PMID- 23312880
OWN - NLM
STAT- MEDLINE
DCOM- 20140625
LR  - 20141120
IS  - 0013-7006 (Print)
IS  - 0013-7006 (Linking)
VI  - 39
IP  - 5
DP  - 2013 Oct
TI  - [The interest of maintenance electroconvulsive therapy in mood disorders].
PG  - 367-73
LID - S0013-7006(12)00104-2 [pii]
LID - 10.1016/j.encep.2012.06.010 [doi]
AB  - Maintenance electroconvulsive therapy (M-ECT) is a treatment indicated for the 
      treatment and prevention of recurrent depression in patients who either do not 
      respond or do not tolerate psychotropic medication. We evaluated, 
      retrospectively, clinical response to a 6-month minimum course of M-ECT in 25 
      patients with a diagnosis of bipolar disorder or schizoaffective disorder 
      according to DSM IV-TR criterion. Our study demonstrated a significant 
      improvement of Global Assessment of functioning (GAF) scores after a six month 
      minimum course of M-ECT (34.8 +/- 12.6 vs 65.6 +/- 10.8; P<0.05) as well as Brief 
      Psychiatric Rating Scale scores (BPRS): 79.3 +/- 12.4 vs 43.4 +/- 10.2; P<0.05). We 
      observed a slight increase of Mini Mental State Examination (MMSE) scores after 
      M-ECT; nonetheless, it was not statistically significant (24.2 +/- 2.4 vs 26.2 +/- 
      2.4; P=0.2). Regarding the mean duration of hospitalizations, we showed a 
      statistically significant decrease in the median number of days of 
      hospitalization (72 [59-93.50] days before M-ECT vs 43 [25-76] days since the 
      first M-ECT; P=0.017). Maintenance ECT allowed a significant improvement in 
      psychiatric symptoms and global functioning of the patients included in this 
      study, as well as a decrease in the number of days of hospitalization. However, 
      our pattern is limited because of its small size; so, further prospective studies 
      in this field, including larger population is highly recommended.
CI  - Copyright (c) 2013 L'Encephale, Paris. Published by Elsevier Masson SAS. All rights 
      reserved.
FAU - Zaki, H
AU  - Zaki H
AD  - Service hospitalo-universitaire de sante mentale et de therapeutique, faculte de 
      medecine Paris-Descartes, universite Paris-Descartes, centre hospitalier 
      Sainte-Anne, 7, rue Cabanis, 75674 Paris cedex 14, France.
FAU - Sentissi, O
AU  - Sentissi O
FAU - Olie, J-P
AU  - Olie JP
FAU - Loo, H
AU  - Loo H
FAU - Mouaffak, F
AU  - Mouaffak F
FAU - Gaillard, R
AU  - Gaillard R
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Interet de l'electroconvulsivotherapie de maintenance dans les troubles de 
      l'humeur.
DEP - 20130111
PL  - France
TA  - Encephale
JT  - L'Encephale
JID - 7505643
RN  - 0 (Psychotropic Drugs)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Bipolar Disorder/diagnosis/psychology/*therapy
MH  - Combined Modality Therapy
MH  - Comorbidity
MH  - Depressive Disorder, Treatment-Resistant/diagnosis/psychology/*therapy
MH  - *Electroconvulsive Therapy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Long-Term Care
MH  - Male
MH  - Middle Aged
MH  - Psychiatric Status Rating Scales
MH  - Psychotic Disorders/diagnosis/psychology/*therapy
MH  - Psychotropic Drugs/therapeutic use
MH  - Retrospective Studies
MH  - Secondary Prevention
OTO - NOTNLM
OT  - Affective disorders
OT  - Continuation ECT
OT  - ECT de consolidation
OT  - ECT de maintenance
OT  - Electroconvulsivotherapy
OT  - Maintenance ECT
OT  - Schizoaffective disorders
OT  - Troubles de l'humeur
OT  - Troubles schizoaffectifs
OT  - Electroconvulsivotherapie
EDAT- 2013/01/15 06:00
MHDA- 2014/06/26 06:00
CRDT- 2013/01/15 06:00
PHST- 2009/07/01 00:00 [received]
PHST- 2012/03/29 00:00 [accepted]
PHST- 2013/01/15 06:00 [entrez]
PHST- 2013/01/15 06:00 [pubmed]
PHST- 2014/06/26 06:00 [medline]
AID - S0013-7006(12)00104-2 [pii]
AID - 10.1016/j.encep.2012.06.010 [doi]
PST - ppublish
SO  - Encephale. 2013 Oct;39(5):367-73. doi: 10.1016/j.encep.2012.06.010. Epub 2013 Jan 
      11.