한국형 우울장애 약물치료 알고리듬 2017(VII) : 비약물학적 생물치료Korean Medication Algorithm for Depressive Disorder 2017(VII) : Non-Pharmacological Biological Treatments
- Authors
- 정종현; 이정구; 심세훈; 박영민; 김원; 왕희령; 우영섭; 서정석; 전덕인; 민경준; 박원명
- Issue Date
- 2017
- Publisher
- 대한우울∙조울병학회
- Keywords
- Major depressive disorder; Algorithm; Non-pharmacological biological treatments; 주요우울장애; 알고리듬; 비약물학적 생물치료.
- Citation
- 우울조울병, v.15, no.2, pp 110 - 116
- Pages
- 7
- Journal Title
- 우울조울병
- Volume
- 15
- Number
- 2
- Start Page
- 110
- End Page
- 116
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/5612
- ISSN
- 1738-0960
2671-4655
- Abstract
- Objectives : Depression is widely managed by pharmacological treatments. However, due to the continuous introduction of newer agents, pharmacological treatment strategies are also changing. Methods : A survey was emailed to 144 psychiatrists having vast clinical experiences in depressive disorders. Of these, 79 surveys were repeated.
Results : Electroconvulsive therapy (ECT) was recommended as the initial strategy for major depressive disorder, and for severe cases showing suicidal risk but without any accompanying psychotic features. It was considered as a second strategy for non-responders on antidepressant monotherapy or combination therapy, associated with other physical illness. In cases with major depressive disorders and those with severe psychotic features, ECT was preferred as a treatment of choice for patients showing urgent suicidal risk ; however, it was the second strategy for nonresponders on antipsychotics and antidepressants combination therapy, and combined with physical illness. Conclusion : ECT was the preferred initial strategy in severe episode with/without psychotic features having urgent suicidal risk, and was the second choice in case of non-responders, associated with physical illness and pregnancy.
Combination with complementary therapy was a second strategy for treating refractory patients
Objectives : Depression is widely managed by pharmacological treatments. However, due to the continuous introduction of newer agents, pharmacological treatment strategies are also changing. Methods : A survey was emailed to 144 psychiatrists having vast clinical experiences in depressive disorders. Of these, 79 surveys were repeated.
Results : Electroconvulsive therapy (ECT) was recommended as the initial strategy for major depressive disorder, and for severe cases showing suicidal risk but without any accompanying psychotic features. It was considered as a second strategy for non-responders on antidepressant monotherapy or combination therapy, associated with other physical illness. In cases with major depressive disorders and those with severe psychotic features, ECT was preferred as a treatment of choice for patients showing urgent suicidal risk ; however, it was the second strategy for nonresponders on antipsychotics and antidepressants combination therapy, and combined with physical illness. Conclusion : ECT was the preferred initial strategy in severe episode with/without psychotic features having urgent suicidal risk, and was the second choice in case of non-responders, associated with physical illness and pregnancy.
Combination with complementary therapy was a second strategy for treating refractory patients
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