From the Department of Psychiatry and Mental Health, Local Health Unit of Guarda, Guarda.
J ECT. 2021 Jun 1;37(2):e17-e19. doi: 10.1097/YCT.0000000000000731.
Electroconvulsive therapy (ECT) is a treatment of undisputed efficacy for severe and treatment-resistant psychiatric disorders. Notwithstanding extensive data on efficacy and safety, it is significantly underused, corresponding to one of the most stigmatized approaches in psychiatry. The list of problems for which ECT is potentially effective does not include obsessive-compulsive disorder (OCD), resulting in only a few available case reports in the literature in which OCD is the target of this specific therapeutic strategy. The authors describe a patient with refractory OCD for whom ECT was prescribed, with remarkable clinical response and functional improvement. The existence of a clear response to ECT in reported cases of OCD, albeit in a globally small number of patients, should make it essential to identify predictors of ECT response that could assist clinicians in assessing and guiding such cases, particularly those labeled as refractory to treatment.
电抽搐治疗（ECT）是一种治疗严重且难治性精神障碍的公认有效方法。尽管有大量关于疗效和安全性的数据，但它的使用严重不足，是精神科中最具污名化的方法之一。ECT 可能有效的问题列表不包括强迫症（OCD），因此文献中只有少数可用的病例报告，其中 OCD 是这种特定治疗策略的目标。作者描述了一名患有难治性 OCD 的患者，为其开了 ECT，其临床反应和功能改善显著。尽管报告的 OCD 病例数量相对较少，但存在对 ECT 的明确反应，这应该使确定 ECT 反应的预测因素变得至关重要，这些预测因素可以帮助临床医生评估和指导此类病例，特别是那些被标记为难治性的病例。
