[Treating depressive disorders with continuation electroconvulsive therapy]

Sartorius, A., Henn, F. A. (November 2005) [Treating depressive disorders with continuation electroconvulsive therapy]. Nervenarzt, 76 (11). pp. 1363-9. ISSN 0028-2804 (Print)0028-2804 (Linking)

URL: http://www.ncbi.nlm.nih.gov/pubmed/16012868
DOI: 10.1007/s00115-005-1919-4

Abstract

Nowadays, electroconvulsive therapy (ECT) is undergoing a renaissance in psychiatry: it is now considered a first-line therapy for treating psychotic depression or other disorders with severe depressive symptoms. Surprisingly, ECT is most commonly not used as continuation therapy after 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 this article, we suggest guidelines for cECT, taking therapy recommendations and recent studies into account. Particularly, indication, management, comedication and comorbidity, side effects, and costs are examined. Today, cECT is underindicated as a result of assumed problems, fears, and stigmas. We would therefore recommend broader use of this proven treatment tool for keeping major depression in remission.

Item Type: Paper
Uncontrolled Keywords: Depressive Disorder/ therapy Electroconvulsive Therapy/ methods/ standards/trends Germany Humans Physician's Practice Patterns/ standards Practice Guidelines as Topic
Subjects: diseases & disorders
diseases & disorders > mental disorders
diseases & disorders > mental disorders > mood disorders
diseases & disorders > mental disorders > mood disorders > depression
CSHL Authors:
Communities: CSHL labs > Henn lab
Depositing User: Matt Covey
Date: November 2005
Date Deposited: 01 Mar 2013 21:57
Last Modified: 01 Mar 2013 21:57
Related URLs:
URI: http://repository.cshl.edu/id/eprint/27680

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