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
Hauptverfasser: AZUMA, HIDEKI, FUJITA, AKIKO, SATO, KIYOE, ARAHATA, KEIKO, OTSUKI, KAZUYUKI, HORI, MIKI, MOCHIDA, YOSHIHITO, UCHIDA, MEGUMI, YAMADA, TOMOKO, AKECHI, TATSUO, FURUKAWA, TOSHI A.
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container_end_page 173
container_issue 2
container_start_page 168
container_title Psychiatry and clinical neurosciences
container_volume 61
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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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Open Access Titles of Japan; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
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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