The efficacy of electroconvulsive therapy and antidepressants in depression

Electroconvulsive therapy (ECT), antidepressants, and neither treatment were compared by reviewing 609 hospitalizations for depression from 1959 to 1969. The groups receiving ECT had a significantly (p less than 0.001) greater percentage of patient who had marked improvement or a complete response (49%) than either adequate or inadequate antidepressant therapy groups (27%) or the group which received neither ECT nor antidepressants (25%). If antidepressant failures who require ECT are included in the evaluation, the percentage total improvement with ECT (90%) is significantly (p less than 0.001) greater than the adequate (74%) or inadequate (60%) antidepressant groups, or neither treatment (60%). At the end of 7 weeks of hospitalization, 74% of the ECT group had been discharged, significantly more (p less than 0.001) than the adequate antidepressant group, 54%. Delusional depressed patients responded much mor frequently to ECT.