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Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence

AIMS AND METHOD: This paper aims to review the recent literature regarding factors influencing the frequency and number of sessions during a course of electroconvulsive therapy (ECT) for different psychiatric disorders. We systematically reviewed English-language papers of clinical trials of ECT pub...

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Autores principales: Thirthalli, Jagadisha, Naik, Shalini S., Kunigiri, Girish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320735/
https://www.ncbi.nlm.nih.gov/pubmed/32612324
http://dx.doi.org/10.4103/IJPSYM.IJPSYM_410_19
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author Thirthalli, Jagadisha
Naik, Shalini S.
Kunigiri, Girish
author_facet Thirthalli, Jagadisha
Naik, Shalini S.
Kunigiri, Girish
author_sort Thirthalli, Jagadisha
collection PubMed
description AIMS AND METHOD: This paper aims to review the recent literature regarding factors influencing the frequency and number of sessions during a course of electroconvulsive therapy (ECT) for different psychiatric disorders. We systematically reviewed English-language papers of clinical trials of ECT published since the year 2000 in terms of frequency and number of sessions of ECT. RESULTS: None of the 30 studies meeting our inclusion criteria were specifically designed to study frequency or number of sessions of ECT. A preliminary inference may be drawn regarding the number of sessions from the information available in these papers. For depression, patients receiving brief-pulse ECT needed fewer sessions than those receiving ultra-brief ECT when these were delivered at 8-times the threshold with unilateral electrode placement or at 2.5-times the threshold with bilateral placement. For schizophrenia, those receiving bifrontal ECT and ECT at 4-times the threshold-level stimulus needed fewer sessions than those receiving bitemporal ECT and 2-times the threshold-level stimulus, respectively. There were no clinical trials of the frequency of ECT sessions. CLINICAL IMPLICATIONS: As there is a dearth of studies specifically examining frequency and number of ECT sessions, broad recommendations from professional bodies should continue to guide practice.
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spelling pubmed-73207352020-06-30 Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence Thirthalli, Jagadisha Naik, Shalini S. Kunigiri, Girish Indian J Psychol Med Review Article AIMS AND METHOD: This paper aims to review the recent literature regarding factors influencing the frequency and number of sessions during a course of electroconvulsive therapy (ECT) for different psychiatric disorders. We systematically reviewed English-language papers of clinical trials of ECT published since the year 2000 in terms of frequency and number of sessions of ECT. RESULTS: None of the 30 studies meeting our inclusion criteria were specifically designed to study frequency or number of sessions of ECT. A preliminary inference may be drawn regarding the number of sessions from the information available in these papers. For depression, patients receiving brief-pulse ECT needed fewer sessions than those receiving ultra-brief ECT when these were delivered at 8-times the threshold with unilateral electrode placement or at 2.5-times the threshold with bilateral placement. For schizophrenia, those receiving bifrontal ECT and ECT at 4-times the threshold-level stimulus needed fewer sessions than those receiving bitemporal ECT and 2-times the threshold-level stimulus, respectively. There were no clinical trials of the frequency of ECT sessions. CLINICAL IMPLICATIONS: As there is a dearth of studies specifically examining frequency and number of ECT sessions, broad recommendations from professional bodies should continue to guide practice. Wolters Kluwer - Medknow 2020-04-25 /pmc/articles/PMC7320735/ /pubmed/32612324 http://dx.doi.org/10.4103/IJPSYM.IJPSYM_410_19 Text en Copyright: © 2020 Indian Psychiatric Society - South Zonal Branch http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Thirthalli, Jagadisha
Naik, Shalini S.
Kunigiri, Girish
Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence
title Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence
title_full Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence
title_fullStr Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence
title_full_unstemmed Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence
title_short Frequency and Duration of Course of ECT Sessions: An Appraisal of Recent Evidence
title_sort frequency and duration of course of ect sessions: an appraisal of recent evidence
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7320735/
https://www.ncbi.nlm.nih.gov/pubmed/32612324
http://dx.doi.org/10.4103/IJPSYM.IJPSYM_410_19
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