전기경련치료의 최적화를 위한 최근 동향

• 영문명: Recent Trends for Optimization of Electroconvulsive Therapy
• 발행기관: 대한신경정신의학회
• 저자명: 윤탁 강웅구 김용식 정인원
• 간행물 정보: 『신경정신의학』제55권 제1호, 12~24쪽, 전체 13쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2016.02.29

영문 초록

Electroconvulsive therapy (ECT) is a safe and effective treatment not only for various mental disorders including epression, mania, and schizophrenia, but also for inadequacy and resistance to pharmacotherapy and the psychiatric emergences. The historical ups and downs of ECT treatment since its first introduction in 1938 were ended by the alidation impacts of evidence-based medicine in the 1980s and by other clinical issues. Clinical research for the ptimization of ECT to maximize therapeutic effects and to minimize adverse effects is ongoing to establish tandardized procedures and educational programs through the ECT center. In addition, guidelines for ECT practices re also being developed for the clinical excellence of ECT practices in accordance with the recommendations of nternational organizations such as World Psychiatric Association and American Psychiatric Association. This rticle was prepared by reviews of the literature, direct observations of ECT practices abroad, and interviews with ECT xperts around the world in order to enhance therapeutic effects with recently updated ECT practices under the elief that the most appropriate treatments should be provided to the patients in need.

목차

서 론

ECT의 쇠퇴와 재조명

ECT의 적응증과 금기 및 부작용

ECT의 임상적 효과

ECT의 경련 유발

지속 및 유지 ECT

특정 인구집단의 ECT

ECT의 경련 지표들

향정신성 약물들

결 론

키워드

Electroconvulsive therapy Optimization Biological treatment