Appropriateness for electroconvulsive therapy (ECT) can be assessed on a three-item scale

Abstract Electroconvulsive therapy (ECT) is the most effective and rapid treatment for severe depression; however, it should be prescribed to the limited number of patients with severe mood and psychotic disorders for whom it is clearly appropriate. We present an assessment scale that we hypothesize...

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Bibliographic Details
Published in:Medical hypotheses 2012-08, Vol.79 (2), p.204-206
Main Authors: Kellner, Charles H, Popeo, Dennis M, Pasculli, Rosa M, Briggs, Mimi C, Gamss, Stephen
Format: Article
Language:English
Subjects:
Depression - classification
Depression - diagnosis
Depression - therapy
Electroconvulsive Therapy - methods
Humans
Internal Medicine
Outcome Assessment (Health Care) - methods
Patient Selection
Prognosis
Reproducibility of Results
Sensitivity and Specificity
Severity of Illness Index
Surveys and Questionnaires
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Summary:Abstract Electroconvulsive therapy (ECT) is the most effective and rapid treatment for severe depression; however, it should be prescribed to the limited number of patients with severe mood and psychotic disorders for whom it is clearly appropriate. We present an assessment scale that we hypothesize can be used to predict a patient’s appropriateness for ECT, based on the severity, heritability, and episodic nature of their depression. This scale is offered as a tool to help the practitioner and patient gain a sense of how well the patient fits the profile of someone for whom ECT is a reasonable treatment option.
ISSN:0306-9877
1532-2777
DOI:10.1016/j.mehy.2012.04.036