Postictal suppression correlates with therapeutic efficacy for depression in bilateral sine and pulse wave electroconvulsive therapy
Ictal electroencephalography (EEG) parameters in electroconvulsive therapy (ECT) for depression reportedly correlate with therapeutic response and stimulus dosage, particularly in right unilateral (RUL) ECT. The authors examined ictal EEG parameters as predictors of therapeutic effectiveness in bila...
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Veröffentlicht in: | Psychiatry and clinical neurosciences 2007-04, Vol.61 (2), p.168-173 |
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creator | AZUMA, HIDEKI FUJITA, AKIKO SATO, KIYOE ARAHATA, KEIKO OTSUKI, KAZUYUKI HORI, MIKI MOCHIDA, YOSHIHITO UCHIDA, MEGUMI YAMADA, TOMOKO AKECHI, TATSUO FURUKAWA, TOSHI A. |
description | Ictal electroencephalography (EEG) parameters in electroconvulsive therapy (ECT) for depression reportedly correlate with therapeutic response and stimulus dosage, particularly in right unilateral (RUL) ECT. The authors examined ictal EEG parameters as predictors of therapeutic effectiveness in bilateral (BL) sine and pulse wave ECT. A total of 30 consecutive depressed inpatients who had not responded to standard pharmacotherapy were treated using BL ECT given in either sine or pulse wave mode. Ictal EEG parameters (e.g. regularity, postictal suppression) were manually rated by three trained psychiatrists. Polyspike phase duration was significantly longer in sine wave ECT than in pulse wave ECT. Postictal suppression emerged as the only significant predictor of therapeutic outcome when baseline Hamilton Rating Scale for Depression and mode of stimulation were controlled for. Postictal suppression appears to offer a useful predictor of clinical outcome of depression in BL ECT. No EEG parameters were found to be differentially predictive between sine and pulse wave ECT. |
doi_str_mv | 10.1111/j.1440-1819.2007.01632.x |
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The authors examined ictal EEG parameters as predictors of therapeutic effectiveness in bilateral (BL) sine and pulse wave ECT. A total of 30 consecutive depressed inpatients who had not responded to standard pharmacotherapy were treated using BL ECT given in either sine or pulse wave mode. Ictal EEG parameters (e.g. regularity, postictal suppression) were manually rated by three trained psychiatrists. Polyspike phase duration was significantly longer in sine wave ECT than in pulse wave ECT. Postictal suppression emerged as the only significant predictor of therapeutic outcome when baseline Hamilton Rating Scale for Depression and mode of stimulation were controlled for. Postictal suppression appears to offer a useful predictor of clinical outcome of depression in BL ECT. 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The authors examined ictal EEG parameters as predictors of therapeutic effectiveness in bilateral (BL) sine and pulse wave ECT. A total of 30 consecutive depressed inpatients who had not responded to standard pharmacotherapy were treated using BL ECT given in either sine or pulse wave mode. Ictal EEG parameters (e.g. regularity, postictal suppression) were manually rated by three trained psychiatrists. Polyspike phase duration was significantly longer in sine wave ECT than in pulse wave ECT. Postictal suppression emerged as the only significant predictor of therapeutic outcome when baseline Hamilton Rating Scale for Depression and mode of stimulation were controlled for. Postictal suppression appears to offer a useful predictor of clinical outcome of depression in BL ECT. No EEG parameters were found to be differentially predictive between sine and pulse wave ECT.</description><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>depressive disorder</subject><subject>Depressive Disorder - physiopathology</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Electroconvulsive Therapy</subject><subject>Electroencephalography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>postictal suppression</subject><subject>Predictive Value of Tests</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Seizures - physiopathology</subject><subject>Treatments</subject><issn>1323-1316</issn><issn>1440-1819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9v3CAQxa2qVZOm_QoVl_a2Lngw4EMP1Sr9I0VtDu0ZYRgUVl7jgp3N3vvBi7ur5FoujIbfe8CbqiKM1qysD7uacU43TLGubiiVNWUCmvrhWXX5ePC81NDAhgETF9WrnHeUUgDBXlYXTIJoOPDL6s9tzHOwsxlIXqYpYc4hjsTGlHAwM2ZyCPMdme8wmQmXghL0Plhjj8THRBw-asJI-rBq0moWRiRmdGRahozkYO6R4IB2TtHG8b40Q-mcbI-vqxfeFOzNeb-qfn2-_rn9urn58eXb9tPNxnLJmvIrJZVkqpeeuwakp7LvmHMNMrDQdi1QVRgOvpNdK8C5HtB3XPRCACoHV9X7k--U4u8F86z3IVscBjNiXLKWtFEta1kB1Qm0Keac0Osphb1JR82oXiegd3oNWq9B63UC-t8E9EORvj3fsfR7dE_Cc-QFeHcGTLZm8MmMNuQnTgkqKW8L9_HEHcKAx_9-gL7dfl8r-AsxgqQf</recordid><startdate>200704</startdate><enddate>200704</enddate><creator>AZUMA, HIDEKI</creator><creator>FUJITA, AKIKO</creator><creator>SATO, KIYOE</creator><creator>ARAHATA, KEIKO</creator><creator>OTSUKI, KAZUYUKI</creator><creator>HORI, MIKI</creator><creator>MOCHIDA, YOSHIHITO</creator><creator>UCHIDA, MEGUMI</creator><creator>YAMADA, TOMOKO</creator><creator>AKECHI, TATSUO</creator><creator>FURUKAWA, TOSHI A.</creator><general>Blackwell Publishing Asia</general><general>Blackwell Publishing</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200704</creationdate><title>Postictal suppression correlates with therapeutic efficacy for depression in bilateral sine and pulse wave electroconvulsive therapy</title><author>AZUMA, HIDEKI ; FUJITA, AKIKO ; SATO, KIYOE ; ARAHATA, KEIKO ; OTSUKI, KAZUYUKI ; HORI, MIKI ; MOCHIDA, YOSHIHITO ; UCHIDA, MEGUMI ; YAMADA, TOMOKO ; AKECHI, TATSUO ; FURUKAWA, TOSHI A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4712-18878718b7f4d237f07b91dd2e13c359530818843f979563ddb3ef946b663e8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>depressive disorder</topic><topic>Depressive Disorder - physiopathology</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive Disorder - therapy</topic><topic>Electroconvulsive Therapy</topic><topic>Electroencephalography</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>postictal suppression</topic><topic>Predictive Value of Tests</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. 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Psychiatry</topic><topic>Regression Analysis</topic><topic>Seizures - physiopathology</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AZUMA, HIDEKI</creatorcontrib><creatorcontrib>FUJITA, AKIKO</creatorcontrib><creatorcontrib>SATO, KIYOE</creatorcontrib><creatorcontrib>ARAHATA, KEIKO</creatorcontrib><creatorcontrib>OTSUKI, KAZUYUKI</creatorcontrib><creatorcontrib>HORI, MIKI</creatorcontrib><creatorcontrib>MOCHIDA, YOSHIHITO</creatorcontrib><creatorcontrib>UCHIDA, MEGUMI</creatorcontrib><creatorcontrib>YAMADA, TOMOKO</creatorcontrib><creatorcontrib>AKECHI, TATSUO</creatorcontrib><creatorcontrib>FURUKAWA, TOSHI A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatry and clinical neurosciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AZUMA, HIDEKI</au><au>FUJITA, AKIKO</au><au>SATO, KIYOE</au><au>ARAHATA, KEIKO</au><au>OTSUKI, KAZUYUKI</au><au>HORI, MIKI</au><au>MOCHIDA, YOSHIHITO</au><au>UCHIDA, MEGUMI</au><au>YAMADA, TOMOKO</au><au>AKECHI, TATSUO</au><au>FURUKAWA, TOSHI A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postictal suppression correlates with therapeutic efficacy for depression in bilateral sine and pulse wave electroconvulsive therapy</atitle><jtitle>Psychiatry and clinical neurosciences</jtitle><addtitle>Psychiatry Clin Neurosci</addtitle><date>2007-04</date><risdate>2007</risdate><volume>61</volume><issue>2</issue><spage>168</spage><epage>173</epage><pages>168-173</pages><issn>1323-1316</issn><eissn>1440-1819</eissn><abstract>Ictal electroencephalography (EEG) parameters in electroconvulsive therapy (ECT) for depression reportedly correlate with therapeutic response and stimulus dosage, particularly in right unilateral (RUL) ECT. The authors examined ictal EEG parameters as predictors of therapeutic effectiveness in bilateral (BL) sine and pulse wave ECT. A total of 30 consecutive depressed inpatients who had not responded to standard pharmacotherapy were treated using BL ECT given in either sine or pulse wave mode. Ictal EEG parameters (e.g. regularity, postictal suppression) were manually rated by three trained psychiatrists. Polyspike phase duration was significantly longer in sine wave ECT than in pulse wave ECT. Postictal suppression emerged as the only significant predictor of therapeutic outcome when baseline Hamilton Rating Scale for Depression and mode of stimulation were controlled for. Postictal suppression appears to offer a useful predictor of clinical outcome of depression in BL ECT. No EEG parameters were found to be differentially predictive between sine and pulse wave ECT.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>17362434</pmid><doi>10.1111/j.1440-1819.2007.01632.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult and adolescent clinical studies Biological and medical sciences Depression depressive disorder Depressive Disorder - physiopathology Depressive Disorder - psychology Depressive Disorder - therapy Electroconvulsive Therapy Electroencephalography Female Humans Male Medical sciences Middle Aged Mood disorders postictal suppression Predictive Value of Tests Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Seizures - physiopathology Treatments |
title | Postictal suppression correlates with therapeutic efficacy for depression in bilateral sine and pulse wave electroconvulsive therapy |
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