症状和观察：老年抑郁患者电抽搐治疗过程中时间进程的差异。
Symptoms and observations: differences in time course during electroconvulsive therapy in geriatric depressed patients.
机构信息
From the Weill Cornell University, White Plains, NY.
出版信息
J ECT. 2014 Mar;30(1):e7-8. doi: 10.1097/YCT.0b013e3182a60136.
Abstract
Electroconvulsive therapy is used for the management of severe and refractory depression across the age spectrum. Treatment is guided by clinical response. However, there may be differences between the time course of improvement in clinical observations and patients' self-report of improvements. We report 4 cases of depression in late life that illustrate this issue. We discuss the potential significance of such differences and the need for research.
摘要
电抽搐治疗用于管理全年龄段严重和难治性抑郁症。治疗以临床反应为指导。然而，在临床观察改善的时间过程和患者自我报告的改善之间可能存在差异。我们报告了 4 例老年期抑郁症病例，说明了这一问题。我们讨论了这种差异的潜在意义和研究的必要性。
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本文引用的文献
1
Differences between subjective and objective assessments of the utility of Electroconvulsive therapy in patients with bipolar and unipolar depression.双相和单相抑郁症患者电休克治疗效用的主观评估与客观评估之间的差异。
J Affect Disord. 2009 Jan;112(1-3):212-8. doi: 10.1016/j.jad.2008.03.024. Epub 2008 May 22.
2
A randomized comparison of high-charge right unilateral electroconvulsive therapy and bilateral electroconvulsive therapy in older depressed patients who failed to respond to 5 to 8 moderate-charge right unilateral treatments.在对5至8次中等电量右侧单侧治疗无反应的老年抑郁症患者中，高电量右侧单侧电休克治疗与双侧电休克治疗的随机对照研究
J Clin Psychiatry. 2002 Dec;63(12):1102-5. doi: 10.4088/jcp.v63n1203.
3
The influence of age on the response of major depression to electroconvulsive therapy: a C.O.R.E. Report.
Am J Geriatr Psychiatry. 2001 Fall;9(4):382-90.
4
Measurement of mood.情绪测量。
Proc R Soc Med. 1969 Oct;62(10):993-6. doi: 10.1177/003591576906201006.
5
Pitfalls in the self-report assessment of depression.抑郁症自我报告评估中的陷阱。
Can Psychiatr Assoc J. 1972;17(2):Suppl 2:SS101. doi: 10.1177/07067437720176s218.
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