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Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
04:51

Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy

Published on: April 11, 2019

Electroconvulsive therapy in single manic episodes: a case series

H Mohammadbeigi1, S Alizadegan, M Barekatain

  • 1Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.

African Journal of Psychiatry
|April 22, 2011
PubMed

Insights

Electroconvulsive therapy (ECT) is an effective and safe treatment for bipolar I disorder patients experiencing a single manic episode. Early initiation of ECT can improve patient outcomes, even in first-episode mania.

Area of Science:

  • Psychiatry
  • Neurology

Background:

  • Bipolar I Disorder is a severe mental health condition characterized by manic episodes.
  • Treatment options for manic episodes include pharmacotherapy and electroconvulsive therapy (ECT).

Purpose of the Study:

  • To evaluate the effectiveness and safety of electroconvulsive therapy (ECT) for patients with Bipolar I Disorder presenting with a single manic episode.

Main Methods:

  • A retrospective study analyzed medical records of inpatients with a single manic episode of Bipolar I Disorder.
  • Data were collected from Noor University Hospital, Iran, between September 2004 and December 2008.

Main Results:

  • Out of 275 patients, 39 received ECT. Patients receiving ECT were younger and had a longer length of stay compared to those treated solely with medication.
  • ECT significantly reduced the need for chemical and physical restraints (77% to 7.7%).
  • Catatonia and aggressive behavior were primary indications for ECT.

Conclusions:

  • Electroconvulsive therapy (ECT) is an effective and safe treatment for single manic episodes in Bipolar I Disorder.
  • Consideration should be given to reducing the time to ECT initiation, even for first-episode mania.
Abstract

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