ArticleNeuropsychiatric disease and treatment2019
Stimulus intensity determined by dose-titration versus age-based methods in electroconvulsive therapy in Thai patients.
Article in Neuropsychiatric disease and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Efficacy and Safety of Electroconvulsive Therapy for Dementia With Lewy Bodies, Its Prodromal Phase, and Parkinson's Disease Dementia: Eight Cases Encountered at Our Institution.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- Response rate and factors associated with response in patients with schizophrenia undergoing bilateral electroconvulsive therapy.BJPsych open · 2023Article
- Ictal Theta Power as an Electroconvulsive Therapy Safety Biomarker: A Pilot Study.The journal of ECT · 2022Article
- Effects of N-Methyl-D-aspartate receptor (NMDAR) and CaAnnals of translational medicine · 2021Article
- Prevalence and Predictors of Postictal Confusion After Electroconvulsive Therapy.Neuropsychiatric disease and treatment · 2021Article
- Number of Electroconvulsive Therapy Sessions required for Thai Psychiatric Patients: a Retrospective Study.Neuropsychiatric disease and treatment · 2020Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to compare the accuracy of the stimulus intensity (SI) calculated by age-based methods with that using the dose-titration method.
methodsThe initial seizure threshold (IST) was determined using a standardized dose titration in hospitalized Thai patients treated with right unilateral (RUL, n=32) and bilateral (BL, n=57) electrode placement. The correlation between the IST and clinical variables was analyzed. The estimated SI based on the patient's age was compared with the SI determined by dose titration.
resultsAge was highly predictive of the IST for both groups (RUL,
conclusionAge strongly predicts the IST, but it does not robustly predict the SI compared with dose titration because the SI calculated using age-based methods results in an unacceptably low or high SI that is associated with a marked risk of adverse effects or inadequate response. We recommend the dose-titration method to determine the SI.
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