Electroconvulsive therapy on severe obsessive-compulsive disorder comorbid depressive symptoms.
Electroconvulsive therapy (ECT) is not currently used as a first-line treatment for obsessive-compulsive disorder (OCD). However, several related case reports have demonstrated that ECT seems to be effective for severe OCD, especially when first-line therapies have failed. In this study, we describe the courses, detailed parameters, effects, and follow-up information relating to three patients with severe OCD who were treated by modified bifrontal ECT after their first-line anti-OCD treatments pharmacotherapy, behavioral therapy, and cognitive behavioral therapy failed. The number of ECT procedures administered in each case is as follows: Case 1, eight; Case 2, three; and Case 3, four. In all three cases, the patients' depressive symptoms improved considerably after the ECT procedures. In addition, the condition of all three patients' OCD significantly improved and remained stable at regular follow-ups. ECT may play an effective role in treating severe OCD.
Department of Medical Psychology, Chinese PLA General Hospital & Medical School PLA, Beijing, China.
Xiaohui
X
Liu
Department of Medical Psychology, Chinese PLA General Hospital & Medical School PLA, Beijing, China.
Hong
H
Cui
Department of Medical Psychology, Anhui Medical University, Hefei, Anhui, China.
Qiang
Q
Wei
Department of Psychiatry, Fourth People's Hospital of Hefei, Hefei, Anhui, China.
Ying
Y
Wang
Department of Psychiatry, Fourth People's Hospital of Hefei, Hefei, Anhui, China.
Keyong
K
Wang
Department of Medical Psychology, Anhui Medical University, Hefei, Anhui, China. ; Department of Psychiatry, Fourth People's Hospital of Hefei, Hefei, Anhui, China.
Chen
C
Wang
Department of Medical Psychology, Anhui Medical University, Hefei, Anhui, China.
Chunyan
C
Zhu
Department of Medical Psychology, Chinese PLA General Hospital & Medical School PLA, Beijing, China. ; Department of Medical Psychology, Anhui Medical University, Hefei, Anhui, China. ; Department of Psychiatry, Fourth People's Hospital of Hefei, Hefei, Anhui, China.
Xinhui
X
Xie
Depression; Electroconvulsive therapy; Obsessive-compulsive disorder