Bifrontal Versus Bitemporal Electroconvulsive Therapy in Severe Manic Patients
- 1 September 2008
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Journal of ECT
- Vol. 24 (3), 199-202
- https://doi.org/10.1097/yct.0b013e3181624b5d
Abstract
To compare the efficacy and safety of moderate-dose bifrontal (BF) with low-dose bitemporal (BT) electroconvulsive therapy (ECT) in the treatment of patients with severe mania. In a parallel, double-blind, randomized clinical trial, 28 patients with severe mania admitted to a university hospital were assigned randomly to moderate-dose BF (n = 14) and low-dose BT (n= 14) ECT. The primary outcome measures included the Mini-Mental State Examination (MMSE) and the Young Mania Rating Scale (YMRS). All patients received at least 6 sessions of ECT. The 2 groups did not show any difference in their baseline MMSE or YMRS scores (P > 0.05). There was a significant difference between the MMSE scores of the BF compared with the BT group after both the sixth ECT (P < 0.05) and final ECT treatments (P < 0.05). Young Mania Rating Scale scores did not differ between the 2 groups after either the sixth or the last ECT sessions (P > 0.05). Moderate-dose BF ECT was as effective as BT ECT but was associated with fewer cognitive side effects in the treatment of patients with severe mania.Keywords
This publication has 28 references indexed in Scilit:
- Clinical efficacy and cognitive side effects of bifrontal versus right unilateral electroconvulsive therapy (ECT): A short-term randomised controlled trial in pharmaco-resistant major depressionJournal of Affective Disorders, 2007
- Postictal Mania versus Postictal Psychosis: Differences in Clinical Features, Epileptogenic Zone, and Brain Functional Changes during Postictal PeriodEpilepsia, 2006
- Recent Advances in Optimizing Electroconvulsive TherapyAustralian & New Zealand Journal of Psychiatry, 2006
- Quetiapine with lithium or divalproex for the treatment of bipolar mania: a randomized, double‐blind, placebo‐controlled studyBipolar Disorders, 2004
- Decreased Regional Brain Metabolism After ECTAmerican Journal of Psychiatry, 2001
- Therapeutic advantage of bifrontal electrode placement in ECTPsychological Medicine, 1993
- Electrode placement in ECT: cognitive effectsPsychological Medicine, 1990
- Hypomania Following Increased Epileptic ActivityThe British Journal of Psychiatry, 1988
- Electroconvulsive Therapy and Complaints of Memory Dysfunction: A Prospective Three-Year Follow-up StudyThe British Journal of Psychiatry, 1983
- Anterior Bifrontal ECT: A Clinical TrialThe British Journal of Psychiatry, 1973