Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder
Introduction Electroconvulsive therapy (ECT) presents itself as a highly effective therapeutic approach in various psychiatric conditions, especially affective disorders and catatonia. Although obsessive-compulsive disorder (OCD) is not an established indication for ECT, there are several positive...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821013109/type/journal_article |
| _version_ | 1797616775469203456 |
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| author | J. Martins Correia M.I. Fonseca Marinho Vaz Soares S. Freitas Ramos B. Jesus D. Cruz E Sousa S. Caetano |
| author_facet | J. Martins Correia M.I. Fonseca Marinho Vaz Soares S. Freitas Ramos B. Jesus D. Cruz E Sousa S. Caetano |
| author_sort | J. Martins Correia |
| collection | DOAJ |
| description |
Introduction
Electroconvulsive therapy (ECT) presents itself as a highly effective therapeutic approach in various psychiatric conditions, especially affective disorders and catatonia. Although obsessive-compulsive disorder (OCD) is not an established indication for ECT, there are several positive results that have been replicated, giving us an account of its potential applicability.
Objectives
To emphasize the importance of defining predictors of response to ECT in OCD.
Methods
The authors’ clinical experience is combined with the review of clinical cases, available in the literature, related to the application of ECT in OCD.
Results
Personal or family history of affective pathology and obsessions of sexual content were identified as potential predictors of response to ECT in patients with obsessive and compulsive symptoms.
Conclusions
Although preliminary and based solely on case reports, the replicability of results should promote special attention to situations in which OCD is marked by particular characteristics that favor the response to ECT. In this way, it would be possible to prevent the dragged consumption of health resources and minimize the expected chronicity associated with this clinical condition.
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| first_indexed | 2024-03-11T07:46:09Z |
| format | Article |
| id | doaj.art-4a325d39cde645aaa13044403f365741 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:46:09Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-4a325d39cde645aaa13044403f3657412023-11-17T05:07:37ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S490S49010.1192/j.eurpsy.2021.1310Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorderJ. Martins Correia0M.I. Fonseca Marinho Vaz Soares1S. Freitas Ramos2B. Jesus3D. Cruz E Sousa4S. Caetano5Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, PortugalDepartment Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, PortugalDepartment Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, PortugalDepartment Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, PortugalDepartment Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, PortugalDepartment Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal Introduction Electroconvulsive therapy (ECT) presents itself as a highly effective therapeutic approach in various psychiatric conditions, especially affective disorders and catatonia. Although obsessive-compulsive disorder (OCD) is not an established indication for ECT, there are several positive results that have been replicated, giving us an account of its potential applicability. Objectives To emphasize the importance of defining predictors of response to ECT in OCD. Methods The authors’ clinical experience is combined with the review of clinical cases, available in the literature, related to the application of ECT in OCD. Results Personal or family history of affective pathology and obsessions of sexual content were identified as potential predictors of response to ECT in patients with obsessive and compulsive symptoms. Conclusions Although preliminary and based solely on case reports, the replicability of results should promote special attention to situations in which OCD is marked by particular characteristics that favor the response to ECT. In this way, it would be possible to prevent the dragged consumption of health resources and minimize the expected chronicity associated with this clinical condition. https://www.cambridge.org/core/product/identifier/S0924933821013109/type/journal_articleobessive-compulsive disorderElectroconvulsive therapy |
| spellingShingle | J. Martins Correia M.I. Fonseca Marinho Vaz Soares S. Freitas Ramos B. Jesus D. Cruz E Sousa S. Caetano Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder European Psychiatry obessive-compulsive disorder Electroconvulsive therapy |
| title | Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder |
| title_full | Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder |
| title_fullStr | Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder |
| title_full_unstemmed | Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder |
| title_short | Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder |
| title_sort | predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive compulsive disorder |
| topic | obessive-compulsive disorder Electroconvulsive therapy |
| url | https://www.cambridge.org/core/product/identifier/S0924933821013109/type/journal_article |
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