Department of Neuropsychiatry, Villa Rosa, Suore Ospedaliere of the Sacred Heart of Jesus, Viterbo, Italy.
J ECT. 2013 Jun;29(2):145-6. doi: 10.1097/YCT.0b013e31827ce88e.
A 24-year-old man experiencing comorbid body dysmorphic disorder since age 16 years, complicated in recent months by a major depressive episode with psychotic features, showed resistance to various drug and psychotherapy combinations. We suggested electroconvulsive therapy (ECT) to overcome treatment resistance. After 1 ECT cycle, mood and anxiety symptoms improved significantly, delusional interpretations and ideas of reference subsided, and dysmorphophobic symptoms improved as well. Six months later, the patient was doing well with a mood stabilizer/antipsychotic combination. Electroconvulsive therapy may improve symptoms of comorbid body dysmorphic disorder along with mood improvement in treatment-resistant depressive disorder.
一位 24 岁男性，自 16 岁起患有共病性躯体变形障碍，近几个月来因伴有精神病特征的重度抑郁发作而病情复杂，对各种药物和心理治疗联合治疗均有抵抗。我们建议使用电休克疗法（ECT）来克服治疗抵抗。在接受 1 个 ECT 周期治疗后，患者的情绪和焦虑症状显著改善，妄想解释和参照观念减少，变形恐怖症状也有所改善。6 个月后，患者使用心境稳定剂/抗精神病药物联合治疗效果良好。ECT 可能会改善治疗抵抗性抑郁障碍伴发的共病性躯体变形障碍的症状，并改善情绪。
