Unilateral and bilateral ECT in elderly patients. A comparative study.

Abstract:

:Twenty-nine depressed elderly patients receiving ECT were randomly assigned to a unilateral or bilateral group; post-ictal recovery times, memory changes, and clinical improvement during and after each course were measured by blind and independent observers. All patients but one showed full recovery on testing 3 weeks after treatment. There was no significant difference between the unilateral and bilateral groups either in terms of improvement or the number of treatments needed in each course. A good outcome was predicted by the presence of pathological guilt, impairment of work and interest, agitation, subjectively depressed mood, psychic anxiety and greater overall severity. Longer duration of illness predicted a relatively poor outcome. Memory functions showed uniform impairment before treatment, but during treatment all improved, with some changes reaching high statistical significance; on testing 3 weeks after treatment memory functions in all patients had reached normal values. There was no difference between the two groups. Post-ictal recovery times were significantly longer in the bilateral than in the unilateral group after the first treatment and after the fifth treatment more than three times as long. Recovery time showed a significant decrease during courses of unilateral treatment. There was a very low incidence of side-effects, and all were relatively mild. We conclude that unilateral ECT is a safe and highly effective treatment for selected elderly patients suffering from depression, but that there is nothing to be said for the continued use of bilateral ECT.

journal_name

Acta Psychiatr Scand

authors

Fraser RM,Glass IB

doi

10.1111/j.1600-0447.1980.tb00590.x

subject

Has Abstract

pub_date

1980-07-01 00:00:00

pages

13-31

issue

1

eissn

0001-690X

issn

1600-0447

journal_volume

62

pub_type

临床试验,杂志文章,随机对照试验
  • Reliability and validity of a Chinese computerized diagnostic instrument.

    abstract::This paper reports on the development and testing of a new Chinese diagnostic instrument--the Adult Diagnostic Interview Schedule-Present (ADIS-P). This instrument uses a selection of items adapted from DIS and SADS. It is administered within approximately 25 min by a trained clinician using a small portable computer ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1988.tb05073.x

    authors: Zheng Y,Yang W,Phillips MR,Dai C,Zheng H

    更新日期:1988-01-01 00:00:00

  • A double-blind comparison of raclopride and haloperidol in the acute phase of schizophrenia. The British Isles Raclopride Study Group.

    abstract::This is the first comparative double-blind study of raclopride. Ninety-one patients with acute schizophrenia received either raclopride 2-8 mg twice daily or haloperidol 5-20 mg twice daily for 4 weeks. Both neuroleptics produced clinical improvements. There were no significant between-drug differences in overall effi...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1600-0447.1992.tb03286.x

    authors:

    更新日期:1992-11-01 00:00:00

  • Linkage between X-chromosome markers and manic-depressive illness. Two Sardinian pedigrees.

    abstract::Pedigrees of manic-depressive patients in treatment at the Lithium Clinic of the Institute of Clinical Pharmacology, University of Cagliari, were evaluated for linkage between major affective illness and the protan-deutan-glucose-6-phosphate-dehydrogenase region of the X-chromosome. Two informative pedigrees were foun...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1984.tb01210.x

    authors: Del Zompo M,Bocchetta A,Goldin LR,Corsini GU

    更新日期:1984-09-01 00:00:00

  • Treatment of a mild form of neuroleptic malignant syndrome with oral diazepam.

    abstract::A mild form of neuroleptic malignant syndrome (NMS) in a schizophrenic patient who was receiving a depot neuroleptic is described and beneficial response to oral diazepam 50 mg daily is reported. ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1988.tb06355.x

    authors: Kontaxakis VP,Christodoulou GN,Markidis MP,Havaki-Kontaxaki BJ

    更新日期:1988-09-01 00:00:00

  • The bipolar-borderline personality disorders connection in major depressive patients.

    abstract:OBJECTIVE:The study focuses on the controversial relationship between borderline personality disorder (BPD) and bipolar disorder (BD), defined according to different criteria set, in a world-wide sample of patients with a current major depressive episode (MDE). METHOD:A total of 5635 patients with an MDE were enrolled...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章,多中心研究

    doi:10.1111/acps.12083

    authors: Perugi G,Angst J,Azorin JM,Bowden C,Vieta E,Young AH,BRIDGE Study Group.

    更新日期:2013-11-01 00:00:00

  • Selective serotonin reuptake inhibitor exposure during early pregnancy and the risk of birth defects.

    abstract:OBJECTIVE:To assess the methodological value of studies that signaled one or more selective serotonin reuptake inhibitors (SSRIs) as teratogenic agents. METHOD:Medical literature, published in English (1980-November 2010), was searched using MEDLINE/PubMed, TOXNET, EMBASE, and The Cochrane Library to identify all arti...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-0447.2011.01673.x

    authors: Gentile S

    更新日期:2011-04-01 00:00:00

  • CSF biochemical correlates of mixed affective states.

    abstract::To evaluate the question of whether "mixed" bipolar disorder is a distinct entity, we compared selected cerebrospinal fluid (CSF) biochemical parameters from patients with bipolar disorder, mixed, to those with mania and major depression. Fourteen patients in each category (DSM-III) were studied with regard to CSF HVA...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1988.tb06339.x

    authors: Tandon R,Channabasavanna SM,Greden JF

    更新日期:1988-09-01 00:00:00

  • The Strauss and Carpenter Prognostic Scale in subjects clinically at high risk of psychosis.

    abstract:OBJECTIVE:To investigate the predictive value of the Strauss and Carpenter Prognostic Scale (SCPS) for transition to a first psychotic episode in subjects clinically at high risk (CHR) of psychosis. METHOD:Two hundred and forty-four CHR subjects participating in the European Prediction of Psychosis Study were assessed...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.2012.01899.x

    authors: Nieman DH,Velthorst E,Becker HE,de Haan L,Dingemans PM,Linszen DH,Birchwood M,Patterson P,Salokangas RK,Heinimaa M,Heinz A,Juckel G,von Reventlow HG,Morrison A,Schultze-Lutter F,Klosterkötter J,Ruhrmann S,EPOS group.

    更新日期:2013-01-01 00:00:00

  • Chinese diagnostic interview schedule. II. A validity study on estimation of lifetime prevalence.

    abstract::The validity of DIS-CM (Chinese modified version of Diagnostic Interview Schedule) was examined by analyzing lifetime prevalence of each age group, age at onset, and recency of illness. The magnitude of the discrepancy between the empirical and the estimated data was adopted as the criterion of the degree of deviation...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1986.tb02695.x

    authors: Hwu HG,Yeh EK,Chang LY,Yeh YL

    更新日期:1986-04-01 00:00:00

  • Metabolic syndrome and drug discontinuation in schizophrenia: a randomized trial comparing aripiprazole olanzapine and haloperidol.

    abstract:OBJECTIVE:To determine whether the prescription of aripiprazole, compared with olanzapine and haloperidol, was associated with a lower frequency of metabolic syndrome (MS) and treatment discontinuation at 1 year. METHOD:Patients were randomly assigned to be treated open-label and according to usual clinical practice w...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/acps.12468

    authors: Parabiaghi A,Tettamanti M,D'Avanzo B,Barbato A,GiSAS study group.

    更新日期:2016-01-01 00:00:00

  • Diagnosis of killers seen for psychiatric assessment. A controlled study.

    abstract::109 killers, 38 nonviolent offenders and 54 community controls were compared on psychiatric diagnosis, the MMPI, Cattell 16 PF, IQ and clinical neurological results. Killers did not differ from nonviolent offenders on diagnosis or personality in general. Only higher MMPI Hysteria scale scores differentiated the killer...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1982.tb00930.x

    authors: Langevin R,Paitich D,Orchard B,Handy L,Russon A

    更新日期:1982-09-01 00:00:00

  • Polyneuropathy caused by chlorprothixene.

    abstract::Seven chronic psychiatric patients developed signs of polyneuropathy mainly in the lower limbs after receiving chlorprothixene (500-1800 mg/d) from 3 to more than 24 months. The most prominent electroneuromyographic findings were decreased or not measurable motor conduction velocities of the peroneal nerves. Electromy...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1992.tb08604.x

    authors: Luisto M

    更新日期:1992-03-01 00:00:00

  • Simultaneous depression.

    abstract::Five different strategies were used to detect cases in which depressed behaviour occurred in both spouses within the same time period (simultaneous depression). Among 7068 references on depression in the literature, only one referred to a case of simultaneous depression. Of 8008 registered individuals hospitalized in ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1990.tb05482.x

    authors: Holte A,Bjoru E,Sorvig BS,Abrahamsen P

    更新日期:1990-05-01 00:00:00

  • Interaction of affective and cognitive impairments in the suicidal state: a brief elaboration.

    abstract::This report examines the comorbidity among three key symptoms associated with suicidal intent, namely hopelessness, depression and unusual thinking. A total of 97 out-patients with suicidal thoughts were assessed using the Beck Hopelessness Scale, the anxious depression and unusual thinking factor scales of the Deroga...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1998.tb09978.x

    authors: Mendonca JD,Holden RR

    更新日期:1998-02-01 00:00:00

  • Suicide, homicide and the quality of life in various countries.

    abstract::Based on the theory of Henry & Short, it was predicted that suicide rates should be higher and homicide rates lower in countries where the quality of life is better. In 1980, for a sample of 43 countries, this prediction was confirmed for some components of the quality of life (psychological well-being) but not for ot...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1990.tb05459.x

    authors: Lester D

    更新日期:1990-04-01 00:00:00

  • Immunoglobulins, psychopathology and prognosis in schizophrenia.

    abstract::On admission, IgA, IgG and IgM concentrations were determined in 76 schizophrenics, and the correlations of these concentrations to the variables relating to psychopathology, background and prognosis were investigated in the present study, which is a part of a more extensive unpublished study. On the basis of factoriz...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1977.tb03560.x

    authors: Pulkkinen E

    更新日期:1977-09-01 00:00:00

  • Reactive psychosis. A prospective study.

    abstract::A prospective study was carried out on 30 patients suffering from a psychotic episode following a stressful life event. They were found to have an Emotional, Timid, Sensitive, Tense and Insecure personality. Sleep disturbance, Affective symptoms, Histrionic behaviour and Excitement were the common clinical features. S...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1980.tb00568.x

    authors: Pandurangi AK,Kapur RL

    更新日期:1980-02-01 00:00:00

  • Treatment of vaginismus by i.v. diazepam (Valium) abreaction interviews.

    abstract::A new method of treatment of vaginismus by using intravenous diazepam abreaction interviews is reported. Four patients between the ages of 19 and 28 were interviewed. The duration of their main complaint varied from 6 months to 3 years. Three to six abreaction interviews were conducted; the maximum dosage of Valium us...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1976.tb00080.x

    authors: Mikhail AR

    更新日期:1976-05-01 00:00:00

  • Predictors of the outcome of disability pension for alcohol abusers.

    abstract::A multi-variate multiple regression analysis was carried out to screen the crucial characteristics of alcohol abusers immediately prior to pension in order to indicate their subsequent trends. Stepwise multiple regression analyses were performed in the younger and older subgroups, as well as in 56 first-time pension a...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1983.tb00951.x

    authors: Hörnquist JO,Elton M,Ostlund R

    更新日期:1983-12-01 00:00:00

  • Comparison of participants and nonparticipants in a neuroendocrine investigation of psychosis.

    abstract::Of all neuroleptic-naive, acutely psychotic subjects admitted to hospital over a 2-year period (n = 62), 27 participated in a neuroendocrine study and 35 did not participate (51% refused consent, 19% were incapable of consent and 31% started neuroleptics immediately). However, all nonparticipants agreed to psychopatho...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1991.tb05558.x

    authors: Keks NA,Copolov DL,Mackie B,Stuart GW,Singh BS,McGorry PD,Coffey C

    更新日期:1991-05-01 00:00:00

  • An association between YKL-40 and type 2 diabetes in psychotic disorders.

    abstract:OBJECTIVE:This study examines if YKL-40 is increased in individuals with psychotic disorders and if elevated YKL-40 levels at baseline is associated with subsequent development of type 2 diabetes. METHOD:A total of 1383 patients with a diagnosis of schizophrenia or affective psychosis and 799 healthy controls were rec...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/acps.12971

    authors: Dieset I,Mørch RH,Hope S,Hoseth EZ,Reponen EJ,Gran JM,Aas M,Michelsen AE,Reichborn-Kjennerud T,Nesvåg R,Agartz I,Melle I,Aukrust P,Djurovic S,Ueland T,Andreassen OA

    更新日期:2019-01-01 00:00:00

  • Variation in the recall of socially rewarding information and depressive symptom severity: a prospective cohort study.

    abstract:OBJECTIVE:To test the association between recall for socially rewarding (positive) and/or socially critical (negative) information and depressive symptoms. METHOD:Cohort study of people who had visited UK primary care in the past year reporting depressive symptoms (N = 558, 69% female). Positive and negative recall wa...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/acps.12729

    authors: Lewis G,Kounali DZ,Button KS,Duffy L,Wiles NJ,Munafò MR,Harmer CJ,Lewis G

    更新日期:2017-05-01 00:00:00

  • Suicidal behaviour in major depressive illness.

    abstract::We investigated past suicidal behaviour and family history of suicide in 713 inpatients with major depressive illness. A familial history of suicide (mainly violent) significantly increased the frequency of violent suicidal behaviour in depressive women; bipolar patients being more affected than unipolars. In depresse...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1985.tb02600.x

    authors: Linkowski P,de Maertelaer V,Mendlewicz J

    更新日期:1985-09-01 00:00:00

  • First admission with puerperal psychosis: 7-14 years of follow-up.

    abstract::The aim of this study was to investigate women who had first-episode psychosis within 1 year after parturition. The Danish Psychiatric Central Register and the Danish Medical Birth Register were linked to identify all women admitted for the first time to a psychiatric department in Arhus County with a psychotic episod...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1995.tb09761.x

    authors: Videbech P,Gouliaev G

    更新日期:1995-03-01 00:00:00

  • The frequency of XYY and XXY men among criminal offenders.

    abstract::Among 1,040 consecutive male criminals remitted for mental examination nine had the karyotype 47,XYY, one 48,XXYY and eleven 47,XXY. The types of crime in the XYY men were much like those in the XXY men, the proportion of sexual crimes possibly being greater than among other criminal offenders. The reasons for these f...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1981.tb00674.x

    authors: Schröder J,de la Chapelle A,Hakola P,Virkkunen M

    更新日期:1981-03-01 00:00:00

  • Outcome of late-life depression after 3 years of sequential treatment.

    abstract:OBJECTIVE:To study the outcome of a sequential treatment protocol in elderly, severely depressed in-patients. METHOD:All 81 patients from a 12-week double-blind randomized controlled trial (RCT) comparing venlafaxine with nortriptyline were asked to participate in a 3 year follow-up study. Thirty-two patients who did ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1600-0447.2008.01295.x

    authors: Kok RM,Nolen WA,Heeren TJ

    更新日期:2009-04-01 00:00:00

  • Why people do not take their psychotropic drugs as prescribed: results of the 2000 National Psychiatric Morbidity Survey.

    abstract:OBJECTIVE:We examined the prevalence and determinants of the reasons given for non-adherence to psychiatric medication in a representative community survey. METHOD:We used data for all participants taking oral psychotropic medication (n = 634) from the 2000 British Survey of National Psychiatric Morbidity. RESULTS:Of...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.2006.00974.x

    authors: Cooper C,Bebbington P,King M,Brugha T,Meltzer H,Bhugra D,Jenkins R

    更新日期:2007-07-01 00:00:00

  • Distinct intrinsic network connectivity patterns of post-traumatic stress disorder symptom clusters.

    abstract:OBJECTIVE:Post-traumatic stress disorder (PTSD) is considered a multidimensional disorder, with distinct symptom clusters including re-experiencing, avoidance/numbing, hyperarousal, and most recently depersonalization/derealization. However, the extent of differing intrinsic network connectivity underlying these sympto...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/acps.12387

    authors: Tursich M,Ros T,Frewen PA,Kluetsch RC,Calhoun VD,Lanius RA

    更新日期:2015-07-01 00:00:00

  • Trends in prevalence of Alzheimer's disease and vascular dementia in a Japanese community: the Hisayama Study.

    abstract:OBJECTIVE:To examine secular trends in the prevalence of Alzheimer's disease (AD) and vascular dementia (VD) in a general Japanese population. METHOD:Four cross-sectional examinations were conducted among residents of a Japanese community aged >or=65 in 1985, 1992, 1998 and 2005. RESULTS:The age- and sex-adjusted pre...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.2010.01587.x

    authors: Sekita A,Ninomiya T,Tanizaki Y,Doi Y,Hata J,Yonemoto K,Arima H,Sasaki K,Iida M,Iwaki T,Kanba S,Kiyohara Y

    更新日期:2010-10-01 00:00:00

  • Clonidine-induced growth hormone secretion in chronic schizophrenia.

    abstract::Clonidine (0.15 mg intravenously), an alpha-adrenergic receptor agonist, was administered to 13 male chronic schizophrenics, who had been withdrawn from chronic neuroleptic therapy, and to 18 normal male controls. There was no significant difference in growth hormone (GH) response between the two groups. There was no ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1983.tb06985.x

    authors: Lal S,Nair NP,Thavundayil JX,Monks RC,Guyda H

    更新日期:1983-08-01 00:00:00