Tvp21 10omslag kijk verder

Tijdschrift voor Psychiatrie 63 (2021) 9, 673 - 678

Klinische Praktijk

Electroconvulsive therapy in the treatment of depression in anorexia nervosa

K. van der Lelie, P. Sienaert, E. Vrieze

Background Often anorexia nervosa occurs with other psychiatric comorbidities of which mood disorders are the most frequent. Depressive feelings hamper the chance of a favourable outcome of this persistent disorder. In addition, the underweight makes antidepressants work suboptimal. Electroconvulsive therapy (ECT) offers an important therapeutic value in the treatment of mood disorders. We are investigating whether ECT can be an effective treatment method for patients with anorexia nervosa and major depressive disorder.
Aim Analysis of the literature on the possible effectiveness of electroconvulsive therapy (ECT) in the treatment of major depressive disorder and anorexia nervosa supplemented with a case report.
Method Literature study in PubMed, Web of Science and Embase and a case report.
Results 262 published articles were found between 1955 and 2020, 16 were found to be relevant.
Conclusion From the literature, clinical recommendations cannot be made binding. No randomized controlled trials have been published on this subject. However, we saw in our case study and in the literature found that clearing the depressive symptoms through electroconvulsive therapy led to an improvement in food and fluid intake. ECT has no effect on their deranged thought pattern.