{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T22:38:15Z","timestamp":1787783895392,"version":"build-2784847793"},"reference-count":61,"publisher":"Hogrefe Publishing Group","issue":"3","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2021,5,1]]},"abstract":"<jats:p>Zusammenfassung. Hintergrund und Zielsetzung: Die Elektrokonvulsionstherapie (EKT) ist ein hoch wirksames und in der Erwachsenenpsychiatrie gut untersuchtes Therapieverfahren, das gerade bei schwerwiegenden depressiven und psychotischen Erkrankungen erfolgreich eingesetzt wird. Obwohl schwere Krankheitsverl\u00e4ufe auch im kinder- und jugendpsychiatrischen Bereich vorkommen, erfolgt ein Einsatz der EKT hier deutlich seltener. Dies liegt wom\u00f6glich auch daran, dass kaum systematisch erhobene Daten zur Anwendung, Wirksamkeit und Vertr\u00e4glichkeit der EKT bei kinder- und jugendpsychiatrischen Patient_innen existieren. Ziel dieser Arbeit ist die Untersuchung und Darstellung von Krankheitsverl\u00e4ufen unter EKT-Behandlung im kinder- und jugendpsychiatrischen Bereich und damit eine Vergr\u00f6\u00dferung der bestehenden Datenbasis zu diesem Thema. Methoden: Es erfolgte eine retrospektive Erhebung zur EKT bei unter 18-j\u00e4hrigen Patient_innen an drei deutschen universit\u00e4ren Zentren. Hier wurden alle dokumentierten F\u00e4lle erfasst und auf Wirksamkeit und Vertr\u00e4glichkeit hin untersucht. Dar\u00fcber hinaus erfolgte eine umfassende PubMed-basierte Datenbankrecherche. Ergebnisse und Schlussfolgerungen: International existieren keine Meta-Analysen oder kontrollierte randomisierte Studien und aus Deutschland kaum ver\u00f6ffentlichte F\u00e4lle zum Thema Elektrokonvulsionstherapie in der Kinder- und Jugendpsychiatrie. Unsere Daten zur EKT bei 29 12- bis 17-j\u00e4hrigen Patient_innen zeigen eine gute Wirksamkeit. Nebenwirkungen traten selten auf. Es ergaben sich keine Hinweise auf Unterschiede bez\u00fcglich Indikation (Depression, Katatonie, Schizophrenie), Wirksamkeit, negative Pr\u00e4diktoren und Vertr\u00e4glichkeit einer EKT zwischen erwachsenen und minderj\u00e4hrigen Patient_innen. Die Ergebnisse deuten zudem darauf hin, dass der Einsatz der EKT bei Adoleszenten fr\u00fcher im therapeutischen Prozess in Erw\u00e4gung gezogen werden sollte.<\/jats:p>","DOI":"10.1024\/1422-4917\/a000793","type":"journal-article","created":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T14:49:19Z","timestamp":1615819759000},"page":"190-200","source":"Crossref","is-referenced-by-count":4,"title":["Elektrokonvulsionstherapie im Kindes- und Jugendalter"],"prefix":"10.1024","volume":"49","author":[{"given":"Isabel","family":"Methfessel","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie, Universit\u00e4tsmedizin G\u00f6ttingen, G\u00f6ttingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Weirich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie, Neurologie, Psychosomatik und Psychotherapie im Kindes- und Jugendalter, Universit\u00e4tsmedizin Rostock, 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