ABSTRACT
OBJECTIVE: Electroconvulsive therapy (ECT) is used to treat several mental illnesses. Seizure duration is used to determine if the administered stimulus was adequate. Duration is estimated by electroencephalogram (EEG) interpretation and/or observed motor response (OMR). Neither method is considered the gold standard. This study investigated the relationship between the 2 methods. The hypothesis was that both EEG and OMR would be significantly positively correlated. Previous researchers have suggested that the 2 methods resulted in different estimates. METHODS: A case series was conducted using recorded estimates obtained prospectively from 102 ECTs on adult psychiatric inpatients. RESULTS: A strong positive association was not observed in this study, correlation coefficient 0.510 (p < 0.001). CONCLUSIONS: This study suggests that the 2 methods differ, and further research is needed to determine the best indicator of adequate treatment.
Subject(s)
Electroconvulsive Therapy , Mental Disorders , Adult , Humans , Seizures/therapy , Mental Disorders/therapy , ElectroencephalographyABSTRACT
This position paper has been substantially revised by the Canadian Psychiatric Association's Research Committee and approved for republication by the CPA's Board of Directors on March 31, 2017. The original position paper1 was developed by the Scientific and Research Council and approved by the Board of Directors on October 4, 1996.
Subject(s)
Clinical Trials as Topic/ethics , Mental Disorders/drug therapy , Placebos , Psychiatry/ethics , Psychotropic Drugs , Research Design , Societies, Medical/ethics , Canada , HumansABSTRACT
OBJECTIVES: To examine the impact of restructuring a child and adolescent psychiatry inpatient unit on reportable incidents (including verbal or physical aggression), seclusion, security, constant observation, sick leave and lengths of stay. METHODS: Data was collected regarding a seven-bed child and adolescent psychiatric unit between 2008 and 2010, comparing data from 2008 and 2009 (before) to 2010 (after). RESULTS: Occurrences, sick leave, security, seclusion and constant observation all decreased in 2010 compared to 2008 and 2009, although only the decrease in constant observation was statistically significant. Length of stay was not affected. CONCLUSIONS: A broad representation of multidisciplinary team members, increased consistency and improved communication may be associated with reductions in reportable incidents, seclusion, security and constant observation.
OBJECTIFS: Examiner l'effet de la restructuration d'une unité d'hospitalisation pédopsychiatrique sur les incidents devant être signalés (y compris l'agression verbale ou physique), l'isolement, la sécurité, l'observation constante, les congés de maladie, et les durées de séjour. MÉTHODES: Les données ont été recueillies pour une unité psychiatrique de sept lits pour enfants et adolescents entre 2008 et 2010, et comparées avec les données de 2008 et de 2009 (avant) à 2010 (après). RÉSULTATS: Les incidents, les congés de maladie, la sécurité, l'isolement et l'observation constante ont tous diminué en 2010 comparativement à 2008 et 2009, bien que seulement la diminution de l'observation constante soit statistiquement significative. La durée de séjour n'a pas été touchée. CONCLUSIONS: Une large représentation des membres de l'équipe multidisciplinaires, une cohérence accrue et une meilleure communication peuvent être associées à des réductions des incidents devant être signalés, de l'isolement, de la sécurité et de l'observation constante.
