Monitoring of antidepressant response to ECT with polysomnographic recordings and the dexamethasone suppression test.
نویسندگان
چکیده
Ten patients treated with electroconvulsive therapy (ECT) only were followed with serial sleep polysomnographic recordings and dexamethasone suppression tests (DSTs). Both biological correlates of depression showed improvement with ECT. The use of serial sleep measures and serial DSTs in monitoring the clinical response to ECT is discussed.
منابع مشابه
Serial dexamethasone suppression tests in depressed treated only with electroconvulsive therapy
Several systematic studies have evaluated serial dexamethasone suppression tests (DST) in patients with major depression who were treated with antidepressant medications. DST changes were noted to parallel clinical improvement in most recovering patients. If serial DSTs are a valid state-related correlate of depressive pathophysiology, all types of effective antidepressant treatment should resu...
متن کاملECT, sleep, and biogenic amines in affective illness.
With great interest, we read the study of Hoffmann et al. (1985) on the effects of electroconvulsive therapy (ECT) on sleep and biogenic amines. This study is a nice confirmation and generalization of the results of a case report we recently published (Grunhaus et al., 1985). In that study we presented serial sleep recordings and dexamethasone suppression test (DST) results of a psychotically d...
متن کاملSerial monitoring of antidepressant response to electroconvulsive therapy with sleep EEG recordings and dexamethasone suppression tests.
The study of the biological correlates of major depressive disorder (MDD) has received great impetus in recent years. Electroencephalographic (EEG) sleep measurements and the Dexamethasone Suppression Test (DST) have been among the most studied and productive of these biological correlates. Commonly described EEG sleep abnormalities in MDD include shortened rapid eye movement (REM) latency, inc...
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BACKGROUND Measures of EEG during ECT, for example, smaller post-seizure fractal dimension have predicted antidepressant response. The earlier study on this subject used bilateral ECT. This study aims to examine if this finding holds good even for unilateral ECT, using both fractal dimension and spectral power analysis of EEG. METHODS Fifty-one right-handed, drug-free patients with major depr...
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An abnormal dexamethasone suppression test (DST) result, a sensitive and specific marker for endogenous depression, was found to be associated with an antidepressant response to sleep deprivation in patients who met DSM-III criteria for Major Depressive Episode regardless of whether they met criteria for melancholia or psychotic subtypes of this disorder. These findings support previous reports...
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عنوان ژورنال:
- Psychiatry research
دوره 24 2 شماره
صفحات -
تاریخ انتشار 1988