Department of Psychiatry, Trinity College Institute of Neuroscience, Trinity College Dublin, St. Patrick's University Hospital, James's St., Dublin 8, Ireland.
Department of Psychiatry, Trinity College Institute of Neuroscience, Trinity College Dublin, St. Patrick's University Hospital, James's St., Dublin 8, Ireland.
Brain Stimul. 2018 Jul-Aug;11(4):860-862. doi: 10.1016/j.brs.2018.04.002. Epub 2018 Apr 5.
It is not known whether results of clinical research in ECT can be used to guide treatment decisions for those having involuntary ECT, who are not represented in trial populations.
We aimed to compare courses of involuntary ECT with matched voluntary ECT courses in terms of clinical and demographic factors, treatment requirements, and outcomes.
We performed a retrospective case-control study examining a five-year sample of involuntary ECT courses and an age-, gender- and time-matched voluntary ECT control sample.
We examined 48 involuntary and 96 control voluntary ECT courses. While groups differed at baseline in terms of diagnosis, illness severity and illness characteristics, there were no differences in treatment outcomes after ECT or six-month readmission rates.
Our findings suggest that research on capacitous ECT patients is applicable to those having involuntary ECT.
目前尚不清楚在 ECT 中进行的临床研究结果是否可用于指导非自愿 ECT 患者的治疗决策，因为这些患者未被纳入试验人群。
我们旨在比较非自愿 ECT 与匹配的自愿 ECT 疗程在临床和人口统计学因素、治疗需求和结果方面的差异。
我们进行了一项回顾性病例对照研究，对 5 年的非自愿 ECT 疗程和年龄、性别和时间匹配的自愿 ECT 对照组进行了研究。
我们共检查了 48 例非自愿和 96 例对照自愿 ECT 疗程。虽然两组在基线时的诊断、疾病严重程度和疾病特征方面存在差异，但 ECT 后或 6 个月再入院率无差异。
我们的发现表明，对有能力接受 ECT 的患者的研究适用于接受非自愿 ECT 的患者。
