Aspectos da prática da eletroconvulsoterapia: uma revisão sistemática

Perizzolo, Juliana; Berlim, Marcelo T.; Szobot, Cláudia Maciel; Lima, Ana Flávia Barros da Silva; Schestatsky, Sidnei Samuel; Fleck, Marcelo Pio de Almeida

doi:10.1590/s0101-81082003000200009

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…Quando esses tratamentos não são eficazes, os efeitos colaterais são exacerbados ou, se o paciente possuir ideias suicidas, as estratégias utilizadas são aumento da dose, troca do medicamento, associação medicamentosa, psicoterapia e eletroconvulsoterapia (ECT) (17) . A eletroconvulsoterapia consiste na aplicação de descargas elétricas no cérebro do indivíduo, cujas indicações são ausência de resposta às drogas, efeitos colaterais graves ou inevitáveis e piora do quadro clínico (18) .…”

Section: Resultsunclassified

Transtornos do humor, sintomas e tratamento na perspectiva dos familiares

Oliveira

Regne

Reinaldo

et al. 2020

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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Objetivo: compreender a percepção de familiares de pacientes com diagnóstico de transtorno de humor emrelação à doença, sintomas e tratamento. Método: estudo de caso qualitativo realizado com familiares de pacientes com diagnóstico de transtorno de humor em tratamento em hospital psiquiátrico. A coleta de dados ocorreu por meio de entrevistas semiestruturadas e os dados foram submetidos à análise de conteúdo. Resultados: a desinformação e o estigma permeiam esse panorama, fragilizando relações, prejudicando o suporte familiar e o tratamento, que envolveu medicamentos, psicoterapia e eletroconvulsoterapia. Conclusão: os transtornos do humor, dadas sua complexidade e prevalência, necessitam ser compreendidos pela sociedade, família e profissionais. A família é afetada pelo sofrimento mental e necessita ser foco do cuidado.

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Section: Resultsunclassified

Transtornos do humor, sintomas e tratamento na perspectiva dos familiares

Oliveira

Regne

Reinaldo

et al. 2020

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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“…ECT procedures were established according to the protocol of Hospital de Clínicas de Porto Alegre, and ECT was performed as follows: three times a week, in the morning, in an ambulatory surgical center, in the presence of a psychiatrist and an anesthesiologist, and with electrocardiographic and electroencephalographic monitoring [29]. …”

Section: Methodsmentioning

confidence: 99%

A naturalistic study of high-dose unilateral ECT among severely depressed inpatients: how does it work in the clinical practice?

et al. 2016

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BackgroundNaturalistic studies can be useful tools to understand how an intervention works in the real clinical practice. This study aims to investigate the outcomes in a naturalistically treated depressed inpatients cohort, who were referred, or not, to unilateral ECT.MethodsDepressed adults according to MINI admitted in a psychiatric unit were divided in unilateral ECT treated and non-ECT treated. Main outcomes were: depression improvement in Hamilton Rating Scale for Depression (HDRS-17) scores; response (HDRS-17 improvement ≥50 %); remission (HDRS-17 score ≤7); length of hospitalization.ResultsForty-three patients were included in unilateral ECT group and 104 in non-ECT group. No differences of psychotic symptoms, melancholic features or past maniac episode were found between groups. Unilateral ECT group had a mean HDRS-17 score higher than non-ECT group at admission (ECT: 25.05 ± 1.03; non-ECT: 21.61 ± 0.69; p = 0.001), but no significant difference was found at discharge (ECT: 7.70 ± 0.81; non-ECT: 7.40 ± 0.51; p = 0.75). Unilateral ECT group had a larger HDRS-17 score reduction during treatment (ECT: 18.24 ± 1.18; non-ECT:14.20 ± 0.76; p = 0.004). There were no significant differences in response and remission rates between groups. Unilateral ECT group had longer mean duration of hospitalization in days (ECT: 35.48 ± 2.48; non-ECT: 24.57 ± 1.50; p < 0.001), but there were no difference in mean time of treatment (ECT group:27.66 ± 1.95; non-ECT: 24.57 ± 1.50; p = 0.25).ConclusionsUnilateral high-dose ECT is still a useful treatment option, in the real world clinical practice, to reduce the intensity of depressive symptoms in highly depressed inpatients.

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Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

Santos

Oliveira

Andrade

et al. 2013

Trends Psychiatry Psychother.

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Objective: To describe the sociodemographic and clinical profile of patients who underwent electroconvulsive therapy (ECT) at a university general hospital. Method: In this retrospective study, records from all patients undergoing ECT between January 1988 and January 2008 at the psychiatric unit of the general hospital of Universidade Estadual de Campinas (UNICAMP) were reviewed. Telephone contact was made with patients/relatives to collect follow-up data. Results: A total of 200 charts were reviewed. The majority of patients were women, with a mean age of 39 years, and history of psychiatric hospitalization. The main indications for ECT were depression and catatonia. Complications were observed in less than half of the cases, and most were temporary and not severe. There was a good psychiatric outcome for 89.7% of the patients, especially for catatonic patients (100%, p = 0.02). Thirtyfour percent of the cases were later contacted by telephone calls, at a mean of 8.5 years between the procedure and the contact. Among these, three (1.5%) reported persistent memory disorders and 73% considered ECT a good treatment. Conclusion: ECT has been performed according to international guidelines. In the vast majority of cases, undesirable effects were temporary and not severe. Response to ECT was positive in most cases, particularly in catatonic patients. Keywords: Electroconvulsive therapy, treatment outcome, psychiatric somatic therapies, treatment, general hospital psychiatry. ResumoObjetivo: Descrever o perfil sociodemográfico e clínico de pacientes submetidos a eletroconvulsoterapia (ECT) em um hospital geral universitário. Método: Neste estudo retrospectivo, foram revisados os prontuários de todos os pacientes submetidos a ECT entre janeiro de 1988 e janeiro de 2008 na unidade psiquiátrica do hospital geral da Universidade Estadual de Campinas (UNICAMP). Os pacientes/familiares foram contatados por telefone para a coleta de dados de seguimento. Resultados: Um total de 200 prontuários foram revisados. A maioria dos pacientes era do sexo feminino, com uma idade média de 39 anos e história de hospitalização psiquiátrica prévia. As principais indicações para ECT foram depressão e catatonia. Complicações foram observadas em menos de metade dos casos, e a maioria delas teve caráter temporário e não grave. Houve resultado psiquiátrico favorável em 89,7% dos pacientes, especialmente os catatônicos (100%, p = 0,02). Trinta e nove por cento dos casos foram contatados por telefone, a uma média de 8,5 anos decorridos entre o procedimento e o contato. Entre estes, três (1,5%) relataram transtornos amnésticos persistentes e 73% consideraram a ECT um bom tratamento. Conclusão: A ECT foi realizada de acordo com diretrizes internacionais. Na grande maioria dos casos, efeitos indesejáveis foram temporários e não graves. A resposta à ECT foi positiva na maioria dos casos, especialmente em pacientes catatônicos. Descritores: Eletroconvulsoterapia, resultado de tratamento, tratamentos somáticos em psiquiatria, tratamento, unidad...

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Aspectos da prática da eletroconvulsoterapia: uma revisão sistemática

Cited by 3 publications

References 13 publications

Transtornos do humor, sintomas e tratamento na perspectiva dos familiares

Transtornos do humor, sintomas e tratamento na perspectiva dos familiares

A naturalistic study of high-dose unilateral ECT among severely depressed inpatients: how does it work in the clinical practice?

Twenty years of electroconvulsive therapy in a psychiatric unit at a university general hospital

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