지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives The present study investigates the initial seizure threshold (IST) of an ultra-brief pulse width right unilateral electroconvulsive therapy (UBP-RUL ECT) in Korean patients with mental disorders to identify its predictive factors for clinical improvement. Methods This study includes thirty patients who received 0.3-ms UBP-RUL ECT using upward titration to measure IST after the use of general anesthesia and muscle relaxation between December 2015 and June 2020. During the second session, the amount of charge that ranged between 500% to 600% of IST was applied as the stimulus intensity (SI). Demographic and clinical information was gathered from electronic medical records, and a stepwise variable selection was conducted to identify the relevant predictors of IST. Results The mean age of study subjects was 49.7±18.3 years, and 12 (40.0%) patients were male. The mean IST and SI were 31.6±17.2 mC and 176.0±98.5 mC, respectively, which did not differ between males and females. The mean scores of the Clinical Global Impression-severity and the Clinical Global Impression-improvement before and after acute ECT were 5.8±0.8 and 2.1±0.7, respectively. The age and anesthetic dose per body weight were significant predictors of IST. However, the IST and SI were not associated with clinical improvement. Conclusion The present study demonstrated that the IST distribution for UBP-RUL ECT in Korean patients with mental disorders was comparable to those reported in previous literature. The IST was associated with age and anesthetic dose.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Sackeim HA / 1993 / Effects of stimulus intensity and electrode placement on the efficacy and cognitive effects of electroconvulsive therapy / N Engl J Med 328:839~846
Abrams R / 2002 / Electroconvulsive therapy / Oxford University Press
Tiller JW / 2006 / Seizure threshold determination for electroconvulsive therapy: stimulus dose titration versus age-based estimations / Aust N Z J Psychiatry 40:188~192
Ward WK / 2006 / A naturalistic comparison of two right unilateral electroconvulsive therapy dosing protocols: 2-3X seizure threshold versus fixed high-dose / Psychiatry Clin Neurosci 60:429~433
Petrides G / 2009 / Seizure threshold in a large sample : implications for stimulus dosing strategies in bilateral electroconvulsive therapy : a report from CORE / J ECT 25:232~237
Abrams R / 2002 / Electroconvulsive therapy / Oxford University Press
Tiller JW / 2006 / Seizure threshold determination for electroconvulsive therapy: stimulus dose titration versus age-based estimations / Aust N Z J Psychiatry 40:188~192
Ward WK / 2006 / A naturalistic comparison of two right unilateral electroconvulsive therapy dosing protocols: 2-3X seizure threshold versus fixed high-dose / Psychiatry Clin Neurosci 60:429~433
Petrides G / 2009 / Seizure threshold in a large sample : implications for stimulus dosing strategies in bilateral electroconvulsive therapy : a report from CORE / J ECT 25:232~237
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