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Pertinencia clínica de la terapia electroconvulsiva (TEC) en adolescentes con trastorno grave del estado de ánimo: datos de un estudio de seguimiento

Published online by Cambridge University Press:  12 May 2020

O. Taieb ,
M.-F. Flament ,
S. Chevret ,
P. Jeammet ,
J.-F. Allilaire ,
P. Mazet  and
D. Cohen
O. Taieb
Affiliation:
Departamento de Psiquiatría del Niño y del Adolescente, Grupo Hospitalario Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013París, Francia
M.-F. Flament
Affiliation:
CNRS UMR 7593, Grupo Hospitalario Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013París, Francia
S. Chevret
Affiliation:
Departamento de Bioestadística, Hospital Saint Louis, Avenue Claude Vilefeux75010París, Francia
P. Jeammet
Affiliation:
Departamento de Psiquiatría Adolescente, Instituto Mutualista Montsouris, 42 boulevard Jourdan75014París, Francia
J.-F. Allilaire
Affiliation:
Departamento de Psiquiatría, Grupo Hospitalario Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013París, Francia
P. Mazet
Affiliation:
Departamento de Psiquiatría del Niño y del Adolescente, Grupo Hospitalario Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013París, Francia
D. Cohen
Affiliation:
Departamento de Psiquiatría del Niño y del Adolescente, Grupo Hospitalario Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013París, Francia CNRS UMR 7593, Grupo Hospitalario Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013París, Francia
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Resumen

Dado el conocimiento limitado sobre la evolución a largo plazo de los adolescentes que reciben terapia electroconvulsiva (TEC), el estudio pretendía seguir a adolescentes tratados con TEC por trastorno grave del estado de ánimo. Once sujetos tratados durante la adolescencia con TEC bilateral por depresión psicótica (n = 6) o manía (n = 5), y diez controles psiquiátricos emparejados en cuanto al sexo, la edad, el nivel educativo y el diagnóstico clínico, realizaron al menos 1 año después del tratamiento una evaluación clínica y social. La duración media entre el momento del episodio índice y el momento de la evaluación de seguimiento fue 5,2 años (intervalo: 2-9 años). En el seguimiento: 1) todos los pacientes excepto dos en el grupo de control recibieron un diagnóstico de trastorno bipolar. 2) Quince pacientes habían tenido más de un episodio de trastorno del estado de ánimo. 3) Los dos grupos no diferían en funcionamiento social ni rendimiento escolar. 4) El efecto en el rendimiento escolar se relacionaba con la gravedad del trastorno del estado de ánimo más bien que con el tratamiento de TEC. Los resultados indican que los adolescentes a los que se da TEC para trastorno bipolar, depresivo o maníaco, no difieren de controles cuidadosamente emparejados en el funcionamiento escolar y social posterior.

Keywords

terapia electroconvulsivaadolescenciaseguimientotrastorno bipolar
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 9 , Issue 8 , November 2002 , pp. 512 - 519
Copyright
Copyright © European Psychiatric Association 2002

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Footnotes

TaiebO, FlamentMF, ChevretS, JeammetP, AllilaireJF, MazetP, CohénD.Pertinencia clínica de la terapia electroconvulsiva (TEC) en adolescentes con trastorno grave del estado de ánimo: datos de un estudio de seguimiento. Eur Psychiatry2002; 17: 206-12.

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