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Araştırma Makalesi
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Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy

Yıl 2021, Cilt: 6 Sayı: 3, 118 - 123, 16.09.2021

Begüm Aygen Gümüş , Hülya Ertekin

https://doi.org/10.22391/fppc.657962

Öz

Introduction: The aim of this research was to evaluate the demographic characteristics, diagnosis, treatment compliance and follow-up of outpatient clinic patients who had undergone electroconvulsive therapy for the treatment of mood disorders.
Methods: This retrospective study has been conducted based on inpatient and outpatient clinical records of mood disorders patients who were treated with ECT between 2015-2018 in Department of Psychiatry Faculty of Medicine in University of Onsekiz Mart, Çanakkale Turkey.
Results: The distribution of study population were classified as bipolar disorder patients [50% (n=5) in manic episode, 30% (n=3) in depressive episode, and 20% (n=2) in mixed episode] and 35% (n=7) of the depressive disorder patients had depression with psychotic symptoms, 60% (n=12) had depression without psychotic symptoms, and 5% (n=1) had catatonic depression. During the evaluation for the reasons of electroconvulsive therapy, the need for rapid response was most important requirement in depression patients, and agitation excitation treatment was most important requirement in bipolar disease patients. During follow-up 55% (n=11) of the depression patients continued their outpatient visits regularly after discharge, and the mean follow-up period was 14.10 months while 70% (n=7) of the bipolar disease patients had continued their outpatient visits regularly after discharge. The mean follow-up period was 11 months.
Conclusion: Electroconvulsive therapy may be an important factor that increases treatment compliance for patients with mood disorders.
Keywords: bipolar disorder, depression, mood disorder, electroconvulsive therapy, treatment compliance

Anahtar Kelimeler

bipolar disorder depression mood disorder electroconvulsive therapy treatment compliance

Kaynakça

  • 1. Fink M. Convulsive therapy: a review of the first 55 years. J Affect Disord. 2001;63:1-15. https://doi.org/10.1016/s0165-0327(00)00367-0
  • 2. Atagun Mİ, Yildirim MS, Canbek O. Electroconvulsive therapy: an update. Curr Approaches Psychiatry. 2012;4(3):350-70. https://doi.org/10.5455/cap.20120421
  • 3. Nordanskog P, Dahlstrand U, Larsson MR, Larsson EM, Knutsson L, Johanson A. Increase in hippocampal volume after electroconvulsive therapy in patients with depression: a volumetric magnetic resonance imaging study. J ECT. 2010;26(1):62–7. https://doi.org/10.1097/YCT.0b013e3181a95da8
  • 4. Pluijms EM, Birkenhager TK, Huijbrechts IP, Moleman P. Influence of resistance to antidepressant pharmacotherapy on short-term response to electroconvulsive therapy. J Affect Disord. 2002;69:93-9. https://doi.org/10.1016/s0165-0327(00)00378-5
  • 5. Zeren T, Tamam L, Evlice YE. [Electroconvulsive therapy: an overview] (in Turkish). Arch. 2003;12:340-78. https://dergipark.org.tr/tr/download/article-file/25435 (Access Date: December 18, 2019)
  • 6. Andrade C, Arumugham SS, Thirthalli J. Adverse effects of electroconvulsive therapy. Psychiatr Clin North Am. 2016;39(3):513-30. https://doi: 10.1016/j.psc.2016.04.004
  • 7. Simpson KH, Lynch L. Anaesthesia and electroconvulsive therapy (ECT). Anaesth. 1998;53(7):615–7. https://doi.org/10.1046/j.1365-2044.1998.572-az0623
  • 8. Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg. 2002;94(5):1351–64. https://doi.org/10.1097/00000539-200205000-00057
  • 9. Ervatan SO, Ozel A, Turkcapar H, Atasoy N. Compliance to treatment in depressive patients: a naturalistic follow-up study. J Clin Psy. 2003;6(1):5-11. https://klinikpsikiyatri.org/eng/jvi.aspx?pdir=kpd&plng=eng&un=KPD-27096&look4= (Access Date: December 18, 2019)
  • 10. Higashi K, Medic G, Littlewood KJ, Diez T, Granstrom O, De Hert M. Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review. Ther Adv Psychopharmacol. 2013;3(4):200-18. https://dx.doi.org/10.1177%2F2045125312474019
  • 11. Demirkol ME, Tamam L. [Treatment Adherence in Psychiatric Disorders] (in Turkish). Curr Approaches Psychiatry 2016;8(1):85. https://doi.org/10.18863/pgy.49806
  • 12. Yildiz A, Gokmen N, Turgut K, Yucel G, Tunca Z. [Place of electroconvulsive therapy among the somatic treatments at a university hospital inpatient psychiatry unit] (in Turkish). Bull Clin Psychopharmacol. 2003;13:65-71.
  • 13. Saatcioglu O, Tomruk NB. Practice of electroconvulsive therapy at the research and training hospital in Turkey. Soc Psychiatry Psychiatr Epidemiol. 2008;43:673-7. https://doi.org/10.1007/s00127-008-0351-z
  • 14. Balikci A, Bolu A, Akarsu S, Kocak N, Erdem M, Aydemir E et al. [Practice of electroconvulsive therapy between the years of 2006-2011 at a university hospital in Turkey ](in Turkish). Anatolian J Psychiatry. 2013;14:340.https://www.academia.edu/22727816/Practice_of_electroconvulsive_therapy_between_the_years_of_2006-2011_at_a_university_hospital_in_Turkey. (Access Date: December 18, 2019)
  • 15. Demir EY, Tas N. [Characteristics of electroconvulsive therapy in a university hospital](in Turkish). Cukurova Med J. 2016;41(2):242-7. https://doi.org/10.17826/cutf.200108
  • 16. Von Schweder LJ, Lydersen S, Wahlund B, Bergsholm P, Linaker OM. Electroconvulsive therapy in Norway: Rates of use, clinical characteristics, diagnoses, and attitude. J ECT. 2011;27:292-5. https://doi.org/10.1097/YCT.0b013e318208e24b
  • 17. Tauscher J, Neumeister A, Fischer P, Frey R, Kasper S. Electroconvulsive therapy in clinical practice. Nervenartz. 1997; 65:410-6. https://doi.org/10.1007/s001150050143
  • 18. Lisanby SH, Sarah H. Electroconvulsive therapy for depression. New England J Med. 2007;357.19:1939-45. https://doi.org/10.1056/NEJMct075234
  • 19. Semkovska M, McLoughlin DM. Objective cognitive performance associated with electroconvulsive therapy for depression: a systematic review and meta-analysis. Biol Psychiatry. 2010;68(6):568-77. https://doi.org/10.1016/j.biopsych.2010.06.009
  • 20. Boere E, Kamperman AM, Van 't Hoog AE, van den Broek WW, Birkenhäger TK. Anterograde amnesia during electroconvulsive therapy: a prospective pilot-study in patients with major depressive disorder. PLoS One. 2016;11(10):e0165392. https://doi.org/10.1371/journal.pone.0165392
  • 21. Cimilli C, Kaya N, Inal N, Sarsu S, Topkaya S, Tuncel E. ECT in bipolar disorder. Ephesus days, bipolar disorders, book of abstracts. Izmir: 1998; 63.
  • 22. Anderson EL, Reti IM. ECT in pregnancy: a review of the literature from 1941 to 2007. Psychosom Med. 2009;71(2):235–42. https://doi.org/10.1097/PSY.0b013e318190d7ca
  • 23. Nonacs R, Cohen LS. Assessment and treatment of depression during pregnancy: an update. Psychiatr Clin North Am. 2003;26(3):547–62. https://doi.org/10.1016/s0193-953x(03)00046-7
  • 24. Nuttall GA, Bowersox MR, Douglass SB, et al. Morbidity and mortality in the use of electroconvulsive therapy. J ECT. 2004;20(4):237–41. https://doi.org/10.1097/00124509-200412000-00009
  • 25. Kho KH, Zwinderman AH, Blansjaar BA. Predictors for the efficacy of electroconvulsive therapy: chart review of a naturalistic study. J Clin Psychiatry. 2005;66(7):894–9. https://doi.org/10.4088/jcp.v66n0712
  • 26. Swoboda E, Conca A, Konig P, Waanders R, Hansen M. Maintenance electroconvulsive therapy in affective and schizoaffective disorder. Neuropsychobiology. 2001;43:23-8. https://doi.org/10.1159/000054861
  • 27. Rasmussen KG. Clinical applications of recent research of ECT. Bull Menninger Clin. 2003; 67(1):18-31. https://doi.org/10.1521/bumc.67.1.18.23449
  • 28. Bailine SH, Sanghani SN, Petrides G. Maintenance electroconvulsive therapy is not acute electroconvulsive therapy. J ECT. 2019;35(1):1-2. https://doi.org/10.1097/YCT.0000000000000524
  • 29. Tunca Z, Hancioglu M. [Factors effecting the therapeutic compliance of psychiatric patients] (in Turkish). Turkish J Psychiatr. 1993;(4):219-23. http://psikiyatridizini.net/viewarticle.aspx?articleid=2801 (Access Date: December 18, 2019)
  • 30. Demirkol ME, Tamam L, Evlice YE, Karaytug MO. [Adherence to the treatment in psychiatric patients] (in Turkish). Cukurova Med J. 2015;40(3):555-68. https://doi.org/10.17826/cutf.04659
  • 31. Ates MA, Algul A. [Medication non-adherence in bipolar disorders] (in Turkish) Turkiye Klinikleri J Int Med Sci. 2006;2(29):60-4. https://www.turkiyeklinikleri.com/article/en-bipolar-bozukluklarda-tedavi-uyumsuzlugu-46630.html (Access Date: December 18, 2019)

Elektrokonvulsif tedavi alan duygudurum bozukluğu hastalarının uzunlamasına değerlendirmesi ve tedaviye uyumu

Yıl 2021, Cilt: 6 Sayı: 3, 118 - 123, 16.09.2021

Begüm Aygen Gümüş , Hülya Ertekin

https://doi.org/10.22391/fppc.657962

Öz

Giriş: Bu çalışmanın amacı kliniğimizde Elektrokonvulsif terapi (EKT) yöntemiyle yatarak tedavi edilmiş duygudurum bozukluğu hastalarının demografik özelliklerini, tanı, tedavi ve ayaktan poliklinik takiplerine devam süreçlerini değerlendirmekti.
Yöntem: Bu çalışma Çanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi Psikiyatri Kliniğinde 2015-2018 yılları arasında EKT yapılan duygudurum bozukluğu tanısı almış hastaların yatarak ve ayaktan poliklinik kayıtlarının geriye dönük incelenmesi ile gerçekleştirilmiş tanımlayıcı bir çalışmadır.
Bulgular: Çalışma popülasyonunun dağılımı; Bipolar Bozukluk (BB) hastalarının; %50 (n=5)’i manik epizotta, %30 (n=3)’u depresif epizoda, %20 (n=2)’si karma epizotta idi ve depresif bozukluk hastalarının %35 (n=7)’i psikotik belirtili depresyon, %60 (n=12)’ı psikotik belirtisiz depresyon, %5 (n=1)’i katatonik belirtili depresyon idi. EKT tedavisi uygulanma sebepleri değerlendirildiğinde depresyon hastalarında hızlı yanıt ihtiyacı %45 ile birinci sırada iken, BB hastalarında ajitasyon ve eksitasyon %40 ile birinci sırada idi. Depresyon tanısı ile izlenen hastaların %55 (n=11)’i taburcu olduktan sonra poliklinik kontrollerine düzenli olarak devam etmişti, ortalama takip süresi 14,10 aydı. BB tanısı ile takip edilen hastaların %70 (n=7)’i taburcu olduktan sonra poliklinik kontrollerine düzenli olarak devam etmişti, Ortalama takip süresi 11 aydı.
Sonuç: EKT tedavisinin duygudurum bozukluğu olan hastalar için tedavi uyumunu artıran önemli bir faktör olabileceği söylenebilir.
Anahtar Kelimeler: Bipolar bozukluk, depresyon, duygudurum bozukluğu, Elektrokonvulsif terapi, tedavi uyumu

Anahtar Kelimeler

bipolar bozukluk depresyon duygudurum bozukluğu elektrokonvulzif terapi tedavi uyumu

Kaynakça

  • 1. Fink M. Convulsive therapy: a review of the first 55 years. J Affect Disord. 2001;63:1-15. https://doi.org/10.1016/s0165-0327(00)00367-0
  • 2. Atagun Mİ, Yildirim MS, Canbek O. Electroconvulsive therapy: an update. Curr Approaches Psychiatry. 2012;4(3):350-70. https://doi.org/10.5455/cap.20120421
  • 3. Nordanskog P, Dahlstrand U, Larsson MR, Larsson EM, Knutsson L, Johanson A. Increase in hippocampal volume after electroconvulsive therapy in patients with depression: a volumetric magnetic resonance imaging study. J ECT. 2010;26(1):62–7. https://doi.org/10.1097/YCT.0b013e3181a95da8
  • 4. Pluijms EM, Birkenhager TK, Huijbrechts IP, Moleman P. Influence of resistance to antidepressant pharmacotherapy on short-term response to electroconvulsive therapy. J Affect Disord. 2002;69:93-9. https://doi.org/10.1016/s0165-0327(00)00378-5
  • 5. Zeren T, Tamam L, Evlice YE. [Electroconvulsive therapy: an overview] (in Turkish). Arch. 2003;12:340-78. https://dergipark.org.tr/tr/download/article-file/25435 (Access Date: December 18, 2019)
  • 6. Andrade C, Arumugham SS, Thirthalli J. Adverse effects of electroconvulsive therapy. Psychiatr Clin North Am. 2016;39(3):513-30. https://doi: 10.1016/j.psc.2016.04.004
  • 7. Simpson KH, Lynch L. Anaesthesia and electroconvulsive therapy (ECT). Anaesth. 1998;53(7):615–7. https://doi.org/10.1046/j.1365-2044.1998.572-az0623
  • 8. Ding Z, White PF. Anesthesia for electroconvulsive therapy. Anesth Analg. 2002;94(5):1351–64. https://doi.org/10.1097/00000539-200205000-00057
  • 9. Ervatan SO, Ozel A, Turkcapar H, Atasoy N. Compliance to treatment in depressive patients: a naturalistic follow-up study. J Clin Psy. 2003;6(1):5-11. https://klinikpsikiyatri.org/eng/jvi.aspx?pdir=kpd&plng=eng&un=KPD-27096&look4= (Access Date: December 18, 2019)
  • 10. Higashi K, Medic G, Littlewood KJ, Diez T, Granstrom O, De Hert M. Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review. Ther Adv Psychopharmacol. 2013;3(4):200-18. https://dx.doi.org/10.1177%2F2045125312474019
  • 11. Demirkol ME, Tamam L. [Treatment Adherence in Psychiatric Disorders] (in Turkish). Curr Approaches Psychiatry 2016;8(1):85. https://doi.org/10.18863/pgy.49806
  • 12. Yildiz A, Gokmen N, Turgut K, Yucel G, Tunca Z. [Place of electroconvulsive therapy among the somatic treatments at a university hospital inpatient psychiatry unit] (in Turkish). Bull Clin Psychopharmacol. 2003;13:65-71.
  • 13. Saatcioglu O, Tomruk NB. Practice of electroconvulsive therapy at the research and training hospital in Turkey. Soc Psychiatry Psychiatr Epidemiol. 2008;43:673-7. https://doi.org/10.1007/s00127-008-0351-z
  • 14. Balikci A, Bolu A, Akarsu S, Kocak N, Erdem M, Aydemir E et al. [Practice of electroconvulsive therapy between the years of 2006-2011 at a university hospital in Turkey ](in Turkish). Anatolian J Psychiatry. 2013;14:340.https://www.academia.edu/22727816/Practice_of_electroconvulsive_therapy_between_the_years_of_2006-2011_at_a_university_hospital_in_Turkey. (Access Date: December 18, 2019)
  • 15. Demir EY, Tas N. [Characteristics of electroconvulsive therapy in a university hospital](in Turkish). Cukurova Med J. 2016;41(2):242-7. https://doi.org/10.17826/cutf.200108
  • 16. Von Schweder LJ, Lydersen S, Wahlund B, Bergsholm P, Linaker OM. Electroconvulsive therapy in Norway: Rates of use, clinical characteristics, diagnoses, and attitude. J ECT. 2011;27:292-5. https://doi.org/10.1097/YCT.0b013e318208e24b
  • 17. Tauscher J, Neumeister A, Fischer P, Frey R, Kasper S. Electroconvulsive therapy in clinical practice. Nervenartz. 1997; 65:410-6. https://doi.org/10.1007/s001150050143
  • 18. Lisanby SH, Sarah H. Electroconvulsive therapy for depression. New England J Med. 2007;357.19:1939-45. https://doi.org/10.1056/NEJMct075234
  • 19. Semkovska M, McLoughlin DM. Objective cognitive performance associated with electroconvulsive therapy for depression: a systematic review and meta-analysis. Biol Psychiatry. 2010;68(6):568-77. https://doi.org/10.1016/j.biopsych.2010.06.009
  • 20. Boere E, Kamperman AM, Van 't Hoog AE, van den Broek WW, Birkenhäger TK. Anterograde amnesia during electroconvulsive therapy: a prospective pilot-study in patients with major depressive disorder. PLoS One. 2016;11(10):e0165392. https://doi.org/10.1371/journal.pone.0165392
  • 21. Cimilli C, Kaya N, Inal N, Sarsu S, Topkaya S, Tuncel E. ECT in bipolar disorder. Ephesus days, bipolar disorders, book of abstracts. Izmir: 1998; 63.
  • 22. Anderson EL, Reti IM. ECT in pregnancy: a review of the literature from 1941 to 2007. Psychosom Med. 2009;71(2):235–42. https://doi.org/10.1097/PSY.0b013e318190d7ca
  • 23. Nonacs R, Cohen LS. Assessment and treatment of depression during pregnancy: an update. Psychiatr Clin North Am. 2003;26(3):547–62. https://doi.org/10.1016/s0193-953x(03)00046-7
  • 24. Nuttall GA, Bowersox MR, Douglass SB, et al. Morbidity and mortality in the use of electroconvulsive therapy. J ECT. 2004;20(4):237–41. https://doi.org/10.1097/00124509-200412000-00009
  • 25. Kho KH, Zwinderman AH, Blansjaar BA. Predictors for the efficacy of electroconvulsive therapy: chart review of a naturalistic study. J Clin Psychiatry. 2005;66(7):894–9. https://doi.org/10.4088/jcp.v66n0712
  • 26. Swoboda E, Conca A, Konig P, Waanders R, Hansen M. Maintenance electroconvulsive therapy in affective and schizoaffective disorder. Neuropsychobiology. 2001;43:23-8. https://doi.org/10.1159/000054861
  • 27. Rasmussen KG. Clinical applications of recent research of ECT. Bull Menninger Clin. 2003; 67(1):18-31. https://doi.org/10.1521/bumc.67.1.18.23449
  • 28. Bailine SH, Sanghani SN, Petrides G. Maintenance electroconvulsive therapy is not acute electroconvulsive therapy. J ECT. 2019;35(1):1-2. https://doi.org/10.1097/YCT.0000000000000524
  • 29. Tunca Z, Hancioglu M. [Factors effecting the therapeutic compliance of psychiatric patients] (in Turkish). Turkish J Psychiatr. 1993;(4):219-23. http://psikiyatridizini.net/viewarticle.aspx?articleid=2801 (Access Date: December 18, 2019)
  • 30. Demirkol ME, Tamam L, Evlice YE, Karaytug MO. [Adherence to the treatment in psychiatric patients] (in Turkish). Cukurova Med J. 2015;40(3):555-68. https://doi.org/10.17826/cutf.04659
  • 31. Ates MA, Algul A. [Medication non-adherence in bipolar disorders] (in Turkish) Turkiye Klinikleri J Int Med Sci. 2006;2(29):60-4. https://www.turkiyeklinikleri.com/article/en-bipolar-bozukluklarda-tedavi-uyumsuzlugu-46630.html (Access Date: December 18, 2019)
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Psikiyatri
Bölüm Araştırma Makalesi (Original Article)
Yazarlar

Begüm Aygen Gümüş 0000-0002-4845-5106

Hülya Ertekin 0000-0003-4787-5333

Yayımlanma Tarihi 16 Eylül 2021
Gönderilme Tarihi 11 Aralık 2019
Kabul Tarihi 13 Eylül 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 6 Sayı: 3

Kaynak Göster

APA Gümüş, B. A., & Ertekin, H. (2021). Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy. Family Practice and Palliative Care, 6(3), 118-123. https://doi.org/10.22391/fppc.657962
AMA Gümüş BA, Ertekin H. Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy. Fam Pract Palliat Care. Aralık 2021;6(3):118-123. doi:10.22391/fppc.657962
Chicago Gümüş, Begüm Aygen, ve Hülya Ertekin. “Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy”. Family Practice and Palliative Care 6, sy. 3 (Aralık 2021): 118-23. https://doi.org/10.22391/fppc.657962.
EndNote Gümüş BA, Ertekin H (01 Aralık 2021) Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy. Family Practice and Palliative Care 6 3 118–123.
IEEE B. A. Gümüş ve H. Ertekin, “Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy”, Fam Pract Palliat Care, c. 6, sy. 3, ss. 118–123, 2021, doi: 10.22391/fppc.657962.
ISNAD Gümüş, Begüm Aygen - Ertekin, Hülya. “Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy”. Family Practice and Palliative Care 6/3 (Aralık2021), 118-123. https://doi.org/10.22391/fppc.657962.
JAMA Gümüş BA, Ertekin H. Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy. Fam Pract Palliat Care. 2021;6:118–123.
MLA Gümüş, Begüm Aygen ve Hülya Ertekin. “Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy”. Family Practice and Palliative Care, c. 6, sy. 3, 2021, ss. 118-23, doi:10.22391/fppc.657962.
Vancouver Gümüş BA, Ertekin H. Longitudinal evaluation and treatment compliance of patients with mood disorders treated with electroconvulsive therapy. Fam Pract Palliat Care. 2021;6(3):118-23.

Family Practice and Palliative Care      ISSN 2458-8865       E-ISSN 2459-1505