Electroconvulsivethérapie chez l'adolescent: considérations cliniques à propos d'une série d'observations. (French).

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  • Additional Information
    • Alternate Title:
      [Electroconvulsive therapy in the adolescent: clinical considerations apropos of a series of cases]. (English)
    • Subject Terms:
      DIAGNOSIS of mental depression; THERAPEUTICS; MENTAL depression; PSYCHIATRIC treatment; COMPARATIVE studies; NEUROLEPTIC malignant syndrome; ELECTROCONVULSIVE therapy; DELUSIONS; RESEARCH methodology; MEDICAL cooperation; PSYCHOLOGICAL tests; RESEARCH; PSYCHOSES; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; PSYCHOLOGICAL factors; PSYCHOLOGY; DIAGNOSIS
    • Abstract:
      Objective: To report on observations of 6 adolescents treated with electroconvulsive therapy (ECT) and to compare the data with literature data.Method: We conducted a retrospective study of our division charts of adolescents treated with ECT and hospitalized in the last 20 years. We also undertook a computer search in several databases (including Medline) to identify the reported observations on this treatment.Results: We studied the charts of 6 adolescents aged 14 to 16 years. There were 3 cases of major depressive disorder (including 1 case of delusion of negation), 2 cases of neuroleptic malignant syndrome, and 1 case of schizoaffective disorder with catatonic characteristics. Four adolescents received ECT as a first-line treatment. They were given an average of 9 ECT, which was judged to be efficacious. Tolerance was adequate, and in this series, ECT does not seem to have caused alterations to long-term cognitive functions. No relapse was noted after a minimum of one-year follow-up.Conclusions: For some severe psychiatric disorders in adolescents, ECT could be a treatment with a good efficacy and tolerance profile. [ABSTRACT FROM AUTHOR]
    • Abstract:
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