Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Characteristics of responders and nonresponders to brief-pulse right unilateral ECT in a controlled clinical trial
Autore:
Delva, NJ; Brunet, DG; Hawken, ER; Kesteven, RM; Lawson, JS; Lywood, DW; Rodenburg, M; Waldron, JJ;
Indirizzi:
Queens Univ, Dept Psychiat, Kingston, ON K7L 3N6, Canada Queens Univ Kingston ON Canada K7L 3N6 hiat, Kingston, ON K7L 3N6, Canada Queens Univ, Dept Med, Kingston, ON K7L 3N6, Canada Queens Univ Kingston ON Canada K7L 3N6 Med, Kingston, ON K7L 3N6, Canada Queens Univ, Dept Biomed Engn, Kingston, ON K7L 3N6, Canada Queens Univ Kingston ON Canada K7L 3N6 Engn, Kingston, ON K7L 3N6, Canada Kingston Psychiat Hosp, Kingston, ON, Canada Kingston Psychiat Hosp Kingston ON Canada iat Hosp, Kingston, ON, Canada
Titolo Testata:
JOURNAL OF ECT
fascicolo: 2, volume: 17, anno: 2001,
pagine: 118 - 123
SICI:
1095-0680(200106)17:2<118:CORANT>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
ELECTROCONVULSIVE-THERAPY ECT; ELECTRODE PLACEMENT; SEIZURE THRESHOLD; DEPRESSION; ANTIDEPRESSANT; EFFICACY;
Keywords:
electroconvulsive therapy; right unilateral electroconvulsive therapy; electrode placement; seizure threshold; electrical stimulus; major depression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Delva, NJ Queens Univ, Dept Psychiat, Kingston, ON K7L 3N6, Canada Queens Univ Kingston ON Canada K7L 3N6 ston, ON K7L 3N6, Canada
Citazione:
N.J. Delva et al., "Characteristics of responders and nonresponders to brief-pulse right unilateral ECT in a controlled clinical trial", J ECT, 17(2), 2001, pp. 118-123

Abstract

In a double-blind, randomized controlled study of electroconvulsive therapy (ECT) in patients with major depression, 7 of the 17 patients allocated to the right unilateral group failed to respond to treatment. The nonresponders were subsequently openly treated with bitemporal treatment, which produced an acceptable outcome in these cases of right unilateral treatment failure. This paper describes the clinical outcome. electrophysiological characteristics (impedence, estimated seizure threshold, and change in threshold), and the degree to which stimuli exceeded threshold in the responder and nonresponder groups. Responders had lower seizure thresholds and longer seizures than nonresponders. In comparison with nonresponders, responders showed trends toward greater impedance and treatment at a somewhat greater degree above threshold during the first few treatments. Threshold change with treatment was found not to be related to clinical outcome. Early identification of patients likely to respond to low-dose right unilateral ECT, togetherwith the avoidance of benzodiazepine prescription during ECT, may permit many patients to receive low-dose right unilateral ECT successfully and witha minimum of cognitive impairment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:39:14