뇌 자극술을 이용한 노년기 우울증의 치료

• 영문명: Treatment of Late-Life Depression by Brain Stimulation Techniques
• 발행기관: 대한노인정신의학회
• 저자명: 정동청(Dong Chung Jung) 강웅구(Ung Gu Kang) 김용식(Yong Sik Kim)
• 간행물 정보: 『노인정신의학』노인정신의학 제17권 제2호, 47~55쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2013.12.31

영문 초록

Due to the low response rate of antidepressant treatment in late-life depression, brain stimulation techniques should be considered when treating elderly patients. Electroconvulsive therapy (ECT) is one of the most frequently used brain stimulation techniques, and shows favorable outcome and acceptable tolerability in the treatment of late-life depression. Hemodynamic change and cognitive impairment are common side effects of ECT, which are transient in most cases. Since cognitive impairment can lead to treatment non-compliance, it should be minimized by controlling electrode position, pulse-width, treatment frequency, etc. Because ECT is followed by rapid cardiovascular change, risk factors should be evaluated and managed properly. Transcranial magnetic stimulation (TMS) and magnetic seizure therapy (MST) are also shown to be effective in treating depression, with less cognitive impairment. However, further research is needed to establish their efficacy in late-life depression.

목차

Abstract

서론

노년기 우울증에서의 전기경련치료

노인 우울증 치료에 이용되는 기타 뇌 자극술

요약

REFERENCES

키워드

노인 우울증 뇌 자극술 전기경련치료 경두개자기자극술 자기경련치료 Aged Depression Brain stimulation techniques Eelectroconvulsive therapy (ECT) Transcranial magnetic stimulation (TMS) Magnetic seizure therapy (MST)