重度神经性厌食症、共病的重度抑郁症以及作为维持治疗的电休克疗法：一例病例报告
Severe anorexia nervosa, co-occurring major depressive disorder and electroconvulsive therapy as maintenance treatment: a case report.
作者信息
Poutanen Outi, Huuhka Kaija, Perko Kaisa
机构信息
Department of Psychiatry, Tampere University Hospital, 33380 Pitkaniemi, Finland.
出版信息
Cases J. 2009 Dec 21;2:9362. doi: 10.1186/1757-1626-2-9362.
INTRODUCTION
It is difficult to treat patients who, in addition to having severe anorexia nervosa, also have severe symptoms of major depressive disorder and a tendency for impulsive acting out behaviour. Our case report considers the feasibility of maintenance electroconvulsive therapy in such complicated cases.
CASE PRESENTATION
This is a case report of a woman with anorexia nervosa and co-morbid severe major depressive disorder who was treated with electroconvulsive therapy as a maintenance treatment. The maintenance electroconvulsive therapy was conducted without immediate complications. It had a positive effect on the patient's depressive symptoms and lability and her general wellbeing, although some cognitive deficits were observed.
CONCLUSION
The maintenance electroconvulsive therapy seemed to support recovery in a case of refractory anorexia nervosa and a tendency for labile mood. The symptoms of co-occurring major depressive disorder were partly relieved and maintenance electroconvulsive therapy had some positive effect on weight gain.
引言
对于那些除了患有严重神经性厌食症外，还伴有重度抑郁症症状以及冲动行为倾向的患者，治疗起来颇具难度。我们的病例报告探讨了维持性电休克治疗在这类复杂病例中的可行性。
病例介绍
这是一例关于患有神经性厌食症且合并重度抑郁症的女性患者的病例报告，该患者接受了电休克维持治疗。维持性电休克治疗未引发即刻并发症。尽管观察到一些认知缺陷，但它对患者的抑郁症状、情绪不稳以及总体健康状况产生了积极影响。
结论
维持性电休克治疗似乎有助于难治性神经性厌食症且情绪易变患者的康复。共病的重度抑郁症症状得到部分缓解，维持性电休克治疗对体重增加也有一定积极作用。
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