{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:20Z","timestamp":1787004860843,"version":"build-2736575974"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2023,5]]},"abstract":"Zusammenfassung<\/jats:title>\n Die neue Nationale Versorgungsleitlinie (NVL) Unipolare Depression\n enth\u00e4lt im Vergleich zur letzten Version von 2015 deutlich\n differenziertere Aussagen und Empfehlungen zur Elektrokonvulsionstherapie (EKT).\n Dies ist prinzipiell zu begr\u00fc\u00dfen, da hierdurch der besondere\n Stellenwert der EKT in unterschiedlichen klinischen Situationen verdeutlicht\n wird. Zugleich f\u00fchrte diese Ausdifferenzierung von Empfehlungen bei\n Vorliegen bestimmter Merkmale depressiver St\u00f6rungen (z.\u2009B.\n psychotische Symptome, Suizidalit\u00e4t) jedoch dazu, dass in\n Abh\u00e4ngigkeit von diesen Merkmalen unterschiedliche Empfehlungsgrade\n f\u00fcr die EKT vergeben wurden. Was in der strikten Methodik eines\n Leitlinienprozesses richtig und sinnvoll sein mag, kann f\u00fcr die\n klinische Praxis teilweise verwirrend und widerspr\u00fcchlich wirken. In\n diesem Beitrag sollen daher die Zusammenh\u00e4nge sowie vermeintlichen\n Diskrepanzen zwischen Effektivit\u00e4t der EKT, wissenschaftlicher Evidenz\n und Empfehlungsgrad der Leitlinie dargelegt und f\u00fcr die klinische\n Anwendung aus Expertensicht kommentiert werden.<\/jats:p>","DOI":"10.1055\/a-2046-5279","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T18:30:24Z","timestamp":1684261824000},"page":"209-212","source":"Crossref","is-referenced-by-count":3,"title":["Elektrokonvulsionstherapie in der neuen NVL Depression: vom\n Unterschied zwischen Effektivit\u00e4t, Evidenz und\n Empfehlungsgraden"],"prefix":"10.1055","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7531-9732","authenticated-orcid":false,"given":"David","family":"Zilles-Wegner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie and Psychotherapie,\n Universit\u00e4tsmedizin G\u00f6ttingen, G\u00f6ttingen,\n Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Sartorius","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychiatrie und Psychotherapie, Zentralinstitut\n f\u00fcr Seelische Gesundheit, Mannheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1056\/NEJMra2034954","article-title":"Electroconvulsive Therapy","volume":"386","author":"R T Espinoza","year":"2022","journal-title":"N Engl J Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1192\/bjp.2017.28","article-title":"Prediction of electroconvulsive therapy response and remission in major\n depression: meta-analysis","volume":"212","author":"L van Diermen","year":"2018","journal-title":"Br J Psychiatry"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.4088\/JCP.14r09528","article-title":"Response of depression to electroconvulsive therapy: a meta-analysis of clinical\n predictors","volume":"76","author":"A U Haq","year":"2015","journal-title":"J Clin Psychiatry"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1097\/JCP.0b013e3181ee0f5f","article-title":"Antidepressant pharmacotherapy failure and response to subsequent\n electroconvulsive therapy: a meta-analysis","volume":"30","author":"W T Heijnen","year":"2010","journal-title":"J Clin Psychopharmacol"},{"key":"ref6","first-page":"1363","article-title":"[Treating depressive disorders with continuation electroconvulsive therapy]","volume":"76","author":"A Sartorius","year":"2005","journal-title":"Nervenarzt."},{"key":"ref7","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1177\/0004867417743343","article-title":"Electroconvulsive therapy in the continuation and maintenance treatment of\n depression: Systematic review and meta-analyses","volume":"52","author":"A Elias","year":"2018","journal-title":"Aust N Z J Psychiatry"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1111\/acps.13314","article-title":"Effectiveness of maintenance electroconvulsive therapy-Evidence from\n modifications due to the COVID-19 pandemic","volume":"144","author":"I Methfessel","year":"2021","journal-title":"Acta Psychiatr Scand"},{"key":"ref9","first-page":"532","article-title":"High relapse rate after pandemic-related discontinuation of maintenance\n treatment with electroconvulsive therapy. 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