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Zusammenfassung

Die wichtigste Indikation für die Elektrokrampftherapie (EKT) ist ein therapieresistentes schweres depressives Syndrom, weil die EKT hier nach wie vor die wirksamste Behandlungsmaßnahme darstellt (Folkerts 2000). Auch unter unseren eigenen Patienten überwiegen eindeutig solche mit der Diagnose Depression: von 35 mit einer EKT behandelten Patienten im Jahr 2000 waren 26 depressiv, die übrigen schizoaffektiv oder schizophren. Weitere relevante Indikationen für die EKT sind die akute Katatonie im Rahmen einer Schizophrenie und die akute Manie. Daneben bestehen andere, seltenere Indikationen, die am Ende des Kapitels dargestellt sind (Tabelle 2.1).

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Literatur

  • Abrams R (2001) Response to Letter by Sackeim et al “Treatment of the modal patient: does one size fit nearly all?” J ECT 17:225–226

    Article  PubMed  CAS  Google Scholar 

  • Addonizio G, Susman VL (1987) ECT as a treatment alternative for patients with symptoms of neuroleptic malignant syndrome. J Clin Psychiatry 48:102–105

    PubMed  CAS  Google Scholar 

  • Amann B, Erfurth A, Back T, et al (1999) Schwere therapieresistente Depression als Erstmanifestation eines Morbus Parkinson. Psychiatr Prax 26:45–47

    PubMed  CAS  Google Scholar 

  • APA, American Psychiatric Association (2001) The practice of electroconvulsive therapy: recommendations for treatment, training and priviledging: a task force report of the American Psychiatric Association. American Psychiatric Association, Washington

    Google Scholar 

  • Bailine SH, Rifkin A, Kayne E, et al (2000) Comparison of bifrontal and bitemporal ECT for major depression. Am J Psychiatry 157:121–123

    PubMed  CAS  Google Scholar 

  • Boshes RA, Afonso JA, Tanev K (1999) Treatment of Meige’s syndrome with ECT. J ECT 15:154–157

    Article  PubMed  CAS  Google Scholar 

  • Bridler R, Howald A (1999) Akute lebensbedrohliche Katatonie. Psychiatr Prax 26:202–204

    PubMed  CAS  Google Scholar 

  • Buchan H, Johnstone E, McPherson K, et al (1992) Who benefits from electroconvulsive therapy? Combined results of the Leicester and Northwick Park trials. Br J Psychiatry 160:355–359

    Article  PubMed  CAS  Google Scholar 

  • Chanpattana W (1998) Maintenance ECT in schizophrenia: a pilot study. J Med Assoc Thai 81:17–24

    PubMed  CAS  Google Scholar 

  • Chanpattana W, Chakrabhand ML, Kongsakon R, et al (1999 a) Short-term effect of combined ECT and neuroleptic therapy in treatment-resistant schizophrenia. J ECT 15:129–139

    PubMed  CAS  Google Scholar 

  • Chanpattana W, Chakrabhand ML, Kitaroonchai W, et al (1999 b) Effects of twice-versus thrice-weekly electroconvulsive therapy in schizophrenia. J Med Assoc Thai 82:477–483

    PubMed  CAS  Google Scholar 

  • Ciapparelli A, Dell’Osso L, Tundo A, et al (2001) Electroconvulsive therapy in medica-tion-nonresponsive patients with mixed mania and bipolar depression. J Clin Psychiatry 62:552–555

    Article  PubMed  CAS  Google Scholar 

  • Cole MG, Elie LM, McCusker J, et al (2001) Feasibility and effectiveness of treatments for post-stroke depression in elderly inpatients: systematic review. J Geriatr Psychiatry Neurol 14:37–41

    Article  PubMed  CAS  Google Scholar 

  • Coryell W (1998) The treatment of psychotic depression. J Clin Psychiatry 59:122–127

    Google Scholar 

  • Daly JJ, Prudic J, Devanand DP, et al (2001) ECT in bipolar and unipolar depression: differences in speed of response. Bipolar Disord 3:95–104

    Article  PubMed  CAS  Google Scholar 

  • Delva NJ, Brunet D, Hawken ER, et al (2000) Electrical dose and seizure threshold: relations to clinical outcome and cognitive effects in bifrontal, bitemporal, and right unilateral ECT. J ECT 16:361–369

    Article  PubMed  CAS  Google Scholar 

  • Deutsche Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde (Hrsg) (2000) Behandlungsleitlinien Affektive Erkrankungen, Bd 5. Steinkopff, Darmstadt

    Book  Google Scholar 

  • Devanand DP, Sackeim HA, Prudic J (1991) Electroconvulsive therapy in the treatment-resistant patient. Psychiatr Clin North Am 14:905–923

    PubMed  CAS  Google Scholar 

  • Fall PA, Granerus AK (1999) Maintenance ECT in Parkinson’s disease. J Neural Transm 106:737–741

    Article  PubMed  CAS  Google Scholar 

  • Fink M, Kellner CH, Sackeim HA (1999) Intractable seizures, status epilepticus, and ECT. J ECT 15:282–284

    PubMed  CAS  Google Scholar 

  • Fink M (2000) ECT has proved effective in treating depression. Nature 403:826

    Article  PubMed  CAS  Google Scholar 

  • Folkerts H (1996) The ictal electroencephalogram as a marker for the efficacy of electroconvulsive therapy. Eur Arch Psychiatry Clin Neurosci 246:155–164

    Article  PubMed  CAS  Google Scholar 

  • Folkerts H (1997) Elektrokrampftherapie. Ein Leitfaden für die Klinik. Enke, Stuttgart

    Google Scholar 

  • Folkerts H (2000) Elektrokrampftherapie bei depressiven Erkrankungen. Ther Umsch 57:90–94

    Article  PubMed  CAS  Google Scholar 

  • Freeman MP, McElroy SL (1999) Clinical picture and etiologic models of mixed states. Psychiatr Clin North Am 22:535–546

    Article  PubMed  CAS  Google Scholar 

  • Grant JE, Mohan SN (2001) Treatment of agitation and aggression in four demented patients using ECT. J ECT 17:205–209

    Article  PubMed  CAS  Google Scholar 

  • Grunze H, Erfurth A, Schafer M, et al (1999) Elektrokonvulsionstherapie in der Behandlung der schweren Manie. Kasuistik und Wissensstand. Nervenarzt 70:662–667

    Article  PubMed  CAS  Google Scholar 

  • Hertzman M (1992) ECT and neuroleptics as primary treatment for schizophrenia. Biol Psychiatry 31:217–220

    Article  PubMed  CAS  Google Scholar 

  • Hirose S, Ashby CR, Jr, Mills MJ (2001) Effectiveness of ECT combined with risperidone against aggression in schizophrenia. J ECT 17:22–26

    Article  PubMed  CAS  Google Scholar 

  • Hooten WM, Melin G, Richardson JW (1998) Response of the Parkinsonian symptoms of multiple system atrophy to ECT. Am J Psychiatry 155:1628

    PubMed  CAS  Google Scholar 

  • Iwanami A, Oyamada S, Shirayama Y, et al (1999) Algorithms for the pharmacotherapy psychotic depression. Psychiatry Clin Neurosci 53(Suppl):45–48

    Google Scholar 

  • Kales HC, Dequardo JR, Tandon R (1999) Combined electroconvulsive therapy and clozapine in treatment-resistant schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 23:547–556

    Article  PubMed  CAS  Google Scholar 

  • Keck PE, Jr, Mendlwicz J, Calabrese JR, et al (2000) A review of randomized, controlled clinical trials in acute mania. J Affect Disord 59:831–837

    Article  Google Scholar 

  • Kennedy SH, Lam RW, Cohen NL, et al (2001) Clinical guidelines for the treatment of depressive disorders. IV. Medications and other biological treatments. Can J Psychiatry 46(Suppl l):38–58

    Google Scholar 

  • Koshino Y (1999) Algorithm for treatment-refractory schizophrenia. Psychiatry Clin Neurosci 53(Suppl):9–13

    Google Scholar 

  • Lambert MV, Robertson MM (1999) Depression in epilepsy: etiology, phenomenology, and treatment. Epilepsia 40:1021–1047

    Article  Google Scholar 

  • Lawson JS, Inglis J, Delva NJ, et al (1990) Electrode placement in ECT: cognitive effects. Psychol Med 20:335–344

    Article  PubMed  CAS  Google Scholar 

  • Lebensohn ZM, Jenkins RB (1975) Improvement of Parkinsonism in depressed patients treated with ECT. Am J Psychiatry 132:283–285

    PubMed  CAS  Google Scholar 

  • Letemendia FJ, Delva NJ, Rodenburg M, et al (1993) Therapeutic advantage of bifrontal electrode placement in ECT. Psychol Med 23:349–360

    Article  PubMed  CAS  Google Scholar 

  • Lisanby SH, Bazil CW, Resor SR, et al (2001) ECT in the treatment of status epilepticus. J ECT 17:210–215

    Article  PubMed  CAS  Google Scholar 

  • McCall WV, Reboussin DM, Weiner RD, et al (2000) Titrated moderately suprathreshold vs fixed high-dose right unilateral electroconvulsive therapy: acute antidepressant and cognitive effects. Arch Gen Psychiatry 57:438–444

    Article  PubMed  CAS  Google Scholar 

  • Mendis T, Suchowersky O, Lang A, et al (1999) Management of Parkinson’s disease: a review of current and new therapies. Can J Neurol Sci 26:89–103

    PubMed  CAS  Google Scholar 

  • Mukherjee S, Sackeim HA, Schnur DB (1994) Electroconvulsive therapy of acute manic episodes: a review of 50 years’ experience. Am J Psychiatry 151:169–176

    PubMed  CAS  Google Scholar 

  • Müller U, Klimke A, Janner M, et al (1998) Die Elektrokrampftherapie in psychiatrischen Kliniken der Bundesrepublik Deutschland 1995. Nervenarzt 69:15–26

    Article  PubMed  Google Scholar 

  • Netzel PJ, Sutor B (2001) Electroconvulsive therapy-responsive depression in a patient with progressive supranuclear palsy. J ECT 17:68–70

    Article  PubMed  CAS  Google Scholar 

  • Nisijima K, Ishiguro T (1999) Electroconvulsive therapy for the treatment of neuroleptic malignant syndrome with psychotic symptoms: a report of five cases. J ECT 15:158–163

    Article  PubMed  CAS  Google Scholar 

  • O’Connor MK, Knapp R, Husain M, et al (2001) The influence of age on the response of major depression to electroconvulsive therapy: a C.O.R.E. Report. Am J Geriatr Psychiatry 9:382–390

    CAS  Google Scholar 

  • Petrides G, Fink M, Husain MM, et al (2001) ECT remission rates in psychotic versus nonpsychotic depressed patients: a report from CORE. J ECT 17:244–253

    Article  PubMed  CAS  Google Scholar 

  • Prudic J, Haskett RF, Mulsant B, et al (1996) Resistance to antidepressant medications and short-term clinical response to ECT. Am J Psychiatry 153:985–992

    PubMed  CAS  Google Scholar 

  • Rao V, Lyketsos CG (2000) The benefits and risks of ECT for patients with primary dementia who also suffer from depression. Int J Geriatr Psychiatry 15:729–735

    Article  PubMed  CAS  Google Scholar 

  • Rapoport M, Feder V, Sandor P (1998) Response of major depression and Tourette’s syndrome to ECT: a case report. Psychosom Med 60:528–529

    PubMed  CAS  Google Scholar 

  • Rasmussen K, Abrams R (1991) Treatment of Parkinson’s disease with electroconvulsive therapy. Psychiatr Clin North Am 14:925–933

    PubMed  CAS  Google Scholar 

  • Regenold WT, Weintraub D, Taller A (1998) Electroconvulsive therapy for epilepsy and major depression. Am J Geriatr Psychiatry 6:180–183

    PubMed  CAS  Google Scholar 

  • Roane DM, Rogers JD, Helew L, et al (2000) Electroconvulsive therapy for elderly patients with multiple system atrophy: a case series. Am J Geriatr Psychiatry 8:171–174

    PubMed  CAS  Google Scholar 

  • Sackeim HA, Devanand DP, Prudic J (1991) Stimulus intensity, seizure threshold, and seizure duration: impact on the efficacy and safety of electroconvulsive therapy. Psychiatr Clin North Am 14:803–843

    PubMed  CAS  Google Scholar 

  • Sackeim HA, Prudic J, Devanand DP, et al (2000) A prospective, randomized, double-blind comparison of bilateral and right unilateral electroconvulsive therapy at different stimulus intensities. Arch Gen Psychiatry 57:425–434

    Article  PubMed  CAS  Google Scholar 

  • Sandyk R (1990) The relationship between ECT responsiveness and subtypes of tardive dyskinesia in bipolar patients. Int J Neurosci 54:315–319

    Article  PubMed  CAS  Google Scholar 

  • Sareen J, Enns MW, Guertin JE (2000) The impact of clinically diagnosed personality disorders on acute and one-year outcomes of electroconvulsive therapy. J ECT 16:43–51

    Article  PubMed  CAS  Google Scholar 

  • Shapira B, Tubi N, Lerer B (2000) Balancing speed of response to ECT in major depression and adverse cognitive effects: role of treatment schedule. J ECT 16:97–109

    Article  PubMed  CAS  Google Scholar 

  • Sikdar S, Kulhara P, Avasthi A, et al (1994) Combined chlorpromazine and electroconvulsive therapy in mania. Br J Psychiatry 164:806–810

    Article  PubMed  CAS  Google Scholar 

  • Siris SG, Addington D, Azorin JM, et al (2001) Depression in schizophrenia: recognition and management in the USA. Schizophr Res 47:185–197

    Article  PubMed  CAS  Google Scholar 

  • Small JG, Klapper MH, Kellams JJ, et al (1988) Electroconvulsive treatment compared with lithium in the management of manic states. Arch Gen Psychiatry 45:727–732

    Article  PubMed  CAS  Google Scholar 

  • Steffens DC, Conway CR, Dombeck CB, et al (2001) Severity of subcortical gray matter hyperintensity predicts ECT response in geriatric depression. J ECT 17:45–49

    Article  PubMed  CAS  Google Scholar 

  • Tang WK, Ungvari GS (2001) Electroconvulsive therapy in rehabilitation: the Hong Kong experience. Psychiatr Serv 52:303–306

    Article  PubMed  CAS  Google Scholar 

  • Tew JD, Mulsant BH, Haskett RF, et al (1999) Acute efficacy of ECT in the treatment of major depression in the old-old. Am J Psychiatry 156:1865–1870

    PubMed  Google Scholar 

  • Trollor JN, Sachdev PS (1999) Electroconvulsive treatment of neuroleptic malignant syndrome: a review and report of cases. Aust N Z J Psychiatry 33:650–659

    Article  PubMed  CAS  Google Scholar 

  • Weintraub D, Lippmann SB (2001) ECT for major depression and mania with advanced dementia. J ECT 17:65–67

    Article  PubMed  CAS  Google Scholar 

  • Wengel SP, Burke WJ, Pfeiffer RF, et al (1998) Maintenance electroconvulsive therapy for intractable Parkinson’s disease. Am J Geriatr Psychiatry 6:263–269

    PubMed  CAS  Google Scholar 

  • Wheeldon TJ, Robertson C, Eagles JM, et al (1999) The views and outcomes of consenting and non-consenting patients receiving ECT. Psychol Med 29:221–223

    Article  PubMed  CAS  Google Scholar 

  • Wheeler Vega JA, Mortimer AM, Tyson PJ (2000) Somatic treatment of psychotic depression: review and recommendations for practice. J Clin Psychopharmacol 20:504–519

    Article  PubMed  CAS  Google Scholar 

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Wild, B. (2003). Indikationen und Wirksamkeit. In: Eschweiler, G.W., Wild, B., Bartels, M. (eds) Elektromagnetische Therapien in der Psychiatrie. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57370-5_2

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  • DOI: https://doi.org/10.1007/978-3-642-57370-5_2

  • Publisher Name: Steinkopff, Heidelberg

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