A systematic review of the combined use of electroconvulsive therapy and psychotherapy for depression.

摘要: Objective: Electroconvulsive therapy (ECT) is one of the most effective treatments for severe major depressive disorder. However, after acute-phase treatment and initial remission, relapse rates are significant. Strategies to prolong remission include continuation phase ECT, pharmacotherapy, psychotherapy, or their combinations. This systematic review synthesizes extant data regarding combined use psychotherapy with ECT patients disorder offers hypothesis that augmenting depression-specific represents a promising strategy future investigation. Methods: The authors performed 2 independent searches in PsychInfo (1806Y2009) MEDLINE (1948Y2009) using combinations following search terms: Therapy (including therapy, electroshock EST, shock therapy) Psychotherapy cognitive behavioral, interpersonal, group, psychodynamic, psychoanalytic, individual, eclectic, supportive). We included this total 6 articles (English language) mentioned abstract provided case report, series, clinical trial. examined related characteristics, cohort therapeutic outcome. Results: Although research over past 7 decades documenting limited, available evidence suggests testing combination has promise may confer additional, positive functional outcomes. Conclusions: Significant methodological variability procedures, heterogeneous patient cohorts, inconsistent outcome measures prevent strong conclusions; however, existing supports need investigations well-designed, controlled studies. Depression-specific approaches special adaptations view effects ECT.