Differences in Speed of Response of Depressive Symptom Dimensions in Older Persons during Electroconvulsive Therapy
Autor: | Eric van Exel, Roos C. van der Mast, Annemiek Dols, Max L. Stek, Pascal Sienaert, E.M. Veltman, Jos W. R. Twisk, Sophie van Hulten, Filip Bouckaert, Didi Rhebergen |
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Přispěvatelé: | Epidemiology and Data Science, Neurology, Psychiatry, Amsterdam Neuroscience - Mood, Anxiety, Psychosis, Stress & Sleep, APH - Mental Health, APH - Aging & Later Life, ACS - Atherosclerosis & ischemic syndromes, Methodology and Applied Biostatistics |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_treatment Neuroscience (miscellaneous) factor analysis late life depression Affect (psychology) behavioral disciplines and activities Suicidal Ideation Cohort Studies course trajectories 03 medical and health sciences 0302 clinical medicine Electroconvulsive therapy SDG 3 - Good Health and Well-being mental disorders Reaction Time Psychology Medicine Humans Electroconvulsive Therapy Biology Suicidal ideation Depression (differential diagnoses) Depressive symptoms Aged Aged 80 and over Psychiatric Status Rating Scales Depressive Disorder Major major depressive disorder business.industry Depression Late life depression Middle Aged medicine.disease 030227 psychiatry Psychiatry and Mental health Affect Treatment Outcome Major depressive disorder Female Human medicine medicine.symptom business 030217 neurology & neurosurgery Cohort study Clinical psychology |
Zdroj: | Veltman, E M, Van Hulten, S, Twisk, J, Dols, A, Van Exel, E, Stek, M L, Sienaert, P, Bouckaert, F, Van Der Mast, R C & Rhebergen, D 2019, ' Differences in Speed of Response of Depressive Symptom Dimensions in Older Persons during Electroconvulsive Therapy ', Journal of ect, vol. 35, no. 1, pp. 35-39 . https://doi.org/10.1097/YCT.0000000000000506 The journal of ECT, 35(1), 35-39 Journal of ECT, 35(1), 35-39. LIPPINCOTT WILLIAMS & WILKINS Journal of ect, 35(1), 35-39. Lippincott Williams and Wilkins Veltman, E M, van Hulten, S, Twisk, J, Dols, A, van Exel, E, Stek, M L, Sienaert, P, Bouckaert, F, van der Mast, R C & Rhebergen, D 2019, ' Differences in Speed of Response of Depressive Symptom Dimensions in Older Persons During Electroconvulsive Therapy ', The journal of ECT, vol. 35, no. 1, pp. 35-39 . https://doi.org/10.1097/YCT.0000000000000506 Journal of ECT |
ISSN: | 1533-4112 1095-0680 |
Popis: | Introduction Electroconvulsive therapy (ECT) is an important and effective treatment for depression. However, research on course trajectories of depressive symptoms during ECT is limited. Insight into putative differences in speed of response of depressive symptom dimensions may enable clinicians to optimally inform patients and their relatives. Therefore, we aim to examine course trajectories of depressive symptom dimensions in depressed older persons during ECT.Methods Data were derived from the Mood Disorders in Elderly treated with Electro Convulsive Therapy study, including 110 persons, aged 55 years or more, with a current diagnosis of major depressive disorder and referred for ECT. Exploratory factor analysis was used to identify symptom dimensions, using the 10 depression items of the Montgomery-Åsberg Depression Rating Scale (MADRS). Differences in course trajectories of symptom dimension during 2 weeks were examined by multilevel analyses.Results Three symptom dimensions were identified: a “mood,” “melancholic,” and “suicidal” dimension. Mood showed a significantly greater severity decline as compared with melancholic and suicidal at the 1-week follow-up. At the 2-week follow-up, both mood and melancholic demonstrated a significantly greater decline as compared with suicidal. However, because scores on the suicidality item of the Montgomery-Asberg Depression Rating Scale were already lower at baseline compared with the other items, a floor effect cannot be ruled out.Discussion All symptom dimensions of depression showed a rapid response to ECT. Our findings did not support the general assumption that suicidal symptoms may be the first to improve. However, a floor effect on the suicidality item cannot be ruled out. |
Databáze: | OpenAIRE |
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