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电休克治疗在伴有边缘性人格障碍的重度抑郁症中的作用:病例报告与文献综述

Role of Electroconvulsive Therapy in Major Depressive Disorder with Borderline Personality Disorder: Case Report and Literature Review.

作者信息

Wasiq Saad, Khan Ahmad R, Faquih Amber E, Saeed Hina, Mahmood Hafsa

机构信息

Psychiatry, University of Health Sciences, Islamabad, PAK.

Psychiatry, University of North Dakota School of Medicine and Health Sciences, Fargo, USA.

出版信息

Cureus. 2018 Aug 27;10(8):e3211. doi: 10.7759/cureus.3211.

Abstract

Major depressive disorder (MDD) becomes difficult to treat when the patient has a comorbid personality disorder. For such patients, even a combination of psychotherapy and pharmacotherapy has been ineffective. Electroconvulsive therapy (ECT) has been the first line of therapy for the treatment-resistant depression. We used this mode of therapy for a patient who had MDD along with borderline personality disorder and had failed trials of multiple medications and psychotherapy. ECT was very successful in our patient.

摘要

当患者患有共病性人格障碍时,重度抑郁症(MDD)就会变得难以治疗。对于这类患者,即使是心理治疗和药物治疗相结合也一直没有效果。电休克疗法(ECT)一直是难治性抑郁症的一线治疗方法。我们对一名患有MDD和边缘性人格障碍且多种药物及心理治疗试验均失败的患者采用了这种治疗方式。ECT在我们的患者身上非常成功。

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本文引用的文献

1
Depression and borderline personality disorder.抑郁和边缘型人格障碍。
Med J Aust. 2013 Sep 16;199(6 Suppl):S24-7. doi: 10.5694/mja12.10474.
9
Prognostic factors in electric convulsive therapy.电休克治疗中的预后因素。
J Neurol Neurosurg Psychiatry. 1953 Nov;16(4):275-81. doi: 10.1136/jnnp.16.4.275.

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