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首页> 外文期刊>The journal of ECT >One-Year Outcome of Elderly Inpatients With Major Depressive Disorder Treated With ECT and Antidepressants.
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One-Year Outcome of Elderly Inpatients With Major Depressive Disorder Treated With ECT and Antidepressants.

机译：ECT和抗抑郁药治疗的老年重度抑郁症住院患者的一年结果。

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摘要

We report the acute response and outcome in 1-year follow-up of 51 elderly depressive inpatients with major depressive disorder treated with electroconvulsive therapy (ECT) (n = 30) and/or antidepressant therapy (n = 21). The patients were assessed at admission, at discharge, and after 1 year according to the Montgomery and Asberg Depression Rating Scale, the Beck Depression Inventory, and the Clinical Global Impression Scale. The acute response was good. Montgomery and Asberg Depression Rating Scale total scores diminished significantly during index hospitalization within both groups (from 31.6 +/- 8.5, to 8.1 +/- 6.0 in the ECT group and from 28.5 +/- 5.4 to 13.4 +/- 10.6 in the antidepressant group). The 1-year rehospitalization rate for the entire group, however, was 21 of 51 patients (41%), 13 of 30 patients (43%) in the ECT group, and 8 of 21 (38%) in the antidepressant group. Six of 13 patients in the ECT group and 1 of 8 patients in the antidepressant group were rehospitalized during the first month after discharge. The results suggest a good acute therapeutic response to both ECT and antidepressive therapy in elderly patients with MDD. The major finding in this study was the relatively high rehospitalization rate, which emphasizes the need for careful follow-up of the elderly patients who have recovered from a depressive episode.
机译：我们报告了51名接受电抽搐治疗（ECT）（n = 30）和/或抗抑郁治疗（n = 21）治疗的重度抑郁症老年抑郁症患者在1年随访中的急性反应和结果。根据蒙哥马利和阿斯伯格抑郁量表，贝克抑郁量表和临床总体印象量表对患者在入院时，出院时和一年后进行评估。急性反应良好。两组的指数住院期间，蒙哥马利和阿斯伯格抑郁量表的总评分显着降低（ECT组从31.6 +/- 8.5降低到8.1 +/- 6.0，抗抑郁药从28.5 +/- 5.4降低到13.4 +/- 10.6组）。整个组的一年住院治疗率为ECT组51例中的21例（41％），ECT组30例中的13例（43％）和抗抑郁剂组21例中的8例（38％）。出院后的第一个月，ECT组的13例患者中有6例，抗抑郁药的8例患者中有1例再次入院。结果表明，老年MDD患者对ECT和抗抑郁治疗均具有良好的急性治疗反应。这项研究的主要发现是相对较高的再住院率，这强调需要对抑郁症发作后的老年患者进行仔细的随访。

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