For the integrated multidisciplinary approach to patient care

Return to the Southern Medical Journal

Current User S2 Access Level: -1 ()
CAN NOT ACCESS LEVEL 2

Electroconvulsive Therapy—An Outdated Treatment, or One Whose Time Has Come?

James N. Kimball, MD
Volume: 100 Issue: 5 May, 2007

Abstract:

Depression, bipolar disorder, and other mental illnesses are being increasingly recognized in today’s medicine, with millions of people suffering from them. It is well known that people with mental illness utilize healthcare services more frequently than those without mental illness,1 costing millions of dollars per year in healthcare related expenditures.2 As a result, nonpsychiatrists are being called on to take on the burden of treatment, and primary care is increasingly being called the “de facto mental heath system.”3 However, although safe and effective somatic treatments are available, the field of medicine still has a long way to go in fully combating the suffering of mental illness. It is therefore imperative that physicians who see patients with mental illness have at least basic awareness of safe and effective treatments.

Article:

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

Images:

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

References:

1. Regier DA, Hirschfeld RM, Goodwin FK, et al. The NIMH Depression Awareness, Recognition, and Treatment Program: structure, aims, and scientific basis. Am J Psychiatry 1988;145:1351–1357.
 
2. Simon GE, VonKorff M, Barlow W. Health care costs of primary care patients with recognized depression. Arch Gen Psychiatry 1995;52:850–856.
 
3. Regier DA, Goldberg ID, Taube CA. The de facto US mental health services system: a public health perspective. Arch Gen Psychiatry 1978;35:685–693.
 
4. “What is STAR*D?” University of Pittsburgh. Available at: http://www.edc.pitt.edu/stard/public/. Accessed December 11, 2006.
 
5. Trivedi MH, Rush AJ, Wisniewski SR, et al; STAR*D Study Team. Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice. Am J Psychiatry 2006;163:28–40.
 
6. Trivedi MH, Fava M, Wisniewski SR, et al; STAR*D Study Team. Medication augmentation after the failure of SSRIs for depression. N Engl J Med 2006;354:1243–1252.
 
7. Rush AJ, Trivedi MH, Wisniewski SR, et al; STAR*D Study Team. Bupropion-SR, sertraline, or venlafaxine-XR after failure of SSRIs for depression. N Engl J Med 2006;354:1231–1242.
 
8. Fava M, Rush AJ, Wisniewski SR, et al. A comparison of mirtazapine and nortriptyline following two consecutive failed medication treatments for depressed outpatients: a STAR*D report. Am J Psychiatry2006;163:1161–1172.
 
9. Nierenberg AA, Fava M, Trivedi MH, et al. A comparison of lithium and T(3) augmentation following two failed medication treatments for depression: a STAR*D report. Am J Psychiatry 2006;163:1519–1530.
 
10. McGrath PJ, Stewart JW, Fava M, et al. Tranylcypromine versus venlafaxine plus mirtazapine following three failed antidepressant medication trials for depression: a STAR*D report. Am J Psychiatry 2006;163:1531–1541.
 
11. Lieberman JA, Stroup TS, McEvoy JP, et al; Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Investigators. Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. N Engl J Med 2005;353:1209–1223.
 
12. Dukakis K, Tye L. Shock: The Healing Power of Electrocovulsive Therapy. New York, Penguin Group, 2006.
 
13. McCall WV, Prudic J, Olfson M, et al. Health-related quality of life following ECT in a large community sample. J Affect Disord 2006;90:269–274.
 
14. “Study Touts Statins’ Effectiveness After Heart Attack.” Consumeraffairs. com. August 30, 2005. Available at: http://www.consumeraffairs.com/news04/2005/statins.html. Accessed December 10, 2006.
 
15. Somers, Suzanne. Available at: http://www.suzannesomers.com/LifeStyle/. Accessed December 10, 2006.

CME:

Portions of this issue may be available for CME credit. Please email education@sma.org for a complete listing of current Southern Medical Journal activities, as well as other SMA educational offerings.

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

Permissions