Electroconvulsive Therapy on Severe Obsessive-Compulsive Disorder Comorbid Depressive Symptoms
Psychiatry Investigation 2014³â 11±Ç 2È£ p.210 ~ p.213
(Liu Xiaohui) - China Chinese PLA General Hospital & Medical School PLA Department of Medical Psychology
(Cui Hong) - China Chinese PLA General Hospital & Medical School PLA Department of Medical Psychology
(Wei Qiang) - Anhui Medical University Department of Medical Psychology
(Wang Ying) - Fourth People¡¯s Hospital of Hefei Department of Psychiatry
(Wang Keyong) - Fourth People¡¯s Hospital of Hefei Department of Psychiatry
(Wang Chen) - Anhui Medical University Department of Medical Psychology
(Zhu Chunyan) - Anhui Medical University Department of Medical Psychology
(Xie Xinhui) - China Chinese PLA General Hospital & Medical School PLA Department of Medical Psychology
Abstract
Electroconvulsive therapy (ECT) is not currently used as a first-line treatment for obsessive-compulsive disorder (OCD). However, several related case reports have demonstrated that ECT seems to be effective for severe OCD, especially when first-line therapies have failed. In this study, we describe the courses, detailed parameters, effects, and follow-up information relating to three patients with severe OCD who were treated by modified bifrontal ECT after their first-line anti-OCD treatments pharmacotherapy, behavioral therapy, and cognitive behavioral therapy failed. The number of ECT procedures administered in each case is as follows: Case 1, eight; Case 2, three; and Case 3, four. In all three cases, the patients¡¯ depressive symptoms improved considerably after the ECT procedures. In addition, the condition of all three patients¡¯ OCD significantly improved and remained stable at regular follow-ups. ECT may play an effective role in treating severe OCD.
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Obsessive-compulsive disorder, Electroconvulsive therapy, Depression
KMID :
1118520140110020210
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