scholarly journals Correlation between Post-Acute Electroconvulsive Therapy Alpha-Band Spectrum Power Increase and Improvement of Psychiatric Symptoms

2021 ◽  
Vol 11 (12) ◽  
pp. 1315
Author(s):  
Hideyuki Iwanaga ◽  
Takefumi Ueno ◽  
Naoya Oribe ◽  
Manabu Hashimoto ◽  
Jun Nishimura ◽  
...  

The results of quantitative electroencephalography (qEEG) studies on electroconvulsive therapy (ECT) have been inconsistent, and indicators of the efficacy of ECT have not been clearly identified. In this study, we examined whether qEEG could be used as an indicator of the effect of ECT by measuring it during the course of treatment. We analyzed qEEG data before and after acute-phase ECT in 18 patients with schizophrenia, mood disorders, and other psychiatric disorders. We processed the qEEG data and compared the spectral power between the data acquired before and after ECT. The spectral power increased significantly after ECT in the delta, theta, and alpha bands. There was a strong significant correlation between the increase in the spectral power of the alpha band after acute ECT and improvement in the Brief Psychiatric Rating Scale score. Our results suggest that an increase in the alpha-band spectral power may be useful as an objective indicator of the treatment effect of acute ECT.

1987 ◽  
Vol 151 (2) ◽  
pp. 152-155 ◽  
Author(s):  
K. R. Abraham ◽  
P. Kulhara

The efficacy of ECT was investigated in a double-blind trial. Twenty-two patients with schizophrenia received trifluoperazine and were randomly allocated to receive eight real or eight simulated ECTs. In the first eight weeks, the group receiving real ECTs showed significantly more improvement as measured on the Brief Psychiatric Rating Scale. However, the groups showed no significant differences from the twelfth week onwards. The superiority of real ECT was not confirmed at the end of six months.


1986 ◽  
Vol 58 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Alan M. Beck ◽  
Louisa Seraydarian ◽  
G. Frederick Hunter

This study compared the impact of therapy and activity groups on two matched groups of 8 and 9 psychiatric inpatients. Daily sessions of the groups were held for 11 wk. in identical rooms except for the presence of caged finches in one of the rooms. The patients were evaluated before and after the sessions using standard psychiatric rating scales. The group who met in the room that contained animals (a cage with four finches) had significantly better attendance and participation and significantly improved in areas assessed by the Brief Psychiatric Rating Scale. Other positive trends indicated that the study should be replicated with larger samples and modified to increase interactions with the animals.


2015 ◽  
Vol 73 (10) ◽  
pp. 856-860 ◽  
Author(s):  
Humberto Calderón-Fajardo ◽  
Amin Cervantes-Arriaga ◽  
Rodrigo Llorens-Arenas ◽  
Jesús Ramírez-Bermudez ◽  
Ángel Ruiz-Chow ◽  
...  

Purpose To analyze the effectiveness of electroconvulsive therapy for the management of depression and/or psychosis refractory to drug therapy in patients with Parkinson disease.Methods A retrospective study was carried out including patients treated with electroconvulsive therapy during the period between 2002 and 2013. A review of the literature was performed.Results A total of 27 patients were included. In regards to the neuropsychiatric diagnosis, 14 patients had major depression, 12 patients had both psychosis and depression, and only one patient had isolated psychosis. The mean number of electroconvulsive therapy sessions was 12 ± 2.8. After electroconvulsive therapy, all patients showed a statistically significant improvement in the Brief Psychiatric Rating scale (reduction of 52% points) and Hamilton Depression Rating Scale (reduction of 50% points) independent of the presence of psychosis, depression or both.Conclusion Electroconvulsive therapy is effective for the treatment of refractory neuropsychiatric symptoms in Parkinson’s disease.


2017 ◽  
Vol 53 (3) ◽  
pp. 171-188
Author(s):  
Rika Eguchi ◽  
Daisuke Onozuka ◽  
Kouji Ikeda ◽  
Kenji Kuroda ◽  
Ichiro Ieiri ◽  
...  

Objective Numerous studies on the effects of seclusion and/or restraint in acute psychiatric treatment have reported both positive and negative effects. However, no studies to date have evaluated the effects of seclusion and/or restraint on schizophrenia patients using a rating scale. Thus, to examine the effects of seclusion and/or restraint on schizophrenia patients, we used the Brief Psychiatric Rating Scale and assessed the psychological condition of patients. Methods Factor analysis was conducted to create subscales of Brief Psychiatric Rating Scale, and psychiatric changes were assessed with respect to each subscale using multiple logistic regression analyses. Analyses were performed on three groups (i.e. entire, higher functioning, and lower functioning groups) involving a total of 1559 schizophrenia patients aged 18 to 65 years. Results In the entire and lower functioning groups, seclusion was a significant predictor of improvements related to the “hostility/suspiciousness” subscale. Seclusion combined with restraint was associated with improvements related to the “psychosis/thinking disorder” subscale. In the higher functioning group, there were no significant predictors. Conclusions It is implied that seclusion and/or restraint is related to improved psychiatric symptoms only among patients whose functioning is impaired. To verify the present findings, further studies involving multiple sites and additional psychiatric measures are necessary.


1991 ◽  
Vol 69 (3) ◽  
pp. 707-721 ◽  
Author(s):  
Ritva Fagerström

The connection between psychic and somatic symptoms with vision was investigated by studying 100 cataract operation patients, aged 71 to 76 years, 25 of them being men and 75 women. The investigations were conducted one day before the operation and three months afterwards. The cataract operation restored sufficient acuity of vision for reading (minimum E-test value 0.40) to 79% of the old people. Psychic vsymptoms were tested with the Brief Psychiatric Rating Scale, Mini-Mult MMPI, and direct questions. Somatic symptoms were studied through questionnaires. Psychic symptoms showed a statistically significant correlation with vision before the cataract operation but not afterwards. Psychic symptoms increased with deterioration of the acuity of vision and diminished when the acuity of vision improved. Somatic symptoms did not show similar association with vision but the symptoms were significantly alleviated after the cataract operation. Restoration of vision through the cataract operation normalized the old people's psychic condition and reduced their somatic symptoms to correspond with their prior chronic diseases.


1968 ◽  
Vol 13 (6) ◽  
pp. 507-512 ◽  
Author(s):  
LÉon Tetreault ◽  
Jean Filotto ◽  
Jean-Marc Bordeleau

Data obtained in two comparative controlled studies of neuroleptics were used to ascertain if there were some correlation between the degree of improvement in the mental state and the severity of extrapyramidal symptoms induced in patients receiving one or other of the following neuroleptics: trifluperidol, trifluoperazine, T.P.S.-23 and chlorpromazine. In this study patients are used as experimental units. For each trial, the importance of psychiatric symptoms has been measured with the Brief Psychiatric Rating Scale and the neurological syndrome with the “Bilan extra-pyramidal” (Extrapyramidal Rating Scale). It has been impossible to find a correlation between the antipsychotic and extrapyramidal-inducing properties of the neuroleptics we have studied.


Author(s):  
Oscar Bloem ◽  
Robbert-Jan Verkes ◽  
Erik Bulten

Imprisonment may pose a risk for unintended effects such as deterioration of psychiatric symptoms. Therefore, it is pivotal to understand the relation between imprisonment and the course of psychiatric symptoms, but previous studies are inconclusive. The current study followed up the psychiatric symptoms of newly admitted remand prisoners to one Dutch remand prison using the Brief Psychiatric Rating Scale (BPRS) and also studied possible related pre-existing variables. On average we found an overall slight—yet clinically marginal—improvement of psychiatric, in particular affective symptoms. One in three prisoners deteriorated and prisoners with psychotic disorders less often deteriorated. Other variables were not related. Overall, psychiatric symptoms remain stable over time during early remand imprisonment independent of most psychiatric disorders. The context in the Dutch prison studied appears to be adequately organized in terms of handling psychiatric stability, but we notice that prison contexts may vary to a large extend.


1972 ◽  
Vol 30 (3) ◽  
pp. 887-889 ◽  
Author(s):  
Helmut Hoffmann ◽  
Larry R. Wefring

445 chronic hospitalized alcoholics were individually rated by counselors on the Brief Psychiatric Rating Scale. Women were rated higher than men on neurotic symptomatology. Ss of increasing ages were rated higher on scales indicating brain damage.


1987 ◽  
Vol 150 (6) ◽  
pp. 850-853 ◽  
Author(s):  
Stavroula Yannitsi ◽  
Aris Liakos ◽  
Yannis Papakostas

Skin conductance level (SCL) and skin conductance responses (SCR) to a random series of tones were measured in 25 drug-free schizophrenic patients, 15 male and 10 female, before and after standard chlorpromazine treatment. The DSM-III diagnostic criteria were used for selecting subjects. Psychopathology was measured with the Brief Psychiatric Rating Scale. After treatment, patients showed an improved psychopathology and decreased SCL. There was a transition of patients to lower response categories: the number of responders decreased twice and the number of non-responders increased three times. Responders exhibited significantly higher SCL than non-responders and fast habituators were between the two groups.


2008 ◽  
Vol 13 (6) ◽  
pp. 8-8
Author(s):  
Richard T. Katz

Abstract The author, who is the editor of the Mental and Behavioral Disorders chapter of the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, comments on the previous article, Assessing Mental and Behavioral Disorder Impairment: Overview of Sixth Edition Approaches in this issue of The Guides Newsletter. The new Mental and Behavioral Disorders (M&BD) chapter, like others in the AMA Guides, is a consensus opinion of many authors and thus reflects diverse points of view. Psychiatrists and psychologists continue to struggle with diagnostic taxonomies within the Diagnostic and Statistical Manual of Mental Disorders, but anxiety, depression, and psychosis are three unequivocal areas of mental illness for which the sixth edition of the AMA Guides provides M&BD impairment rating. Two particular challenges faced the authors of the chapter: how could M&BD disorders be rated (and yet avoid an onslaught of attorney requests for an M&BD rating in conjunction with every physical impairment), and what should be the maximal impairment rating for a mental illness. The sixth edition uses three scales—the Psychiatric Impairment Rating Scale, the Global Assessment of Function, and the Brief Psychiatric Rating Scale—after careful review of a wide variety of indices. The AMA Guides remains a work in progress, but the authors of the M&BD chapter have taken an important step toward providing a reasonable method for estimating impairment.


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