Clinical and demographic profile of patients treated with electro convulsive therapy from a tertiary care psychiatry hospital in North India
Keywords:Bipolar affective disorder, Electro-convulsive therapy, Schizophrenia, Seizures
Background: Electro-convulsive therapy (ECT) refers to the electrical stimulation of the brain to produce seizures for therapeutic purpose. This study was undertaken with the aim of exploring the clinical and demographic profile of patients treated with ECT from a tertiary care psychiatry hospital in north India.
Methods: It was a retrospective descriptive study of patients who were treated with ECT after admission in the inpatient psychiatry unit of Institute of mental health and neurosciences Kashmir during a period of one year (March 2017 to February 2018).
Results: A total of 70 patients received ECT during the course of one year. About 72.85% of the patients belonged to 20-39 years age group. Female patients constituted more than half of the subjects (55.71%). Review of diagnostic profile showed that majority of patients receiving ECT were suffering from Schizophrenia (35.71%), followed by bipolar affective disorder (28.57%), depressive disorder (28.57%), schizoaffective disorder (4.28%) and substance induced mood/psychotic disorders (2.85%). A significant majority of subjects (57.13%) received about 7-9 ECT sessions. No any major complications were noted during ECT treatment.
Conclusions: This study suggests that ECT, use as a treatment modality is common in adults between 20 to 39 years of age and females with Schizophrenia being the most common indications.
Kay J, Tasman A, Essentials of Psychiatry. 1st ed. West Sussex, England, John Wiley and Sons, Ltd; 2005.
World Health Organisation. ICD-10 classifications of mental and behavioural disorder: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: World Health Organisation. Available at: https://apps.who.int/iris/handle/10665/37958. Accessed on 25th May 2020.
Sherchan S, Joshi D. Clinical and demographic profile of patients receiving ECT in an institute. J Nepal Health Res Council. 2009;7(14):10-3.
Abraham KR, Kulhara P. The efficacy of electroconvulsive therapy in the treatment of schizophrenia. A comparative study. Br J Psychiatry. 1987;151:152-5.
Chanpattana W, Kramer BA, Kunigiri G, Gangadhar BN, Kitphati R, Andrade C. A survey of the practice of electroconvulsive therapy in Asia. JECT. 2010;26:5-10.
Damm J, Eser D, Schüle C, Obermeier M, Möller HJ, Rupprecht R. Influence of age on effectiveness and tolerability of electroconvulsive therapy. JECT. 2010;26(4):282-8.
Grover S, Malhotra S, Verma S, Chakrabarti S, Avasthi A, Mattoo SK. Electro convulsive therapy in adolescents: a retrospective study from north India. JECT. 2013;29(2):122-6.
Balhara YPS, Mathur S. ECT prohibition for children and adolescents in Mental Health Care Act of India. A step in the right direction?. JECT. 2012;28:1-2.
Schweder LJ, Lydersen S, Wahlund B, Bergsholm P, Linaker OM. Electroconvulsive therapy in Norway: rates of use, clinical characteristics, diagnoses, and attitude. JECT. 2011;27(4):292-5.
Leiknes KA, Schweder LA, Hoie, B. Contemporary use and practice of electroconvulsive therapy worldwide. Brain Behavior. 2012;2:283-344.
Bloch Y, Ratzoni G, Sobol D, Mendlovic S, Gal G, Levkovitz Y. Gender differences in electroconvulsive therapy: a retrospective chart review. J Affect Disorders. 2005; 84(1):99-102.
Sarkhel S. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th edition. Indian J Psychiatry. 2009;51(4):331.
Seshadri M, Mazi-Kotwal NZ. Response predictors in ECT: A discussion about Seizure Threshold. BJMP. 2011;4(2):a424.
Shah AJ, Wadoo O, Latoo J. Electroconvulsive Therapy (ECT): Important parameters which influence its effectiveness. BJMP. 2013; 6(4):a634.
Chanpattana W, Kunigiri G, Kramer BA, Gangadhar BN. Survey of the practice of electroconvulsive therapy in teaching hospitals in India. JECT. 2005;21:100-04.
Dinwiddie SH, Drevets WC, Smith DR. Treatment of Phencyclidine-Associated Psychosis with ECTJ. Convuls Ther. 1988;4(3):230-5.
Hermann RC, Ettner SL, Dorwart RA, Dorwart NL, Kleinman S. Diagnoses of patients treated with ECT: a comparison of evidence-based standards with reported use. Psychiatr Serv. 1999;50:1059-65.