Evidence map›Paper›PMID 34752484›Full record

ArticlePloS one2021

Usefulness of Hamilton rating scale for depression subset scales and full versions for electroconvulsive therapy.

Caoimhe Fenton, Declan M McLoughlin

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01907217 (A Randomised Controlled Trial of Standard Bilateral Electroconvulsive Therapy Versus High-dose Unilateral Electroconvulsive Therapy for Severe Depression), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01907217 phase4completednot on this map

A Randomised Controlled Trial of Standard Bilateral Electroconvulsive Therapy Versus High-dose Unilateral Electroconvulsive Therapy for Severe Depression

TypeinterventionalSponsorSt Patrick's Hospital, IrelandRan2008 to 2015Enrolled138ConditionsDepressionArmsECT Mecta 5000M, Methohexitone, Suxamethonium
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
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  3. Article
  4. Review
  5. Article
  6. [Influence of Exercise Prescription on the Recovery of Cognitive Function In College Students With Mild-to-Moderate Depression].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  7. Article
  8. Article
  9. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Caoimhe FentonDepartment of Psychiatry, Trinity College Dublin, St Patrick's University Hospital, Dublin, Ireland.ORCID 0000-0001-6317-4428
Declan M McLoughlinDepartment of Psychiatry, Trinity College Dublin, St Patrick's University Hospital, Dublin, Ireland.ORCID 0000-0003-4574-2799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe investigated the predictive value of subset scales and full versions of the Hamilton Rating Scale for Depression (HAMD) for therapeutic outcomes in ECT.

methodsThis secondary analysis of patients with major depression (N = 136; 63% female; age = 56.7 [SD = 14.8]) from the EFFECT-Dep trial (NCT01907217) examined the predictive value of Evans-6, Toronto-7, Gibbons-8 and Maier-Philip 6 HAMD subset scales and three 'full' versions (HAMD-17, HAMD-21 and HAMD-24) on therapeutic outcomes. We also examined early improvement on subset scales and full versions as predictors of response and remission and explored predictive abilities of individual HAMD-24 items.

resultsThe subset scales and full scales lacked sufficient predictive ability for response and remission. Receiver operating characteristic curves identified a lack of discriminative capacity of HAMD subset scales and full versions at baseline to predict response and remission. Only the Maier-Philip-6 was significantly associated with percentage reduction in HAMD-24 scores from baseline to end of ECT course. Early improvement on most of the subset scales and full versions was a sensitive and specific predictor of response and remission. Four of the HAMD-24 items were significantly associated with response and one with remission.

conclusionsLimited utility of the HAMD subset scales and full versions in this context highlight a need for more tailored depression rating scales for ECT.

Indexed as

AdultAgedDepressionDepressive DisorderElectroconvulsive TherapyFemaleHumansInpatientsMaleMiddle AgedPrognosisPsychiatric Status Rating ScalesReproducibility of ResultsROC CurveSensitivity and Specificity

Identifiers

PMID34752484
PMCPMC8577745

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.