Postictal suppression correlates with therapeutic efficacy for depression in bilateral sine and pulse wave electroconvulsive therapy

Autor:	Miki Hori, Megumi Uchida, Toshi A. Furukawa, Hideki Azuma, Kiyoe Sato, Tatsuo Akechi, Yoshihito Mochida, Keiko Arahata, Tomoko Yamada, Kazuyuki Otsuki, Akiko Fujita
Rok vydání:	2007
Předmět:	Male medicine.medical_specialty medicine.medical_treatment Electroencephalography behavioral disciplines and activities Electroconvulsive therapy Sine wave Predictive Value of Tests Seizures Internal medicine mental disorders medicine Humans Pulse wave Ictal Electroconvulsive Therapy Psychiatric Status Rating Scales Depressive Disorder medicine.diagnostic_test General Neuroscience Hamilton Rating Scale for Depression General Medicine Middle Aged Psychiatry and Mental health Electrophysiology Neurology Predictive value of tests Cardiology Regression Analysis Female Neurology (clinical) Psychology Clinical psychology
Zdroj:	Psychiatry and Clinical Neurosciences. 61:168-173
ISSN:	1440-1819 1323-1316
Popis:	Ictal electroencephalography (EEG) parameters in electroconvulsive therapy (ECT) for depression reportedly correlate with therapeutic response and stimulus dosage, particularly in right unilateral (RUL) ECT. The authors examined ictal EEG parameters as predictors of therapeutic effectiveness in bilateral (BL) sine and pulse wave ECT. A total of 30 consecutive depressed inpatients who had not responded to standard pharmacotherapy were treated using BL ECT given in either sine or pulse wave mode. Ictal EEG parameters (e.g. regularity, postictal suppression) were manually rated by three trained psychiatrists. Polyspike phase duration was significantly longer in sine wave ECT than in pulse wave ECT. Postictal suppression emerged as the only significant predictor of therapeutic outcome when baseline Hamilton Rating Scale for Depression and mode of stimulation were controlled for. Postictal suppression appears to offer a useful predictor of clinical outcome of depression in BL ECT. No EEG parameters were found to be differentially predictive between sine and pulse wave ECT.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4506a2fb081cc23438b6fea938c42abd https://doi.org/10.1111/j.1440-1819.2007.01632.x Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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