Electroconvulsive therapy in treatment-resistant mania: case reports
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
; 57(1): 31-38, Jan.-Feb. 2002. tab, graf
Article
in English
| LILACS
| ID: lil-311303
Responsible library:
BR1.1
ABSTRACT
Electroconvulsive therapy is known to be effective in the treatment of mood disorders, more specifically for depression and mania. Although a large body of evidence confirms the efficacy of electroconvulsive therapy in the treatment of mania, few prospective studies have been done to assess its effectiveness in treatment-resistant manic episodes. These case reports describe the initial results of a study that is being conducted to evaluate the efficacy of Electroconvulsive therapy among treatment-resistant bipolar patients. METHODS:
Three manic patients (according to DSM-IV criteria) who were considered treatment-resistant underwent a series of 12 bilateral Electroconvulsive therapy sessions. Before the treatment and then weekly, they were evaluated with the following rating scales Young Mania Rating Scale, Hamilton Rating Scale for Depression, Brief Psychiatric Rating Scale, and Clinical Global Impressions-Bipolar Version.RESULTS:
The 3 patients showed a satisfactory response to Electroconvulsive therapy, although some differences in the course of response were observed.CONCLUSION:
These case reports suggest that Electroconvulsive therapy needs further evaluation for the treatment of resistant bipolar patients
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Bipolar Disorder
/
Electroconvulsive Therapy
Type of study:
Observational study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Journal subject:
Medicine
Year:
2002
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of Säo Paulo/BR