Berg John E
Blakstad Hospital, Vestre Viken Hospital Trust, Asker, Norway.
Ment Illn. 2011 May 19;3(1):e3. doi: 10.4081/mi.2011.e3. eCollection 2011 Feb 22.
Depression is a usual comorbidity in patients with Parkinson's disease. It has been known for more than 50 years that electroconvulsive treatment (ECT) has a positive effect on the muscular symptoms of Parkinson's disease. Many countries do not allow giving ECT for this indication. We have recently treated a resident patient in an acute psychiatric facility referred to the hospital with moderate depressive symptoms and strong suicidal ideation. Before and after a series of ECT he filled out the Beck Depression Inventory and the Antonovsky Sense of Coherence test. The scores before ECT were 20 and 2.69, respectively, and after 12 treatments 14 and 3.38. Both test results indicate improvement regarding level of depression and coping in life. The physiotherapists treating him observed that his rigidity was reduced and his gait improved. Muscular tonus was reduced and increased his tendency of falling as he had less tonus in muscles close to joints. Self help efficiency in daily tasks improved. He got cognitive impairment during and in the weeks after ECT. Electroconvulsive treatment should be offered to more patients with Parkinson disease and depression in order to lessen the burden of both depression and Parkinson symptoms.
抑郁症是帕金森病患者常见的共病。50多年来，人们一直知道电休克治疗（ECT）对帕金森病的肌肉症状有积极作用。许多国家不允许针对这一适应症进行ECT治疗。我们最近在一家急性精神病院治疗了一名住院患者，该患者因中度抑郁症状和强烈的自杀意念被转诊至我院。在一系列ECT治疗前后，他填写了贝克抑郁量表和安托诺夫斯基连贯感测试。ECT治疗前的分数分别为20和2.69，经过12次治疗后为14和3.38。两项测试结果均表明抑郁水平和应对生活的能力有所改善。治疗他的物理治疗师观察到他的僵硬程度减轻，步态有所改善。肌肉紧张度降低，由于关节附近肌肉的紧张度降低，他摔倒的倾向增加。日常任务中的自助效率提高。他在ECT治疗期间及治疗后的几周出现了认知障碍。应该为更多患有帕金森病和抑郁症的患者提供电休克治疗，以减轻抑郁和帕金森症状的负担。
