ArticleJournal of family medicine and primary care2022
Maintenance electroconvulsive therapy: Are we clutching at straws?
Article in Journal of family medicine and primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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5 authors at 3 institutions in 1 country.
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Abstract
Introduction: The available treatment options for patients with drug or treatment-resistant psychiatric disorders are limited. Maintenance electroconvulsive therapy (M-ECT) is an established option, but the literature available is limited. This study examined the utilization of M-ECT in a large tertiary care psychiatric facility, and its correlates with the socio-demographic and clinical profile of patients. Methods: A retrospective chart review was performed in a tertiary care psychiatry center based in semi-urban South India, and data was analyzed. Results: A total of 171 patients received ECT in the study period, of which only five patients were on M-ECT. These patients were diagnosed as treatment-resistant and were mostly suffering from schizophrenia. They were located less than 30 km from the hospital. They were on regular treatment but continued to have residual symptoms without functional recovery and required a high level of support from caregivers. Conclusion: Our study supports the effectiveness of M-ECT for the treatment of severe psychiatric disorders and highlights the profile of patients who have received this modality of treatment. It can be suggested with consideration of various psycho-social issues which seem to be related to adherence.
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