Department of Psychiatry, Vanderbilt University Medical Center, Vanderbilt Psychiatric Hospital, 1601 23rd Avenue South, Nashville, TN 37212, USA.
Department of Psychiatry, Vanderbilt University Medical Center, Vanderbilt Psychiatric Hospital, 1601 23rd Avenue South, Nashville, TN 37212, USA.
Child Adolesc Psychiatr Clin N Am. 2019 Jan;28(1):91-100. doi: 10.1016/j.chc.2018.07.004. Epub 2018 Aug 31.
Electroconvulsive therapy is an established treatment for symptoms of psychosis and is currently recommended for use in patients who are experiencing an acute exacerbation of positive symptoms or who have had catatonia. There is also evidence to suggest that electroconvulsive therapy can be a safe, effective treatment in first episode psychosis, such as schizophrenia spectrum disorders, particularly in treatment-resistant patients. Other forms of neuromodulation (transcranial magnetic stimulation, transcranial direct current stimulation, vagus nerve stimulation, deep brain stimulation) have less of an evidence base to support their use and are not formally indicated for the treatment of psychosis.
电抽搐治疗是一种已确立的精神病症状治疗方法，目前推荐用于出现阳性症状急性加重或出现紧张症的患者。也有证据表明，电抽搐治疗对首发精神病（如精神分裂症谱系障碍）是一种安全有效的治疗方法，特别是对治疗抵抗的患者。其他形式的神经调节（经颅磁刺激、经颅直流电刺激、迷走神经刺激、深部脑刺激）的证据基础较少，不支持其使用，也未正式用于精神病治疗。
