电休克疗法期间癫痫发作反应监测方法的比较。

IF 3.3 3区 医学 Q2 PSYCHIATRY Canadian Journal of Psychiatry-Revue Canadienne De Psychiatrie Pub Date : 2024-04-01 Epub Date: 2023-12-28 DOI:10.1177/07067437231223340
Timothy Hierlihy, Gerald Mugford, Weldon Bonnell, Mohamed A Mekawy
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引用次数: 0

摘要

目的:电休克疗法(ECT)用于治疗多种精神疾病。癫痫发作持续时间用于确定所给予的刺激是否足够。持续时间是通过脑电图(EEG)解释和/或观察到的运动反应(OMR)来估计的。这两种方法都不被视为黄金标准。本研究调查了这两种方法之间的关系。假设是脑电图和 OMR 都呈显著正相关。以前的研究人员认为,这两种方法会产生不同的估计值:方法:使用从 102 名成年精神病住院患者的电痉挛疗法中获得的前瞻性记录估计值进行了病例系列研究:结果:本研究未观察到强烈的正相关,相关系数为 0.510(p 结论:本研究表明,两种方法导致了不同的估计值:本研究表明,两种方法存在差异,需要进一步研究以确定充分治疗的最佳指标。
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Comparing Methods of Seizure Response Monitoring During Electroconvulsive Therapy: Comparer les méthodes de surveillance des interventions en cas de crise durant la thérapie par électrochocs.

Objective: Electroconvulsive therapy (ECT) is used to treat several mental illnesses. Seizure duration is used to determine if the administered stimulus was adequate. Duration is estimated by electroencephalogram (EEG) interpretation and/or observed motor response (OMR). Neither method is considered the gold standard. This study investigated the relationship between the 2 methods. The hypothesis was that both EEG and OMR would be significantly positively correlated. Previous researchers have suggested that the 2 methods resulted in different estimates.

Methods: A case series was conducted using recorded estimates obtained prospectively from 102 ECTs on adult psychiatric inpatients.

Results: A strong positive association was not observed in this study, correlation coefficient 0.510 (p < 0.001).

Conclusions: This study suggests that the 2 methods differ, and further research is needed to determine the best indicator of adequate treatment.

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来源期刊
CiteScore
7.00
自引率
2.50%
发文量
69
审稿时长
6-12 weeks
期刊介绍: Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.
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