with severe comorbidity. This case is exemplified with respect to recent guidelines and study results. Particularly suggestions for interval duration, total duration of treatment, effects on cognition and memory, comorbidity and comedication, and reflections on quality of life and costs were discussed. We would therefore recommend a broader use of this proven treatment tool for keeping major depressions in remission.

Item Type: Paper
Uncontrolled Keywords: Aged Antidepressive Agents/therapeutic use Antipsychotic Agents/therapeutic use Combined Modality Therapy Depressive Disorder, Major/diagnosis/psychology/ therapy Electroconvulsive Therapy/ methods Female Humans Long-Term Care Psychotic Disorders/diagnosis/psychology/ therapy Recurrence/prevention & control
Subjects: diseases & disorders > mental disorders
therapies
CSHL Authors:
Communities: CSHL labs > Henn lab
Depositing User: Matt Covey
Date: November 2005
Date Deposited: 01 Mar 2013 21:59
Last Modified: 01 Mar 2013 21:59
Related URLs:
URI: http://repository.cshl.edu/id/eprint/27665

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