ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryThe authors examined reports addressing the question of whether electroconvulsive therapy (ECT) is more effective in psychotic or nonpsychotic depressive disorders. Most ECT studies did not consider the issue directly, and those that did had varying methodologies and results. The authors then analyzed the data of 33 depressed patients to clarify the differential response to ECT in 13 psychotic and 20 nonpsychotic patients. The subjects were also examined as to type of electrode placement. ECT produced a greater reduction in Hamilton Depression Rating Scale scores in the psychotic depressives as compared to the nonpsychotics after an average of 9.2 treatments. The two patients who were nonresponders to ECT were both nonpsychotic.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryClinical outcome of 84 elderly unipolar depressed patients who had received electroconvulsive therapy (ECT), with or without concurrent tricyclic antidepressant medication, was reviewed retrospectively to discover if predictions based on preclinical studies of increased efficacy with combined treatment would be supported. Global outcome at discharge was improved for those patients who had received tricyclic antidepressant drugs concurrent with ECT. They also required fewer ECT treatments to achieve that improvement. Total seizure times were markedly reduced for the combined therapy group, which was an unexpected finding.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryThis naturalistic study followed the course of 27 patients who received continuation therapy with outpatient electroconvulsive therapy (ECT) after responding well to an index course of ECT for major depression. The continuation outpatient ECT protocol consisted of weekly treatments for the 1st month after remission, followed by a gradual tapering to monthly treatments. All patients were free of psychotropic medications during their continuation course of ECT. Patients who completed the continuation ECT protocol were significantly (p = 0.04) less likely to experience a relapse of depressive symptoms necessitating hospitalization during a 5‐month follow‐up period than were those who failed to follow the protocol. Indications for use of continuation ECT are discussed and areas for future research are identified.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryThe authors looked at the association of illness duration and acute treatment response in 1,087 patients with unipolar major depression. Three treatment groups were compared, including a group that received electroconvulsive therapy (ECT), a group that received antidepressants, and a group receiving neither ECT nor antidepressants. Up to an illness duration of 2 years, treatment was significantly associated with recovery; ECT produced significantly better results than other treatments. However, when the illness had lasted >2 years, the ECT‐treated group showed a significant decline in recovery, and ECT was no longer superior to other treatments. We conclude that duration of illness at index hospitalization has an important influence on treatment response rates and the likelihood of recovery by hospital discharge.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryThe product literature for the novel antidepressant fluoxetine states that prolonged seizures may occur in patients receiving electroconvulsive therapy (ECT). We compared the seizure durations and incidence of prolonged seizures in 12 consecutive patients receiving ECT plus fluoxetine (20‐140 mg/ day) with 25 controls receiving ECT in the absence of fluoxetine. No differences were found between the groups. Indeed, within the fluoxetine group, higher doses were associated with slightly shorter average seizure durations, and greater stimulus energy was required to elicit a seizure. We find no evidence that fluoxetine prolongs electrically induced seizures.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryThe immediate effects of electroconvulsive therapy (ECT) on cardiac conduction, with or without anticholinergic (glycopyrrolate) premedication, were systematically assessed in 19 patients. The resumption of cardiac rhythm after ECT was significantly delayed in treatments without glycopyrrolate. There was no apparent clinical impact of this phenomenon, even though some patients showed asystole of up to 6 s during nonglycopyrrolate treatments.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

SummaryFive patients with chronic psychosis and episodic aggressive dyscontrol were treated with electroconvulsive therapy (ECT). Four patients also demonstrated clinical evidence of seizure disorder. ECT resulted in marked reduction of both episodic aggressive dyscontrol and clinical seizures, with modest improvement of psychosis. No patient developed clinical signs of organic brain syndrome during ECT. Albeit in a small number of patients, our findings indicate that ECT may have short‐term therapeutic effects on episodic aggressive dyscontrol in patients with chronic psychoses.

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1989

数据来源: OVID