Objective: To determine the efficacy of ECT in the treatment of the catatonic syndrome and to identify predictors of good response. Method: 28 cases of catatonia in 22 patients admitted to a psychiatry or medical psychiatry inpatient unit between January 1989 and June 1992 were retrospectively evaluated. Cases were included if they met criteria for catatonia as described by Kahlbaum, i.e., 4 or more signs including immobility, mutism, withdrawal, staring, rigidity, posturing/gimacing, negativism, waxy flexibility, echo phenomena, stereotypy, and verbigeration. Primary diagnoses were: Major Depressive Disorder (8), Bipolar Affective Disorder (5), schizophrenia (5), schizoaffective disorder (2) and organic mental disorder (2). Mean age was 54.5 years; sex ratio was 15 females to 7 males. Patients received a mean of 12.0 treatments with mean seizure duration 50.9 s (by EEG) per treatment. Results: By Kahlbaum criteria, resolution of the catatonic syndrome occured in 26 out of 28 cases (93%). The mean number of signs present per patient prior to ECT was 5.6 verses 0.93 following ECT (p = 0.00001). Overall, ECT brought about resolution of 83.5% of all symptoms with 98% resolution of primary symptoms and 74% resolution of secondary symptoms. Conclusions: ECT is an effective treatment of the catatonic syndrome. ECT is effective in the resolution of both cardinal (primary) and secondary signs of catatonia. In this study, there is not a statistically significant difference in the effectiveness of the resolution of catatonic symptoms in persons with affective disorder verses schizophrenia. © 1993.
CITATION STYLE
Rohland, B. M., Carroll, B. T., & Jacoby, R. G. (1993). ECT in the treatment of the catatonic syndrome. Journal of Affective Disorders, 29(4), 255–261. https://doi.org/10.1016/0165-0327(93)90015-C
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