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Chapter 9 - Electroconvulsive Therapy in Children and Adolescents

Published online by Cambridge University Press:  27 June 2019

By
Rosalind Y K Oliphant ,
Eleanor M Smith  and
Aditya N Sharma
Edited by
I. Nicol Ferrier  and
Jonathan Waite
I. Nicol Ferrier
Affiliation:
University of Newcastle upon Tyne
Jonathan Waite
Affiliation:
University of Nottingham
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Summary

The evidence base for the use of ECT in children and adolescents aged under 18 years (hereafter referred to as ‘paediatric ECT’) consists of individual case reports, case series and retrospective chart reviews, but no Randomised Controlled Trials (RCTs). This limited evidence base alongside concerns about the effects of ECT on the developing brain may help explain the infrequent use of ECT by child and adolescent psychiatrists. This chapter provides a summary of the issues and considerations pertaining to use of paediatric ECT within the British Isles (United Kingdom and Republic of Ireland). Although legal aspects relating to ECT are covered in Chapter 28, some reference specific to paediatric use is made here.

Type
Chapter
Information
The ECT Handbook , pp. 67 - 73
Publisher: Cambridge University Press
Print publication year: 2019

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References

American Academy of Child and Adolescent Psychiatry (AACAP) (2004) Practice parameter for use of electroconvulsive therapy with adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 1521–39.Google Scholar
American Psychiatric Association (APA) (2013) Diagnostic and statistical manual of mental disorders (Fifth Edition). Washington, DC.Google Scholar
Angst, J, Angst, K, Baruffol, I, et al. (1992) ECT-induced and drug-induced hypomania. Convulsive Therapy, 8, 179–85.Google ScholarPubMed
Araujo, M, Queiros, O, and Freitas, D (2013) Electroconvulsive therapy in an adolescent with neuroleptic malignant syndrome: case report. European Child and Adolescent Psychiatry, 22.Google Scholar
Baeza, I, Flamarique, I, Garrido, J M, et al. (2010) Clinical experience using electroconvulsive therapy in adolescents with schizophrenia spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 20, 205–9.CrossRefGoogle ScholarPubMed
Billstedt, E, Gilberg, I C and Gilberg, C (2005) Autism after adolescence: population-based 13- to 22-year follow-up study of 120 individuals with autism diagnosed in childhood. Journal of Autism and Developmental Disorders, 35, 351–60.CrossRefGoogle ScholarPubMed
Bloch, Y, Levkovitz, Y, Bloch, A M, et al. (2001) Electroconvulsive therapy in adolescents: similarities to and differences from adults. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1332–6.Google ScholarPubMed
Bloch, Y, Sobol, D, Levkovitz, Y, et al. (2008) Reasons for referral for electroconvulsive therapy: a comparison between adolescents and adults. Australasian Psychiatry, 16, 191–4.CrossRefGoogle ScholarPubMed
Buley, N, Hodge, S and Hailey, E (2015) ECT Minimum Dataset 2014–2015. Publication no: CCQI217. Royal College of Psychiatrists.Google Scholar
Buley, N, Copland, E and Hodge, S (2017) ECT Minimum Dataset 2016–2017. Publication no: CCQI269. Royal College of Psychiatrists.Google Scholar
Carroll, S (2012) Pervasive refusal syndrome and pediatric catatonia: is there a diagnostic overlap? A case report. Journal of Neuropsychiatry and Clinical Neurosciences, 24, 3.Google Scholar
Cohen, D, Paillere-Martinot, M L and Basquin, M (1997) Use of electroconvulsive therapy in adolescents. Convulsive Therapy, 13, 25.Google ScholarPubMed
Cohen, D, Taieb, O, Flament, M, et al. (2000) Absence of cognitive impairment at long-term follow-up in adolescents treated with ECT for severe mood disorder. American Journal of Psychiatry, 157, 460–2.CrossRefGoogle ScholarPubMed
Consoli, A, Boulicot, V, Comic, F, et al. (2009) Moderate clinical improvement with maintenance ECT in a 17-year-old boy with intractable catatonic schizophrenia. European Child and Adolescent Psychiatry, 18, 250–4.Google Scholar
Cresswell, J and Hodge, S (2013) ECT Minimum Dataset 2012–2013. Royal College of Psychiatrists. https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/electro-convulsive-therapy-clinics-(ectas)/dataset-reports/ectas-minimum-dataset-activity-report-2012-3.pdf?sfvrsn=1f847f3e_4Google Scholar
Cresswell, J, Buley, N and Hodge, S (2014) ECT Minimum Dataset 2012–2013. Royal College of Psychiatrists. https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/quality-networks/electro-convulsive-therapy-clinics-(ectas)/dataset-reports/ect-minimum-dataset-report-2014-15.pdf?sfvrsn=5ed22569_4Google Scholar
de la Serna, E, Flamarique, I, Castro-Fornieles, J, et al. (2011) Two-year follow-up of cognitive functions in schizophrenia spectrum disorders of adolescent patients treated with electroconvulsive therapy. Journal of Child and Adolescent Psychopharmacology, 21, 611–19.Google Scholar
Department of Health (2015) Mental Health Act 1983: Code of Practice. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/435512/MHA_Code_of_Practice.PDFGoogle Scholar
Flamarique, I, Castro-Fornieles, J, De La Serna, E, et al. (2015) Patients’ opinions about electroconvulsive therapy: what do adolescents with schizophrenia spectrum disorders think? Journal of Child and Adolescent Psychopharmacology, 25, 641–8.Google Scholar
Ghaziuddin, N, King, CA, Naylor, MW, et al. (1996) Electroconvulsive treatment in adolescents with pharmacotherapy-refractory depression. Journal of Child and Adolescent Psychopharmacology, 6, 259–71.Google Scholar
Ghaziuddin, N, Laughrin, D and Giordani, B (2000) Cognitive side effects of electroconvulsive therapy in adolescents. Journal of Child and Adolescent Psychopharmacology, 10, 269–76.Google Scholar
Ghadziuddin, N, Kaza, M, Ghazi, N, et al. (2001) Electroconvulsive therapy for minors: experiences and attitudes of child psychiatrists and psychologists. Journal of ECT, 17, 109–17.Google Scholar
Ghadziuddin, N, Alkhouri, I, Champine, D, et al. (2002) ECT treatment of malignant catatonia/NMS in an adolescent: a useful lesson in delayed diagnosis and treatment. Journal of ECT, 18, 95–8.Google Scholar
Ghadziuddin, N, Dumas, S and Hodges, E (2011) Use of continuation or maintenance electroconvulsive therapy in adolescents with severe treatment-resistant depression. Journal of ECT, 27, 168–74.Google Scholar
Ghadziuddin, N and Walter, G (2013) Electroconvulsive Therapy in Children and Adolescents. Oxford University Press.Google Scholar
Griesemer, D A, Kellner, C H, Beale, M D, et al. (1997) Electroconvulsive therapy for treatment of intractable seizures. Initial findings in two children. Neurology, 49, 1389–92.CrossRefGoogle ScholarPubMed
Kutcher, S and Robertson, H (1995) Electroconvulsive therapy in treatment resistant bipolar youth. Journal of Child and Adolescent Psychopharmacology, 5, 167–75.CrossRefGoogle Scholar
Mental Health Commission/Coimisiún Meabhair-Shláinte (2006) Reference Guide: Mental Health Act 2001. Part Two – Children. Mental Health Commission, Dublin. https://www.mhcirl.ie/File/refguidmha2001p2.pdfGoogle Scholar
Neuhut, R, Lindenmayer, J P and Silva, R (2009) Neuroleptic malignant syndrome in children and adolescents on atypical antipsychotic medication: a review. Journal of Child and Adolescent Psychopharmacology, 19, 415–22.Google Scholar
Parmar, R (1993) Attitudes of child psychiatrists to electroconvulsive therapy. Psychiatric Bulletin, 17, 12–13.CrossRefGoogle Scholar
Rey, J M and Walter, G (1997) Half a century of ECT use in young people. American Journal of Psychiatry, 154, 595–602.Google ScholarPubMed
Scottish Executive (2005) Mental Health (Care and Treatment) (Scotland) Act 2003. Code of Practice. Vol 1. Scottish Executive, St Andrew’s House, Edinburgh.Google Scholar
SEAN (2016) Scottish ECT Accreditation Network Annual Report 2016. A summary of ECT in Scotland for 2015. NHS National Services Scotland.Google Scholar
Shin, H W, O’Donovan, C A, Boggs, J G, et al. (2011) Successful ECT treatment for medically refractory nonconvulsive status epilepticus in pediatric patient. Seizure, 20, 433–6.Google Scholar
Shiozawa, P, Trevizol, A, Bernardon, R R, et al. (2015) Electroconvulsive therapy for a psychotic adolescent during the first trimester of pregnancy. Trends in Psychiatry and Psychotherapy, 37, 166–7.Google Scholar
Silva, R R, Munoz, D, Alpert, M, et al. (1999) Neuroleptic malignant syndrome in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 187–94.Google Scholar
Smith, E (ed) (2016) The Child and Adolescent Psychiatry Surveillance System (CAPSS). The Seven Year Report: 2016. Royal College of Psychiatrists Publications.Google Scholar
Stein, D, Kurtsman, L, Stier, S, et al. (2004) Electroconvulsive therapy in adolescent and adult psychiatric inpatients: a retrospective chart design. Journal of Affective Disorders, 82, 335–42.Google Scholar
Steingard, R, Khan, A, Gonzalez, A, et al. (1992) Neuroleptic malignant syndrome: review of experience with children and adolescents. Journal of Child and Adolescent Psychopharmacology, 2, 183–98.CrossRefGoogle ScholarPubMed
Taieb, O, Flament, MF, Corcos, M, et al. (2001) Electroconvulsive therapy in adolescents with mood disorder: patients’ and parents’ attitudes. Psychiatry Research, 104, 183–90.Google Scholar
Tanidir, C, Aksoy, S, Canbek, O, et al. (2016) Treatment of neuroleptic malignant syndrome with electroconvulsive therapy in an adolescent with psychosis. Journal of Child and Adolescent Psychopharmacology, 26, 179–80.CrossRefGoogle Scholar
Walter, G and Rey, J M (1997) An epidemiological study of the use of ECT in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 809–15.Google Scholar
Walter, G and Rey, J M (2003) How fixed are child psychiatrists’ views about ECT in the young. Journal of ECT, 19, 88–92.CrossRefGoogle ScholarPubMed
Walter, G, Koster, K and Rey, J (1999a) Electroconvulsive therapy in adolescents: Experience, knowledge, and attitudes of recipients. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 594–9.Google ScholarPubMed
Walter, G, Koster, K and Rey, J (1999b) Views about treatment among parents of adolescents who received electroconvulsive therapy. Psychiatric Services, 50, 701–2.CrossRefGoogle ScholarPubMed
Walter, G, Rey, J M and Starling, J (1997) Experience, knowledge and attitudes of child psychiatrists about ECT in the young. Australian and New Zealand Journal of Psychiatry, 31, 676–81.Google Scholar
Wing, L and Shah, A (2000) Catatonia in autistic spectrum disorders. British Journal of Psychiatry, 176, 357–62.Google Scholar
Zhang, Z J, Chen, Y C, Wang, H N, et al. (2012) Electroconvulsive therapy improves antipsychotic and somnographic responses in adolescents with first-episode psychosis: a case-control study. Schizophrenia Research, 137, 97–103.Google Scholar

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