Shi Zhan-Ming, Huang Xing-Bing, Zhou Yan-Ling, Ning Yu-Ping, Ungvari Gabor S, Xiang Yu-Tao, Zheng Wei
Department of Psychiatry, Chongqing Jiangbei Second Hospital, Chongqing Jiangbei Mental Health Center, Chongqing, China.
Department of Psychiatry, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.
Front Psychiatry. 2025 Jun 16;16:1582312. doi: 10.3389/fpsyt.2025.1582312. eCollection 2025.
Enhancing the early diagnosis and standardized treatment of major depressive disorder (MDD), as advocated by the National Health Commission of China, is a key priority in the mental health initiatives of the nation. To achieve this, numerous evidence-based rapid treatment centers for MDD have been established or are currently under development across the country. These centers focus on the following primary treatment modalities for depression: electroconvulsive therapy (ECT), intravenous ketamine/esketamine, esketamine nasal spray, magnetic seizure therapy (MST), and Stanford Neuromodulation Therapy (SNT). This policy and practice review explored the application and modification of these techniques in treating depression in China, addressing their strengths and shortcomings. With particular focus on China's rapid antidepressant treatment strategies (e.g., ECT, intravenous ketamine/esketamine, esketamine nasal spray, MST, SNT), the current policy and practice review described their potential to speed up recovery thereby providing valuable insights for other countries and regions.
按照中国国家卫生健康委员会的倡导,加强重度抑郁症(MDD)的早期诊断和规范化治疗是国家心理健康举措的关键优先事项。为实现这一目标,全国已建立或正在建设众多基于证据的MDD快速治疗中心。这些中心专注于以下主要抑郁症治疗方式:电休克疗法(ECT)、静脉注射氯胺酮/艾氯胺酮、艾氯胺酮鼻喷雾剂、磁惊厥疗法(MST)和斯坦福神经调节疗法(SNT)。本政策与实践综述探讨了这些技术在中国治疗抑郁症中的应用与改进,分析了它们的优缺点。当前的政策与实践综述特别关注中国的快速抗抑郁治疗策略(如ECT、静脉注射氯胺酮/艾氯胺酮、艾氯胺酮鼻喷雾剂、MST、SNT),阐述了其加速康复的潜力,从而为其他国家和地区提供了有价值的见解。