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Clinical relevance of electroconvulsive therapy (ECT) in adolescents with severe mood disorder: evidence from a follow-up study

Published online by Cambridge University Press:  16 April 2020

O. Taieb ,
M.-F. Flament ,
S. Chevret ,
P. Jeammet ,
J.-F. Allilaire ,
P. Mazet  and
D. Cohen
O. Taieb
Affiliation:
Department of Child and Adolescent Psychiatry, Groupe Hospitalier Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013 Paris, France
M.-F. Flament
Affiliation:
CNRS UMR 7593, Groupe Hospitalier Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013 Paris, France
S. Chevret
Affiliation:
Department of Adolescent Psychiatry, Institut Mutualiste Montsouris, 42 boulevard Jourdan 75014 Paris, France
P. Jeammet
Affiliation:
Department of Adolescent Psychiatry, Institut Mutualiste Montsouris, 42 boulevard Jourdan 75014Paris, France
J.-F. Allilaire
Affiliation:
Department of Psychiatry, Groupe Hospitalier Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013 Paris, France
P. Mazet
Affiliation:
Department of Child and Adolescent Psychiatry, Groupe Hospitalier Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013 Paris, France
D. Cohen*
Affiliation:
Department of Child and Adolescent Psychiatry, Groupe Hospitalier Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013 Paris, France CNRS UMR 7593, Groupe Hospitalier Pitié-Salpétrière, 47, boulevard de l’Hôpital, 75013 Paris, France
*
*Corresponding author
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Summary

Given the limited knowledge on the long-term outcome of adolescents who receive electroconvulsive therapy (ECT), the study aimed to follow-up adolescents treated with ECT for severe mood disorder. Eleven subjects treated during adolescence with bilateral ECT for psychotic depression (n = 6) or mania (n = 5), and ten psychiatric controls matched for sex, age, school level, and clinical diagnosis, completed at least 1 year after treatment a clinical and social evaluation. Mean duration between time of index episode and time of follow-up evaluation was 5.2 years (range 2–9 years). At follow-up: (1) all patients except two in the control group received a diagnosis of bipolar disorder. (2) Fifteen patients had had more than one episode of mood disorder. (3) The two groups did not differ in social functioning nor school achievement. (4) Impact on school achievement was related to the severity of the mood disorder rather than ECT treatment. The results suggest that adolescents given ECT for bipolar disorder, depressed or manic, do not differ in subsequent school and social functioning from carefully matched controls.

Keywords

Electroconvulsive therapyAdolescenceFollow-upBipolar disorder
Type
Original Articles
Information
European Psychiatry , Volume 17 , Issue 4 , July 2002 , pp. 206 - 212
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS 2002

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