No abstract

No abstract

In a controlled follow-up study into adulthood of 32 children diagnosed 'schizoid', three-quarters fulfilled DSM-III criteria for schizotypal personality disorder and two developed schizophrenia. Overall their psychosocial adjustment was somewhat, but not markedly, worse than that of other attenders at a child psychiatry clinic, although as a group they remained more solitary, lacking in empathy, oversensitive, with odd styles of communicating, and often with circumscribed interests.

Cognitive function was compared in carefully matched groups of ECT and non-ECT treated depressives and in matched normal volunteer controls on admission, at 4 months and at 7 months. ECT caused little impairment at 4 months and no impairment at 7 months on a comprehensive cognitive test battery. Severity of depression had a marked effect on cognitive function. Within the ECT group bilateral ECT caused more impairment than unilateral ECT one week after a course but 3 months later the differences had disappeared. They were equally antidepressant.

Twenty-six subjects who complained of permanent unwanted effects following ECT were compared with two groups of control subjects on a battery of 19 cognitive tests. Many statistically significant differences were found in cognitive functioning, mostly attributable to the level of depression or medication in the complainers. However, after analysis of variance/co-variance some differences still remained, indicating impaired cognitive functioning in the ECT complaining group.