Elektrokonvulsionstherapie als Ultima Ratio in der Behandlung der Depression?

Pfaff, Michael; Seidl, Andrea; Angst, Katrin; Ramseier, Fritz; Seifritz, Erich; Quednow, Boris B.; Böker, Heinz

doi:10.1055/s-0032-1332970

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…This estimate of the facilities already indicates an upward trend in the number of ECT treatments, and this trend is also noticeable in the increased number of facilities using ECT within a decade. This finding can be made based on available data on the number of ECT facilities from 2010 18–20 and our study results of 2017 as well as current information available to the authors of 2022 (personal communication; see Fig. 1).…”

Section: Discussionsupporting

confidence: 57%

“…facilities using ECT within a decade. This finding can be made based on available data on the number of ECT facilities from 2010 [18][19][20] and our study results of 2017 as well as current information available to the authors of 2022 (personal communication; see Fig. 1).…”

Section: Application Of Ect In International Comparisonsupporting

confidence: 60%

“…Locations of ECT facilities in Switzerland from 2010 to 2022. Cartographic overview of Switzerland with locations of ECT facilities from 2010, 18–20 2017 (present study) and 2022 (personal communication).…”

Section: Resultsmentioning

confidence: 96%

“…For this purpose, Swiss psychiatric, general, and rehabilitation hospitals were contacted. The selection was based on previous research 18–20 and personal contacts, supplemented by reports from the Swiss Society of Psychiatry and Psychotherapy. In addition, data from the hospital statistics of the Swiss Federal Office of Public Health 21 were used.…”

Section: Methodsmentioning

confidence: 99%

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Electroconvulsive Therapy in Switzerland

Wilhelmy

Brühl

Himmighoffen

et al. 2023

J ECT

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Objectives:The prevalence and use of electroconvulsive therapy (ECT) varies widely across Europe. Historically, Switzerland played an important role in the worldwide spread of ECT. Nevertheless, an overview of current ECT practice in Switzerland is still lacking. The present study aims to fill this gap.Methods: A cross-sectional study was conducted in 2017 using a standardized questionnaire to investigate current ECT practice in Switzerland. Fifty-one Swiss hospitals were contacted by email and followed up by telephone. In early 2022, we updated the list of facilities that offer ECT.Results: Thirty eight of the 51 hospitals (74.5%) provided feedback to the questionnaire, 10 of them claimed to offer ECT. They reported 402 treated patients, which corresponds to an ECT-treated person rate of 4.8 persons per 100,000 inhabitants. Depression was the most frequent indication. All hospitals reported an increase in ECT treatments between 2014 and 2017 except for one with constant numbers. The number of facilities offering ECT almost doubled between 2010 and 2022. Most ECT facilities performed the treatment predominantly on an outpatient rather than an inpatient basis.Conclusions: Historically, Switzerland relevantly contributed to the worldwide spread of ECT. In an international comparison, the treatment frequency is in the lower middle range. The outpatient treatment rate is high compared with other countries in Europe. The supply and spread of ECT in Switzerland have increased over the past decade.

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Section: Discussionsupporting

confidence: 57%

Section: Application Of Ect In International Comparisonsupporting

confidence: 60%

Section: Resultsmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

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Electroconvulsive Therapy in Switzerland

Wilhelmy

Brühl

Himmighoffen

et al. 2023

J ECT

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“…B. psychotische Symptome oder psychomotorische Verlangsamung klärung anwesend sein, um einen gemeinsamen Konsens zu erzielen und eine weitreichende Unterstützung für die Behandlung sicherzustellen[236]. Wichtig erscheint zudem, Patienten rechtzeitig und adäquat über EKT aufzuklären[987][988][989][990]. Manchmal bestehen bei Patienten und deren Angehörigen erhebliche Vorbehalte gegenüber der EKT, die eine rationale Abwägung von Nutzen und Risiko erschweren kann.…”

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Betroffene Hirnregionen gezielt modulieren

Palm

Kreuzer

Langguth

et al. 2019

DNP

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Langfassung 2. Auflage, 2015 Version 5 AWMF-Register-Nr.: nvl-005 Ergänzungen und Modifikationen der Leitlinie sind über die Webseite www.depression.versorgungsleitlinien.de zugänglich. Bitte beachten Sie, dass nur die unter www.versorgungsleitlinien.de enthaltenen Dokumente des Programms für Nationale VersorgungsLeitlinien durch die Träger des NVL-Programms autorisiert und damit gültig sind. Bei NVL-Dokumenten, die Sie von anderen Webseiten beziehen, übernehmen wir keine Verantwortung für deren Gültigkeit. © S3-Leitlinie/NVL Unipolare Depression Langfassung 2. Auflage, Version 5 © 2015 2 S3-Leitlinie/NVL Unipolare Depression Langfassung 2. Auflage, Version 5 © 2015 3 Impressum HERAUSGEBER Die Leitlinie Unipolare Depression wurde von der Deutschen Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN) als S3-Leitlinie initiiert und koordiniert und wird gemeinsam von den beteiligten Organisationen inklusive Bundesärztekammer, Kassenärztlicher Bundesvereinigung, Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften und der DGPPN als kombinierte S3-Leitlinie/Nationale VersorgungsLeitlinie herausgegeben. S3-Leitlinie/NVL Unipolare Depression Langfassung 2. Auflage, Version 5 © 2015 4 Deutsche Gesellschaft für Verhaltenstherapie (DGVT) www.dgvt.de Deutsche Psychoanalytische Gesellschaft (DPG) www.dpg-psa.de Deutsche Psychoanalytische Vereinigung (DPV) www.dpv-psa.de Deutsche Psychotherapeutenvereinigung (DPtV) www.dptv.de Deutscher Fachverband für Verhaltenstherapie (DVT) www.verhaltenstherapie.de Gesellschaft für Personzentrierte Psychotherapie und Beratung (GwG) www.gwg-ev.org Stiftung Deutsche Depressionshilfe www.deutsche-depressionshilfe.de

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