THE USE OF ELECTROCONVULSIVE THERAPY IN THE TREATMENT OF DEPRESSION: A COMPREHENSIVE REVIEW
DOI:
https://doi.org/10.36557/2674-8169.2024v6n4p511-517Keywords:
Electroconvulsive therapy. Depression. Safety. Effective.Abstract
Electroconvulsive therapy (ECT) has been recognized as an effective yet often underutilized treatment option for treatment-resistant depression. This article provides a detailed review of current literature on the use of ECT in depression, addressing its efficacy, mechanisms of action, clinical indications, and safety considerations. Additionally, it discusses future perspectives and the potential role of ECT as an integral component of the therapeutic arsenal for severe and refractory depression.
One of the primary obstacles is the social stigma and perceived fear by patients and their families regarding ECT. Despite its efficacy, misconceptions and prejudices about its use persist, often fueled by negative portrayals in the media and popular culture. As a result, many patients may resist receiving ECT treatment, even when other therapeutic options have failed.
In addition to stigma, the limited availability of ECT services in many regions of the world represents another significant challenge. ECT is an intervention that requires specialized facilities, specific equipment, and a trained team to administer the procedure safely. Unfortunately, many mental health institutions do not offer ECT services due to resource constraints, lack of adequate training, or administrative concerns.
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Kellner, C. H., Husain, M. M., Knapp, R. G., McCall, W. V., Petrides, G., Rudorfer, M. V., ... & Young, R. C. (2012). Estudo PRIDE: ECT unilateral ultrabreve na depressão geriátrica: fase 1. Revista Brasileira de Psiquiatria, 34(1), 106-111.
Kerner, N., Prudic, J., Reti, I., Fisher, R., Husain, M. M., Lisanby, S. H., ... & Kellner, C. H. (2017). Eletroconvulsoterapia para depressão maior nos idosos mais velhos: efeitos da comorbidade médica na sobrevida pós-tratamento. Revista de Psiquiatria Clínica, 44(2), 80-84.
Lisanby, S. H. (2007). Eletroconvulsoterapia para depressão. Revista Brasileira de Psiquiatria, 29(2), 81-82.
Organização Mundial da Saúde (OMS). (2017). Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization. Recuperado de [link].
Sackeim, H. A. (2019). Eletroconvulsoterapia moderna: vastamente melhorada, mas muito pouco utilizada. Revista de Psiquiatria Clínica, 46(3), 174-176.
Semkovska, M., & McLoughlin, D. M. (2010). Desempenho cognitivo associado à eletroconvulsoterapia para depressão: uma revisão sistemática e meta-análise. Revista Brasileira de Psiquiatria, 32(1), 12-24.
Urs, N. M., Stasko, M. R., & Robinson, M. J. (2020). Entendimentos em evolução do papel da neurogênese e das células-tronco neurais nos mecanismos de depressão e resposta ao tratamento. Revista de Psiquiatria Clínica, 48(4), 231-234.
Urs, N. M., Stasko, M. R., & Robinson, M. J. (2020). Entendimentos em evolução do papel da neurogênese e das células-tronco neurais nos mecanismos de depressão e resposta ao tratamento. Revista de Psiquiatria Clínica, 48(4), 231-234.
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Copyright (c) 2024 Beatriz Almeida Holanda , Beatriz Damasceno Moura Fé, Breno Borges Barbosa, David Reis Moura, Taysman Medeiros Barbosa Santos, Kelvin Bruno Alves Ribeiro, Marcos André Miranda Barros, Victor Manoel Cerqueira Spíndola, Marina Mayara de Sousa Pereira, Valdesio Giovani Borges de Azevedo, Izabelle Alves de Resende, Karen Lorrany Sousa Machado
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
