Hostname: page-component-77c89778f8-gvh9x Total loading time: 0 Render date: 2024-07-19T05:31:53.313Z Has data issue: false hasContentIssue false

Electrophysiological and Hormonal Responses to Three Types of Electroconvulsive Therapy

Published online by Cambridge University Press:  29 January 2018

Ashley Robin*
Affiliation:
Runwell, Hospital, Wickford, Essex. Charing Cross Hospital, London
Colin D. Binnie
Affiliation:
Instituut voor Epilepsiebestrijding, Heemstede, Achterweg 5, The Netherlands
J. B. Copas
Affiliation:
Department of Statistics, University of Birmingham
*
Correspondence

Abstract

Patients were treated with three different types of electroconvulsive therapy in random order in the first three sessions of their courses. Anaesthetic and muscle relaxants were administered in standard doses, and treatment applied a set time after bolus injection. Electroencephalographic recordings were undertaken before, during, and after treatment, and hormonal measures before and after. The responses to treatment differed between the three types of current in both EEG and prolactin measures. It is suggested that the quality of the convulsive response varies with different currents.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Balldin, J. (1982) Factors influencing prolactin release induced by electroconvulsive therapy. Acta Psychiatrica Scandinavica. 65, 365369.Google ScholarPubMed
Blachly, P. H. (1976) New developments in electroconvulsive therapy. Diseases of the Nervous System, 37, 356358.Google Scholar
Dana-Haeri, J., Trimblk, M. R. & Oxley, J. (1983) Prolactin and gonadotrophin changes following generalised and partial seizures. Journal of Neurology, Neurosurgery and Psychiatry, 46, 331335.Google Scholar
Daniel, W. F. (1983) How docs ECT work? British Journal of Psychiatry, 142, 536.CrossRefGoogle Scholar
Daniel, W. F. Crowitz, H. F., Weiner, R. D. Swartzwelder, H. S. & Kahn, E. M. (1984) ECT-induccd amnesia and post ictal EEG suppression. Biological Psychiatry, (in press).Google Scholar
Deakin, J. F. W., Ferrier, I. N., Crow, T. J., Johnstone, E. C. & Lawler, P. (1983) Effects of ECT on pituitary hormone release in relationship to seizures, clinical variables and outcome. British Journal of Psychiatry, 143, 618624.Google Scholar
D'Elia, G. & Perris, C. (1970) Seizure and post-seizure electroencephalographic pattern. Acta Psychiatrica Scandinavica Supplementum, 215, 9.Google Scholar
Fink, M. (1979) Convulsion Therapy: Theory and Practice, New York: Raven Press.Google Scholar
Green, M. A. (1960) Relation between threshold and duration of seizures and electrographic change during convulsive therapy. Journal of Nervous and Mental Disease, 131, 117120.Google Scholar
Hill, D. & Parr, G. (1963) Electroencephalography, London: McDonald.Google Scholar
Kaiona, C. L. E. & Berrios, G. E. (1983) Low and high energy ECT. British Journal of Psychiatry, 142, 426.Google Scholar
Kiioh, L. G., McComas, A. J., Osselton, J. W. & Upton, A. R. M. (1981) Clinical Encephalography, London: Buttcrworth.Google Scholar
Kirsiein, L. & Ottosson, J. O. (1960) Experimental studies of electroencephalographic changes following electroconvulsive therapy. Acta Psychiatrica Scandinavica Supplementum, 145.Google Scholar
Kreisman, N. R., Sick, T. J. & Rosenthal, M. (1983) Importance of vascular responses in determining cortical oxygenation during recurrent paroxysmal events of varying duration and frequency of repetition. Journal of Cerebral Blood Flow and Metabolism, 3, 330338.Google Scholar
Maleizky, B. M. (1978) Seizure duration and clinical effect in electroconvulsive therapy. Comprehensive Psychiatry, 19, 541550.Google Scholar
Ohman, R. Balldin, J., Walinder, J., Wallin, L. & Abrahamsson, L. (1976) Prolactin response to electroconvulsive therapy. Lancet, ii, 936937.CrossRefGoogle Scholar
Robin, A. & de Tissera, S. (1982) A double-blind controlled comparison of the therapeutic effects of low and high energy electroconvulsive therapies. British Journal of Psychiatry, 141, 357366.Google Scholar
Rosenthal, F., Macey, R. & Timiras, P. (1962) Stimulus intensity and duration of electroshock seizure and response. Experimental Neurology, 5, 292301.CrossRefGoogle Scholar
Stein, J., Schulz, H., Muller, J. & Roth, B. (1969) A polygraphic study of electroconvulsive treatment in psychotics and general anaesthesia and muscular relaxation. Electroencephalography and Clinical Neurophysiology, 26, 227.Google Scholar
Swariz, C. & Abrams, R. (1984) Prolactin levels after bilateral and unilateral ECT. British Journal of Psychiatry, 144, 643645.Google Scholar
Trimble, M. R. (1978) Serum prolactin and epilepsy and hysteria. British Medical Journal, 2, 1682.CrossRefGoogle ScholarPubMed
Wada, T. (1947) Electroencephalographs studies of changes induced by electric shock in man. 1. Observations two hours after the passage of the current. Folia Psychiatrica Neurological Japonica, 2, 194.Google Scholar
Weiner, R. D. (1980) ECT and seizure threshold: Effects of stimulus wave form and electrode placement. Biological Psychiatry, 15, 225241.Google ScholarPubMed
Weiner, R. D. Rogers, H. D., Davidson, J. R. T. & Squire, C. R. (1984) Acute effects of ECT stimulus waveform and electrical placement. Poster presentation: Collegium Internationale Neuro – Psychopharmacologicum, Florence, Italy.Google Scholar
Whalley, L. J., Dick, H., Watts, A. G., Christie, J. E., Rosie, R., Levy, G., Sheward, W. J. & Fink, G. (1982) Immediate increases in plasma prolactin and neurophysin but not other hormones after electroconvulsive therapy. Lancet, ii, 10641068.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.