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Does psychosis predict response to ECT in depressed elderly patients?

  • Niall Gormley (a1), Con Cullen (a2), Liam Watters (a3), Michael Philpot (a4) and Brian A Lawlor (a2)...


Objectives: To compare the electroconvulsive therapy response of a sample of depressed elderly patients as a function of the presence or absence of psychosis.

Method: Retrospective study of patients over age 65 treated with ECT at three psychiatric hospitals over a three year period.

Results: One hundred and eighty-nine ECT courses were administered to 135 patients. Almost 8 5% of patients made a marked or moderately good response to treatment. There was no difference in ECT response between psychotic and non-psychotic depressed patients.

Conclusions: ECT should be considered as a treatment option for severe depressive illness, regardless of depressive subtype.



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