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Elektromagnetische Therapien in der Psychiatrie pp 107–118Cite as

Prädiktoren für den Erfolg einer Elektrokrampftherapie

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Zusammenfassung

Für den Erfolg einer EKT gibt es nur einige wenige klinische Prädiktoren. Bereits in den fünfziger Jahren des letzten Jahrhunderts wurden psycho-pathologische Prädiktoren untersucht. Diese sind auf heutige Verhältnisse nur schwer übertragbar. Es werden hier nur Arbeiten aus den 15 letzten Jahren berücksichtigt, da sie die modernen Klassifikationssysteme DSM-III-R DSM-IV und ICD-9 bzw. ICD-10 verwenden und die Kurzimpulstechnik und nicht die Sinuswellentechnik nutzt. Der melancholische Subtyp der Depression weist wahrscheinlich eine etwas bessere Responderquote auf (zur Übersicht Abrams 1997; APA u. Weiner 2001) als der depressive Typ ohne melancholische oder somatische Symptome. Besonders erfolgreich ist die EKT bei Patienten mit psychomotorischer Verlangsamung (Sobin et al. 1996; Hickie et al. 1990a; Hickie et al. 1996b). Außerdem besteht weitreichender Konsens, dass Patienten mit psychotischer Depression besonders von der EKT profitieren (APA u. Weiner 2001; Sobin et al. 1996; Pande et al. 1990; Parker et al. 1992), sie sind zusätzlich stark suizidgefährdet (APA u. Weiner 2001; Roose et al. 1983).

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  1. Universitätsklinik für Psychiatrie und Psychotherapie, Osianderstraße 24, 72076, Tübingen, Germany

    G. W. Eschweiler

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  1. Universitätsklinik für Psychiatrie und Psychotherapie, Osianderstraße 24, 72076, Tübingen, Germany

    Gerhard W. Eschweiler , Barbara Wild  & Mathias Bartels ,  & 

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Eschweiler, G.W. (2003). Prädiktoren für den Erfolg einer Elektrokrampftherapie. 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_11

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  • DOI: https://doi.org/10.1007/978-3-642-57370-5_11

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