Clinical outcomes and quality of life in patients submitted to electroconvulsive therapy.
J ECT
; 25(3): 182-5, 2009 Sep.
Article
em En
| MEDLINE
| ID: mdl-19455062
OBJECTIVES: The aims of this study were to evaluate the effect of electroconvulsive therapy (ECT) on clinical and quality of life improvement in patients hospitalized at the Hospital de Clínicas de Porto Alegre and to compare psychopathology measures between the patient's and the physician's perspectives. METHODS: In a longitudinal and observational study, 58 patients who submitted to ECT were assessed for clinical symptoms and quality of life before and 24 hours after treatment. Symptoms were assessed using the Behavior and Symptom Identification Scale 32 (BASIS-32), Brief Psychiatry Rating Scale--Anchored (BPRS-A), and Clinical Global Impression (CGI). Quality of life was assessed using the World Health Organization Quality of Life--Bref (WHOQOL-BREF) assessment. RESULTS: Of 58 patients assessed, 25 (43.1%) had major depression and 23 (39.7%) had bipolar disorder. Electroconvulsive therapy was indicated because of resistant depression in 47 patients (81.1%). There was a significant difference (P < 0.001) between the periods before and after ECT in BASIS-32, BPRS-A, and CGI scores and in all WHOQOL domains, with greater difference in physical and psychological domains than in social relationships and environment. Size effects of BASIS-32 and BPRS scales were similar. CONCLUSION: Electroconvulsive therapy is associated with improvement in symptoms and in quality of life of patients with psychiatric disorders, which could be seen in measurements assessed by physicians (BPRS and CGI) and by patients (WHOQOL and BASIS-32). There was similarity between the patient's and the physician's perspectives.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Eletroconvulsoterapia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Equity_inequality
/
Patient_preference
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
J ECT
Assunto da revista:
MEDICINA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Estados Unidos