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[Electroconvulsive therapy of affective disorders]
1Department of Neuropsychiatry, School of Medicine, Tokyo Medical and Dental University.
Summary
Japanese psychiatrists use electroconvulsive therapy (ECT) less often for affective disorders than in Europe and North America. Modern ECT is safe and effective, warranting reconsideration for depression treatment in Japan.
Area of Science:
- Psychiatry
- Neurology
- Pharmacology
Context:
- Electroconvulsive therapy (ECT) use for affective disorders is lower in Japan compared to Europe and North America.
- Limited adoption may stem from historical perceptions or lack of awareness regarding modern ECT protocols.
Purpose:
- To review the efficacy and safety of modern electroconvulsive therapy (ECT) for affective disorders.
- To encourage Japanese psychiatrists to reconsider ECT as a viable treatment option.
Summary:
- Modern ECT is a safe and effective treatment for affective disorders, even in patients with severe comorbidities or intolerance to other therapies.
- ECT's efficacy is comparable or superior to antidepressant medications.
- Research into ECT can deepen understanding of depression's pathogenesis.
Impact:
- Increased adoption of ECT in Japan could improve treatment outcomes for patients with affective disorders.
- Further research on ECT may lead to novel pharmacologic treatments for depression.