Fink M
School of Medicine, State University of New York at Stony Brook, USA.
Psychiatr Clin North Am. 1995 Jun;18(2):393-406.
Delusions are psychopathologic expressions associated with schizophrenia, affective disorders, and systemic and toxic illnesses. In each condition, the efficacy of ECT is well defined. For some illnesses, such as major depression with psychosis, manic delirium, and catatonia, ECT is effective in relieving the delusional states. This activity of ECT as an antidelusional agent compels us to consider the mode of action of ECT as broader than as an antidepressant treatment alone. The experience also compels greater consideration of the unitary classification of severe mental disorders.
妄想是与精神分裂症、情感障碍以及全身性和中毒性疾病相关的精神病理学表现。在每种情况下，ECT的疗效都已明确。对于某些疾病，如伴有精神病性症状的重度抑郁症、躁狂谵妄和紧张症，ECT在缓解妄想状态方面是有效的。ECT作为一种抗妄想剂的这种作用促使我们认为ECT的作用方式比单纯作为一种抗抑郁治疗更为广泛。这一经验也促使人们更多地考虑严重精神障碍的单一分类。
