Clinical profile and outcome of bipolar disorder patients receiving electroconvulsive therapy: A study from north India

Bharadwaj, Vineet; Grover, Sandeep; Chakrabarti, Subho; Kate, Natasha

doi:10.4103/0019-5545.94644

Cited by 15 publications

(4 citation statements)

References 33 publications

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“…Studies which have compared the demographic profile of adult patients with BD and schizophrenia in general suggest that, compared to patients with schizophrenia, higher proportion of patients with BD are married. [ 36 37 ] A multinational study, which included participants from India, which evaluated the association of mental disorders with marriage and divorce rates concluded that many mental disorders, including BD, are associated with lower likelihood of ever marrying (odds ratios ranging from 0.6 to 0.9) and higher rates of divorce. [ 38 ] Many other studies also support the findings of shorter duration of marriage among patients with BD.…”

Section: Marital Rates and Marital Failure Rates In Patients With Bipmentioning

confidence: 99%

Bipolar affective disorder and its impact on various aspects of marital relationship

2017

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Bipolar disorder (BD) is a severe mental disorder, which not only has negative consequences on the life of the patient, but also affects the immediate family members. As it often starts early in life, patients who get married often suffer from many negative consequences in their marital life due to the illness. This review focuses on studies which have evaluated marital rates, rate of marital failure, divorce, infertility, and procreation among patients with BD. In addition, this review evaluates the existing literature pertaining to marital adjustment, marital satisfaction, sexual dysfunction, and sexual satisfaction among patients with BD and their partners/spouses. Data suggest that very high proportion of patients with BD get married and marital rates are higher for patients with BD, when compared with those suffering from schizophrenia. In terms of divorce rates, studies suggest that patients with BD have higher rates of divorce. In terms of fertility rates, studies suggest that compared to those without the illness, the fertility rates among patients with BD are lower. In terms of marital adjustment, results are mixed with some studies suggesting poorer marital adjustment among patients and their spouses too. In terms of sexual dysfunction, studies suggest the presence of sexual dysfunction among one-third to half of the patients receiving lithium. To conclude, this review suggests that patients with BD experience multiple negative marital and sexual consequences.

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Section: Marital Rates and Marital Failure Rates In Patients With Bipmentioning

confidence: 99%

Bipolar affective disorder and its impact on various aspects of marital relationship

2017

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“…Apart from the pharmacological treatments, various nonpharmacological treatments including the neuromodulation techniques and psychosocial interventions are also used frequently. A retrospective review for the period of 10 years was conducted by Bharadwaj et al [ 61 ] in diagnosed cases of bipolar disorder receiving electroconvulsive therapy (ECT) for delineating the clinical profile and outcome of such patients. It was found that among all patients who received ECT, 18% were diagnosed to have bipolar disorder, and the most common indication is mania with psychotic symptoms, followed by severe depression with psychotic symptoms.…”

Section: Resultsmentioning

confidence: 99%

Research on clinical aspects of bipolar disorder: A review of Indian studies

Narula,

Pal,

Reddy

et al. 2024

Indian Journal of Psychiatry

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Background: Bipolar disorder is one of the severe mental disorders that are associated with significant morbidity of the patients. Despite advancements in our understanding about the disorder, it remains a challenging proposition to treat bipolar disorder, largely since the prophylactic treatment of the disorder requires assessment of complex clinical algorithms. The revisions of the classificatory systems have also changed the conceptualization of the disorder. In this background, we conducted a review of the Indian studies conducted on the clinical aspects of bipolar disorder. Methods: A narrative review was conducted with focus on the literature published from India. The databases searched included PubMed, Scopus, and Google Scholar, and articles published over the last 15 years by Indian authors were included for this review. Results: In our review, we could access a substantial volume of research published from India. We could identify studies that catered to most of the relevant themes in bipolar disorder including epidemiology, etiology, comorbidities, stigma, disability, clinical course, cognitive profile, pathways to care, and recovery. Conclusion: The research trajectory was in line with the research conducted elsewhere in the world. However, certain dissimilarities in terms of focus could also be observed. The possible reason behind this deviation could be the difference in clinical need and unique challenges faced in the management and rehabilitation of patients in bipolar disorder in Indian scenario.

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“…It might not be effective in reducing the core negative features, however it makes the patient's behavior manageable and makes life for their caregivers as well as the patient easier. It improves the social functioning of the patient thereby making their lives tolerable [6] .…”

Section: Moderate Intellectual Disability With Psychosis Casesmentioning

confidence: 99%

Maintenance electroconvulsive therapy: An effective yet underused treatment modality in psychiatry: A case series

Malvika Raju Tukra,

Nishikant M. Thorat

2024

Int. J. Sci. Res. Arch.

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Maintenance Electroconvulsive Therapy (M-ECT) refers to ECTs administered beyond 6 months after the remission of illness. Maintenance electroconvulsive therapy (M-ECT) can be used to reduce the risk for relapse and recurrence of illness in patients who fare poorly with standard medication regimens. There is improvement in the relapse rate of major psychiatric disorders when continuation or maintenance (C or M-ECT) are used with psychotropics. These are single-center, retrospective case studies of patients diagnosed with major psychiatric disorders (as per International Classification of Diseases, 11th edition) who are receiving M-ECT in Department of Psychiatry, B.J. Government Medical College and Sassoon Hospital, Pune. We included 12 patients- 8 males and 4 females in this study. 4 cases were of patients suffering from schizophrenia, 3 cases were of patients suffering from depression, 1 case of bipolar affective disorder and 4 cases of patients of intellectual disability with psychosis. There was a reduction in hospitalization rate for acute exacerbation and significant improvement in the patients’ overall functioning on standardized rating scales without any significant adverse effects. Maintenance ECT is an underused treatment option that can substantially reduce risks of relapse in patients with major depressive disorder, bipolar disorder and schizophrenia as well. Despite the potential value of these ECT schedules, these are relatively neglected in clinical practice. This article aims to explore the clinical utility of maintenance ECTs and emphasizes the use of maintenance ECTs in routine psychiatric care.

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Clinical profile and outcome of bipolar disorder patients receiving electroconvulsive therapy: A study from north India

Cited by 15 publications

References 33 publications

Bipolar affective disorder and its impact on various aspects of marital relationship

Bipolar affective disorder and its impact on various aspects of marital relationship

Research on clinical aspects of bipolar disorder: A review of Indian studies

Maintenance electroconvulsive therapy: An effective yet underused treatment modality in psychiatry: A case series

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