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Related Experiment Videos

Electroconvulsive Therapy in Adolescents.

Terry D. Schneekloth1, Teresa A. Rummans, Kathleen M. Logan

  • 1Department of Psychiatry and Psychology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.

Convulsive Therapy
|January 1, 1993
PubMed
Summary
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Electroconvulsive therapy (ECT) is safe and effective for adolescents with severe mental illnesses. This study found ECT reduced symptoms in bipolar disorder, major depression, and schizophreniform disorder in young patients.

Area of Science:

  • Child and Adolescent Psychiatry
  • Neurology
  • Psychiatric Treatments

Background:

  • Limited case reports exist on electroconvulsive therapy (ECT) use in adolescent psychiatric patients.
  • Adolescent mental health conditions often present unique challenges for treatment.
  • Medication resistance is a significant concern in treating severe psychiatric disorders in youth.

Purpose of the Study:

  • To retrospectively review the efficacy and safety of electroconvulsive therapy (ECT) in adolescent psychiatric patients.
  • To evaluate ECT's effectiveness across different psychiatric diagnoses in individuals under 18.
  • To compare findings with existing literature on ECT in adolescents.

Main Methods:

  • Retrospective review of medical records for 20 patients aged 18 or younger who received ECT between 1983 and 1991.

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  • Inclusion of all eligible adolescent patients treated at the institution during the specified period.
  • Comprehensive literature review on ECT use in adolescent populations.

    • Main Results:

    • ECT demonstrated significant symptom reduction or elimination in adolescents with bipolar disorder, major depression, and schizophreniform disorder.
    • ECT showed limited effectiveness in patients diagnosed with schizophrenia and schizoaffective disorder.
    • No adverse effects were recorded during ECT treatments, even in patients with co-occurring medical conditions.

    Conclusions:

    • Electroconvulsive therapy (ECT) is a safe and effective treatment option for severe, medication-resistant mental illnesses in adolescents.
    • ECT can be safely administered to adolescents with complex medical histories, including seizure disorders and organ transplants.
    • Further research is warranted to optimize ECT protocols for specific adolescent psychiatric conditions.