Influence of age on the efficacy of electroconvulsive therapy in major depression: A retrospective study
| Autor: | Paul G.H. Mulder, Esther M. Pluijms, Tom K. Birkenhäger, Walter W. van den Broek, Michel R. Ju |
|---|---|
| Přispěvatelé: | Psychiatry, Epidemiology |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment behavioral disciplines and activities Statistics Nonparametric Continuous variable Young Adult Electroconvulsive therapy Internal medicine mental disorders medicine Humans Young adult Electroconvulsive Therapy Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over Psychiatric Status Rating Scales Depressive Disorder Major Chi-Square Distribution Age Factors Hamilton Rating Scale for Depression Retrospective cohort study Middle Aged Psychiatry and Mental health Clinical Psychology Treatment Outcome Linear Models Female Multiple linear regression analysis Psychology Chi-squared distribution Clinical psychology |
| Zdroj: | Journal of Affective Disorders, 126(1-2), 257-261. Elsevier |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2010.02.131 |
| Popis: | Background: Several variables have been studied as possible predictors for the efficacy of ECT, results from the few studies assessing the influence of age on the efficacy of ECT were inconsistent. In older patients suffering from severe depression, ECT is often the treatment of choice, therefore, investigating the influence of age on, ECT response is considered relevant. Method: At two depression units, 141 patients meeting DSM-IV criteria for major depression and scores of at least 18 on the 17-item Hamilton Rating Scale for Depression (HAM-D) were treated with bilateral ECT, twice weekly. Clinical evaluation of depressive symptoms was performed each week; scores on the HAM-D were obtained 1-3 days prior to ECT and 1-3 days after termination of the ECT course. The primary outcome criterion was defined a priori as the mean change on the HAM-D score. The influence of age on mean change on the HAM-D score was analyzed with multiple linear regression analysis, adjusted for three covariables: center, duration of the index episode and presence of psychotic features. Results: Age as a continuous variable had no significant effect on the efficacy of ECT as measured by mean change on the HAM-D score (SE 0.057, p=0.84). Limitations: The disproportionate distribution of patients among the three age groups appears to be the major limitation of the present study. Conclusion: This study suggests that the efficacy of ECT in elderly depressed patients is at least equal to that in younger depressed patients. (C) 2010 Elsevier B.V. All rights reserved. |
| Databáze: | OpenAIRE |
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