Review of electroconvulsive therapy practice from a tertiary Child and Adolescent Psychiatry Centre

Jacob, Preeti; Gogi, Prabhu Kiran Vishwanath; Srinath, Shoba; Thirthalli, Jagadisha; Girimaji, Satish Chandra; Seshadri, Shekhar; Sagar, John Vijay

doi:10.1016/j.ajp.2014.06.023

Cited by 24 publications

(24 citation statements)

References 27 publications

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“…However, a few studies have reported the use of electroconvulsive therapy (ECT) for depression in children and adolescents. [6465] These studies suggest that 12%–13% of children and adolescents receiving ECT are diagnosed with depressive disorders and that ECT is effective in most of these patients. [6465]…”

Section: Intervention Studiesmentioning

confidence: 99%

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Depression in Children and Adolescents: A Review of Indian studies

Grover¹,

Raju²,

Sharma³

et al. 2019

Indian Journal of Psychological Medicine

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Background: Depression is a common mental disorder seen across all age groups, including children and adolescents. Depression is often associated with significant disability in children and adolescents. Aim: This review aims to evaluate the Indian research on depression in children and adolescents. Results: Available data suggest that the point prevalence of depression/affective disorders ranges from 1.2% to 21% in the clinic-based studies; 3%–68% in school-based studies and 0.1%–6.94% in community studies. There has been only one incidence study from India which estimated the incidence to be 1.6%. With respect to the risk factors for depression, studies have reported various education-related difficulties, relationship issues with parents or at home, family-related issues, economic difficulties, and other factors. A limited number of studies have evaluated the symptom profile, and the commonly reported symptoms include depressed mood, diminished interest in play activities, concentration difficulties, behavior problems in the form of anger and aggression, pessimism, decreased appetite, decreased sleep, anhedonia, and somatic symptoms. None of the studies from India has evaluated the efficacy/effectiveness of various antidepressants in children and adolescents with depression. Conclusion: There is a wide variation in the point prevalence reported across different studies, which is mainly due to methodological differences across studies. Limited data are available with respect to symptom profile and factors associated with depression in children and adolescents.

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Section: Intervention Studiesmentioning

confidence: 99%

“…[64,65] These studies suggest that 12%-13% of children and adolescents receiving ECT are diagnosed with depressive disorders and that ECT is effective in most of these patients. [64,65]…”

Section: Intervention Studiesmentioning

confidence: 99%

Depression in Children and Adolescents: A Review of Indian studies

Grover¹,

Raju²,

Sharma³

et al. 2019

Indian Journal of Psychological Medicine

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“…Data from India suggest that among adolescents, ECT is most commonly used in patients with schizophrenia, mainly for catatonic symptoms, and found to be effective. [1112] Various treatment guidelines including Indian Psychiatric Society Guidelines for the management of schizophrenia recommend use of ECT among adult patients with schizophrenia for catatonia, affective symptoms, need for rapid control of symptoms, presence of suicidal behavior endangering life of the patient, presence of severe agitation or violence which puts the life of others at risk, refusal to eat which puts the life of patient at risk, history of good response in the past, patients not responding to adequate trial of an antipsychotic medication, and augmentation of partial response to antipsychotic medication. Practice parameters of AACAP recommend that clinician must evaluate the risk and benefit of use of ECT against the risk of morbidity associated with the disorder and must consider the attitudes of the patient and the family and availability of the alternative treatment options before considering ECT in adolescents.…”

Section: Treatment Options For the Management Of Early-onset Schizophmentioning

confidence: 99%

Clinical practice guidelines for the management of schizophrenia in children and adolescents

Grover

2019

Indian J Psychiatry

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“…Obwohl seit mittlerweile 13 Jahren auch Behandlungsrichtlinien für Jugendliche durch die American Academy of Child and Adolescent Psychiatry (AACAP) [2] existieren, gibt es zwar Fallberichte [3,4] und Übersichtsarbeiten, aber keine randomisierten kontrollierten Studien im Kindes-und Jugendalter [5]. Das ist umso verwunderlicher, als von hohen Wirksamkeitsraten von bis zu 80 % [6,7], guten und anhaltenden Remissionsraten (60 % Vollremission bei depressiven Störungen) [8] und im Verhältnis zum Fortbestehen der psychischen Beschwerden nur von geringen Nebenwirkungen berichtet wird [1].…”

Section: Introductionunclassified

“…In den Empfehlungen der AACAP für den Einsatz einer EKT bei Jugendlichen sind neben den genannten psychischen Störungen auch die Schizophrenie und die Manie mit und ohne psychotische Symptome aufgeführt. Bei der Katatonie zählt die EKT zur Therapie der ersten Wahl [1,3,7]. Wachtel et al berichten im Jahre 2018 über den Benefit in der Behandlung katatoner Symptome bei Autismus mittels EKT [10].…”

Section: Introductionunclassified

Elektrokonvulsionstherapie – bei Kindern und Jugendlichen mit Schizophrenie wirksam und gut verträglich

Weirich

Reinhardt

Buchmann

et al. 2020

Fortschr Neurol Psychiatr

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ZusammenfassungWir berichten über vier Patienten im Alter von 12 bis 17 Jahren mit schizophrenen Psychosen, zwei davon mit katatoner Symptomatik, die erfolgreich und sicher mit Elektrokonvulsionstherapie (EKT) behandelt wurden. Unter einer kombinierten Therapie aus EKT und entweder Ziprasidon oder Clozapin verbesserte sich der Zustand aller Patienten erheblich. Schweregrad und Verlauf der akuten Schizophrenie wurden mit der Brief Psychiatric Rating Scale (BPRS) evaluiert. Schweregrad und Verlauf der Katatonie wurden mit der Bush-Francis Catatonia Rating Scale (BFCRS) gemessen. Die Fälle bestätigen frühere Berichte zur Wirksamkeit, zur Sicherheit und Verträglichkeit von EKT bei der Behandlung von Kindern und Jugendlichen mit Schizophrenie.

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Review of electroconvulsive therapy practice from a tertiary Child and Adolescent Psychiatry Centre

Cited by 24 publications

References 27 publications

Depression in Children and Adolescents: A Review of Indian studies

Depression in Children and Adolescents: A Review of Indian studies

Clinical practice guidelines for the management of schizophrenia in children and adolescents

Elektrokonvulsionstherapie – bei Kindern und Jugendlichen mit Schizophrenie wirksam und gut verträglich

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