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   |    
A COMPARATIVE STUDY AND EVALUATION OF ELECTRIC SHOCK THERAPY IN DEPRESSIVE STATES
KENNETH J. TILLOTSON; WOLFGANG SULZBACH
Am J Psychiatry 1945;101:455-459.
View Author and Article Information

McLean Hospital, Belmont, Mass.

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

A group of 70 patients with various forms of depression have been reviewed for immediate as well as late therapeutic achievements with electric convulsive shock treatment, the efficiency of which was considered with reference to several standard criteria, chiefly derived from experiences in a clinically comparable group of 68 control patients. This study led to the following observations on the value of electric shock therapy:[SEE TABLE IN SOURCE PDF]1. The improvement rate was 30% and the recovery rate 44% higher with than without shock therapy, whereas the increase rate of relapses or failures during the first year after discharge was almost twice as high in the controls as in the treated group of patients.2. Marked improvement or full recovery is at times accomplished in chronic depressions of completely disabling degree, where inherent trends toward remission are apparently lacking.3. Spontaneous remissions are markedly enhanced in degree and quality of improvement.4. The length of a depressive episode and the need for hospitalization are reduced by 75% to 90% of the computed average duration in untreated attacks.5. A maximal therapeutic gain of 52% was achieved in involutional melancholias. This gain is especially impressive if one takes into consideration that this form of depression has the least favorable prognosis among the various diagnostic types and without shock therapy.6. The commonly discussed prognostic indicators regarding the outcome of shock therapy appeared too inconsistent in their implications and insufficiently explored in detail to be adequate for practical clinical considerations.7. Manifest untoward effects of electric shock therapy are relatively insignificant as compared to the therapeutic gains.

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: 23

Related Content
Articles
Books
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 1.  >
APA Practice Guidelines > Chapter 0.  >
APA Practice Guidelines > Chapter 0.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 52.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 1.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles