Electroconvulsive therapy treatment in patients with somatic symptom and related disorders

KaWai Leong,1 Joseph CW Tham,2 Anton Scamvougeras,2 Fidel Vila-Rodriguez3 1Department of Psychiatry, 2BC Neuropsychiatry Program, Department of Psychiatry, 3Non-Invasive Neurostimulation Therapies Laboratory at UBC, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada Ob...

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Autores principales:	Leong KW, Tham JCW, Scamvougeras A, Vila-Rodriguez F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/fc9dba99358d46f6bab1e0287bb79a3d
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spelling	oai:doaj.org-article:fc9dba99358d46f6bab1e0287bb79a3d2021-12-02T06:44:37ZElectroconvulsive therapy treatment in patients with somatic symptom and related disorders1178-2021https://doaj.org/article/fc9dba99358d46f6bab1e0287bb79a3d2015-10-01T00:00:00Zhttps://www.dovepress.com/electroconvulsive-therapy-treatment-in-patients-with-somatic-symptom-a-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021KaWai Leong,1 Joseph CW Tham,2 Anton Scamvougeras,2 Fidel Vila-Rodriguez3 1Department of Psychiatry, 2BC Neuropsychiatry Program, Department of Psychiatry, 3Non-Invasive Neurostimulation Therapies Laboratory at UBC, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada Objective: Medically unexplained somatic complaints are highly prevalent, and lead to significant impairment and disability. The number of effective treatment modalities for somatic symptom and related disorders (SSDs) or somatoform disorders (SDs) remains limited. To date, there is no formal indication for electroconvulsive therapy (ECT) in SSD or SD. We report on the largest case series to date regarding the effectiveness of ECT in patients with SSD and SD.Methods: A retrospective chart review of all patients treated with an index course of ECT at the Neuropsychiatric Program at the University of British Columbia Hospital from 2000 to 2010 was conducted. The primary outcomes consisted of changes in pseudoneurologic symptoms, pain symptoms, cardiopulmonary symptoms, and gastrointestinal symptoms. Complaints were examined pre- and post-ECT.Results: Twenty-eight participants were included in this study. Twenty-one participants received right unilateral ECT. Six received bifrontal ECT. One received bitemporal ECT. Eighteen of 21 participants reported improvement in pseudoneurologic symptoms; eleven of 14 participants reported improvement in pain symptoms; one participant reported improvement in cardiopulmonary symptoms; and one of two participants reported improvement in gastrointestinal symptoms. This paper discusses the putative mechanism of action of ECT in the treatment of SD/SSD.Conclusion: This retrospective study suggests that ECT could be included as part of the existing treatment for refractory SSD and SD, particularly in refractory cases with comorbid mood disorders. Keywords: electroconvulsive therapy, somatic symptoms, somatoform disordersLeong KWTham JCWScamvougeras AVila-Rodriguez FDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 2565-2572 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Leong KW Tham JCW Scamvougeras A Vila-Rodriguez F Electroconvulsive therapy treatment in patients with somatic symptom and related disorders
description	KaWai Leong,1 Joseph CW Tham,2 Anton Scamvougeras,2 Fidel Vila-Rodriguez3 1Department of Psychiatry, 2BC Neuropsychiatry Program, Department of Psychiatry, 3Non-Invasive Neurostimulation Therapies Laboratory at UBC, Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada Objective: Medically unexplained somatic complaints are highly prevalent, and lead to significant impairment and disability. The number of effective treatment modalities for somatic symptom and related disorders (SSDs) or somatoform disorders (SDs) remains limited. To date, there is no formal indication for electroconvulsive therapy (ECT) in SSD or SD. We report on the largest case series to date regarding the effectiveness of ECT in patients with SSD and SD.Methods: A retrospective chart review of all patients treated with an index course of ECT at the Neuropsychiatric Program at the University of British Columbia Hospital from 2000 to 2010 was conducted. The primary outcomes consisted of changes in pseudoneurologic symptoms, pain symptoms, cardiopulmonary symptoms, and gastrointestinal symptoms. Complaints were examined pre- and post-ECT.Results: Twenty-eight participants were included in this study. Twenty-one participants received right unilateral ECT. Six received bifrontal ECT. One received bitemporal ECT. Eighteen of 21 participants reported improvement in pseudoneurologic symptoms; eleven of 14 participants reported improvement in pain symptoms; one participant reported improvement in cardiopulmonary symptoms; and one of two participants reported improvement in gastrointestinal symptoms. This paper discusses the putative mechanism of action of ECT in the treatment of SD/SSD.Conclusion: This retrospective study suggests that ECT could be included as part of the existing treatment for refractory SSD and SD, particularly in refractory cases with comorbid mood disorders. Keywords: electroconvulsive therapy, somatic symptoms, somatoform disorders
format	article
author	Leong KW Tham JCW Scamvougeras A Vila-Rodriguez F
author_facet	Leong KW Tham JCW Scamvougeras A Vila-Rodriguez F
author_sort	Leong KW
title	Electroconvulsive therapy treatment in patients with somatic symptom and related disorders
title_short	Electroconvulsive therapy treatment in patients with somatic symptom and related disorders
title_full	Electroconvulsive therapy treatment in patients with somatic symptom and related disorders
title_fullStr	Electroconvulsive therapy treatment in patients with somatic symptom and related disorders
title_full_unstemmed	Electroconvulsive therapy treatment in patients with somatic symptom and related disorders
title_sort	electroconvulsive therapy treatment in patients with somatic symptom and related disorders
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/fc9dba99358d46f6bab1e0287bb79a3d
work_keys_str_mv	AT leongkw electroconvulsivetherapytreatmentinpatientswithsomaticsymptomandrelateddisorders AT thamjcw electroconvulsivetherapytreatmentinpatientswithsomaticsymptomandrelateddisorders AT scamvougerasa electroconvulsivetherapytreatmentinpatientswithsomaticsymptomandrelateddisorders AT vilarodriguezf electroconvulsivetherapytreatmentinpatientswithsomaticsymptomandrelateddisorders
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Electroconvulsive therapy treatment in patients with somatic symptom and related disorders

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