Der Stellenwert der Elektrokrampftherapie bei therapieresistenten Depressionen

  • H. Folkerts
Conference paper

Zusammenfassung

  1. 1.

    Das Hauptindikationsgebiet der Elektrokrampftherapie (EKT) liegt heute. bei therapieresistenten Depressionen.

     
  2. 2.

    Die Wirksamkeit wurde in einer Reihe von Studien gegenüber klassischen Pharmaka nachgewiesen und liegt zwischen 50% und 75% abhängig vom Grad der Therapieresistenz der Patientengruppe.

     
  3. 3.

    Die EKT erfolgt in einer Serie von 4 bis 9 Einzelbehandlungen in Abständen von 2 bis 3 Tagen bis zum Eintritt ausreichender Response. Die unilaterale Stimulation ist aufgrund geringerer kognitiver Nebenwirkungen der bilateralen Stimulation zunächst vorzuziehen.

     
  4. 4.

    Nach Absetzen der EKT nach Remission kann die hohe Relapserate von 50% durch Fortsetzen der Pharmakotherapie signifikant reduziert werden oder die EKT als Erhaltungstherapie fortgesetzt werden.

     

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© Springer-Verlag Berlin Heidelberg 1997

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  • H. Folkerts

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