Response of Depression to Electroconvulsive Therapy

Haq, Aazaz U.; Sitzmann, Adam F.; Goldman, Mona L.; Maixner, Daniel F.; Mickey, Brian J.

doi:10.4088/jcp.14r09528

Cited by 237 publications

(210 citation statements)

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“…Previous studies on ECT treatment for depression report that older patients tend to have a better response than younger patients (23). Although not statistically significant, our results suggested higher rates of remission and response in the 45-84 year age group than in the 18-44 year age group.…”

Section: Age and Sexcontrasting

confidence: 79%

Improvement of cycloid psychosis following electroconvulsive therapy

Holm

Brus

Båve

et al. 2017

Nordic Journal of Psychiatry

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Background: The treatment of choice for cycloid psychosis has traditionally been electroconvulsive therapy (ECT), but there is a lack of studies on its effectiveness. Aims: The primary aim of this register study was to determine the rates of remission and response after ECT for cycloid psychosis. The secondary aim was to examine possible predictors of outcome. Methods: Data were obtained from the National Quality Register for ECT in Sweden. The study population was patients (n ¼ 42) who received ECT for acute polymorphic psychotic disorder without symptoms of schizophrenia or for cycloid psychosis between 2011-2015 in 13 hospitals. Remission and response rates were calculated using Clinical Global Impression-Severity (CGI-S) and -Improvement scores, respectively. Variables with possible predictive value were tested using Chi-square and Fisher's exact test. Results: The response rate was 90.5%. The remission rate was 45.2%. Of 42 patients, 40 improved their CGI-S score after ECT (p < 0.001). The mean number of ECT treatments was 2.5 for non-responders and 7.0 for responders (p ¼ 0.010). The mean number of ECT treatments did not differ significantly between remitters and non-remitters (7.2 vs 6.1, p ¼ 0.31). None of the other investigated potential predictors was statistically significantly associated with outcome. Conclusions: ECT is an effective treatment for cycloid psychosis. Future studies need to compare the outcome of ECT to that of other treatment strategies. Clinical implications: The high response rate with ECT indicates that cycloid psychosis is a clinically useful diagnosis.

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Section: Age and Sexcontrasting

confidence: 79%

Improvement of cycloid psychosis following electroconvulsive therapy

Holm

Brus

Båve

et al. 2017

Nordic Journal of Psychiatry

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“…ECT is a therapeutic method strongly recommended in the treatment of severe depression [18], however, the occurrence of psychotic symptoms in itself is neither a direct indication for shock treatment, nor a prognostic factor for the effectiveness of this type of therapy [19].…”

Section: Discussionmentioning

confidence: 99%

Auto-amputation in a severe depressive episode with psychotic symptoms: case report

Jachimowski¹,

Trędzbor²

2018

Arch Psych Psych

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SummaryA 56-year-old patient was admitted to a local orthopedic surgery and traumatology department after self-mutilation of her upper-left limb in the form of left wrist exarticulation and broad injuries to the left forearm. The patient was later transferred to the department of psychiatry and psychotherapy. She was diagnosed with recurrent depressive disorder and a severe episode with psychotic symptoms. Electroconvulsive therapy was applied. Twelve procedures were performed with good result. Psychopharmacology was continued. Patient's medical history revealed a significant reduction in antipsychotics. Limited communication with the patient and unfamiliarity with individual characteristics of her psychotic relapse at her last psychiatric consultation were the reasons why psychotic symptoms had not been recognized. Conclusions:A thorough diagnosis should always be carried out, based not only on complaints reported by the patient and observed by their environment, but also on the clinical picture of patient-specific psychosis. Failure to recognize psychotic disorders can have serious consequences for the patient, including auto-amputation.self-harming, self-mutilation, auto-amputation, severe depressive episode with psychotic symptoms, electroconvulsive therapy

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“…Çalýþmamýzda literatürle uyumlu olarak EKT'ye yanýt açýsýndan kadýn ve erkekler arasýnda bir fark bulunmamýþtýr (16,17,18). Yaþ ile EKT'ye yanýt arasýndaki iliþkiyi inceleyen çalýþmalar çeliþkili sonuçlar vermiþtir, bazý çalýþmalarda yaþlý popülasyonun (genellikle 80 yaþ üstü hastalar) EKT'ye daha iyi yanýt verdiði bulunurken bazý çalýþ-malar herhangi bir iliþki saptamamýþtýr.…”

Section: Tartiþmaunclassified

ECT practice in a research and training hospital

Açar¹,

Erol²

2017

J Clin Psy

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SUMMARYObject: Electroconvulsive therapy (ECT) is a treatment method for many psychiatric disease, mood disorders particularly. ECT indications and practice differs among countries, even among clinics in the same country. Methods: We aim to investigate 10 years of ECT indications, practice and complications of 75 patients files with our retrospective study in our hospital. Results: The most common ECT indication was major depression with psychotic features. Clinical Global Impression Scale (CGI) improvement was 1,9 ± 0.9. Schizophrenia patients statistically had better CGI improvement scores compared to depression patients. No side effect was observed in 64,3% of the patients and the most common side effect was prolonged seizure. There was no ECT practice and side effect difference between different age and gender groups. Conclusion: ECT is a safe and effective treatment strategy for different age and gender groups who have mood disorders or schizophrenia. We believe our clinic's ECT data which proves to be with low side effect and effective will contribute ECT practice in our country.Key Words: Electroconvulsive therapy, depression, schizophrenia, bipolar disorder ÖZET Amaç: Elektrokonvulzif terapi (EKT) baþta duygudurum bozukluklarý olmak üzere pek çok psikiyatrik rahatsýzlýkta kullanýlan bir tedavi yöntemidir. EKT endikasyonlarý ve uygulamalarý ülkeden ülkeye, hatta klinikten kliniðe deðiþiklik gösterir. Yöntem: Retrospektif nitelikteki çalýþ-mamýzda, kliniðimizdeki 10 yýllýk EKT uygulamalarýný, endikasyonlarý ve olumsuz etkileri 75 hastanýn dosya taramasý ile incelemeyi amaçladýk. Bulgular: Çalýþmamýz-da sýk EKT endikasyonu psikotik bulgulu depresyon olarak saptandý. Tüm olgularýn klinik global izlenim ölçeklerindeki deðiþim 1,9 ±0.9 olarak bulundu. Þizofreni hastalarýnýn KGÝ ölçekleri, depresyon hastalarýn-dan anlamlý derece daha yüksek düzelme gösterdi. Olgularýn %64,3'ünde herhangi bir olumsuz etki gözlen-mezken en sýk olumsuz etki uzamýþ nöbet idi. EKT uygulamalarý ve olumsuz etkileri yaþ ve cinsiyetler arasý farklýlýk göstermiyordu. Sonuç: EKT farklý yaþ gruplarý ve cinsiyetteki duygudurum bozukluðu ve þizofreni hastalarýn-da güvenilir ve etkin bir tedavi yöntemidir. Kliniðimizde düþük yan etki oraný ve yüksek verimlilik ile uygulanan EKT verilerimizin, ülkemizdeki klinik pratiðe katkýda bulunacaðýný düþünmekteyiz.

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Response of Depression to Electroconvulsive Therapy

Cited by 237 publications

References 0 publications

Improvement of cycloid psychosis following electroconvulsive therapy

Improvement of cycloid psychosis following electroconvulsive therapy

Auto-amputation in a severe depressive episode with psychotic symptoms: case report

ECT practice in a research and training hospital

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