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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1992-2-27
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pubmed:abstractText |
In medication-resistant patients with major depressive disorder, the response rate with bilateral electroconvulsive therapy (ECT) drops to 50% from the expected range of 80% to 90%. Relapse rates following ECT are high in medication-resistant depressed patients and are clustered in the first 4 months following clinical response. Medication resistance during the index episode predicts a high rate of relapse, whereas those patients who have not received an adequate medication trial prior to ECT are less likely to relapse. If a patient who fails an antidepressant trial then responds to a course of ECT, alternative pharmacologic strategies or maintenance ECT should be considered to decrease the likelihood of relapse. Patients who do not respond to a traditional course of bilateral ECT may respond subsequently to longer courses of bilateral ECT at markedly suprathreshold stimulus intensity, or may respond to a different class of antidepressant medication from that which they failed previously.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
|
pubmed:issn |
0193-953X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
905-23
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:1771153-Antidepressive Agents,
pubmed-meshheading:1771153-Depressive Disorder,
pubmed-meshheading:1771153-Drug Resistance,
pubmed-meshheading:1771153-Electroconvulsive Therapy,
pubmed-meshheading:1771153-Functional Laterality,
pubmed-meshheading:1771153-Humans,
pubmed-meshheading:1771153-Recurrence
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pubmed:year |
1991
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pubmed:articleTitle |
Electroconvulsive therapy in the treatment-resistant patient.
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pubmed:affiliation |
College of Physicians and Surgeons, Columbia University, New York, New York.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Review
|