Monash Alfred Psychiatry Research Center, The Alfred and Monash University School of Psychology and Psychiatry, Victoria, Australia.
Expert Rev Med Devices. 2011 Nov;8(6):723-32. doi: 10.1586/erd.11.55.
Approximately 30% of people with depression do not respond to standard treatments. Currently, the standard treatment for patients with treatment-resistant depression is electroconvulsive therapy (ECT). ECT, while effective, has a number of common side effects that limit its use - in particular the occurrence of memory impairment. As such, there has been a considerable degree of research effort directed at developing a treatment for treatment-resistant depression that retains the efficacy of ECT but limits the unwanted cognitive side effects. This research has involved modifications to ECT itself, as well as the development of novel brain stimulation methods. Most recently, magnetic seizure therapy (MST) has been developed and trialed with promising results. This article explores the development of MST, as well as providing a discussion of the clinical and practical issues of the use of MST for the treatment of depression.
大约 30%的抑郁症患者对标准治疗没有反应。目前,治疗抵抗性抑郁症患者的标准治疗方法是电休克疗法(ECT)。ECT 虽然有效,但有许多常见的副作用限制了它的使用——特别是记忆障碍的发生。因此,人们投入了相当大的研究努力来开发一种治疗治疗抵抗性抑郁症的方法,这种方法既保留了 ECT 的疗效,又限制了不必要的认知副作用。这项研究涉及到对 ECT 本身的修改,以及新的脑刺激方法的开发。最近,磁惊厥治疗(MST)已经开发出来并进行了试验,结果很有希望。本文探讨了 MST 的发展,并对 MST 治疗抑郁症的临床和实际问题进行了讨论。