Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study

Pichai Ittasakul,1 Siraprapha Vora-arporn,1 Punjaporn Waleeprakhon,1 Phern-Chern Tor2 1Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Department of Mood and Anxiety, Institute of Mental Health, SingaporeCorrespondence: Pichai Ittasakul 27...

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Autores principales: Ittasakul P, Vora-arporn S, Waleeprakhon P, Tor PC
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:9432bac8a50e4b54a59a927c0d5ce7892021-12-02T11:34:59ZNumber of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study1178-2021https://doaj.org/article/9432bac8a50e4b54a59a927c0d5ce7892020-03-01T00:00:00Zhttps://www.dovepress.com/number-of-electroconvulsive-therapy-sessions-required-for-thai-psychia-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Pichai Ittasakul,1 Siraprapha Vora-arporn,1 Punjaporn Waleeprakhon,1 Phern-Chern Tor2 1Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Department of Mood and Anxiety, Institute of Mental Health, SingaporeCorrespondence: Pichai Ittasakul 270 Rama VI Road, Ratchathewi, Bangkok 10400, ThailandTel +662-2011478Fax +662-200-3277Email pichai.itt@mahidol.eduObjective: To study predictors of the number of electroconvulsive therapy (ECT) sessions required for symptom remission in psychiatric patients.Patients and Methods: We conducted chart reviews for 95 patients whose condition remitted following inpatient ECT. We analyzed the clinical characteristics of the patients and compared the number of ECT sessions between adult (age 18– 59 years) and elderly (age ≥ 60 years) patients.Results: The overall mean ± SD of the number of ECT sessions was 11.8 ± 4.7 (range: 6– 24). By diagnosis, it was 13.3 ± 5.5 for individuals with schizophrenia, 10.1 ± 2.7 for schizoaffective disorder, 14.4 ± 5.6 for bipolar depression, 9.4 ± 1.9 for bipolar mania, 10.9 ± 4.3 for major depressive disorder (MDD), and 11.8 ± 4.3 for those with other diagnoses. For MDD, the number of ECT sessions in elderly patients (13.4 ± 4.6) was statistically greater than that in adult patients (9 ± 2.9) (p = 0.008).Conclusion: The number of ECT sessions varied by age and diagnosis. The number of ECT sessions in elderly MDD patients was higher than that in adult MDD patients.Keywords: ECT, treatment, Thai patients, major depressive disorder, elderlyIttasakul PVora-arporn SWaleeprakhon PTor PCDove Medical Pressarticleecttreatmentthai patientsmajor depressive disorderelderlyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 673-679 (2020)
institution DOAJ
collection DOAJ
language EN
topic ect
treatment
thai patients
major depressive disorder
elderly
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle ect
treatment
thai patients
major depressive disorder
elderly
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Ittasakul P
Vora-arporn S
Waleeprakhon P
Tor PC
Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study
description Pichai Ittasakul,1 Siraprapha Vora-arporn,1 Punjaporn Waleeprakhon,1 Phern-Chern Tor2 1Department of Psychiatry, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; 2Department of Mood and Anxiety, Institute of Mental Health, SingaporeCorrespondence: Pichai Ittasakul 270 Rama VI Road, Ratchathewi, Bangkok 10400, ThailandTel +662-2011478Fax +662-200-3277Email pichai.itt@mahidol.eduObjective: To study predictors of the number of electroconvulsive therapy (ECT) sessions required for symptom remission in psychiatric patients.Patients and Methods: We conducted chart reviews for 95 patients whose condition remitted following inpatient ECT. We analyzed the clinical characteristics of the patients and compared the number of ECT sessions between adult (age 18– 59 years) and elderly (age ≥ 60 years) patients.Results: The overall mean ± SD of the number of ECT sessions was 11.8 ± 4.7 (range: 6– 24). By diagnosis, it was 13.3 ± 5.5 for individuals with schizophrenia, 10.1 ± 2.7 for schizoaffective disorder, 14.4 ± 5.6 for bipolar depression, 9.4 ± 1.9 for bipolar mania, 10.9 ± 4.3 for major depressive disorder (MDD), and 11.8 ± 4.3 for those with other diagnoses. For MDD, the number of ECT sessions in elderly patients (13.4 ± 4.6) was statistically greater than that in adult patients (9 ± 2.9) (p = 0.008).Conclusion: The number of ECT sessions varied by age and diagnosis. The number of ECT sessions in elderly MDD patients was higher than that in adult MDD patients.Keywords: ECT, treatment, Thai patients, major depressive disorder, elderly
format article
author Ittasakul P
Vora-arporn S
Waleeprakhon P
Tor PC
author_facet Ittasakul P
Vora-arporn S
Waleeprakhon P
Tor PC
author_sort Ittasakul P
title Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study
title_short Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study
title_full Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study
title_fullStr Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study
title_full_unstemmed Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study
title_sort number of electroconvulsive therapy sessions required for thai psychiatric patients: a retrospective study
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/9432bac8a50e4b54a59a927c0d5ce789
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