0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
ELECTROCONVULSIVE THERAPY IN ELDERLY PATIENTS
RUTH EHRENBERG; MILES J. O. GULLINGSRUD
Am J Psychiatry 1955;111:743-747.
View Author and Article Information

Senior Physician, Boston State Hospital.

Senior Physician, Division of Mental Hygiene, Mass. Department of Mental Health.

text A A A
PDF of the full text article.
Abstract

Mental illness in patients over 65 years is not necessarily "organic" and irreversible. So-called "functional" psychoses in the elderly respond well to electroconvulsive therapy and a high percentage of cases can be restored to the community at the pre-illness level. A group of patients treated with conventional electric shock at the Boston State Hospital from January 1948 to December 1953 is reviewed. In this group of 112 patients from 65 to 83 years of age, with an average age of 71.3 years, 78.5% were able to leave the hospital and 55% of them are out for more than a year. Relapses occurred in 37.5% of recovered cases but most of them again responded readily to treatment.One patient died as an immediate result of treatment. In 3 patients who suffered from severe physical illness electric shock may have contributed to their deaths. In these patients their life expectancy was very poor even before treatment and their severe physical illness rather than their age was responsible for the unfortunate outcome. In aged people in a reasonable state of health the risk involved appears to be minimal.The occurrence of only 4 fractures in 1,329 EST's appears to indicate that diminished muscle bulk compensates for the seemingly increased risk of osteoporosis and makes the use of curare-like drugs unnecessary.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 9

Related Content
Articles
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 27.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 15.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 16.  >
APA Practice Guidelines > Chapter 0.  >
APA Practice Guidelines > Chapter 7.  >
Topic Collections
Psychiatric News
Read more at Psychiatric News >>
APA Guidelines
PubMed Articles
Hippocampal neurogenesis and antidepressive therapy: shocking relations. Neural Plast 2014;2014():723915.doi:10.1155/2014/723915.
Ketofol-Dexmedetomidine combination in ECT: A punch for depression and agitation. Indian J Anaesth 2014;58(3):275-80.doi:10.4103/0019-5049.135037.