COMPARISON OF THE EFFICACY OF TITRATED, MODERATE-DOSE AND FIXED, HIGH-DOSE RIGHT UNILATERAL ECT IN ELDERLY PATIENTS

被引:26
|
作者
MCCALL, WV
FARAH, BA
REBOUSSIN, D
COLENDA, CC
机构
[1] WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PSYCHIAT & BEHAV MED,WINSTON SALEM,NC 27157
[2] WAKE FOREST UNIV,BOWMAN GRAY SCH MED,DEPT PUBL HLTH SCI,WINSTON SALEM,NC 27157
来源
关键词
D O I
10.1097/00019442-199503040-00006
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The authors compared the efficacy of titrated, moderate-dose and fixed, high-dose strategies for right unilateral (RUL) electroconvulsive therapy (ECT) in a group of elderly patients. Nineteen depressed patients (mean age 76 years) were randomized to receive either fixed, high-dose RUL ECT (n = 10) or titrated, moderate-dose RUL ECT (n = 9). Blind Hamilton Rating Scale for Depression ratings were made before and after each treatment. Patients on the fixed, high-dose regimen responded faster and received fewer treatments (mean = 5.7) than the titrated, moderate-dose group (mean = 8.0). The fixed, high-dose group received greater cumulative stimulus charge but less cumulative EEG seizure time. Final depression ratings and memory self-ratings were similar for the two groups.
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页码:317 / 324
页数:8
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