Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
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Recent Trends in the Application of Electroconvulsive Therapy for Treatment-Resistant Behavioral Problems in Developmental Disorders: A Narrative Review of Practical Issues in Clinical Use

발달장애의 치료저항성 행동문제에 대한 전기경련치료 적용의 최근 경향: 시행과 관련된 현실적 문제에 대한 서술적 고찰

  • Nam Young Lee (Department of Psychiatry, Dongguk University Ilsan Hospital, Dongguk Medical Center) ;
  • Hye-Jin Seo (Department of Psychiatry, Yong-In Mental Hospital) ;
  • Kyu Young Lee (Department of Psychiatry, Nowon Medical Center, Eulji University) ;
  • Geon Ho Bahn (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Soo-Young Bhang (Department of Psychiatry, Nowon Medical Center, Eulji University) ;
  • Hee Cheol Kim (Department of Psychiatry, Keimyung University Dongsan Medical Center) ;
  • Yong Sik Kim (Department of Psychiatry, Nowon Medical Center, Eulji University) ;
  • In Won Chung (Department of Psychiatry, Yong-In Mental Hospital)
  • 이남영 (동국대학교일산병원 정신건강의학과) ;
  • 서혜진 (용인정신병원 정신건강의학과) ;
  • 이규영 (노원을지대학교병원 정신건강의학과) ;
  • 반건호 (경희대학교병원 정신건강의학과) ;
  • 방수영 (노원을지대학교병원 정신건강의학과) ;
  • 김희철 (계명대학교 동산의료원 정신건강의학과) ;
  • 김용식 (노원을지대학교병원 정신건강의학과) ;
  • 정인원 (용인정신병원 정신건강의학과)
  • Received : 2023.09.22
  • Accepted : 2023.10.12
  • Published : 2023.10.31
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Abstract

A conceptual summary of recent trends in the use of electroconvulsive therapy (ECT) for treatment-resistant behavioral problems associated with developmental disorders was provided in the previous review, and this review offers information needed for clinical practice. As it is essentially impossible to obtain evidence-based data in this regard, we have attempted to present a review of practical issues related to the implementation of ECT, such as the public perception by the media, and ethical issues where the target population may include children and adolescents. In addition, we described the assessment tools required for the symptom identification to be treated and the evaluation of symptom changes in response to treatment, which are necessary for determining whether ECT is valid even in treatment-resistant conditions. In order to complement the direct clinical experience of ECT practitioners needed to assess the appropriateness of the currently administered treatment, case reports from other countries were introduced to illustrate the ECT course in each case. To this end, the issues related to the practical process of safe and effective ECT have been summarized in relatively specific detail.

Keywords

Acknowledgement

This research was partly supported by the research fund of the Yong-In Institute of Psychiatry affiliated with the Yong-In Hospital Maintenance Foundation, a medical corporation.

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