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.