Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-22T17:23:47.975Z Has data issue: false hasContentIssue false

Electroconvulsive Therapy in Denmark

Published online by Cambridge University Press:  29 January 2018

Erik Roeder
Affiliation:
Ringbo Plejehospital, Granvej 14, 2880 Bagsvaerd, Denmark
Joergen Heshe
Affiliation:
Sct. Hans Hospital, 4000 Roskilde, Denmark

Summary

During the fiscal year 1 April 1972 to 31 March 1973, 22,210 ECT treatments in 3,438 series were given in Denmark (6.46 treatments per series). Indications for treatment were: endogenous depression, acute delirium, mania, hysterical psychosis, reactive depression and schizophrenia. Unilateral ECT was used in more than half of the departments concerned. Two treatments were given weekly. The types of apparatus and anaesthesia techniques used are described. One death, which had questionable relation to the ECT, was reported, and other complications were few and mild. The advantages of ECT compared to tricyclic antidepressants are described, including the higher percentage of remissions or improvements in the treatment of endogenous depressions (about 80 per cent for ECT compared to about 60 per cent for tricyclic antidepressants). Little risk was found in out-patient administration of ECT. With present techniques and unilateral placement of electrodes out-patient ECT may be recommended for wider use than before.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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

1 Bratfos, O. & Haug, J. O. (1965) ECT and antidepressant drugs in manic-depressive disease. Acta Psychiatrica Scandinavica, 41, 588—96.Google Scholar
2 Cronholm, B. & Ottosson, J. O. (1960) Experimental studies of the therapeutic action of ECT in endogenous depression. Acta Psychiatrica Scandinavica, Supplementum 145. Google Scholar
3 d'Elia, G. (1970) Unilateral electroconvulsive therapy. Acta Psychiatrica Scandinavica, Supplementum 215. Google Scholar
4 Lancaster, N. P., Steinert, R. R. & Frost, I. (1958) Unilateral ECT. Journal of Mental Science, 104, 221—7.Google Scholar
5 Liberson, W. T. (1948) Brief stimulus therapy. American Journal of Psychiatry, 105, 2839.CrossRefGoogle ScholarPubMed
6 Maxwell, R. D. H. (1968) Electrical factors in ECT. Acta Psychiatrica Scandinavica, 44, 436—48.Google Scholar
7 Ottosson, J. O. (1960) Experimental studies of the action of ECT. Acta Psychiatrica et Neurologica Scandinavica, Supplementum 145. Google Scholar
8 Ottosson, J. O. (1968) Psychological or physiological theories of ECT. International Journal of Psychiatry, 5, 170—3.Google Scholar
9 Perrin, G. M. (1961) Cardio-vascular aspects of ECT. Acta Psychiatrica at Neurologica Scandinavica, Supplementum 1 53.Google Scholar
10 Rafaelsen, O. J. (1974) Manic-depressive psychosis or manic-melancholic mode. Danish Medical Bulletin, 21, 81—7.Google Scholar
11 Spencer Paterson, A. (1963) Electrical and Drug Treatments in Psychiatry. Amsterdam: Elsevier.Google Scholar
12 Strömgren, L. S. (1973) Unilateral versus bilateral ECT. Acta Psychiatrica Scandinavica, Supplementum 240. Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.