Association between Seizure Threshold and Seizure Duration in Psychotic Individuals Treated With Electro Convulsive Therapy: A Retrospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction: Seizure duration at electroconvulsive therapy (ECT) has been a focus of clinical and research attention for decades. Seizure duration is monitored at every ECT session and is used as reference for stimulus dosage adjustment. The current retrospective analysis focuses on the relationships between seizure duration and seizure threshold at ECT and impact of duration of illness in both old and new cases. Aim: The aim of the study is to assess the relation between seizure threshold , duration of seizure and duration of illness. Methods: This is a retrospective study conducted at Government Hospital for Mental care, Visakhapatnam. The sample includes 60 subjects of acute and transient psychosis, schizophrenia and mood disorders, who were administered ECT. Sociodemographic data, illness variables and ECT variables were collected from the records available and correlation between seizure threshold, duration of seizure and duration of illness is assessed using SPSS software version 23. Results: On regression analysis of the data, the results showed that there is a positive relation between the seizure threshold and duration of the seizure but the p value is 0.8342, which shows that the relation is not significant. The dependent variable is duration of the seizure and the independent variable is seizure threshold, the slope on regression analysis is 0.02785.On analyzing the relation between the duration of illness and seizure duration the results showed a negative relation with a p value of 0.8922, which is not significant. Conclusion:The salient features of the study were: i) the seizure duration do not increase with the increase in seizure threshold, ii) the duration of illness has no effect on seizure duration.An increase in the seizure threshold does not invariably increase seizure duration and duration of illness has no effect on seizure threshold.
Authors and Affiliations
Dr Bindu Gedela, Dr M. Vijaya Lakshmi, Dr K. V. Rami Reddy
Keywords
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