Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-2lccl Total loading time: 0 Render date: 2024-04-29T20:36:53.028Z Has data issue: false hasContentIssue false

Chapter 4 - ECT in Mania (and Mixed States)

Published online by Cambridge University Press:  27 June 2019

By
R Hamish McAllister-Williams
Edited by
I. Nicol Ferrier  and
Jonathan Waite
I. Nicol Ferrier
Affiliation:
University of Newcastle upon Tyne
Jonathan Waite
Affiliation:
University of Nottingham
Get access

Summary

While there is no mention of ECT in the current NICE guidelines on bipolar disorder (NICE Guidelines; CG185, 2014), ECT is included as a recommended treatment for both manic and mixed affective episodes in bipolar disorder in the American Psychiatric Association Clinical Practice Guidelines (2002), the World Federation of Biological Psychiatry guidelines (Grunze, et al., 2010) and the British Association for Psychopharmacology bipolar guidelines (Goodwin, et al., 2016). Since the previous edition of The ECT Handbook, two narrative and one systematic reviews have been published that describe the evidence base regarding the use of ECT in manic and mixed affective episodes (Loo, et al., 2011; Versiani, et al., 2011; Thirthalli, et al., 2012).

Type
Chapter
Information
The ECT Handbook , pp. 32 - 37
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. 2002. Practice guideline for the treatment of patients with bipolar disorder (revision). Am J Psychiatry, Apr; 159:1–50.Google Scholar
Anand, S. 2016. Ultrabrief electroconvulsive therapy for manic episodes of bipolar disorder. J ECT, Dec; 32:267–9.Google Scholar
Barekatain, M, Jahangard, L, Haghighi, M, Ranjkesh, F. 2008. Bifrontal versus bitemporal electroconvulsive therapy in severe manic patients. J ECT, Sep; 24:199–202.Google Scholar
Black, D W, Winokur, G, Nasrallah, A. 1987. Treatment of mania: a naturalistic study of electroconvulsive therapy versus lithium in 438 patients. J Clin Psychiatry, Apr; 48:132–9.Google Scholar
Ciapparelli, A, Dell’Osso, L, Tundo, A, Pini, S, Chiavacci, M C, Di, S I, et al. 2001. Electroconvulsive therapy in medication-nonresponsive patients with mixed mania and bipolar depression. J Clin Psychiatry, Jul; 62:552–5.Google Scholar
Devanand, D P, Polanco, P, Cruz, R, Shah, S, Paykina, N, Singh, K, et al. 2000. The efficacy of ECT in mixed affective states. J ECT, Mar; 16:32–7.CrossRefGoogle ScholarPubMed
Goodwin, G M, Haddad, P M, Ferrier, I N, Aronson, J K, Barnes, T R H, Cipriani, A, et al. 2016. Evidence-based guidelines for treating bipolar disorder: revised third edition. Recommendations from the British Association for Psychopharmacology. J Psychopharm, Jun; 30:495–553.Google Scholar
Grunze, H, Vieta, E, Goodwin, G M, Bowden, C, Licht, R W, Moller, H J, et al. 2010. The World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Biological Treatment of Bipolar Disorders: Update 2010 on the treatment of acute bipolar depression. World J Biol Psychiatry, Mar; 11:81–109.Google Scholar
Hiremani, R M, Thirthalli, J, Tharayil, B S, Gangadhar, B N. 2008. Double-blind randomized controlled study comparing short-term efficacy of bifrontal and bitemporal electroconvulsive therapy in acute mania. Bipolar Disord, Sep; 10:701–7.Google Scholar
Ikeji, O C, Ohaeri, J U, Osahon, R O, Agidee, R O. 1999. Naturalistic comparative study of outcome and cognitive effects of unmodified electro-convulsive therapy in schizophrenia, mania and severe depression in Nigeria. East Afr Med J, Nov; 76:644–50.Google ScholarPubMed
Jahangard, L, Haghighi, M, Bigdelou, G, Bajoghli, H, Brand, S. 2012. Comparing efficacy of ECT with and without concurrent sodium valproate therapy in manic patients. J ECT, Jun; 28:118–23.Google Scholar
Loo, C, Katalinic, N, Mitchell, P B, Greenberg, B. 2011. Physical treatments for bipolar disorder: a review of electroconvulsive therapy, stereotactic surgery and other brain stimulation techniques. J Affect Disord, Jul; 132:1–13.CrossRefGoogle ScholarPubMed
McCabe, M S, Norris, B. 1977. ECT versus chlorpromazine in mania. Biol Psychiatry, Apr; 12:245–54.Google Scholar
Medda, P, Perugi, G, Zanello, S, Ciuffa, M, Rizzato, S, Cassano, G B. 2010. Comparative response to electroconvulsive therapy in medication-resistant bipolar I patients with depression and mixed state. J ECT, Jun; 26:82–6.CrossRefGoogle ScholarPubMed
Minnai, G P, Salis, P G, Oppo, R, Loche, A P, Scano, F, Tondo, L. 2011. Effectiveness of maintenance electroconvulsive therapy in rapid-cycling bipolar disorder. J ECT, Jun; 27:123–6.CrossRefGoogle ScholarPubMed
Mohan, T S, Tharyan, P, Alexander, J, Raveendran, N S. 2009. Effects of stimulus intensity on the efficacy and safety of twice-weekly, bilateral electroconvulsive therapy (ECT) combined with antipsychotics in acute mania: a randomised controlled trial. Bipolar Disord, Mar; 11:126–34.Google Scholar
Mukherjee, S, Sackeim, H A, Lee, C. 1988. Unilateral ECT in the treatment of manic episodes. Convuls Ther; 4:74–80.Google ScholarPubMed
Mukherjee, S. 1989. Mechanisms of the antimanic effect of electroconvulsive therapy. Convuls Ther; 5:227–43.Google Scholar
National Institute for Health and Care Excellence. 2014. Bipolar disorder: assessment and management. NICE Guidelines; CG185.Google Scholar
Palma, M, Ferreira, B, Borja-Santos, N, Trancas, B, Monteiro, C, Cardoso, G. 2016. Efficacy of electroconvulsive therapy in bipolar disorder with mixed features. Depress Res Treat; 2016:8306071.Google ScholarPubMed
Perugi, G, Medda, P, Toni, C, Mariani, MG, Socci, C, Mauri, M. 2017. The role of electroconvulsive therapy (ECT) in bipolar disorder: effectiveness in 522 patients with bipolar depression, mixed-state, mania and catatonic features. Curr Neuropharmacol, Apr; 15:359–71.Google Scholar
Santos Pina, L, Bouckaert, F, Obbels, J, Wampers, M, Simons, W, Wyckaert, S, et al. 2016. Maintenance electroconvulsive therapy in severe bipolar disorder: a retrospective chart review. J ECT, Mar; 32:23–8.CrossRefGoogle ScholarPubMed
Schou, M. 1991. Lithium and electroconvulsive therapy: adversaries, competitors, allies? Acta Psychiatr Scand, Nov; 84:435–8.Google Scholar
Sikdar, S, Kulhara, P, Avasthi, A, Singh, H. 1994. Combined chlorpromazine and electroconvulsive therapy in mania. Br J Psychiatry, Jun; 164:806–10.Google Scholar
Small, J G, Klapper, M H, Kellams, J J, Miller, M J, Milstein, V, Sharpley, P H, et al. 1988. Electroconvulsive treatment compared with lithium in the management of manic states. Arch Gen Psychiatry, Aug; 45:727–32.Google Scholar
Stromgren, L S. 1988. Electroconvulsive therapy in Aarhus, Denmark, in 1984: its application in nondepressive disorders. Convuls Ther; 4:306–13.Google ScholarPubMed
Thirthalli, J, Prasad, M K, Gangadhar, B N. 2012. Electroconvulsive therapy (ECT) in bipolar disorder: a narrative review of literature. Asian J Psychiatr, Mar; 5:11–7.CrossRefGoogle ScholarPubMed
Versiani, M, Cheniaux, E, Landeira-Fernandez, J. 2011. Efficacy and safety of electroconvulsive therapy in the treatment of bipolar disorder: a systematic review. J ECT, Jun; 27:153–64.CrossRefGoogle ScholarPubMed
Volpe, F M, Tavares, A. 2003. Impact of ECT on duration of hospitalizations for mania. J ECT, Mar; 19:17–21.Google Scholar
Volpe, F M, Tavares, A R. 2012. Lithium plus ECT for mania in 90 cases: safety issues. J Neuropsychiatry Clin Neurosci; 24:E33.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×