title: Prevalence and correlates of electroconvulsive therapy delivery in 1001 obsessive-compulsive disorder outpatients.
abstract: Individuals with obsessive-compulsive disorder (OCD) who sought treatment in seven different specialized centers (n=1001) were evaluated with a structured assessment battery. Thirteen OCD patients (1.3% of the sample) reported having been treated with electroconvulsive therapy (ECT) in the past. They were older and exhibited higher global severity of OCD symptoms, but were less likely to display symmetry/ordering and contamination/washing symptoms. They also had greater suicidality and increased rates of psychosis. Finally, OCD patients exposed to ECT were more frequently treated with antipsychotics, although they did not differ in terms of responses to adequate trials with serotonin reuptake inhibitors.
authors.affiliation: Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Samara
authors.initials: S
authors.lastname: Dos Santos-Ribeiro
authors.affiliation: Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Natália M
authors.initials: NM
authors.lastname: Lins-Martins
authors.affiliation: Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Ilana
authors.initials: I
authors.lastname: Frydman
authors.affiliation: Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: Maria
authors.initials: M
authors.lastname: Conceição do Rosário
authors.affiliation: Department of Psychiatry and Legal Medicine, Health Sciences Federal University of Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Ygor A
authors.initials: YA
authors.lastname: Ferrão
authors.affiliation: Department and Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.
authors.forename: Roseli G
authors.initials: RG
authors.lastname: Shavitt
authors.affiliation: School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Victoria, Australia.
authors.forename: Murat
authors.initials: M
authors.lastname: Yücel
authors.affiliation: Department and Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.
authors.forename: Euripedes C
authors.initials: EC
authors.lastname: Miguel
authors.affiliation: Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Victoria, Australia; Instituto D'Or de Pesquisa e Ensino (IDOR), Rio de Janeiro, Brazil. Electronic address: lfontenelle@gmail.com.
authors.forename: Leonardo F
authors.initials: LF
authors.lastname: Fontenelle
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy*; D010045:Outpatients; D011618:Psychotic Disorders / Q000150:complications / Q000188:drug therapy; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D012720:Severity of Illness Index; D055815:Young Adult
chemical_list: D014150:Antipsychotic Agents; D017367:Selective Serotonin Reuptake Inhibitors
keywords: Electroconvulsive therapy; Obsessive-compulsive disorder; Psychopathology; Survey; Treatment