Department of Medical Psychology, Chinese PLA General Hospital & Medical School PLA, Beijing, China.
Department of Medical Psychology, Anhui Medical University, Hefei, Anhui, China.
Psychiatry Investig. 2014 Apr;11(2):210-3. doi: 10.4306/pi.2014.11.2.210. Epub 2014 Apr 11.
Electroconvulsive therapy (ECT) is not currently used as a first-line treatment for obsessive-compulsive disorder (OCD). However, several related case reports have demonstrated that ECT seems to be effective for severe OCD, especially when first-line therapies have failed. In this study, we describe the courses, detailed parameters, effects, and follow-up information relating to three patients with severe OCD who were treated by modified bifrontal ECT after their first-line anti-OCD treatments pharmacotherapy, behavioral therapy, and cognitive behavioral therapy failed. The number of ECT procedures administered in each case is as follows: Case 1, eight; Case 2, three; and Case 3, four. In all three cases, the patients' depressive symptoms improved considerably after the ECT procedures. In addition, the condition of all three patients' OCD significantly improved and remained stable at regular follow-ups. ECT may play an effective role in treating severe OCD.
电抽搐治疗（ECT）目前不作为强迫症（OCD）的一线治疗方法。然而，几项相关的病例报告表明，ECT 似乎对严重的 OCD 有效，尤其是在一线治疗失败的情况下。在这项研究中，我们描述了三例严重 OCD 患者的病程、详细参数、疗效和随访信息，这些患者在一线抗 OCD 治疗（药物治疗、行为治疗和认知行为治疗）失败后接受了改良的双额 ECT 治疗。每个病例中 ECT 治疗的次数如下：病例 1，8 次；病例 2，3 次；病例 3，4 次。在所有三个病例中，ECT 治疗后患者的抑郁症状明显改善。此外，所有三个患者的 OCD 症状都显著改善，在定期随访时保持稳定。ECT 可能在治疗严重 OCD 方面发挥有效作用。
