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Elektrokonvulsionstherapie kompakt pp 15–24Cite as

EKT im internationalen Vergleich

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Zusammenfassung

Die EKT hat in den verschiedenen Regionen der Welt einen unterschiedlichen Stellenwert. Insbesondere unterscheiden sich das Indikationsspektrum, der medizinische Standard und die Behandlungsrate. In Westeuropa, Nordamerika, Australien, Neuseeland und einigen Schwellenländern wird die EKT vornehmlich zur Behandlung therapierefraktärer Depressionen eingesetzt. Die Patienten sind oft älter und weiblichen Geschlechts. Die Behandlung erfolgt in einem modifizierten Setting mit Kurznarkose, Muskelrelaxation, meist mit Rechteckstimulation und EEG-Monitoring. Die höchsten Behandlungsraten finden sich in Australien und Skandinavien. Hingegen kommt die EKT in Osteuropa, weiten Teilen Asiens und, sofern verfügbar, in Lateinamerika und Afrika hauptsächlich zur Therapie der Schizophrenie, auch bei jüngeren und männlichen Patienten, zum Einsatz. In diesen Regionen gibt es einen erheblichen Anteil unmodifizierter Behandlungssettings. Die Behandlungsraten pro Zentrum divergieren weltweit erheblich.

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Authors and Affiliations

  1. Uniklinik RWTH Aachen, Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Pauwelsstr. 30, 52074, Aachen, Deutschland

    Karsten Henkel & Michael Grözinger

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  1. Karsten Henkel
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  2. Michael Grözinger
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Correspondence to Karsten Henkel .

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Editors and Affiliations

  1. Uniklinik RWTH Aachen, Aachen, Germany

    Michael Grözinger

  2. Psychiatrischer Dienst Bozen, Bozen, Italy

    Andreas Conca

  3. Uniklinik RWTH Aachen, Aachen, Germany

    Thomas Nickl-Jockschat

  4. Landeskrankenhaus Rankweil, Rankweil, Austria

    Jan Di Pauli

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Henkel, K., Grözinger, M. (2013). EKT im internationalen Vergleich. In: Grözinger, M., Conca, A., Nickl-Jockschat, T., Di Pauli, J. (eds) Elektrokonvulsionstherapie kompakt. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25629-5_2

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  • DOI: https://doi.org/10.1007/978-3-642-25629-5_2

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