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Yıl:1994; Cilt: 31; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 1994;31(1):1-5
Psikiyatrik Olgularda, Nöbet Eşiğinde Yükselme, Affektif Komponent ve EKT ye Yanıt Arasındaki İlişki
R Özcankaya, B Tasalı, O Deniz, M Kuloğlu
Atatürk Üniv. Tıp Fak. Psikiyatri ABD
Bu çalışma DSM-III-R'a göre 21'i şizoaffektif bozukluk, 12'si paranoid şizofreni, 27'si affektif bozukluk tanısı alan 60 hastada gerçekleştirildi. Hastalar EKT seansı sonucunda BPRS değerlendirilmesine göre tedaviye olumlu yanıt verenler ve vermeyenler olarak iki gruba ayrıldı. Bu iki gruptaki hastalar BPRS'daki affektif item toplamları, EKT'deki nöbet oluşması için gerekli süre ve elektrik akımı gücü yönünden karşılaştırıldı. Sonuçta 1 -Affektif komponentli hastaların EKT'ye yanıtının daha iyi olduğu (Z= 3.81, P= 0.00006) 2-EKTye olumlu yanıtla, her EKT seansındaki eşit elektrik akımı dozu yükselmesi ve eşik süresindeki artma arasında ilişki bulundu (sırasıyla p< 0.01. p< 0.01).
The Relation Between Affective Component Seizure Threshold Increase And ECT In Psychiatric Disorders
This study was performed in 60 pychiatric patients. 21 of the patients were diagnosed as schizoaffective disorders 12 of them as paranoid schizophrenia and 27 of them as affective disorder occarding to DSMTII-R criteria. The patients were compared according to electric current power, ECT duration in one session needed for seizure to occur, and the sum of affective items in BPRS scores. We found that patients with affective component had better response to ECT (p= 0.00006). There was a positive correlation between threshold duration and electic current threshold in the patients with positive response to ECT (p< 0.01, p< 0.01 respectively).

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