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Dramatic Improvement of Obsessive-compulsive Symptoms after a Single Electroconvulsive Therapy

強迫症在單次電氣痙攣治療後症狀急速改善

並列摘要


Background: Electroconvulsive therapy (ECT) is usually the last-line treatment in clinical psychiatric practice. But, many patients with major psychiatric disorders who are severely ill, resisting, or intolerant to medication, may respond more reliably and quickly to ECT. Case Report: We report a 37-year-old male patient with obsessive compulsive disorder (OCD) and major depressive disorder (MDD). He had a dramatic change of Yale Brown Obsessive-compulsive Scale score after his receiving a single treatment with ECT. Conclusion: ECT with medication showed dramatic therapeutic effect in obsessive-compulsive symptoms in a patient with MDD and OCD. But clinical observations with a larger number of cases are needed to verify our successful experience with ECT in this patient.

並列關鍵字

ECT OCD YBOCS MDD

參考文獻


Selvin, B.L.(1987).Electroconvulsive therapy.Anesthesiology.67,367-385.
Thomas, S.G.,Kellner, C.H.(2003).Remission of major depression and obsessive-compulsive disorder after a single unilateral ECT.J ECT.19,50-51.
Altar, C.A.,Laeng, P.,Jurata, L.W.(2004).Electroconvulsive seizures regulate gene expression of distinct neurotrophic signaling pathways.J Neurosci.24,2667-2677.
Sermet, E.,Gregoire, M.C.,Galy, G.(1998).Paradoxical metabolic response of the human brain to a single electroconvulsive shock.Neurosci Lett.254,41-44.
Kontis, D.,Boulougouris, V.,Papakosta, V.M.(2008).Dopaminergic and serotonergic modulation of persistent behaviour in the reinforced spatial alternation model of obsessive-compulsive disorder.Psychopharmacology.200,597-610.

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