Comparing Methods of Seizure Response Monitoring During Electroconvulsive Therapy: Comparer les méthodes de surveillance des interventions en cas de crise durant la thérapie par électrochocs.
Timothy Hierlihy, Gerald Mugford, Weldon Bonnell, Mohamed A Mekawy
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引用次数: 0
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.
期刊介绍:
Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.