Influence of episode duration of major depressive disorder on response to electroconvulsive therapy
| Autor: | Paul G.H. Mulder, Tom K. Birkenhäger, Esther M. Pluijms, Walter W. van den Broek |
|---|---|
| Přispěvatelé: | Psychiatry, Epidemiology |
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Personality Inventory Psychometrics medicine.medical_treatment Population behavioral disciplines and activities Patient Admission Electroconvulsive therapy Outcome Assessment Health Care medicine Humans Electroconvulsive Therapy Major depressive episode education Psychiatry Depression (differential diagnoses) Aged Retrospective Studies Depressive Disorder Major education.field_of_study Hamilton Rating Scale for Depression Retrospective cohort study Middle Aged medicine.disease Psychiatry and Mental health Clinical Psychology Chronic Disease Major depressive disorder Female medicine.symptom Psychology |
| Zdroj: | Journal of Affective Disorders, 90(2-3), 233-237. Elsevier |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2005.11.010 |
| Popis: | Background Longer duration of major depressive episode is supposed to decrease response to electroconvulsive therapy (ECT). Most studies on the subject are dated and their population differs from ours, therefore their results may not be applicable to our population of severely depressed inpatients. Methods We reviewed the records of 56 consecutive inpatients with major depressive disorder according to DSM-III-R criteria and assessed each patient's episode duration. We examined whether episode duration has an effect on response to ECT. Results Episode duration has no significant effect on response to ECT, according to both a reduction on the Hamilton Rating Scale for Depression (HRSD) of at least 50% and a post-treatment HRSD score ≤ 7 as outcome criteria. Concerning each patient's absolute change in HRSD score pre-treatment compared to post-treatment, again episode duration has no significant effect. Limitations The present study has a limited sample size and concerns a rather homogeneous population of severely depressed inpatients. Episode duration was established retrospectively. Conclusions ECT is an effective treatment for severely depressed inpatients, independent of episode duration. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect