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Predictors of response to electroconvulsive therapy and its importance in the treatment of patients with obsessive-compulsive disorder

Published online by Cambridge University Press:  13 August 2021

J. Martins Correia*
Affiliation:
Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal
M.I. Fonseca Marinho Vaz Soares
Affiliation:
Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal
S. Freitas Ramos
Affiliation:
Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal
B. Jesus
Affiliation:
Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal
D. Cruz E Sousa
Affiliation:
Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal
S. Caetano
Affiliation:
Department Of Psychiatry And Mental Health, Local Health Unit of Guarda, Guarda, Portugal
*
*Corresponding author.

Abstract

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Introduction

Electroconvulsive therapy (ECT) presents itself as a highly effective therapeutic approach in various psychiatric conditions, especially affective disorders and catatonia. Although obsessive-compulsive disorder (OCD) is not an established indication for ECT, there are several positive results that have been replicated, giving us an account of its potential applicability.

Objectives

To emphasize the importance of defining predictors of response to ECT in OCD.

Methods

The authors’ clinical experience is combined with the review of clinical cases, available in the literature, related to the application of ECT in OCD.

Results

Personal or family history of affective pathology and obsessions of sexual content were identified as potential predictors of response to ECT in patients with obsessive and compulsive symptoms.

Conclusions

Although preliminary and based solely on case reports, the replicability of results should promote special attention to situations in which OCD is marked by particular characteristics that favor the response to ECT. In this way, it would be possible to prevent the dragged consumption of health resources and minimize the expected chronicity associated with this clinical condition.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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