Berg John E, Kononova Natalia
Department of Acute Psychiatry, Lovisenberg Diakonal Hospital, Oslo, Norway.
Int J Psychiatry Med. 2009;39(1):101-12. doi: 10.2190/PM.39.1.h.
The purpose of the study was to investigate whether the Antonovsky Sense of Coherence test administered before and after electroconvulsive treatment (ECT) can contribute more information pertinent to outcome than a test of depression.
Twenty patients with a severe unipolar or bipolar depression underwent a series of unipolar ECT under standard conditions. As part of the routine of the department, the patients filled in, before and after ECT, the following questionnaires: Beck Depression Inventory (Beck), 20-item version and Antonovsky Sense of Coherence test (SOC), 13-item version. Mean age was 40.3, somewhat less for women.
A reduction was obtained from 35 to 17 in total score on Beck, i.e., to mild depression. The SOC value increased to the normal range from a mean of 2.5 to 3.2, indicating a better manageability, comprehensibility and meaningfulness in life. Four patients had an invalidity pension. Ten of the 16 remaining patients attained work after ECT, and scored better than those not starting to work on both tests, SOC > Beck. A low SOC value may indicate increased mortality risk.
Patients who are favorably treated with ECT against any depression, but who do not show a considerable improvement in SOC, would need special follow-up on factors not directly related to mental illness to reduce relapse and mortality risk.
本研究旨在调查在电休克治疗（ECT）前后进行的安托诺夫斯基连贯感测试是否比抑郁症测试能提供更多与治疗结果相关的信息。
20例患有重度单相或双相抑郁症的患者在标准条件下接受了一系列单相ECT治疗。作为科室常规工作的一部分，患者在ECT前后填写了以下问卷：20项版本的贝克抑郁量表（Beck）和13项版本的安托诺夫斯基连贯感测试（SOC）。平均年龄为40.3岁，女性略低。
Beck总分从35分降至17分，即降至轻度抑郁。SOC值从平均2.5升至3.2，进入正常范围，表明生活中的可管理性、可理解性和意义感更好。4例患者领取残疾抚恤金。其余16例患者中有10例在ECT后恢复工作，且在两项测试（SOC>Beck）中的得分均高于未开始工作的患者。低SOC值可能表明死亡风险增加。
接受ECT治疗且病情得到良好控制但SOC未显著改善的患者，需要对与精神疾病无直接关联的因素进行特殊随访，以降低复发和死亡风险。
