Electroconvulsive therapy in children and adolescents: results from a population‑based study utilising the Swedish National Quality Register

European Child & Adolescent Psychiatry - Tập 32 Số 12 - Trang 2649-2656 - 2023
Olof Rask1, Axel Nordenskjöld2, Björn Johansson1, Pouya Movahed3
1Division of Child and Adolescent Psychiatry, Department of Clinical Sciences, Lund University, Lund, Sweden
2Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden
3Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden

Tóm tắt

AbstractElectroconvulsive therapy (ECT) is effective and safe for adults with severe depression, but less studied in adolescents. Here, we examined the indications, prevalence, practice, response and remission rates, and side effects in young people treated with ECT in Sweden. We also examined the usage of ECT in the transition to adult psychiatry. Using data from national patient registers and the Swedish National Quality Register for ECT (Q-ECT), we identified patients aged up to 19 years treated with ECT over a 5-year study period. Response and remission rates were analysed using the Clinical Global Impression (7-point scale)-Improvement (CGI-I) and Severity (CGI-S). A total of 118 individuals were identified, of which 105 were also enrolled in the Q-ECT. The most common indication for ECT was depression (68%; n = 80). Adolescents aged < 18 years were more severely ill before treatment than those aged 18 years (P < 0.01). Three of the hospitals in Sweden treated the majority of adolescents < 18 years old. The median number of sessions in each ECT series was seven. Unilateral placement of the electrodes was the most common (88%; n = 99). Fifty-seven percent (n = 54) of the patients responded (CGI-I, 1–2) to the treatment; remission (CGI-S, 1–2) was achieved by 32% (n = 30). Psychotic symptoms were associated with a higher response rate in patients with depression (P = 0.038). A deterioration of memory compared to pre-treatment was reported in six patients. ECT was associated with high response and remission rates in adolescents with severe psychiatric disorders after non-response to medication.

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European Child & Adolescent Psychiatry

Tập 32 Số 12

2649-2656

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