Using ECT in XXXX : a review from a clinical perspective.

@entity1 @entity1088 @entity308 @entity161 @entity2436 @entity10963 @entity2437
OBJECTIVES: Despite the fact that many studies have addressed the use of ECT in @entity161 questions on clinical use remain poorly answered and clinical application is largely based on data originating from @entity308 @entity1 . METHODS: We review data on the use of ECT in @entity161 @entity1 drawn from original studies indicated by a Pubmed search and referenced in recent and older expert reviews with a specific focus on four issues: symptom response, technical application, continuation/maintenance ECT and combination with medication. RESULTS: @entity2437 @entity1 are the most responsive. Positive symptoms such @entity10963 and affective symptoms follow. There are indications that ECT may improve responsivity to medication. No particular technical features stand out in studies except lengthier courses, but not for @entity2436 . Combination with medication appears to be preferable over either treatment alone and effective combination particularly with @entity1088 is supported by data. Use of continuation and maintenance treatments in responders appears beneficial. CONCLUSION: Certain @entity161 @entity1 may benefit significantly from the use of ECT. More specific research is required to address particular questions.
