Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil.
Psychiatry Res. 2016 May 30;239:145-8. doi: 10.1016/j.psychres.2016.03.020. Epub 2016 Mar 9.
Individuals with obsessive-compulsive disorder (OCD) who sought treatment in seven different specialized centers (n=1001) were evaluated with a structured assessment battery. Thirteen OCD patients (1.3% of the sample) reported having been treated with electroconvulsive therapy (ECT) in the past. They were older and exhibited higher global severity of OCD symptoms, but were less likely to display symmetry/ordering and contamination/washing symptoms. They also had greater suicidality and increased rates of psychosis. Finally, OCD patients exposed to ECT were more frequently treated with antipsychotics, although they did not differ in terms of responses to adequate trials with serotonin reuptake inhibitors.
在七个不同的专业中心接受治疗的强迫症（OCD）患者（n=1001）接受了结构化评估工具的评估。十三名 OCD 患者（占样本的 1.3%）报告曾接受过电休克治疗（ECT）。他们年龄较大，表现出更高的 OCD 症状总体严重程度，但更不容易出现对称/秩序和污染/洗涤症状。他们也有更高的自杀倾向和更高的精神病发病率。最后，接受 ECT 治疗的 OCD 患者更频繁地使用抗精神病药物，尽管他们在对充分的 5-羟色胺再摄取抑制剂试验的反应方面没有差异。
