Rich C L, Spiker D G, Jewell S W, Neil J F
J Clin Psychiatry. 1984 Jan;45(1):14-8.
The usefulness of RDC and DSM-III diagnostic subtypes as predictors of response to ECT was examined in a multi-observer, multi-factorial study of 44 depressed patients. Most of the patients met criteria for "endogenous" and/or "melancholic" subtypes of major depressive disorders. None of the RDC or DSM-III subtypes (reactive, secondary, nonpsychotic) identified the least responsive patients. Thus, the presence of "reactive" factors, the absence of psychotic symptoms, or the presence of other illnesses did not reduce the likelihood or degree of immediate response to ECT in patients with major depression.
在一项针对44名抑郁症患者的多观察者、多因素研究中，对RDC和DSM-III诊断亚型作为电休克治疗（ECT）反应预测指标的效用进行了检验。大多数患者符合重度抑郁症“内源性”和/或“ melancholic”亚型的标准。RDC或DSM-III的任何亚型（反应性、继发性、非精神病性）均未识别出反应最差的患者。因此，“反应性”因素的存在、精神病性症状的缺失或其他疾病的存在，并未降低重度抑郁症患者对ECT立即反应的可能性或程度。
