Place de l’électroconvulsivothérapie de maintenance dans le traitement des schizophrénies résistantes

Lévy-Rueff, M.; Jürgens, Anna-Sophie; Lôo, Henri; Amado, Isabelle

doi:10.1016/j.encep.2007.08.008

Cited by 27 publications

(4 citation statements)

References 17 publications

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“…The small samples with which most studies dealt with [7,12,17,18,21,29,31,34], although probably caused by ethical barriers concerning experimental studies involving adolescents, reinforce the importance of assessing the consistency of the results found.…”

Section: Discussionmentioning

confidence: 99%

Electroconvulsive therapy use in adolescents: a systematic review

et al. 2013

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BackgroundConsidered as a moment of psychological vulnerability, adolescence is remarkably a risky period for the development of psychopathologies, when the choice of the correct therapeutic approach is crucial for achieving remission. One of the researched therapies in this case is electroconvulsive therapy (ECT). The present study reviews the recent and classical aspects regarding ECT use in adolescents.MethodsSystematic review, performed in November 2012, conformed to the PRISMA statement.ResultsFrom the 212 retrieved articles, only 39 were included in the final sample. The reviewed studies bring indications of ECT use in adolescents, evaluate the efficiency of this therapy regarding remission, and explore the potential risks and complications of the procedure.ConclusionsECT use in adolescents is considered a highly efficient option for treating several psychiatric disorders, achieving high remission rates, and presenting few and relatively benign adverse effects. Risks can be mitigated by the correct use of the technique and are considered minimal when compared to the efficiency of ECT in treating psychopathologies.

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Section: Discussionmentioning

confidence: 99%

Electroconvulsive therapy use in adolescents: a systematic review

et al. 2013

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“…Most of the participants were evaluated as excellent or good response. Another study reported the reduction of 80% of the average hospitalization duration as well as the effect on mood, anxiety, delusional symptoms and suicidal ideation by examining 19 TRS patients 11). In the review of Lally et al .,1) a high relapse rate of 32% in the weeks to months after ECT discontinuation was reported in patients with clozapine-ECT combination, whereas 22.2% of patients experienced re-admission in this study.…”

Section: Discussionmentioning

confidence: 44%

“…Most of previous studies on C/M-ECT for TRS schizophrenia were limited by the nature of the study design9) or the usage of qualitative outcome measures 10). Meanwhile, one study reported the effectiveness of maintenance ECT by retrospective analysis of 19 patients which showed that the mean duration of yearly hospitalization was decreased by 80% in chronic schizophrenia 11). However, whether C/M-ECT augmentation to pharmacotherapy in TRS patients would prevent psychiatric admission or reduce the number of admission was not well known in the long-term follow up.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Continuation-Maintenance Electroconvulsive Therapy on Reducing Hospital Re-Admissions in Patients with Treatment-Resistant Schizophrenia

Choi

Hong

et al. 2018

Clin Psychopharmacol Neurosci

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ObjectiveContinuation-maintenance electroconvulsive therapy (C/M-ECT) is used to prevent relapse or recurrence in patients with severe mental illnesses. We aimed to investigate the effect of C/M-ECT on reducing hospital re-admissions in patients with treatment-resistant schizophrenia.MethodsWe applied a mirror-image design by retrospectively examining re-hospitalization rates of 18 patients with schizophrenia spectrum disorders. We compared the numbers of psychiatric admissions during the actual period over which C/M-ECT was administered with the same period prior to the beginning of C/M-ECT.ResultsThe number of psychiatric admissions was reduced significantly during C/M-ECT (0.33±0.77) compared with that of the same period prior to C/M-ECT (2.67±1.33) (Wilcoxon signed rank Z=−3.663; p<0.001).ConclusionThis finding shows that C/M-ECT augmentation could successfully reduce the re-hospitalization rates in patients with treatment-resistant schizophrenia.

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“…Although ECT is highly effective in treating catatonia, the relapse rate in the first year after treatment response is high, even under continuation treatment with antipsychotics [43]. There is some evidence arguing for the maintenance of ECT combined with antipsychotics, which might be more effective in the long-term treatment of schizophrenia than antipsychotics alone in terms of catatonia symptoms, behavioral symptoms, social functioning, and hospitalization rates [44][45][46].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Electroconvulsive Therapy on Specific Catatonia Symptoms and Predictors of Late Response

Bracht,

Walther,

Breit

et al. 2023

Pharmacopsychiatry

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Introduction Electroconvulsive therapy (ECT) is known to be effective in the treatment of catatonia, reaching response rates of about 80 to 100%. It is indicated in cases of treatment resistance to benzodiazepines and in life-threatening conditions such as malignant catatonia. Beneficial effects on specific symptoms or predictors of response are less clear. The objective of this retrospective study is to examine the ECT effect on specific catatonia symptoms in the acute phase of the illness and to identify predictors of response. Methods A retrospective study examined data from 20 patients with catatonia, 18 associated with schizophrenia and 2 with bipolar disorder, who underwent ECT from 2008 to 2021. Ten subjects had more than one ECT-series, resulting in a total of 31 ECT-series. Catatonia symptom severity was assessed with the Bush Francis Catatonia Rating Scale (BFCRS). Results ECT yielded excellent response. Nineteen of 20 patients and 30 of 31 ECT-series achieved response. The mean number of ECT sessions to response was 4.2. Response to ECT was more pronounced for motor inhibition symptoms such as stupor and mutism, while echophenomena, dyskinesia, stereotypy and perseveration responded less well. A predictor of late response was the presence of grasp reflex. Discussion The present study corroborates the high and rapid effectiveness of ECT in the treatment of catatonia. Focus on single catatonia signs may help to identify those who are most likely to achieve remission quickly, as well as those who might need longer ECT-series.

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Place de l’électroconvulsivothérapie de maintenance dans le traitement des schizophrénies résistantes

Cited by 27 publications

References 17 publications

Electroconvulsive therapy use in adolescents: a systematic review

Electroconvulsive therapy use in adolescents: a systematic review

The Effects of Continuation-Maintenance Electroconvulsive Therapy on Reducing Hospital Re-Admissions in Patients with Treatment-Resistant Schizophrenia

The Effect of Electroconvulsive Therapy on Specific Catatonia Symptoms and Predictors of Late Response

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