{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:59:51Z","timestamp":1769842791160,"version":"3.49.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T00:00:00Z","timestamp":1594944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T00:00:00Z","timestamp":1594944000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003385","name":"Georg-August-Universit\u00e4t G\u00f6ttingen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003385","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Psychische St\u00f6rungen in der Schwangerschaft sind h\u00e4ufig. Besonders bei schweren affektiven oder psychotischen St\u00f6rungen mit Notwendigkeit eines raschen Ansprechens kann eine Elektrokonvulsionstherapie (EKT) indiziert sein. Dazu vorliegende \u00dcbersichtsartikel unterscheiden sich methodisch stark, was zu unterschiedlichen Schlussfolgerungen hinsichtlich der Anwendung der EKT bei Schwangerschaft f\u00fchrt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Darstellung eines neuen klinischen Falls sowie interdisziplin\u00e4rer Behandlungsvorschl\u00e4ge zur sicheren Anwendung der EKT bei Schwangerschaft.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Fallbericht und selektive Literatur\u00fcbersicht unter besonderer Ber\u00fccksichtigung der existierenden systematischen Reviews.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse und Diskussion<\/jats:title>\n                <jats:p>Die aktuelle Kasuistik zeigt die potenziell hohe Wirksamkeit sowie die f\u00fcr Mutter und Fetus sichere Anwendung der EKT w\u00e4hrend der Schwangerschaft. Die in der Literatur beschriebenen unerw\u00fcnschten Ereignisse entsprechen qualitativ weitgehend den Risiken bei schwerer psychischer St\u00f6rung in der Schwangerschaft. Zur besseren Nutzen-Risiko-Abw\u00e4gung w\u00e4ren gr\u00f6\u00dfere Fall-Kontroll-Studien w\u00fcnschenswert. Bei sorgf\u00e4ltiger Indikationsstellung, guter interdisziplin\u00e4rer Abstimmung und Beachtung der Besonderheiten in der praktischen Durchf\u00fchrung ist die EKT auch in der Schwangerschaft eine sinnvolle Behandlungsoption.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00115-020-00960-7","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T16:50:50Z","timestamp":1595004650000},"page":"50-56","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Elektrokonvulsionstherapie in der Schwangerschaft: Fallbericht und interdisziplin\u00e4re Behandlungsvorschl\u00e4ge","Electroconvulsive therapy in pregnancy: case report and interdisciplinary treatment suggestions"],"prefix":"10.1007","volume":"92","author":[{"given":"David","family":"Zilles-Wegner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Trost","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karoline","family":"Walliser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leif","family":"Saager","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Horn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mareike","family":"Ernst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,17]]},"reference":[{"key":"960_CR1","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1097\/PSY.0b013e318190d7ca","volume":"71","author":"EL Anderson","year":"2009","unstructured":"Anderson\u00a0EL, Reti\u00a0IM (2009) ECT in pregnancy: a\u00a0review of the literature from 1941 to 2007. 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