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Indikationen und Wirksamkeit der EKT

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Elektrokonvulsionstherapie kompakt

Zusammenfassung

EKT wirkt antidepressiv, antimanisch, antipsychotisch, antikonvulsiv, antisuizidal, stimmungsstabilisierend und antikataton. Ihre Wirksamkeit bei depressiven Erkrankungen ist durch zahlreiche Studien belegt. Bei einer schweren depressiven Episode mit psychotischen Symptomen ist sie der Psychopharmakatherapie überlegen. Bei depressivem Stupor, Nahrungsverweigerung oder akuter Suizidalität im Rahmen einer depressiven Erkrankung kann eine vitale Indikation zur EKT-Behandlung vorliegen. Katatone Symptome sprechen unabhängig von der Grunderkrankung gut auf EKT an. In der Behandlung der perniziösen Katatonie ist sie die Behandlungsmethode der 1. Wahl. In der Schizophreniebehandlung und der Behandlung von schizoaffektiven Störungen stellt die EKT grundsätzlich eine augmentative Behandlung zur Therapie mit Antipsychotika dar. Bei echter Therapieresistenz der genannten Krankheitsbilder ist sie immer eine Alternative.

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Literatur

  • Aboraya A, Schumacher J, Abdalla E et al (2002) Neuroleptic malignant syndrome associated with risperidone and olanzapine in first-episode schizophrenia. W V Med J 98(2):63–65

    PubMed  Google Scholar 

  • Abrams R (2002) Electroconvulsive therapy. Oxford University Press, Oxford GB

    Google Scholar 

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

    Google Scholar 

  • Baghai TC, Frey R, Kasper S, Möller HJ (2004) Elektrokonvulsionstherapie, klinische und wissentliche Aspekte. Springer, Wien

    Book  Google Scholar 

  • Bottlender R, Jager M, Hofschuster E et al (2002) Neuroleptic malignant syndrome due to atypical neuroleptics: three episodes in one patient. Pharmacopsychiatry 35(3): 119–121

    Article  CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  • Chanpattana W, Chakrabhand MLS (2001) Factors influencing treatment frequency of continuation ECT in schizophrenia. J ECT 17:190–194

    Article  CAS  PubMed  Google Scholar 

  • Conca A, Hinterhuber H Prapotnik M et al (2004) Die Elektrokrampftherapie: Theorie und Praxis. Anwendungsempfehlung der EKR. Offizielles EKT Konsensusupapier der ÖGPP. Neuropsychiatrie 17: 1–18

    Google Scholar 

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

    Google Scholar 

  • Devanand DP, Polanco P, Cruz R et al (2000) The efficacy of ECT in mixed affective states. J ECT 16: 32–37

    Article  CAS  PubMed  Google Scholar 

  • DGPPN, BÄK, KBV, AWMF (Hrsg) (2010) Nationale Versorgungsleitlinie unipolare Depression, 1. Aufl. Springer, Berlin

    Google Scholar 

  • Eschweiler GW, Wild B, Bartels M (2003) Elektromagnetische Therapien in der Psychiatrie. Steinkopff, Darmstadt

    Google Scholar 

  • Eschweiler GW, Vonthein R, Bode R et al (2007) Clinical efficacy and cognitive side effects of bifrontal versus right unilateral electroconvulsive therapy (ECT): a short-term randomised controlled trial in pharmaco-resistant major depression. J Affect Disord 10(1–3): 149–157

    Article  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Fink M (2001) Catatonia: syndrome or schizophrenia subtype? Recognition and treatment. J Neural Transm 108: 637–644

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Grözinger M et al (2012) Elektrokonvulsionstherapie: Psychiatrische Fachgesellschaften aus vier Ländern empfehlen rechtzeitigen und adäquaten Einsatz. http://www.dgppn.de/fileadmin/user_upload/_medien/download/pdf/stellungnahmen/2012/stn-2012-06-07-elektrokonvulsionstherapie.pdf, zugegriffen am 2.10.2013

  • Havaki-Kontaxaki BJ, Ferentinos PP, Kontaxakis VP et al (2006) Concurrent administration of clozapine and electrocnvulsive therapy in clozapine-resistant schizophrenia. Clin Neuropharmacol 29(1): 52–56

    Article  CAS  PubMed  Google Scholar 

  • Keck PE Jr, Caroff SN, McElroy SL (1995) Neuroleptic malignant syndrome and malignant hyperthermia: end of a controversy? J Neuropsychiatry Clin Neurosci 7(2): 135–144

    PubMed  Google Scholar 

  • Keck PE, Mendlwicz J, Calabrese JR et al (2000) A review of randomized, controlled clinical trails in acute mania. J Affect Disord 59: 31–37

    Article  Google Scholar 

  • Koh KH, Blansjaar BA, Vothknecht S et al (2004) J ECT 20(3): 154–159

    Article  Google Scholar 

  • Kupchik M, Spivak B, Mester R et al (2000) Combined electroconvulsive-clozapine therapy. Clin Neuropharmacol 23: 14–16

    Article  CAS  PubMed  Google Scholar 

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

    CAS  Google Scholar 

  • Loh N, Nickl-Jockschat T, Scheldrick AJ, Grözinger M (2013) Accessibility, standards and challenges of electroconvulsive therapy in Western industrialized countries: A German example. World J Biol Psychiatry 14(6): 432–440

    Article  PubMed  Google Scholar 

  • Medda P, Perugi S, Zanello S et al (2009) Response to ECT in bipolar I, bipolar II and unipolar depression J Affect Disord 118: 55–59

    Article  CAS  PubMed  Google Scholar 

  • Medda P, Perugi S, Zanello S et al (2010) Comparative response to electroconvulsive therapy in medication-resistant bipolare I patients with depression and mixed state. J ECT 26(2): 82–86

    Article  CAS  PubMed  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(2): 169–176

    CAS  PubMed  Google Scholar 

  • Payne NA, Prudic J (2009) Electroconvulsive therapy: Part I. A perspective on the evolution and current practice of ECT. J Psychiatr Pract 15(5): 346–368

    Article  PubMed Central  PubMed  Google Scholar 

  • Petrides G, Divadeenam K, Bush G, Francis A (1997) Synergism of lorazepam and electroconvulsive therapy in the treatment of catatonia. Biol Psychiatry 42: 375–381

    Article  CAS  PubMed  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  CAS  PubMed  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(8): 985–992

    CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Ries RK, Wilson L, Bokan JA, Chiles JA (1981) ECT in medication resistant schizoaffective disorder. Compr Psychiatry 22: 167–173

    Article  CAS  PubMed  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  CAS  PubMed  Google Scholar 

  • Sackeim HA, Haskett RF, Mulsant BH et al (2001) Continuation pharmacotherapy in the prevention of relapse following electroconvulsive therapy. JAMA 285: 1299–1307

    Article  CAS  PubMed  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  CAS  PubMed  Google Scholar 

  • Silva RR, Munoz DM, Alpert M et al (1999) Neuroleptic malignant syndrome in children and adolescents. J Am Acad Child Adolesc Psychiatry 38: 187–194

    Article  CAS  PubMed  Google Scholar 

  • Small JG, Klapper MH, Kellams JJ et al (1985) Manic symptoms: An indication for bilateral ECT. Biol Psychiatry 20: 125–134

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  • Swartz CM (2009) Stimulus electrode placement. In: Swartz CM (Hrsg) Electroconvulsive therapy and neuromodulation therapies. Cambridge University Press, New York NY, S 430–446

    Chapter  Google Scholar 

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

    PubMed  Google Scholar 

  • UK Review Group (2003) Efficacy and safety of electroconvulsive therapy in depressive disorders: a systematic review and meta-analysis. Lancet 361: 799–808

    Article  Google Scholar 

  • Weiner RD, Coffey CE, Fochtmann LJ et al (2001) The practice of electroconvulsive therapy, 2. Aufl. American Psychiatric Association, Washington DC

    Google Scholar 

  • Wissenschaftlicher Beirat der Bundesärztekammer (2003) Stellungnahme zur Elektrokrampftherapie (EKT) als psychiatrische Behandlungsmaßnahme

    Google Scholar 

  • Zervas IM, Theleritis C, Soldatos CR (2012) Using ECT in schizophrenia: A review from a clinical perspective. World J Biol Psychiatry 13: 96–105

    Article  PubMed  Google Scholar 

  • Zisselmann MH, Jaffe RL (2010) ECT in a treatment of a patient with catatonia: consent and complications. Am J Psychiatry 167(2) 127–132

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Landeskrankenhaus Rankweil, Erwachsenenpsychiatrie, Valdunastr. 16, 6830, Rankweil, Österreich

    Bettina Grager

  2. Landeskrankenhaus Rankweil, Abteilung für Erwachsenenpsychiatrie, Valdunastr. 16, 6830, Rankweil, Österreich

    Jan Di Pauli

Authors
  1. Bettina Grager
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  2. Jan Di Pauli
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Correspondence to Bettina Grager .

Editor information

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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Grager, B., Di Pauli, J. (2013). Indikationen und Wirksamkeit der EKT. 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_6

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  • DOI: https://doi.org/10.1007/978-3-642-25629-5_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-25628-8

  • Online ISBN: 978-3-642-25629-5

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