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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Electroconvulsive Therapy Use in Youth in the Province of Quebec
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Electroconvulsive Therapy Use in Youth in the Province of Quebec

机译：魁北克省青少年使用电抽搐疗法

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Objectives: Electroconvulsive therapy’s (ECT) safety and tolerability is well-established in the treatment of severe psychiatric disorders in adults, but has been less studied in youth. The aim of the present study was to describe the use of ECT in youth in Quebec City and obtain Child and Adolescent Psychiatrists’ (CAP) perceptions in the province of Quebec. Methods: The authors reviewed charts of minors who received ECT treatment in the Quebec City metropolitan area between 1995 and 2014 (part 1). Data was also collected on CAP perceptions and experience of ECT use in youth by means of a survey (part 2). Results: Part 1 included four girls and two boys, aged between 15 and 17. The main diagnoses were: mood disorders and schizoaffective disorder. Patients received between four and twelve ECT sessions. Five patients responded to treatment, whereas one did not. Treatment and side effects are presented. For part 2, 53 CAP answered the survey. Forty-eight (91%) thought ECT is a good treatment option after failure of other therapeutic modalities and 12 (23%) had prescribed it. All respondents wished to receive additional training regarding ECT use in youth. Conclusion: Our results are consistent with the notion that ECT use in youth with a refractory and complex disease is a safe and effective treatment, although rarely used. The majority of psychiatrists treating children and adolescents in Quebec favor ECT when all available therapeutic modalities have failed, but wished they had more training regarding its use.
机译：目的：在成年人严重精神疾病的治疗中，电抽搐疗法（ECT）的安全性和耐受性已得到公认，但在青年中研究较少。本研究的目的是描述ECT在魁北克市青年中的使用，并在魁北克省获得儿童和青少年精神科医生（CAP）的认知。方法：作者回顾了1995年至2014年在魁北克市大都市地区接受ECT治疗的未成年人图表（第1部分）。还通过调查收集了有关青年对ECT使用CAP的认识和经验的数据（第2部分）。结果：第一部分包括四个女孩和两个男孩，年龄在15至17岁之间。主要诊断为：情绪障碍和情感分裂性障碍。患者接受了4至12次ECT疗程。 5名患者对治疗有反应，而1名则没有。介绍了治疗方法和副作用。对于第2部分，53 CAP回答了调查。四十八（91％）认为ECT是其他治疗方式失败后的良好治疗选择，其中12（23％）已开出处方。所有受访者都希望接受有关青年使用ECT的其他培训。结论：我们的结果与以下观点相符，即尽管很少使用ECT，但在患有难治性和复杂疾病的青年中使用ECT是一种安全有效的治疗方法。当所有可用的治疗方式均告失败时，魁北克的大多数治疗儿童和青少年的精神科医生都赞成ECT，但希望他们接受有关ECT使用的更多培训。

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