دورية أكاديمية
[Relapse rate within 6 months after successful ECT: a naturalistic prospective peer- and self-assessment analysis].
| العنوان: | [Relapse rate within 6 months after successful ECT: a naturalistic prospective peer- and self-assessment analysis]. |
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| عنوان ترانسليتريتد: | Rückfallraten innerhalb von 6 Monaten nach erfolgreicher EKT--Eine naturalistische prospektive Fremd- und Selbstbeurteilungsanalyse. |
| المؤلفون: | Rehor G; Landesklinik Rankweil. gerald@rehor.at., Conca A, Schlotter W, Vonthein R, Bork S, Bode R, Hüll M, Plewnia C, Di Pauli J, Prapotnik M, Peters O, Peters J, Eschweiler GW |
| المصدر: | Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater [Neuropsychiatr] 2009; Vol. 23 (3), pp. 157-63. |
| نوع المنشور: | Comparative Study; English Abstract; Journal Article; Multicenter Study; Randomized Controlled Trial |
| اللغة: | German |
| بيانات الدورية: | Publisher: Dustri-Verlag Country of Publication: Germany NLM ID: 9440588 Publication Model: Print Cited Medium: Print ISSN: 0948-6259 (Print) Linking ISSN: 09486259 NLM ISO Abbreviation: Neuropsychiatr Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: München-Deisnhofen : Dustri-Verlag, c1986- |
| مواضيع طبية MeSH: | Depressive Disorder, Major/*therapy, Adult ; Antidepressive Agents/therapeutic use ; Combined Modality Therapy ; Depressive Disorder, Major/diagnosis ; Double-Blind Method ; Electroconvulsive Therapy/adverse effects ; Electroconvulsive Therapy/psychology ; Female ; Follow-Up Studies ; Humans ; Lithium Carbonate/therapeutic use ; Male ; Middle Aged ; Patient Readmission ; Patient Satisfaction ; Recurrence ; Retreatment |
| مستخلص: | Background: Up to 100% relapse rate after successful electroconvulsive therapy (ECT) poses a challenge for patients and psychiatrists. The aim of the study was to evaluate the outcome of patients affected by major depression after the successful course of acute ECT. Methods: 84 patients recruited in a randomized double blind multicenter study designed to investigate the optimal stimulation placement in acute ECT had a follow up under naturalistic conditions between the 5th and 7th month. Outcome, maintenance therapy and patients; attitude were evaluated with semi structured questionnaires by patients and the study raters. Results: 82.14% (68/84) questionnaires of the patients and 83.3% (70/84) of the rater were returned. 98% of the patients had at least one antidepressant; only in 23% (20/68) lithium was prescribed. 35% (7/20) of the patients with lithium and 57% (16/28) without lithium had a relapse within the first 6 months (OR 0.6) in a median of 2.5 months. Only one institution offered maintenance ECT in 8.3% (7/84) patients. For 52.2% of the patients ECT was a helpful treatment an 49.3% would recommend the therapy to their relatives. The vast majority (59.4%) wishes a better information about the ECT and 21.4% feel frightening about the therapy. Conclusions: The results show a high relapse rate and highlight the meaning of maintenance medication especially for a lithium combination therapy, as stated before. In regard to the subjective sensation the patients claim a better education about the ECT and anyway one of four patients feel frightening about the therapy. |
| المشرفين على المادة: | 0 (Antidepressive Agents) 2BMD2GNA4V (Lithium Carbonate) |
| تواريخ الأحداث: | Date Created: 20090826 Date Completed: 20091201 Latest Revision: 20131121 |
| رمز التحديث: | 20231215 |
| PMID: | 19703381 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0948-6259 |
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