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Is Unilateral ECT Less Effective Than Bilateral ECT?

Published online by Cambridge University Press:  29 January 2018

Giacomo d'Elia  and
Heino Raotma
Giacomo d'Elia
Affiliation:
Department of Psychiatry I, University of Göteborg, Sahlgrenska Sjukhuset, S-413 45 Göteborg, Sweden
Heino Raotma
Affiliation:
Department of Psychiatry I, University of Göteborg, Sahlgrenska Sjukhuset, S-413 45 Göteborg, Sweden
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Extract

There is a general agreement about the less disruptive effect on memory and the shorter post-treatment confusion after unilateral electroconvulsive therapy (UNI-ECT) as compared with the traditional bifrontotemporal ECT (BI-ECT). However, there are divergent opinions about its therapeutic efficacy.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 126 , Issue 1 , January 1975 , pp. 83 - 89
Copyright
Copyright © Royal College of Psychiatrists, 1975 

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References

Abrams, R. (1967) Daily administration of unilateral ECT. American Journal of Psychiatry, 124, 384–6.Google Scholar
Abrams, R. & de Vrro, R. A. (1969) Clinical efficacy of unilateral ECT. Diseases of the Nervous System, 30, 262–3.Google Scholar
Abrams, R., Fink, M., Dornbush, R. L., Feldstein, S., Volavka, J. & Roubicek, J. (1973a) Unilateral and bilateral electroconvulsive therapy. Archives of General Psychiatry, 27, 88–91.Google Scholar
Abrams, R., Volavka, j. & Fink, M. (1973b) EEG seizure patterns during multiple unilateral and bilateral ECT. Comprehensive Psychiatry, 14, 1, 25–8.Google Scholar
Bidder, T. G., Strain, J. J. & Brunschwig, L. (1970) Bilateral and unilateral ECT: Follow-up study and critique. American Journal of Psychiatry, 127: 6, 737–45.Google Scholar
Biljkiewicz, A. & Krzyzowski, J. (1964) Application of unilateral electric shock in psychiatry. Neurologia, Neurochirurgia i Psychiatria Polska, 14, 663–9.Google Scholar
Cannicott, S. M. (1962) Unilateral electroconvulsive therapy. Postgraduate Medical Journal, 38, 451–9. (a: pilot study, b: clinical trial).Google Scholar
Costello, C. G., Belton, G. P., Abra, J. C. & Dunn, B. E. (1970) The amnesic and therapeutic effects of bilateral and unilateral ECT. British Journal of Psychiatry, 116, 69–78.CrossRefGoogle ScholarPubMed
Cronin, D., Bodley, P., Potts, L., Mather, M. D., Gardner, R. K. & Tobin, J. C. (1970) Unilateral and bilateral ECT: a study of memory disturbance and relief from depression. Journal of Neurology, Neurosurgery and Psychiatry, 33, 705–13.Google Scholar
D'Elia, G. (1970) Unilateral electroconvulsive therapy. Acta Psychiatrica Scandinavica, Supplementum 215.Google Scholar
D'Elia, G. & Perris, C. (1970) Comparison of electroconvulsive therapy with unilateral and bilateral stimulation. I. Seizure and post-seizure electroencephalographic pattern. Acta Psychiatrica Scandinavica, Supplementum 215. 9–29.Google Scholar
Di Perri, R., Meduri, M. & Messina, C. (1969) L'attività elettrica cerebrale da sonno notturno in soggetti sottoposti ad elettroshock uni o bilaterale. Sistema Nervoso, xxi, 5, 199–201.Google Scholar
Doongaji, D. R., Jeste, D. V., Saoji, N. J., Kane, P. V. & Ravindranath, S. (1973) Unilateral versus bilateral ECT in schizophrenia. British Journal of Psychiatry, 123, 572, 73–79.Google Scholar
El-Islam, M. F., Ahmed, S. A. & Erfan, M. E. (1970) The effect of unilateral ECT on schizophrenic delusions and hallucinations. British Journal of Psychiatry, 117, 447–8.Google Scholar
Fleminger, J. J., Horne, De L., D. J., Nair, N. P. V. & Nott, P. N. (1970) Differential effect of unilateral and bilateral ECT. American Journal of Psychiatry, 127, 4, 430–36.Google Scholar
Giberti, F. (1969) Aspetti comparativi degli effetti dell'elettroshock (bi- o monopolare), dell'elettronarcosi e del trattamento chemioconvulsivante (fluoretil) in pazienti psichiatrici. Sistema Nervoso, xxi, 5, 210–16.Google Scholar
Halliday, A. M., Davison, K., Browne, M. W. & Kreeger, L. C. (1968) A comparison of the effects on depression and memory of bilateral ECT and unilateral ECT to the dominant and non-dominant hemispheres. British Journal of Psychiatry, 114, 997–1012.Google Scholar
Hinterhuber, H. & Nowak, H. (1973) Erfahrungen mit unilateraler Elektrokonvulsionstherapie. Archiv für Psychiatric und Nervenkrankheiten, 217, 149–56.Google Scholar
Impastato, D. J. & Karliner, W. (1966) Control of memory impairment in EST by unilateral stimulation of the non-dominant hemisphere. Diseases of the Nervous System, 27, 182–8.Google Scholar
Jensen, E. S. (1968) Unilateral elektroshockbehandling. Nordisk Medicin, 22, 253–5.Google Scholar
Kalinowsky, L. (1970) Personal communication.Google Scholar
Lancaster, N., Steinert, R. & Frost, I. (1958) Unilateral electroconvulsive therapy. Journal of Mental Science, 104, 221–7.Google Scholar
Levy, R. (1968) The clinical evaluation of unilateral electroconvulsive therapy. British Journal of Psychiatry, 114, 459–63.Google Scholar
Martin, W. L., Ford, H. D., McDonald, E. C. & Towler, M. L. (1965) Clinical evaluation of unilateral EST. American Journal of Psychiatry, 121, 1087–90.Google Scholar
McAndrew, J., Berkey, B. & Matthew, C. (1967) The effect of dominant and non-dominant unilateral ECT as compared to bilateral ECT. American Journal of Psychiatry, 124, 483–90.Google Scholar
Muller, D. J. (1971) Unilateral ECT (one year's experience at a city hospital). Diseases of the Nervous System, 32, 422–4.Google Scholar
Ottosson, J.-O. (ed.) (1960) Experimental studies of the mode of action of electroconvulsive therapy. Acta Psychiatrica Scandinavica, 35, Supplementum 145.Google Scholar
Ottosson, J.-O. (ed.) (1962) Seizure characteristics and therapeutic efficiency in electroconvulsive therapy: an analysis of the antidepressive efficiency of grand mal and lidocaine-modified seizure. Journal of Nervous and Mental Disease, 135, 239–51.Google Scholar
Ottosson, J.-O. (ed.) (1968) Psychological or physiological theories of ECT? International Journal of Psychiatry, 5, 170–74.Google Scholar
Pancheri, P. (1969) Esperienze cliniche con elettroschok unilaterale. Sistema Nervoso, xxi, 5, 223–33.Google Scholar
Pavan, L., Semerano, A. & Agius, S. (1969) Rilievi sulla applicazione dell'elettroshock monopolare. Sistema Nervoso, xxi, 5, 234–6.Google Scholar
Rinaldi, F., Manacorda, A. & Mazzarella, B. (1967) L'elettroshock unilaterale.—Osservazioni elettroencefalografiche in una serie di pazienti sottoposti a trattamento elettroconvulsivante sull'emisfero non dominante. Folia Neuropsychiatrica, 10, iii, 481–94.Google Scholar
Sand-Strömgren, L. (1973) Unilateral versus bilateral electroconvulsive therapy. Investigations into the therapeutic effect in endogenous depression. Acta Psychiatrica Scandinavica, Supplementum 240.Google Scholar
Small, J. G., Small, I. F., Perez, H. C. & Sharpley, P. (1970) Electroencephalographic and neurophysiological studies of electrically induced seizures. Journal of Nervous and Mental Disease, 150, 6, 479–89.Google Scholar
Strain, J. J., Brunschwig, L., Duffy, J. P., Agle, D. P., Rosenbaum, A. L. & Bidder, T. G. (1968) Comparison of therapeutic effects and memory changes with bilateral and unilateral ECT. American Journal of Psychiatry, 125, 294–304.Google Scholar
Sutherland, E. M., Oliver, J. E. & Knight, D. (1969) EEG, memory and confusion in dominant, non-dominant and bitemporal ECT. British Journal of Psychiatry, 115, 1059–64.Google Scholar
Valentine, M., Keddie, K. M. G. & Dunne, D. (1968) A comparison of techniques in electroconvulsive therapy. British Journal of Psychiatry, 114, 989–96.Google Scholar
Wessels, W. H. (1971) A comparative study of the efficacy of bilateral and unilateral ECT with thioridazine in acute schizophrenia. Paper read at the 5th World Congress of Psychiatry, Mexico City, 1971.Google Scholar
Zinkin, S. & Birtchnell, J. (1968) Unilateral electroconvulsive therapy: its effects on memory and its therapeutic efficacy. British Journal of Psychiatry, 114, 973–88.Google Scholar
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