Braga Raphael J, Petrides Georgios
Departamento de Psiquiatria, The Zucker Hillside Hospital, Glen Oaks, New York 11004, USA.
Braz J Psychiatry. 2007 Oct;29 Suppl 2:S77-84. doi: 10.1590/s1516-44462007000600007.
This paper reviews the current knowledge of somatic treatment in psychiatry, with a focus on treatment-resistant psychiatric disorders.
A computerized search of the literature was conducted on Medline using the words "electroconvulsive therapy", "transcranial magnetic stimulation", "vagus nerve stimulation", "deep brain stimulation" and "magnetic seizure therapy". References from each paper were also screened.
The development of new non-pharmacological psychiatric interventions in the past decades has renewed the clinical and research interest in somatic therapies. Although electroconvulsive therapy remains the only somatic treatment with undisputed efficacy, transcranial magnetic stimulation, magnetic seizure therapy, vagus nerve stimulation and deep brain stimulation all offer potential as novel means of psychiatric treatment.
New treatment modalities still have an insufficient body of data. Notwithstanding, biological strategies continue to hold promise as a safer and more effective approach to psychiatric treatment.
本文回顾了精神病学中躯体治疗的现有知识，重点关注难治性精神障碍。
在Medline上使用“电休克治疗”“经颅磁刺激”“迷走神经刺激”“深部脑刺激”和“磁惊厥治疗”等词对文献进行计算机检索。还对每篇论文的参考文献进行了筛选。
过去几十年中新型非药物精神病学干预措施的发展重新唤起了临床和研究对躯体治疗的兴趣。尽管电休克治疗仍然是唯一一种疗效无可争议的躯体治疗方法，但经颅磁刺激、磁惊厥治疗、迷走神经刺激和深部脑刺激都具有作为新型精神病学治疗手段的潜力。
新的治疗方式的数据仍然不足。尽管如此，生物学策略作为一种更安全、更有效的精神病学治疗方法仍有前景。
