Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-25T09:06:07.870Z Has data issue: false hasContentIssue false

A Double-Blind Trial of Long-Term Lithium Therapy in Mental Defectives

Published online by Cambridge University Press:  29 January 2018

Graham J. Naylor
Affiliation:
Department of Psychiatry, The University, Dundee, DD1 4HN, Angus
J. M. Donald
Affiliation:
Strathmartine Hospital, By Dundee, Angus
David Le Poidevin
Affiliation:
Royal Cornhill and Associated Hospitals, Aberdeen
Andrew H. Reid
Affiliation:
Strathmartine Hospital, By Dundee, Angus

Extract

The therapeutic effect of lithium in mania was first described by Cade (1949), but the possibility that lithium could have a prophylactic action in recurrent affective disorders was not suggested until some years later (Hartigan, 1963; Baastrup, 1964). The early studies of the prophylactic action of lithium were open trials, in which both investigator and patient knew that the patient was receiving the drug. More recently, controlled double-blind studies have confirmed these early reports (Melia, 1970; Coppen et al., 1971; Cundall et al., 19712).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1974 

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

Adams, G. L., Kivowitz, J., and Ziskind, E. (1970). ‘Manic depressive psychosis, mental retardation and chromosomal rearrangement.Archives of General Psychiatry (Chicago), 23, 305–9.Google ScholarPubMed
Baastrup, P. C. (1964). ‘The use of lithium in manic-depressive psychosis.Comprehensive Psychiatry, 5, 396408.CrossRefGoogle ScholarPubMed
Cade, J. P. J. (1949). ‘Lithium salts in the treatment of psychotic excitement.Medical Journal of Australia, 2, 349–52.CrossRefGoogle ScholarPubMed
Candy, J. (1972). ‘Severe hypothyroidism—an early complication of lithium therapy.British Medical Journal, iii, 277.CrossRefGoogle Scholar
Coppen, A., Noguera, R., Bailey, J., Burns, B. H., Swani, M. S., Hare, E. H., Gardner, R., and Maggs, R. (1971). ‘Prophylactic lithium in affective disorders.Lancet, ii, 275–9.Google Scholar
Cundall, R. L., Brooks, P. W., and Murray, L. G. (1972). ‘A controlled evaluation of lithium prophylaxis in affective disorders.Psychological Medicine, 2, 308–11.CrossRefGoogle ScholarPubMed
Earl, C.J. C. (1961). Subnormal Personalities. London.Google Scholar
Hartigan, G. P. (1963). ‘The use of lithium salts in affective disorders.British Journal of Psychiatry, 109, 810–4.CrossRefGoogle ScholarPubMed
H.M. Stationery Office (1968). A Glossary of Mental Disorders . Studies on Medical and Population Subjects No. 22. London.Google Scholar
Melia, P. I. (1967). ‘A pilot trial of lithium carbonate in recurrent affective disorders.Journal of the Irish Medical Association, 50, 160–70.Google Scholar
Melia, P. I. (1970). ‘Prophylactic lithium; a double blind trial in recurrent affective disorders.British Journal of Psychiatry, 116, 621–4.CrossRefGoogle ScholarPubMed
Penrose, L. S. (1963). The Biology of Mental Defect. London.Google Scholar
Reid, A. H. (1972). ‘Psychoses in adult mental defectives: I: Manic-depressive psychosis.British Journal of Psychiatry, 120, 205–12.Google ScholarPubMed
Schou, M. (1963). ‘Normothymics.British Journal of Psychiatry, 109, 803–9.Google Scholar
Schou, M., (1968). ‘Lithium in psychiatric therapy and prophylaxis.Journal of Psychiatric Research, 6, 6795.CrossRefGoogle ScholarPubMed
Mendels, J., and Frazer, A. (1973). ‘Intracellular lithium concentration and clinical response: towards a membrane theory of depression.Journal of Psychiatric Research, 10, 918.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.