liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Improvement of postpartum depression and psychosis after electroconvulsive therapy: A population-based study with a matched comparison group
Orebro Univ, Sweden.
Orebro Univ, Sweden.
Karolinska Inst, Sweden; Stockholm Cty Council, Sweden.
Karolinska Inst, Sweden; Gothenburg Univ, Sweden.
Show others and affiliations
2018 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 235, p. 258-264Article in journal (Refereed) Published
Abstract [en]

Introduction: Electroconvulsive therapy (ECT) is used to treat postpartum depression and psychosis based on clinical experience and small observational studies. Aims: The primary aim was to test the hypothesis that the response rate to ECT for depression and psychosis is higher during the postpartum period than outside this period. The secondary aim was to identify predictors of a response to ECT during the postpartum period. Materials and methods: Cases with postpartum depression and/or psychosis received ECT within 6 months of delivery. A matched comparison group with depression and/or psychosis (not within the postpartum period) was identified from the Swedish National Quality Register for ECT. The improvement 1 week after ECT was classified according to the Clinical Global Impressions Scale - Improvement scale (CGI-I) as responder (CGI-I score 1-2) or non-responder (CGI-I score 3-7). Results: 185 cases and 185 comparison group subjects were included (46% with psychosis in each groups). More cases (87.0%) than comparison group subjects (73.5%) responded to ECT (p = 0.001). Adjusted binary regression analysis revealed that more severe symptoms prior to treatment were the only statistically significant predictor of response. Limitations: There was no control group without ECT treatment. Conclusion: The response rate of those with postpartum depression and/or psychosis to ECT was high. The response rate of patients with psychosis or depression was higher during the postpartum period than outside it. This study supports the use of ECT for severe forms of postpartum depression and/or psychosis.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE BV , 2018. Vol. 235, p. 258-264
Keywords [en]
Puerperal disorders; Postpartum depression; Postpartum psychosis; Electroconvulsive therapy treatment outcome
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-148358DOI: 10.1016/j.jad.2018.04.043ISI: 000432686900040PubMedID: 29660641OAI: oai:DiVA.org:liu-148358DiVA, id: diva2:1219070
Note

Funding Agencies|Region Orebro County

Available from: 2018-06-15 Created: 2018-06-15 Last updated: 2019-04-12

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

Nordanskog, Pia

Search in DiVA

By author/editor
Nordanskog, Pia
By organisation
Faculty of Medicine and Health SciencesDepartment of PsychiatryCenter for Social and Affective Neuroscience
In the same journal
Journal of Affective Disorders
Psychiatry

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 111 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf