PMID- 25183368 OWN - NLM STAT- MEDLINE DCOM- 20151110 LR - 20211021 IS - 1435-165X (Electronic) IS - 1018-8827 (Linking) VI - 24 IP - 5 DP - 2015 May TI - Long-term effectiveness of electroconvulsive therapy in adolescents with schizophrenia spectrum disorders. PG - 517-24 LID - 10.1007/s00787-014-0602-3 [doi] AB - To compare a sample of adolescents with schizophrenia spectrum disorders (SSD) treated with either ECT or antipsychotics (AP) alone at long-term follow-up. Patients diagnosed with SSD (n = 21) treated with ECT due to resistance to AP or catatonia under the age of 18 years (ECT group), were compared to a randomly selected group of patients with SSD treated only with AP (non-ECT group) (n = 21) and matched for age, gender, diagnosis and duration of illness. Baseline data were gathered retrospectively from medical records. Subjects were assessed at follow-up (mean of follow-up period = 5.5 years; range 2-9 years) using several clinical scales such as the Positive and Negative Syndrome Scale (PANSS), the Clinical Global Impression Scale (CGI) and the Global Assessment of Functioning (GAF). Improvement in PANSS positive, negative, general, total and CGI and GAF scores between baseline and follow-up assessment did not differ significantly between groups. At follow-up, no differences were observed for the PANSS negative, CGI and GAF scores between groups, but patients in the ECT group still had higher PANSS total, positive and general scores. ECT treatment followed by AP medication in treatment-resistant SSD or catatonia is at least as effective in the long term as AP alone in non-resistant patients. FAU - Flamarique, Itziar AU - Flamarique I AD - Department of Child and Adolescent Psychiatry and Psychology, SGR1119, Institut Clinic de Neurociencies, Hospital Clinic Universitari de Barcelona, C/Villarroel, 170, 08036, Barcelona, Spain, itziar.flamarike@gmail.com. FAU - Baeza, Inmaculada AU - Baeza I FAU - de la Serna, Elena AU - de la Serna E FAU - Pons, Alexandre AU - Pons A FAU - Bernardo, Miguel AU - Bernardo M FAU - Castro-Fornieles, Josefina AU - Castro-Fornieles J LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140903 PL - Germany TA - Eur Child Adolesc Psychiatry JT - European child & adolescent psychiatry JID - 9212296 RN - 0 (Antipsychotic Agents) SB - IM MH - Adolescent MH - Adult MH - Antipsychotic Agents/*therapeutic use MH - Catatonia/therapy MH - Combined Modality Therapy MH - *Electroconvulsive Therapy MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Medical Records MH - Retrospective Studies MH - Schizophrenia/drug therapy/*therapy MH - Schizophrenia, Catatonic/therapy MH - *Schizophrenic Psychology MH - Time Factors MH - Treatment Outcome EDAT- 2014/09/04 06:00 MHDA- 2015/11/11 06:00 CRDT- 2014/09/04 06:00 PHST- 2014/04/13 00:00 [received] PHST- 2014/08/12 00:00 [accepted] PHST- 2014/09/04 06:00 [entrez] PHST- 2014/09/04 06:00 [pubmed] PHST- 2015/11/11 06:00 [medline] AID - 10.1007/s00787-014-0602-3 [doi] PST - ppublish SO - Eur Child Adolesc Psychiatry. 2015 May;24(5):517-24. doi: 10.1007/s00787-014-0602-3. Epub 2014 Sep 3.