Oct, 1, 2023

Vol.30 No.2, pp. 84-88

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Review

  • Korean Journal of Biological Psychiatry
  • Volume 30(2); 2023
  • Article

Review

Korean Journal of Biological Psychiatry 2023;30(2):31-43. Published online: Oct, 1, 2023

Abstract PDF Full Text

DOI : https://doi.org/10.22857/kjbp.2023.30.2.001

Electroconvulsive Therapy for Treatment-Refractor y Behaviors Problems in Neurodevelopmental Disorders

  • Hye-Jin Seo, MD, PhD,1 Nam Young Lee, MD, PhD,2 Kyu Young Lee, MD, PhD,3 Geon Ho Bahn, MD, PhD,4
    Soo-Young Bhang, MD, PhD,3 Hee Cheol Kim, MD, PhD,5 Yong Sik Kim, MD, PhD,3,6 In Won Chung, MD, PhD1
    1 Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea
    2 Department of Psychiatry, Dongguk University Ilsan Hospital, Dongguk Medical Center, Goyang, Korea
    3 Department of Psychiatry, Nowon Medical Center, Eulji University, Seoul, Korea
    4 Department of Psychiatry, Kyung Hee University Hospital, Seoul, Korea
    5 Department of Psychiatry, Keimyung University Dongsan Medical Center, Daegu, Korea
    6 Department of Psychiatry, Uijeongbu Medical Center, Eulji University, Uijeongbu, Korea
Abstract

Individuals with developmental disorders exhibit a broad spectrum of aggressive behaviors, including self-directed actions and those directed toward others. These behaviors can lead to physical harm, disruptions in daily life, caregiver stress, and an increased risk for abuse and institutionalization. An integrated and multidisciplinary approach, including psychosocial approaches and pharmacotherapy, has been attempted to treat self-injurious and aggressive behaviors, but has shown limited effectiveness in reducing those behaviors. Recently, the use of electroconvulsive therapy has increased as an alternative treatment for pediatric and adolescent patients with treatment-resistant behavior problems in developmental disorders. This review elucidates the indications and clinical effectiveness of electroconvulsive therapy in the management of self-injurious behavior and catatonia in patients with developmental disorders such as autism spectrum disorders and intellectual disabilities.

Keywords Neurodevelopmental disorder; Self-injurious behavior; Intellectual disabilities; Autism spectrum disorder; Catatonia; Electroconvulsive therapy.