Utilisation de l'electroconvulsivotherapie chez l'adolescent

Translated title of the contribution: Electroconvulsive therapy in adolescent psychiatric practice

D. Cohen, P. F. Dubos, M. Basquin

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Despite the progress of pharmocotherapy, electroconvulsive therapy (ECT) is still used in a majority of countries to treat severe intractable mental disorders of the youth, yet few studies have been conducted to assess its use for individuals under 20-year-old. Efficacy, indications, side effects, technical characteristics and outcome are uncertain. A review of the 96 cases reported in the literature shows that : 1) its average frequency in adolescent psychiatric practice is similar throughout western nations and can be estimated around one ECT every year per million people ; 2) intractable mood disorders, both manic and depressive episodes, are its main indications, since ECT treated more than 90% of the 66 cases reported; ECT can also offer an interesting alternative in some schizoaffective and schizophrenic episodes, in particular catatonic ones ; 3) tolerance appears to be good, although secondary effects may occur. The most serious ones are unfrequent spontaneous seizures and more common memory loss. Although no prospective studies are available on the evolution of cognitive side effects, they seem to disappear within a few weeks.

Translated title of the contributionElectroconvulsive therapy in adolescent psychiatric practice
Original languageFrench
Pages (from-to)308-311
Number of pages4
JournalEncephale
Volume23
Issue number4
StatePublished - 1997
Externally publishedYes

Keywords

  • Adolescent
  • Electroconvulsive therapy
  • Mood disorder

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