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A Study of Factors Associated with Response to Electroconvulsive Therapy in Patients with Schizophrenic Symptoms

Published online by Cambridge University Press:  02 January 2018

David Dodwell  and
David Goldberg
David Dodwell*
Affiliation:
Department of Psychiatry, University of Birmingham
David Goldberg
Affiliation:
Department of Psychiatry, University of Manchester
*
∗University Department of Psychiatry, Queen Elizabeth Hospital, Birmingham B15 2TH
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Abstract

Seventeen patients with schizophrenic symptoms were assessed before and after ECT to elicit possible factors predictive of outcome. The strongest associations with good outcome were shown by short duration of illness and paucity of premorbid schizoid personality traits; significant associations were also shown by short duration of current episode, paucity of paranoid premorbid personality traits, and the presence of perplexity. The diagnosis of schizoaffective disorder was not related to outcome. Questionnaires completed by 16 patients after ECT showed their attitudes to be generally favourable to the procedure.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 5 , May 1989 , pp. 635 - 639
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Abraham, K. R. & Kulhara, P. (1987) The efficacy of electroconvulsive therapy in the treatment of schizophrenia – a comparative study. British Journal of Psychiatry, 151, 152–155.Google Scholar
Bourgeois, M., Palem, R., Tignol, J. et al (1982) Situation actuelle de l'electroconvulsivothérapie (ECT). I. Aspects numeriques, indications, efficacité, média, préjugés et ideologies. Annales Medico Psychologiques, 139, 1122–1135.Google Scholar
Brandon, S., Cowley, P., McDonald, C., et al (1985) Leicester ECT trial: results in schizophrenia. British Journal of Psychiatry, 146, 177–183.CrossRefGoogle ScholarPubMed
Brockington, I. F., Perris, C., Kendell, R. E., et al (1982) The course and outcome of cycloid psychosis. Psychological Medicine, 12, 97–105.CrossRefGoogle ScholarPubMed
Clinical Research Centre, Division of Psychiatry (1984) The Northwick Park ECT trial – predictors of response to real and simulated ECT. British Journal of Psychiatry, 144, 227–237.CrossRefGoogle Scholar
Cutting, J. C., Clare, A. W. & Mann, A. H. (1978) Cycloid psychosis: an investigation of the diagnostic concept. Psychological Medicine, 8, 637–648.CrossRefGoogle ScholarPubMed
Dodwell, D. J. F. (1983) The Effects of ECT in Schizophrenia: A Literature Review and an Exploratory Study. MSc thesis, University of Manchester.Google Scholar
Ellison, E. A. & Hamilton, D. M. (1949) The hospital treatment of dementia praecox: part II. American Journal of Psychiatry, 106, 454–461.CrossRefGoogle Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L., et al (1976) The Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.Google Scholar
Freeman, C. P. L. & Kendell, R. E. (1980) ECT: I. Patients' experiences and attitudes. British Journal of Psychiatry, 137, 8–16.Google Scholar
Gelenberg, A. J. (1976) The catatonic syndrome. Lancet, i, 1339–1341.Google Scholar
Hamilton, D. M. & Wall, J. H. (1948) The hospital treatment of dementia praecox. American Journal of Psychiatry, 105, 346–352.Google Scholar
Herzberg, F. (1954) Prognostic variables for electro-shock therapy. Journal of General Psychology, 50, 79–86.Google Scholar
Kahlbaum, K. L. (1874) Die Katatonie. Berlin. Translated (1973) as Catatonia (Levij, Y. & Pridan, T.). Baltimore, Maryland: Johns Hopkins University Press.Google Scholar
Kalinowsky, L. B. & Worthing, H. J. (1943) Results with electric convulsive treatment in 200 cases of schizophrenia. Psychiatric Quarterly, 17, 144–153.Google Scholar
Koehler, K. & Sauer, H. (1983) First rank symptoms as predictors of ECT response to schizophrenia. British Journal of Psychiatry, 142, 280–283.Google Scholar
Leff, J. P. & Wing, J. K. (1971) Trial of maintenance therapy in schizophrenia. British Medical Journal, iii, 599–604.CrossRefGoogle Scholar
Leonhard, K. (1961) Cycloid psychoses. Journal of Mental Science, 107, 633–648.CrossRefGoogle ScholarPubMed
Lowinger, L. & Huddleson, J. H. (1945) Outcome in dementia praecox under electro-shock therapy, as related to mode of onset and to number of convulsions induced. Journal of Nervous and Mental Diseases, 102, 243–246.CrossRefGoogle Scholar
May, P. R. A. (1968) Treatment of Schizophrenia. New York: Science House.Google Scholar
Newcombe, R. G. (1987) Towards a reduction in publication bias. British Medical Journal, 295, 656–659.Google Scholar
Perris, C. (1974) A study of cycloid psychoses. Acta Psychiatrica Scandinavica Supplementum, 253.Google Scholar
Pippard, J. & Ellam, L. (1981) Electroconvulsive Therapy in Great Britain, 1980. London: Royal College of Psychiatrists.Google Scholar
Salokangas, R. K. R. (1983) Prognostic implications of the sex of schizophrenic patients. British Journal of Psychiatry, 142, 145–151.Google Scholar
Smith, K., Surphlis, W. R. P., et al (1967) ECT-chlorpromazine and chlorpromazine compared in the treatment of schizophrenia. Journal of Nervous and Mental Disorders, 144, 284–290.Google Scholar
Spitzer, R. L. & Endicott, J. (1978) Schedule for Affective Disorders and Schizophrenia – Change Version. New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1980) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders. New York: Research Assessment and Training Unit of New York State Psychiatric Institute.Google Scholar
Stromgren, E. (1974) Psychogenic psychoses. In Themes and Variations in European Psychiatry (eds Hirsch, S. R. & Shepherd, M.). Bristol: John Wright & Sons.Google Scholar
Taylor, P. & Fleminger, J. J. (1980) ECT for schizophrenia. Lancet, i, 1380–1383.Google Scholar
Watt, D. C., Katz, K. & Shepherd, M. (1983) The natural history of schizophrenia: a 5 year prospective follow-up of a representative sample of schizophrenics by means of a standardised clinical and social assessment. Psychological Medicine, 13, 663–670.Google Scholar
Wells, D. A. (1973) Electroconvulsive treatment for schizophrenia. A ten-year survey in a university hospital psychiatric department. Comprehensive Psychiatry, 14, 291–298.Google Scholar
Wittman, P. (1941) A scale for measuring prognosis in schizophrenic patients. Elgin Papers, 4, 20–33.Google Scholar
WHO (1978) Mental Disorders: a glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
WHO (1979) Schizophrenia: an International Follow-up Study. Chichester: John Wiley & Sons.Google Scholar
Zubin, J., Magaziner, J. & Steinhauer, S. R. (1983) The metamorphosis of schizophrenia: from chronicity to vulnerability. Psychological Medicine, 13, 551–571.Google Scholar
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