Bifrontal Versus Bitemporal Electroconvulsive Therapy in Severe Manic Patients
Autor: | Leila Jahangard, Mohammad Haghighi, Farzad Ranjkesh, Majid Barekatain |
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Rok vydání: | 2008 |
Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder medicine.medical_treatment Neuroscience (miscellaneous) Young Mania Rating Scale Severity of Illness Index behavioral disciplines and activities law.invention Young Adult Cognition Electroconvulsive therapy Double-Blind Method Randomized controlled trial law Internal medicine mental disorders Severity of illness medicine Humans Young adult Electroconvulsive Therapy Psychiatric Status Rating Scales Significant difference University hospital Surgery Psychiatry and Mental health Treatment Outcome Female medicine.symptom Psychology Mania |
Zdroj: | The Journal of ECT. 24:199-202 |
ISSN: | 1095-0680 |
DOI: | 10.1097/yct.0b013e3181624b5d |
Popis: | To compare the efficacy and safety of moderate-dose bifrontal (BF) with low-dose bitemporal (BT) electroconvulsive therapy (ECT) in the treatment of patients with severe mania.In a parallel, double-blind, randomized clinical trial, 28 patients with severe mania admitted to a university hospital were assigned randomly to moderate-dose BF (n = 14) and low-dose BT (n= 14) ECT. The primary outcome measures included the Mini-Mental State Examination (MMSE) and the Young Mania Rating Scale (YMRS).All patients received at least 6 sessions of ECT. The 2 groups did not show any difference in their baseline MMSE or YMRS scores (P0.05). There was a significant difference between the MMSE scores of the BF compared with the BT group after both the sixth ECT (P0.05) and final ECT treatments (P0.05). Young Mania Rating Scale scores did not differ between the 2 groups after either the sixth or the last ECT sessions (P0.05).Moderate-dose BF ECT was as effective as BT ECT but was associated with fewer cognitive side effects in the treatment of patients with severe mania. |
Databáze: | OpenAIRE |
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