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KMID : 1007420170150020110
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Mood and Emotion
2017 Volume.15 No. 2 p.110 ~ p.116
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Korean Medication Algorithm for Depressive Disorder 2017(VII) : Non-Pharmacological Biological Treatments
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Jeong Jong-Hyun
Lee Jung-Goo
Shim Se-Hoon
Park Young-Min
Kim Won
Wang Hee-Ryung
Woo Young-Sup
Seo Jeong-Seok
Jon Duk-In
Min Kyung-Jun
Bahk Won-Myong
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Abstract
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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.
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KEYWORD
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Major depressive disorder, Algorithm, Non-pharmacological biological treatments
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