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KMID : 1009020180160030339
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Clinical Psychopharmacology and Neuroscience
2018 Volume.16 No. 3 p.339 ~ p.342
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The Effects of Continuation-Maintenance Electroconvulsive Therapy on Reducing Hospital Re-Admissions in Patients with Treatment-Resistant Schizophrenia
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Choi Kyung-Mook
Choi Soo-Hee
Hong Jung-Kyung
Lee Mi-Hyun
Jung Joon-Hyung
Oh Sang-Hoon
Jung Dong-Chung
Kim Sung-Nyun
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Abstract
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Objective: Continuation-maintenance electroconvulsive therapy (C/M-ECT) is used to prevent relapse or recurrence in patients with severe mental illnesses. We aimed to investigate the effect of C/M-ECT on reducing hospital re-admissions in patients with treatment-resistant schizophrenia.
Methods: We applied a mirror-image design by retrospectively examining re-hospitalization rates of 18 patients with schizophrenia spectrum disorders. We compared the numbers of psychiatric admissions during the actual period over which C/M-ECT was administered with the same period prior to the beginning of C/M-ECT.
Results: The number of psychiatric admissions was reduced significantly during C/M-ECT (0.33±0.77) compared with that of the same period prior to C/M-ECT (2.67±1.33) (Wilcoxon signed rank Z=?3.663; p＜0.001).
Conclusion: This finding shows that C/M-ECT augmentation could successfully reduce the re-hospitalization rates in patients with treatment-resistant schizophrenia.
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KEYWORD
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Electroconvulsive therapy, Schizophrenia, Treatment-resistance, Recurrence, Hospitalization
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