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2017 | OriginalPaper | Buchkapitel

13. Sonstige somatische Therapien

verfasst von : Sarah Kayser, Martin Kloß

Erschienen in: Altersdepression

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Bei den somatischen Therapieverfahren lassen sich die Licht- und Wachtherapie von den Hirnstimulationsverfahren unterscheiden. Eine exponierte Rolle ist der Elektrokonvulsionstherapie (EKT) zuzuschreiben, da sie das Hirnstimulationsverfahren darstellt, dessen Daten zur antidepressiven Effektivität aktuell die beste Evidenz aufweisen. Mit der repetitiven transkraniellen Magnetstimulation (rTMS) steht ein weiteres für die Depressionsbehandlung zugelassenes Hirnstimulationsverfahren zur Verfügung. Eine Weiterentwicklung der rTMS stellt die Magnetkonvulsionstherapie (MKT) dar, die aktuell nur im Rahmen von klinischen Studien Anwendung findet, sich möglicherweise aber zukünftig zu einer Alternative zur EKT entwickeln wird. Andere Hirnstimulationsverfahren wie die transkranielle Gleichstromstimulation (tDCS), die Vagusnervstimulation (VNS) und die tiefe Hirnstimulation (THS) spielen ebenfalls in der regulären Patientenversorgung derzeit keine Rolle.
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Metadaten
Titel
Sonstige somatische Therapien
verfasst von
Sarah Kayser
Martin Kloß
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-53697-1_13

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