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[Maintenance electroconvulsive therapy in elderly psychotic unipolar depression].
- Source :
-
Medicina clinica [Med Clin (Barc)] 2006 Apr 08; Vol. 126 (13), pp. 491-2. - Publication Year :
- 2006
-
Abstract
- Background and Objective: This study was designed to assess the safety and efficacy of continuation/maintenance electroconvulsive therapy (ECT) in elderly psychotic major depressed patients after ECT remission.<br />Patients and Method: Using a longitudinal randomized single-blind design, we compared the two-year outcome of two subgroups of psychotic unipolar depressed elderly patients who were ECT remitters: one treated with a maintenance nortriptyline regimen (n = 13) and one treated with combined maintenance ECT plus nortriptyline (n = 6).<br />Results: During 2 years of maintenance treatment in elderly psychotic unipolar depressed ECT remitters, relapse/recurrence rates were significantly higher in the nortriptyline subgroup than in the combined ECT plus nortriptyline subgroup. The tolerability of both treatments was similar.<br />Conclusions: This study supports the use of combined maintenance ECT and antidepressant treatment in elderly psychotic unipolar depressed patients who are ECT remitters.
- Subjects :
- Aged
Antidepressive Agents, Tricyclic therapeutic use
Depressive Disorder, Major drug therapy
Female
Humans
Male
Nortriptyline therapeutic use
Recurrence
Remission Induction
Single-Blind Method
Treatment Outcome
Depressive Disorder, Major complications
Depressive Disorder, Major therapy
Electroconvulsive Therapy methods
Psychotherapy methods
Psychotic Disorders complications
Psychotic Disorders therapy
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0025-7753
- Volume :
- 126
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- Medicina clinica
- Publication Type :
- Academic Journal
- Accession number :
- 16624227
- Full Text :
- https://doi.org/10.1157/13086850