Factors affecting compliance with maintenance electroconvulsivetherapy: A preliminary study
E. Kim
Bok Engelsk 1996
| Utgitt | 1996
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| Omfang | Side 473- 476
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| Opplysninger | Maintenance electroconvulsive therapy (ECT) has been shown to be aneffective treatment modality in preventing relapse in majordepression following acute treatment. Nevertheless, clinicalexperience suggests that are obstacles to pursuing this form of long-term treatment. A retrospective chart review was conducted on 17patients recommended for maintenance ECT following inpatient ECT formajor depression over a 2-year period. Eleven (64.7%) accepted therecommendation and six (35.3%) refused. The two groups did not differwith respect to age, race, gender or number of medical codiagnoses.Patients who agreed to undergo maintenance ECT tended to live at homewhile all but one who refused lived in institutional settings (p <0.01). The type of social support available approached statisticalsignificance (p < 0.12), as did MMSE score (p < 0.11). Patients withfamily support or MMSE scores lower than 27 tended to acceptoutpatient ECT (relative risk 7.00, 95% CI (0.69, 70.78)). Thesefindings suggest that patients living in the community and withsignificant family involvement are more likely to comply withoutpatient ECT than those living in institutions and supported byprofessional personnel irrespective of cognitive status or otherclinical or demographic factors.
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| Emner |
