The Role of Electroconvulsive Therapy in the Treatment of Severe Bipolar Mixed State.


Journal

The Psychiatric clinics of North America
ISSN: 1558-3147
Titre abrégé: Psychiatr Clin North Am
Pays: United States
ID NLM: 7708110

Informations de publication

Date de publication:
03 2020
Historique:
entrez: 4 2 2020
pubmed: 6 2 2020
medline: 1 12 2020
Statut: ppublish

Résumé

Electroconvulsive therapy (ECT) results effective in two-thirds of the patients with severe and drug-resistant mixed states. The episode duration is the main predictor of nonresponse. This practice may increase the risk of mood destabilization and chronic complications and may decrease the chance of recovery in many patients. Compared with the burden of neurologic and metabolic side effects associated with long-term use of complex pharmacologic regimens, ECT should be considered a safe option with a very low incidence of severe adverse events and a long-term nondestabilizing effect.

Identifiants

pubmed: 32008684
pii: S0193-953X(19)30103-0
doi: 10.1016/j.psc.2019.10.010
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

187-197

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure G. Perugi has acted as consultant of Lundbeck, Angelini, and FB-Health. He received grant/research support from Lundbeck and Angelini. He is on the speaker/advisory board of Sanofi-Aventis, Lundbeck, FB-Health, and Angelini. All other authors have no conflicts of interest or financial disclosures to report.

Auteurs

Giulio Perugi (G)

Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa 56100, Italy; Psychiatry Unit 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy. Electronic address: giulio.perugi@med.unipi.it.

Pierpaolo Medda (P)

Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa 56100, Italy.

Margherita Barbuti (M)

Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa 56100, Italy.

Martina Novi (M)

Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa 56100, Italy.

Beniamino Tripodi (B)

Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, Pisa 56100, Italy.

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Classifications MeSH