Abstract
Clinical reviews of practice outcomes of adolescent patients who have received electroconvulsive therapy (ECT) remain relatively rare. This study reports the clinic practice and outcome of adolescents receiving ECT at a tertiary medical center. From April 1991 through November 2013, 51 adolescents (30 female; mean [SD] age, 16.8 [1.6] years) received ECT. The electronic medical record at the time of the first ECT session was reviewed for the clinical diagnosis, ECT lead placement and general administration, seizure duration, adverse effects, concurrent medications, and clinical outcome. ECT was recommended for primary mood and psychotic disorders or catatonia. Patients received a mean (SD) of 9.3 (3.5) treatments, with initial bitemporal lead placement in 36 patients (71%). Thirty-nine patients (77%) were much or very much improved based on Clinical Global Impressions-Improvement scale at the end of the acute treatment. Prolonged seizure duration (>120 seconds) was relatively common (63%) but appeared to decrease in older patients. This report describes the largest group of adolescents receiving ECT since 1947, and supports ECT as a safe and effective modality for most treatment-recalcitrant psychiatric illness in youth.
References
Mar 1, 1990·Journal of the American Academy of Child and Adolescent Psychiatry·M W Bertagnoli, C M Borchardt
Jan 1, 1986·Annals of the New York Academy of Sciences·R D WeinerL R Squire
May 1, 1997·The American Journal of Psychiatry·J M Rey, G Walter
Jun 1, 1997·Journal of the American Academy of Child and Adolescent Psychiatry·G Walter, J M Rey
Dec 24, 1997·The Australian and New Zealand Journal of Psychiatry·G WalterJ Starling
May 7, 1999·Journal of the American Academy of Child and Adolescent Psychiatry·G WalterJ M Rey
May 20, 1999·Psychiatric Services : a Journal of the American Psychiatric Association·G WalterJ M Rey
Mar 4, 2000·The American Journal of Psychiatry·D CohenM Basquin
Jun 22, 2001·The Journal of ECT·N GhaziuddinJ M Rey
Sep 17, 2002·European Psychiatry : the Journal of the Association of European Psychiatrists·O TaiebD Cohen
Nov 27, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Neera GhaziuddinUNKNOWN AACAP
Jan 27, 2006·Psychological Bulletin·John R WeiszSylvia M Valeri
Apr 19, 2007·JAMA : the Journal of the American Medical Association·Jeffrey A BridgeDavid A Brent
Dec 17, 2010·Expert Review of Neurotherapeutics·Hazem Shoirah, Hesham M Hamoda
Jun 18, 2011·The Journal of ECT·Samuel J PullenPaul S Mueller
May 31, 2013·Annals of General Psychiatry·Nádia Nr LimaAlberto Oa Reis
Oct 5, 2013·The Journal of ECT·Max FinkW Vaughn McCall
Citations
Feb 18, 2017·Paediatric Anaesthesia·Andrew D FranklinEric T Stickles
Mar 18, 2017·International Review of Psychiatry·Leela R MagaviRoma A Vasa
Dec 9, 2017·The Journal of ECT·Hagai MaozYuval Bloch
Dec 13, 2017·Journal of Medical Case Reports·Olof RaskBjörn Axel Johansson
Sep 8, 2016·Journal of Child and Adolescent Psychopharmacology·Paul E Croarkin, Alexander Rotenberg
Feb 22, 2018·The Journal of ECT·Maarten De MeulenaerePascal Sienaert
Nov 13, 2019·Harvard Review of Psychiatry·Nicole M Benson, Stephen J Seiner
Aug 20, 2019·Anesthesia and Analgesia·Alecia L S SteinCatherine Chen
Sep 25, 2017·The Journal of ECT·Shanti MitchellNeera Ghaziuddin
Oct 23, 2019·The International Journal of Eating Disorders·Tal ShiltonDaniel Stein
Aug 5, 2020·Child Psychiatry and Human Development·Pierre C M HerpersWouter G Staal
May 12, 2020·Fortschritte der Neurologie-Psychiatrie·Steffen WeirichFrank Häßler
Oct 24, 2019·Neurocase·Şaziye Senem BaşgülAbas Hashimov
May 10, 2020·European Child & Adolescent Psychiatry·Susan KimTimothy R Rice
Dec 12, 2018·Child and Adolescent Psychiatry and Mental Health·Shuai WangYi Zheng
Aug 21, 2019·Nordic Journal of Psychiatry·Anna-Clara PattonRobert Bodén
Mar 4, 2020·Journal of Child and Adolescent Psychopharmacology·Neera GhaziuddinMohammad Ghaziuddin
May 17, 2019·The Journal of ECT·Ali KarayağmurluAbdurrahman Altindağ
Sep 13, 2020·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Paul E CroarkinJeffrey R Strawn
Mar 16, 2021·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Isabel MethfesselAlexander Sartorius
Jul 4, 2020·Progress in Neuro-psychopharmacology & Biological Psychiatry·Vladimir FerrafiatMarie Raffin
Oct 24, 2020·The Journal of ECT·Jana HořínkováLucie Kališová
Aug 12, 2021·Indian Journal of Psychological Medicine·Sandeep GroverAjit Avasthi
Aug 24, 2021·The Journal of ECT·Erik Døssing, Anne Katrine Pagsberg
Sep 3, 2021·Bioelectricity·Jarno M A TanskanenJari A K Hyttinen
Oct 8, 2021·Journal of Child and Adolescent Psychopharmacology·James LuccarelliMichael E Henry