Scheepens D S, van Waarde J A, Lok A, Zantvoord J B, de Pont B J H B, Ruhé H G, Denys D A J P, van Wingen G A
Tijdschr Psychiatr. 2019;61(1):16-21.
Of all depressive disorders, 20% has a persistent course. For persistent depressive patients, electroconvulsive therapy (ect) is recommended for this patient population, since it is the most potent treatment for depression. The Dutch depression guideline advises the use of ect for persistent depressive disorder at approximately 12 months after inadequate efficacy of psychotherapy and/or pharmacological treatment.
AIM: To quantify the use of electroconvulsive therapy in persistent depressive patients in the Netherlands.
METHOD: Quantitative research using the Dutch registration system (diagnosis-treatment-combination; dbc) information system (dis) of the Dutch Healthcare Authority (nza).
RESULTS: Of the patients within the dbc system (in 2014) with the main diagnosis of unipolar depression, 23,597 (26%) were registered for more than two years and could be classified as having a persistent depressive episode. Of these latter patients, only 278 (1.2%) received ect.
CONCLUSION: In the Netherlands, only 1.2% of patients with a persistent depression received ect, whereas this treatment could have been considered for 26% of this group. The low application rate might be caused by professionals' inadequate knowledge about ect and the premature use of the handicap model.
在所有抑郁症中，20%呈持续性病程。对于持续性抑郁患者，推荐对该患者群体采用电休克疗法（ECT），因为它是治疗抑郁症最有效的方法。荷兰抑郁症指南建议，在心理治疗和/或药物治疗疗效不佳约12个月后，对持续性抑郁症使用ECT。
量化荷兰持续性抑郁患者中电休克疗法的使用情况。
使用荷兰医疗保健局（NZa）的荷兰注册系统（诊断-治疗组合；DBC）信息系统（DIS）进行定量研究。
在DBC系统（2014年）中主要诊断为单相抑郁症的患者中，23597例（26%）登记时间超过两年，可归类为患有持续性抑郁发作。在这些患者中，只有278例（1.2%）接受了ECT治疗。
在荷兰，只有1.2%的持续性抑郁症患者接受了ECT治疗，而该组中有26%的患者本可考虑采用这种治疗方法。应用率低可能是由于专业人员对ECT的知识不足以及过早使用残疾模型所致。
