Terapia electroconvulsiva: una brecha persistente entre la evidencia y la práctica clínica

Fan Y, Fan A, Yang Z, et al. Global burden of mental disorders in 204 countries and territories, 1990-2021: results from the global burden of disease study 2021. BMC Psychiatry. 2025;25(1):486. doi:10.1186/s12888-025-06932-y

GBD 2021 Suicide Collaborators. Global, regional, and national burden of suicide, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Public Health. 2025;10(3):e189-202. doi:10.1016/s2468-2667(25)00006-4

Fink M. Convulsive therapy: a review of the first 55 years. J Affect Disord. 2001;63(1-3):1-15. doi:10.1016/s0165-0327(00)00367-0

Guo Q, Guo L, Wang Y, et al. Efficacy and safety of eight enhanced therapies for treatment-resistant depression: A systematic review and network meta-analysis of RCTs. Psychiatry Res. 2024;339:116018. doi:10.1016/j.psychres.2024.116018

Menon V, Varadharajan N, Faheem A, et al. Ketamine vs electroconvulsive therapy for major depressive episode: a systematic review and meta-analysis. JAMA Psychiatry. 2023;80(6):639-42. doi:10.1001/jamapsychiatry.2023.0562

Rhee TG, Shim SR, Forester BP, et al. Efficacy and safety of ketamine vs electroconvulsive therapy among patients with major depressive episode: a systematic review and meta-analysis. JAMA Psychiatry. 2022;79(12):1162-72. doi:10.1001/jamapsychiatry.2022.3352

Coffey MJ, Cooper JJ. Electroconvulsive therapy in anti-N-methyl-D-aspartate receptor encephalitis: a case report and review of the literature. J ECT. 2016;32(4):225-9. doi:10.1097/yct.0000000000000334

Leroy A, Naudet F, Vaiva G, et al. Is electroconvulsive therapy an evidence-based treatment for catatonia? A systematic review and meta-analysis. Eur Arch Psychiatry Clin Neurosci. 2018;268(7):675-87. doi:10.1007/s00406-017-0819-5

Lally J, Tully J, Robertson D, et al. Augmentation of clozapine with electroconvulsive therapy in treatment resistant schizophrenia: a systematic review and meta-analysis. Schizophr Res. 2016;171(1-3):215-24. doi:10.1016/j.schres.2016.01.024

Sinclair DJ, Zhao S, Qi F, et al. Electroconvulsive therapy for treatment-resistant schizophrenia. Cochrane Database Syst Rev. 2019;3(3):CD011847. doi:10.1002/14651858.CD011847.pub2

Dierckx B, Heijnen WT, van den Broek WW, et al. Efficacy of electroconvulsive therapy in bipolar versus unipolar major depression: a meta-analysis: ECT in bipolar versus unipolar depression. Bipolar Disord. 2012;14(2):146-50. doi:10.1111/j.1399-5618.2012.00997.x

Lauber C, Nordt C, Falcato L, et al. Can a seizure help? The public’s attitude toward electroconvulsive therapy. Psychiatry Res. 2005;134(2):205-9. doi:10.1016/j.psychres.2004.07.010

Takamiya A, Sawada K, Mimura M, et al. Attitudes toward electroconvulsive therapy among involuntary and voluntary patients. J ECT. 2019;35(3):165-9. doi:10.1097/yct.0000000000000571

Khan G, Nazar Z, Haq MM, et al. Assessment of attitudes of patients with psychiatric disorders regarding electroconvulsive therapy as a treatment option: attitudes of psychiatric patients towards ECT. Pak J Med Sci Q. 2020;36(3):565-8. doi:10.12669/pjms.36.3.1637

Anta L, Alvarez-Mon MA, Donat-Vargas C, et al. Assessment of beliefs and attitudes about electroconvulsive therapy posted on Twitter: an observational study. Eur Psychiatry. 2023;66(1):e11. doi:10.1192/j.eurpsy.2022.2359

Boone K, Geerts P-J, van de Velde N, et al. Relatives’ knowledge, attitudes, and experiences toward electroconvulsive therapy: a systematic review. J ECT. 2025;41(3):161-73. doi:10.1097/YCT.0000000000001083

Gazdag G, Kocsis N, Tolna J, et al. Attitudes towards electroconvulsive therapy among Hungarian psychiatrists. J ECT. 2004;20(4):204-7. doi:10.1097/00124509-200412000-00003

Vocke S, Bergmann F, Chikere Y, et al. Electroconvulsive therapy as viewed by german psychiatrists: a comparison of 3 subgroups. J ECT. 2015;31(2):110-3. doi:10.1097/YCT.0000000000000208

Quiles C, Sy H, Verdoux H. Stigmatization towards electro convulsive therapy: impact of practical teaching on medical and nursing students. Encephale. 2024;50(2):125-9. doi:10.1016/j.encep.2023.01.009

Andrade C, Thyagarajan S. The influence of name on the acceptability of ECT: the importance of political correctness. J ECT. 2007;23(2):75-7. doi:10.1097/yct.0b013e31806545a1

Nagda P, Harshe D, Karia S, et al. A study of psychiatrists’ attitudes and concerns toward the practice and stigma associated with electroconvulsive therapy. Ind J Soc Psychiatr. 2022;38(1):45-51. doi:10.4103/ijsp.ijsp_127_20

Instituto Nacional de Salud Mental "Honorio Delgado-Hideyo Noguchi". Guía Técnica de Procedimiento de Terapia Electroconvulsiva en el Instituto Nacional de Salud Mental “Honorio Delgado-Hideyo Noguchi” [Internet]. Lima: INSM; 2025. Disponible en: https://cdn.www.gob.pe/uploads/document/file/8120097/6804157-guia-tecnica-de-procedimiento-de-terapia-electroconvulsiva-en-el-insm-hd-hn.pdf

Guo Q, Wang Y, Guo L, et al. Long-term cognitive effects of electroconvulsive therapy in major depressive disorder: a systematic review and meta-analysis. Psychiatry Res. 2024;331:115611. doi:10.1016/j.psychres.2023.115611

Agbese E, Leslie DL, Rosenheck R. Receipt of electroconvulsive therapy in outpatient settings in a national sample of privately insured patients with mood disorders. J ECT. 2024;40(1):31-6. doi:10.1097/YCT.0000000000000950

De Schuyteneer E, Dewachter B, Vansteelandt K, et al. Knowledge and attitudes of first- and final-year medical students about electroconvulsive therapy: the impact of media. Acad Psychiatry. 2023;47(3):245-50. doi:10.1007/s40596-023-01779-5

Klinedinst TC, Nelson TL, Gloeckner GW, et al. Depression and polypharmacy are risk factors for activity limitation in type 2 diabetes. Chronic Illn. 2022;18(2):320-9. doi:10.1177/1742395320959434

Jeffery A, Bhanu C, Walters K, et al. Association between polypharmacy and depression relapse in individuals with comorbid depression and type 2 diabetes: a UK electronic health record study. Br J Psychiatry. 2023;222(3):112-8. doi:10.1192/bjp.2022.160