ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

SummaryIn this retrospective naturalistic study, clinical records were reviewed to examine the effects of unmodified electroconvulsive therapy (ECT) in 30 manic patients at a psychiatric institute in India. Twenty of the patients were experiencing their first episode of a major mood disorder. ECT was associated with complete remission of mania in 26 (87%) of the patients. The remaining four patients were discharged home with residual hypomanic symptoms. On average, the patients received 5.4 treatments, and the duration from initiation of ECT to discharge from hospital was 12.9 days. The number of treatments was not related to age, age at onset, duration of index episode prior to treatment, or presence of psychosis. No patient developed an organic brain syndrome or sustained a bone fracture during unmodified ECT. One month follow-up data were available in 27 of the 30 patients. Recurrence of manic symptoms following discharge occurred in three (11%) patients. For those in whom 3 month follow-up data were available, all 15 were in complete clinical remission. The induced convulsion, and not repeated administration of general anesthetics, is integral to the antimanic effect of ECT.

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

SummaryThe use of electroconvulsive therapy (ECT) in U.S. state hospitals has markedly decreased in the past 20 years. During this time ECT technique has reached a high level of sophistication. We examine whether ECT still has a place and can be effectively used in a modern state hospital. We conclude that ∼1% of state hospital patients are candidates for ECT and that patients with major depression, mania, schizoaffective disorder, and schizophrenia may benefit from such treatment. The relative youth and good physical health of state hospital patients referred for ECT reduces the risk of the procedure in this setting. Most of our patients were on civil commitment but retained the capacity to consent to treatment. We discuss the use of inpatient continuation ECT and the treatment of protracted psychotic excitement as issues relevant to state hospitals.

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

SummaryDental complications during electroconvulsive therapy (ECT) are uncommon. Nevertheless, dental complications are often cited in ECT-related malpractice litigation. Choice of dental protection during ECT should be based on dental pathology prior to ECT. We describe the results of formal dental examinations of 82 patients prior to ECT and 82 matched psychiatric controls. Dental pathology was frequent in both groups without intergroup differences. The decision to pursue a formal dental consultation prior to ECT should be based upon questions raised on inspection of the oral cavity by the treating psychiatrist. The type of dental protection during ECT should be chosen according to the patient's pre-ECT dental status.

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

SummaryWe report on the current experience of electroconvulsive therapy (ECT) in a modern regional psychiatric hospital in Austria. The article describes ECT in 120 psychiatric inpatients during 1980–1987. All patients were hospitalized, the main indications for ECT being “neuroleptic treatment resistance” and “catatonia/stupor.” Between 1980–1987, an average of 0.7% of admissions (0.6–2.75%) were treated with a course of 10 (62%) or 15 ECTs (25%), with 4% of patients requiring 15 ECTs or more. In more than one-half of the patients, bilateral electrode placement was used. All ECT was done under anesthesia and muscular relaxation. We find ECT to be a valuable treatment–technique for a subgroup of psychotic inpatients.

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

SummaryA 27-year-old woman with severe psychosis and mania associated with systemic lupus erythematosus was successfully treated with electroconvulsive therapy. Cyclophosphamide was given as an adjuvant. The use of electroconvulsive therapy in patients with lupus and psychiatric disorders is discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1992

数据来源: OVID