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Titolo:
Long-term outcome after ECT for catatonic depression
Autore:
Swartz, CM; Morrow, V; Surles, L; James, JF;
Indirizzi:
So Illinois Univ, Dept Psychiat, Sch Med, Springfield, IL 62794 USA So Illinois Univ Springfield IL USA 62794 Med, Springfield, IL 62794 USA E Carolina Univ, Sch Med, Dept Psychiat, Greenville, NC USA E Carolina Univ Greenville NC USA Med, Dept Psychiat, Greenville, NC USA
Titolo Testata:
JOURNAL OF ECT
fascicolo: 3, volume: 17, anno: 2001,
pagine: 180 - 183
SICI:
1095-0680(200109)17:3<180:LOAEFC>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
ELECTROCONVULSIVE-THERAPY; LITHIUM PROPHYLAXIS; MAJOR DEPRESSION; MELANCHOLIA; FLUOXETINE; DISORDER;
Keywords:
catatonia; electroconvulsive therapy; depression; antidepressants;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Swartz, CM So Illinois Univ, Dept Psychiat, Sch Med, POB 19642, Springfield, IL 62794USA So Illinois Univ POB 19642 Springfield IL USA 62794 IL 62794USA
Citazione:
C.M. Swartz et al., "Long-term outcome after ECT for catatonic depression", J ECT, 17(3), 2001, pp. 180-183

Abstract

Introduction: This is the initial report of the course of major depressionwith catatonic features after hospitalization. Method: Telephone interviews and ratings were conducted 3-7 years after response to inpatient electroconvulsive therapy (ECT) for such catatonic depression. This was done for all 19 followable patients treated over a particular 4-year period. All had received left anterior right temporal brief-pulse ECT. Prior to data examination, we constructed rules to classify medications as antimelancholic. These rules led to the inclusion of lithium, tricyclics, bupropion, and venlafaxine in this antimelancholic classification and to the exclusion of selective serotonin reuptake inhibitors. Results: Ten of the 13 patients discharged on antimelancholic medication (AMM) had good function on follow-up and nomore than one rehospitalization. In contrast, none of the six patients in the other group had as good an outcome (p = 0.004, corrected chi (2) = 8.26). The AMM group had no deaths, but three patients in the other group died of acute cardiopulmonary causes (p = 0.015). In most cases, catatonia and depression were not identified by informant interview on follow-up. Discussion: ECT followed by AMM usually led to long-term outcome that was good and better than without such medication. Although benzodiazepines can acutely diminish catatonia, we found no relevant long-term study: accordingly, long-term benzodiazepine use in catatonia is speculative.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 01:00:36