Suppr超能文献

功能性幻觉中的电休克治疗:范围与挑战

Electroconvulsive Therapy in Functional Hallucination: Scope and Challenges.

作者信息

Joshi Sulochana, Shakya Rabi

机构信息

Department of Psychiatry, Patan Academy of Health Sciences, Lalitpur, Nepal.

出版信息

Case Rep Psychiatry. 2017;2017:9421973. doi: 10.1155/2017/9421973. Epub 2017 Oct 17.

Abstract

Functional hallucinations are hallucinations triggered by a stimulus in the same modality and cooccur with it. They are rare in occurrence; however, their rarity has no significance as psychopathology till date. Also, very little is known about the treatment of such hallucinations. Electroconvulsive therapy (ECT) has been tested for several psychiatric illnesses and has a few relative contraindications; however, it has not previously been used in treating functional hallucinations. We report on a female patient with paranoid schizophrenia who experienced functional hallucinations continuously despite the use of adequate risperidone, which controlled other symptoms. She was treated with ECT which resolved the functional hallucinations. The case highlights the need to ponder on the significance of the phenomenon as well as treatment of this psychopathology by ECT. It also underscores ECT as a treatment option for this kind of hallucination.

摘要

功能性幻觉是由同一感觉通道中的刺激引发并与之同时出现的幻觉。它们的发生率很低;然而,迄今为止,其罕见性作为精神病理学表现并无重要意义。此外,对于此类幻觉的治疗知之甚少。电休克疗法(ECT)已针对多种精神疾病进行了测试,并有一些相对禁忌证;然而,此前它尚未用于治疗功能性幻觉。我们报告了一名患有偏执型精神分裂症的女性患者,尽管使用了足量的利培酮控制了其他症状,但她仍持续出现功能性幻觉。她接受了ECT治疗,功能性幻觉得以消除。该病例凸显了思考这一现象的重要性以及通过ECT治疗这种精神病理学表现的必要性。它还强调了ECT作为此类幻觉的一种治疗选择。

相似文献

1
Electroconvulsive Therapy in Functional Hallucination: Scope and Challenges.
Case Rep Psychiatry. 2017;2017:9421973. doi: 10.1155/2017/9421973. Epub 2017 Oct 17.
2
Functional hallucinations in schizophrenia responding to adjunctive sodium valproate.
Indian J Psychol Med. 2012 Jan;34(1):76-8. doi: 10.4103/0253-7176.96165.
3
[Maintenance electroconvulsive therapy and treatment of refractory schizophrenia].
Encephale. 2008 Oct;34(5):526-33. doi: 10.1016/j.encep.2007.08.008. Epub 2008 Jan 11.
6
ECT associated musical hallucinations in an elderly patient: a case report.
Ann Gen Psychiatry. 2006 Aug 4;5:10. doi: 10.1186/1744-859X-5-10.
7
Malignant catatonia with severe bronchorrhea and its response to electroconvulsive therapy.
Prog Neuropsychopharmacol Biol Psychiatry. 2006 Mar;30(2):310-1. doi: 10.1016/j.pnpbp.2005.10.003. Epub 2005 Dec 27.
10
Psychotic symptoms as a complication of electroconvulsive therapy - a case report.
Psychiatr Pol. 2017 Feb 26;51(1):23-27. doi: 10.12740/PP/62983.

本文引用的文献

1
Use of ECT in Nepal: A One Year Study From the Country's Largest Psychiatric Facility.
J Clin Diagn Res. 2016 Feb;10(2):VC01-VC04. doi: 10.7860/JCDR/2016/14660.7269. Epub 2016 Feb 1.
2
The treatment of hallucinations in schizophrenia spectrum disorders.
Schizophr Bull. 2012 Jun;38(4):704-14. doi: 10.1093/schbul/sbs034. Epub 2012 Feb 24.
3
Diagnosis, prevention, and management of delirium: summary of NICE guidance.
BMJ. 2010 Jul 28;341:c3704. doi: 10.1136/bmj.c3704.
5
A survey of the practice of electroconvulsive therapy in Asia.
J ECT. 2010 Mar;26(1):5-10. doi: 10.1097/YCT.0b013e3181a74368.
6
Diagnostic variability and therapeutic efficacy of ECT in Nepalese sample.
Kathmandu Univ Med J (KUMJ). 2008 Jan-Mar;6(1):41-8.
7
Cognitive-behavioral therapy for medication-resistant schizophrenia: a review.
J Psychiatr Pract. 2008 Jan;14(1):22-33. doi: 10.1097/01.pra.0000308492.93003.db.
8
Electroconvulsive therapy for schizophrenia.
Cochrane Database Syst Rev. 2005 Apr 18(2):CD000076. doi: 10.1002/14651858.CD000076.pub2.
9
Characteristics of functional auditory hallucinations.
Am J Psychiatry. 2004 May;161(5):923. doi: 10.1176/appi.ajp.161.5.923.
10
Delusional paralysis: an unusual variant of Cotard's syndrome.
Psychopathology. 2003 Jul-Aug;36(4):218-20. doi: 10.1159/000072793.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验