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Place of electroconvulsive therapy in the treatment of depression in France: A comparative study between clinical practice and international recommendations

Published online by Cambridge University Press:  23 March 2020

T. Charpeaud ,
A. Tremey ,
P. Courtet ,
B. Aouizerate  and
P.M. Llorca
T. Charpeaud
Affiliation:
CHU de Clermont-Ferrand, service de psychiatrie B, Clermont-Ferrand, France
A. Tremey
Affiliation:
CHU de Clermont-Ferrand, service de psychiatrie B, Clermont-Ferrand, France
P. Courtet
Affiliation:
CHU de Montpellier, département des urgences et post-urgences, Montpellier, France
B. Aouizerate
Affiliation:
Centre Hospitalier Charles-Perrens, Pôle de Psychiatrie, Bordeaux, France
P.M. Llorca
Affiliation:
CHU de Clermont-Ferrand, service de psychiatrie B, Clermont-Ferrand, France

Abstract

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Objectives

To study the place of electroconvulsive therapy (ECT) in the treatment of major depressive disorder in France and compare it with international recommendations and algorithms.

Method

Multicenter, retrospective study in 12 French university hospitals. Diagnosis, delay between the onset of the episode and the first day of ECT, previous treatments have been identified. Only patients treated for major depressive disorder between 1 January 2009 and 1 January 2014 were included.

Results

A total of 754 patients were included (middle age 61.07 years, sex ratio 0.53). The diagnoses listed were: first major depressive episode (14.95%), bipolar depression (38.85%) and unipolar recurrent depression (46.19%). The delay before ECT, was 11.01 months (13,98), and was significantly longer for first episodes (16.45 months, P < 0.001) and shorter in case of psychotic symptoms (8.76 months, P < 0.03) and catatonic symptoms (6.70, P < 0.01).

Conclusions

The delay before ECT appears on average, four times longer than recommended by treatment algorithms for the management of major depressive disorder. This long delay could be explained by a very heterogeneous access to this treatment in French territory.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Psychosurgery and stimulation methods (ECT, TMS, VNS, DBS)
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S767 - S768
Copyright
Copyright © European Psychiatric Association 2017
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