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Improvement of post...
Improvement of postpartum depression and psychosis after electroconvulsive therapy: A population-based study with a matched comparison group
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- Rundgren, S. (författare)
- School of Medical Sciences, University Health Care Research Centre, Örebro University, Örebro, Sweden,Orebro Univ, Sweden
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- Brus, Ole, 1982- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics,Orebro Univ, Sweden
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- Bave, U. (författare)
- Department of Clinical Neuroscience, Center for Psychiatry Research, Karolinska Institutet and Stockholm County Council, Stockholm, Sweden,Karolinska Inst, Sweden; Stockholm Cty Council, Sweden
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- Landén, Mikael, 1966 (författare)
- Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden,Karolinska Inst, Sweden; Gothenburg Univ, Sweden
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- Lundberg, J. (författare)
- Karolinska Institutet,Karolinska Inst, Sweden; Stockholm Cty Council, Sweden
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- Nordanskog, Pia, 1971- (författare)
- Linköpings universitet,Medicinska fakulteten,Centrum för social och affektiv neurovetenskap,Region Östergötland, Psykiatriska kliniken
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- Nordenskjöld, Axel, 1977- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Orebro Univ, Sweden
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: Journal of Affective Disorders. - : Elsevier BV. - 0165-0327 .- 1573-2517. ; 235, s. 258-264
- Relaterad länk:
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: Electroconvulsive therapy (ECT) is used to treat postpartum depression and psychosis based on clinical experience and small observational studies. Aims: The primary aim was to test the hypothesis that the response rate to ECT for depression and psychosis is higher during the postpartum period than outside this period. The secondary aim was to identify predictors of a response to ECT during the postpartum period. Materials and methods: Cases with postpartum depression and/or psychosis received ECT within 6 months of delivery. A matched comparison group with depression and/or psychosis (not within the postpartum period) was identified from the Swedish National Quality Register for ECT. The improvement 1 week after ECT was classified according to the Clinical Global Impressions Scale - Improvement scale (CGI-I) as responder (CGI-I score 1-2) or non-responder (CGI-I score 3-7). Results: 185 cases and 185 comparison group subjects were included (46% with psychosis in each groups). More cases (87.0%) than comparison group subjects (73.5%) responded to ECT (p = 0.001). Adjusted binary regression analysis revealed that more severe symptoms prior to treatment were the only statistically significant predictor of response. Conclusion: The response rate of those with postpartum depression and/or psychosis to ECT was high. The response rate of patients with psychosis or depression was higher during the postpartum period than outside it. This study supports the use of ECT for severe forms of postpartum depression and/or psychosis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Puerperal disorders
- Postpartum depression
- Postpartum psychosis
- Electroconvulsive therapy
- antidepressant clinical-trials
- puerperal mental-illness
- impressions
- rating-scale
- pharmacological-treatment
- psychiatric-disorders
- relative
- sensitivity
- Puerperal disorders
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Rundgren, S.
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Brus, Ole, 1982-
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Bave, U.
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Landén, Mikael, ...
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Lundberg, J.
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Nordanskog, Pia, ...
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visa fler...
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Nordenskjöld, Ax ...
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Journal of Affec ...
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Göteborgs universitet
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Örebro universitet
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Karolinska Institutet
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Linköpings universitet