Influence of episode duration of major depressive disorder on response to electroconvulsive therapy.
BACKGROUND
Longer duration of major depressive episode is supposed to decrease response to electroconvulsive therapy (ECT). Most studies on the subject are dated and their population differs from ours, therefore their results may not be applicable to our population of severely depressed inpatients.


METHODS
We reviewed the records of 56 consecutive inpatients with major depressive disorder according to DSM-III-R criteria and assessed each patient's episode duration. We examined whether episode duration has an effect on response to ECT.


RESULTS
Episode duration has no significant effect on response to ECT, according to both a reduction on the Hamilton Rating Scale for Depression (HRSD) of at least 50% and a post-treatment HRSD score <or=7 as outcome criteria. Concerning each patient's absolute change in HRSD score pre-treatment compared to post-treatment, again episode duration has no significant effect.


CONCLUSIONS
The present study has a limited sample size and concerns a rather homogeneous population of severely depressed inpatients. Episode duration was established retrospectively.


CONCLUSIONS
ECT is an effective treatment for severely depressed inpatients, independent of episode duration.
Pluijms
Esther M
EM
Department of Psychiatry, Erasmus Medical Center, University of Rotterdam, The Netherlands. e.pluijms@erasmusmc.nl
Birkenhäger
Tom K
TK
Mulder
Paul G
PG
van den Broek
Walter W
WW
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010343:Patient Admission; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D012189:Retrospective Studies