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Unilateral and bilateral electroconvulsive therapy: what informs Scottish psychiatrists' choices?

  • Kevin A. Brown (a1)
Abstract
Aims and Method

A postal questionnaire was sent to Scottish consultant psychiatrists asking about their attitudes towards unilateral and bilateral electroconvulsive therapy (ECT), and the difference in effectiveness between the two ECT types that they considered clinically significant.

Results

The response rate was 61%. of those that responded, 62% were prescribers of ECT and most (79%) favoured bilateral ECT over unilateral ECT. the outcome that they were most concerned with was remission rate: 97% believe that an absolute difference of more than 5% in remission rate would make the difference in effectiveness between the two types of ECT clinically important.

Clinical Implications

Future investigators should focus on comparative remission rates of bilateral and unilateral ECT.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Sackeim, H. A., Prudic, J., Devanand, D. P., et al (2000) A prospective, randomized, double-blind comparison of bilateral and right unilateral electroconvulsive therapy at different stimulus intensities. Archives of General Psychiatry, 57, 425434.
Scott, A. I. F. (ed.) (2005) ECT Handbook (2nd edn). Gaskell.
The UK ECT Review Group (2003) Efficacy and safety of electroconvulsive therapy in depressive disorders: a systematic review and meta-analysis. Lancet, 361, 799808.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Unilateral and bilateral electroconvulsive therapy: what informs Scottish psychiatrists' choices?

  • Kevin A. Brown (a1)
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