Electroconvulsive therapy vs. paroxetine in treatment-resistant depression -- a randomized study.

Abstract:

:Failure to respond to adequate pharmacological treatment for major depression is now the most common indication for the use of electroconvulsive therapy (ECT). The advantages of ECT with respect to both speed and quality of response are clinically important issues, but surprisingly few studies have examined the efficacy of ECT in relation to newer antidepressant agents such as selective serotonin reuptake inhibitors (SSRIs). A total of 39 subjects with major depression and with at least two failed antidepressant trials (mean 4.9 trials) were randomized to either paroxetine treatment (n=18) or right unilateral (RUL) ECT (n=21). Up to the end of the study treatment we found a reduction in the HAMD score of 59% for the ECT group and of 29% for the paroxetine group (P<0.001 paired t-test). In the ECT group, 71% of subjects fulfilled the response criteria (at least a 50% decrease in total HAMD score). The present study found ECT to be superior to paroxetine in medication-resistant major depression, in terms of both degree and speed of response.

journal_name

Acta Psychiatr Scand

authors

Folkerts HW,Michael N,Tölle R,Schonauer K,Mücke S,Schulze-Mönking H

doi

10.1111/j.1600-0447.1997.tb09926.x

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

334-42

issue

5

eissn

0001-690X

issn

1600-0447

journal_volume

96

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1987.tb02908.x

    authors: Makanjuola JD,Oyerogba KO

    更新日期:1987-11-01 00:00:00

  • A polydiagnostic scale for dimensional classification of endogenous depression. Derivation and validation.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1986.tb10599.x

    authors: Maier W,Philipp M

    更新日期:1986-08-01 00:00:00

  • Season of birth of schizophrenics in Mississippi, USA.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1992.tb03274.x

    authors: Rodrigo G,Lusiardo M,Briggs G,Ulmer A

    更新日期:1992-11-01 00:00:00

  • A combined analysis of double-blind studies with risperidone vs. placebo and other antipsychotic agents: factors associated with extrapyramidal symptoms.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1600-0447.1999.tb00972.x

    authors: Lemmens P,Brecher M,Van Baelen B

    更新日期:1999-03-01 00:00:00

  • Predictors of psychological distress in survivors of the 1999 earthquakes in Turkey: effects of relocation after the disaster.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.2006.00786.x

    authors: Kiliç C,Aydin I,Taşkintuna N,Ozçürümez G,Kurt G,Eren E,Lale T,Ozel S,Zileli L

    更新日期:2006-09-01 00:00:00

  • Predisposition for mental syndromes: A study comparing predisposition for depression, neurasthenia and anxiety state.

    abstract::A hypothesis of selective predisposition for drepression, neurasthenic syndrome and anxiety states has been tested in a prospective study. The primary material for the investigation consisted of 4,000 city inhabitants who had registered a private car. Almost all of these could be invited to a group investigation by qu...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1975.tb00214.x

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    更新日期:1975-02-01 00:00:00

  • Symptoms and social adjustment of schizophrenic patients as evaluated by family members.

    abstract::The purpose of this study is to reveal the relationship between family expressed emotion (EE) and family evaluation for symptoms and social adjustment of schizophrenic patients. Chronic schizophrenic outpatients in offshore islands under stationary therapeutic conditions were studied. For evaluation, the Five Minute S...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1994.tb01496.x

    authors: Otsuka T,Nakane Y,Ohta Y

    更新日期:1994-02-01 00:00:00

  • Polypharmacy among psychiatric patients.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1600-0447.1977.tb06676.x

    authors: Hemminki E

    更新日期:1977-11-01 00:00:00

  • Release of corticotropin after administration of corticotropin-releasing hormone in depressed patients in relation to the dexamethasone suppression test.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1993.tb03344.x

    authors: Thalén BE,Kjellman BF,Ljunggren JG,Akner G,Kågedal B,Wahlund B,Wetterberg L

    更新日期:1993-02-01 00:00:00

  • The automated assessment of the effect of flurazepam and nitrazepam on mood state.

    abstract::Some further results on the effects of the two hypnotic drugs, nitrazepam and flurazepam monohydrochloride, on mood state are described. An automated assessment and scoring system, Computer Assisted Psychometric System (C.A.P.S.), was used to assess mood state and showed that both hypnotics had a mild euphoriant effec...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1600-0447.1975.tb00005.x

    authors: Sambrooks JE,MacCulloch MJ,Rooney JF

    更新日期:1975-03-01 00:00:00

  • Development of neuropsychiatric symptoms in poststroke patients: a cross-sectional study.

    abstract:OBJECTIVE:The study aimed to characterize neuropsychiatric symptomatology and its evolution in a large group of poststroke patients during their first year. METHOD:The Neuropsychiatric Inventory (NPI) was administered to a sample of 124 poststroke patients, divided into three independent groups on the basis of time fr...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1600-0447.2004.00297.x

    authors: Angelelli P,Paolucci S,Bivona U,Piccardi L,Ciurli P,Cantagallo A,Antonucci G,Fasotti L,Di Santantonio A,Grasso MG,Pizzamiglio L

    更新日期:2004-07-01 00:00:00

  • Electroconvulsive therapy: a comparison of seizure duration as monitored with electroencephalograph and electromyograph.

    abstract::EEG and EMG were monitored simultaneously at 72 ECT sessions in 18 patients. When EMG was recorded from the leg the duration of EMG curve convulsions varied between 43 and 89% of the EEG recorded seizure duration of the same fit. The EMG/EEG seizure ratio varied widely among different patients as well as within the si...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1981.tb00775.x

    authors: Sørensen P,Bolwig TG,Lauritsen B,Bengtson O

    更新日期:1981-09-01 00:00:00

  • The level of illicit drug use is related to symptoms and premorbid functioning in severe mental illness.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.2008.01244.x

    authors: Ringen PA,Melle I,Birkenaes AB,Engh JA,Faerden A,Vaskinn A,Friis S,Opjordsmoen S,Andreassen OA

    更新日期:2008-10-01 00:00:00

  • Pre-infusion heart rates and laboratory-induced panic anxiety.

    abstract::Resting and pre-infusion heart rates recorded in 66 panic disorder patients revealed no significant differences between panickers and nonpanickers. There was also no significant difference in pre-fusion heart rates between either lactate or isoproterenol panickers and placebo nonpanickers. There was neither a sensitiz...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1600-0447.1987.tb02750.x

    authors: Yeragani VK,Pohl R,Rainey JM,Balon R,Ortiz A,Lycaki H,Gershon S

    更新日期:1987-01-01 00:00:00

  • Effects of child-rearing by schizophrenic mothers: a 25-year follow-up.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1997.tb09936.x

    authors: Higgins J,Gore R,Gutkind D,Mednick SA,Parnas J,Schulsinger F,Cannon TD

    更新日期:1997-11-01 00:00:00

  • Suicidal ideation and parasuicide in the Finnish general population.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1998.tb10037.x

    authors: Hintikka J,Viinamäki H,Tanskanen A,Kontula O,Koskela K

    更新日期:1998-07-01 00:00:00

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1975.tb00020.x

    authors: Theilgaard A,Philip J

    更新日期:1975-07-01 00:00:00

  • The role of psychiatric factors in symptoms of hiatus hernia or gastric reflux.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1986.tb10590.x

    authors: Nielzén S,Pettersson KI,Regnéll G,Svensson R

    更新日期:1986-02-01 00:00:00

  • The distinction of bipolar II disorder from bipolar I and recurrent unipolar depression: results of a controlled family study.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1993.tb03372.x

    authors: Heun R,Maier W

    更新日期:1993-04-01 00:00:00

  • Attachment security and parental bonding in adults with obsessive-compulsive disorder: a comparison with depressed out-patients and healthy controls.

    abstract:OBJECTIVE:This study examines concurrent associations of attachment security, psychopathology and recollections of early parental interactions, in adults with obsessive-compulsive disorder (OCD), depression, and in healthy controls. METHOD:Thirty-six out-patients with OCD, 16 depressed out-patients and 26 controls wer...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0047.2004.00271.x

    authors: Myhr G,Sookman D,Pinard G

    更新日期:2004-06-01 00:00:00

  • Persistent social dysfunction in anxious and depressed patients with personality disorder.

    abstract:OBJECTIVE:To determine the long-term social function of psychiatric patients with anxiety and depressive disorders and to relate this to personality status and other factors. METHOD:A cohort of 210 patients (mean age 35 years) with dysthymic disorder, generalized anxiety disorder or panic disorder diagnosed using a st...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1046/j.1600-0447.2003.00241.x

    authors: Seivewright H,Tyrer P,Johnson T

    更新日期:2004-02-01 00:00:00

  • Reactions of survivors of suicide victims to interviews.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1991.tb05518.x

    authors: Runeson B,Beskow J

    更新日期:1991-03-01 00:00:00

  • 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

  • Anxiety and depression in the Republic of Ireland during the COVID-19 pandemic.

    abstract:BACKGROUND:The COVID-19 pandemic in Ireland resulted in a nationwide quarantine on March 27, 2020. This study represents the first assessment of rates of anxiety and depression in the general population of Ireland during the pandemic. AIMS:Our first aim was to estimate the probable prevalence rates of generalized anxi...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/acps.13219

    authors: Hyland P,Shevlin M,McBride O,Murphy J,Karatzias T,Bentall RP,Martinez A,Vallières F

    更新日期:2020-09-01 00:00:00

  • The Swedish version of the Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Construct validity and interrater reliability.

    abstract::The Positive and Negative Syndrome Scale (PANSS) has been translated into Swedish and tested in 88 chronic schizophrenic patients. All 4 subscales exhibited a roughly normal distribution. The overall alpha for the positive, negative and general psychopathology subscales were 0.81, 0.58 and 0.63, respectively. The corr...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1600-0447.1992.tb03298.x

    authors: von Knorring L,Lindström E

    更新日期:1992-12-01 00:00:00

  • Suicide attempts and impulse control disorder are related to low cerebrospinal fluid 5-HIAA in mentally disordered violent offenders.

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    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1600-0447.2000.101005395.x

    authors: Lidberg L,Belfrage H,Bertilsson L,Evenden MM,Asberg M

    更新日期:2000-05-01 00:00:00

  • Increased right amygdala volume in lithium-treated patients with bipolar I disorder.

    abstract:OBJECTIVE:The amygdala plays a major role in processing emotional stimuli. Fourteen studies using structural magnetic resonance imaging (MRI) have examined the amygdala volume in paediatric and adult patients with bipolar disorder (BD) compared with healthy controls (HC) and reported inconsistent findings. Lithium has ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.2009.01428.x

    authors: Usher J,Menzel P,Schneider-Axmann T,Kemmer C,Reith W,Falkai P,Gruber O,Scherk H

    更新日期:2010-02-01 00:00:00

  • Psychotic features and the course of Alzheimer's disease: relationship to cognitive, electroencephalographic and computerized tomography findings.

    abstract::Thirty-one of 50 patients satisfying the NINCDS-ADRDA criteria of probable or possible Alzheimer's disease showed psychotic features during a 2-year observation period. Paranoid delusions were reported in 23 patients, delusional misidentification in 17, visual hallucinations in 16 and auditory hallucinations in 8. All...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1993.tb03394.x

    authors: Förstl H,Besthorn C,Geiger-Kabisch C,Sattel H,Schreiter-Gasser U

    更新日期:1993-06-01 00:00:00

  • Pain in non-psychotic psychiatric patients: life events, symptomatology and personality traits.

    abstract::Occurrence of pain was investigated in 73 non-psychotic psychiatric inpatients; 75% had been bothered by pain within the last 3 months and about half of these had pain every day. Pain was most frequent in patients with neurosis and personality disorder. The occurrence of pain was significantly associated with unskille...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1988.tb06324.x

    authors: Jensen J

    更新日期:1988-08-01 00:00:00

  • Psychopathological pattern of depression in affective disorders. A cluster analysis.

    abstract::The psychopathological pattern of depression was assessed by means of the Puzyński Inventory Scale for Depression (ISD) in 79 patients with bipolar affective disorders, 45 with unipolar and 42 with undifferentiated type of affective disorders. Four groups of patients showing different psychopathological patterns were ...

    journal_title:Acta psychiatrica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0447.1986.tb10579.x

    authors: Parnowski T

    更新日期:1986-02-01 00:00:00