Electric Convulsive Therapy, With Emphasis on Importance of Adequate Treatment

Kalinowsky, Lothar B.

doi:10.1001/archneurpsyc.1943.02290240036002

Cited by 65 publications

(18 citation statements)

References 14 publications

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“…The practice of C-ECT and M-ECT has been documented almost since the introduction of ECT by Cerletti and Bini in 1938 [12,13] . However, it has not always been widely implemented in clinical practice during the psychotropic medication era of modern psychiatry.…”

Section: Introductionmentioning

confidence: 99%

Continuation and Maintenance Electroconvulsive Therapy for Mood Disorders: Review of the Literature

et al. 2011

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Background: Electroconvulsive therapy (ECT) is a highly effective treatment for mood disorders. Continuation ECT (C-ECT) and maintenance ECT (M-ECT) are required for many patients suffering from severe and recurrent forms of mood disorders. This is a review of the literature regarding C- and M-ECT. Methods: We conducted a computerized search using the words continuation ECT, maintenance ECT, depression, mania, bipolar disorder and mood disorders. We report on all articles published in the English language from 1998 to 2009. Results: We identified 32 reports. There were 24 case reports and retrospective reviews on 284 patients. Two of these reports included comparison groups, and 1 had a prospective follow-up in a subset of subjects. There were 6 prospective naturalistic studies and 2 randomized controlled trials. Conclusions: C-ECT and M-ECT are valuable treatment modalities to prevent relapse and recurrence of mood disorders in patients who have responded to an index course of ECT. C-ECT and M-ECT are underused and insufficiently studied despite positive clinical experience of more than 70 years. Studies which are currently under way should allow more definitive recommendations regarding the choice, frequency and duration of C-ECT and M-ECT following acute ECT.

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Section: Introductionmentioning

confidence: 99%

Continuation and Maintenance Electroconvulsive Therapy for Mood Disorders: Review of the Literature

et al. 2011

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“…Séries de casos clínicos, primariamente provenientes da literatura mais antiga, sugerem que, para se alcançar os benefícios clínicos plenos para os pacientes com esquizofrenia, pode ser necessário um curso mais longo de tratamento agudo do que para pacientes com distúrbios do humor (Kalinowsky, 1943). Um ensaio randomizado mostrou vantagens para 20 tratamentos em relação a outros 12 (Baker et al, 1960).…”

Section: Outrosunclassified

Diretrizes da Federação Mundial das Sociedades de Psiquiatria Biológica para o tratamento biológico da esquizofrenia. Parte 1: tratamento agudo

Falkai¹,

Wobrock²,

Lieberman³

et al. 2006

Rev. psiquiatr. clín.

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ResumoEstas diretrizes para o tratamento biológico da esquizofrenia foram desenvolvidas pela Força-Tarefa da Federação Mundial das Sociedades de Psiquiatria Biológica (World Federation of Societies of Biological Psychiatry, WFSBP). A meta fixada durante o desenvolvimento destas diretrizes foi rever sistematicamente todas as evidências disponíveis referentes ao tratamento da esquizofrenia, tanto no âmbito clínico como científico, e chegar a um consenso sobre as principais recomendações para a prática psiquiátrica. Estas diretrizes são destinadas a todos os médicos que atendem e tratam de pacientes portadores de esquizofrenia. Os dados usados para desenvolver estas diretrizes foram extraídos primariamente de vários painéis e diretrizes nacionais de tratamento para esquizofrenia, assim como de metanálises, revisões e estudos clínicos randomizados sobre a eficácia do tratamento farmacológico e de outras intervenções terapêuticas biológicas, identificadas por uma busca nas bases de dados MedLine e Biblioteca Cochrane. A literatura identificada foi avaliada no que diz respeito à solidez das evidências a favor da eficácia de uma dada intervenção e,

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“…Much of the literature is itself quite old now (Valentine, 1949;Gallinek, 1948;Kalinowsky, 1943) and modern psychiatrists may blench at treatment regimes involving monthly ECT for five years, then two-monthly, three-monthly and finally sixmonthly as continuing prophylaxis (Stevenson and Geoghegan, 1951). Bourne (1954) saw maintenance ECT in terms of convulsion dependence: 'that condition in which the patient needs regular convulsions in order to maintain social adaptation .…”

Section: Maintenance Ectmentioning

confidence: 99%

Ect in late life

Benbow¹

1991

Int J Geriat Psychiatry

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Electric Convulsive Therapy, With Emphasis on Importance of Adequate Treatment

Cited by 65 publications

References 14 publications

Continuation and Maintenance Electroconvulsive Therapy for Mood Disorders: Review of the Literature

Continuation and Maintenance Electroconvulsive Therapy for Mood Disorders: Review of the Literature

Diretrizes da Federação Mundial das Sociedades de Psiquiatria Biológica para o tratamento biológico da esquizofrenia. Parte 1: tratamento agudo

Ect in late life

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