Efficacy of electroconvulsive therapy in bipolar versus unipolar major depression: a meta‐analysis

@article{Dierckx2012EfficacyOE,
  title={Efficacy of electroconvulsive therapy in bipolar versus unipolar major depression: a meta‐analysis},
  author={B. Dierckx and Willemijn T Heijnen and W. W. van den Broek and T. Birkenh{\"a}ger},
  journal={Bipolar Disorders},
  year={2012},
  volume={14}
}
Dierckx B, Heijnen WT, van den Broek WW, Birkenhäger TK. Efficacy of electroconvulsive therapy in bipolar versus unipolar major depression: a meta‐analysis. Bipolar Disord 2012: 14: 146–150. © 2012 The Authors. Journal compilation © 2012 John Wiley & Sons A/S. 
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References

SHOWING 1-10 OF 24 REFERENCES
Response to ECT in major depression: are there differences between unipolar and bipolar depression?
Grunhaus L, Schreiber S, Dolberg OT, Hirshman S, Dannon PN. Response to ECT in major depression: are there differences between unipolar and bipolar depression? Bipolar Disord 2002: 4(Suppl. 1):… Expand
Electroconvulsive therapy is equally effective in unipolar and bipolar depression
TLDR
Electroconvulsive therapy is equally effective in unipolar and bipolar depression. Expand
An efficacy study of electroconvulsive therapy and antidepressants in the treatment of primary depression.
TLDR
It is found that the type of treatment is not important for the unipolar patient, whereas a combination of ECT and antidepressants lengthens the time to rehospitalization of the bipolar patient. Expand
ECT in Unipolar and Bipolar Disorders: A Naturalistic Evaluation of 460 Patients.
TLDR
It is concluded that ECT is an effective treatment for mania, unipolar, and bipolar depression, that unilateral and bilateral treatments are equally effective, and that no significant difference exists in the number of ECTs used to treat these disorders. Expand
Response to ECT in bipolar I, bipolar II and unipolar depression.
TLDR
ECT turns out to be a viable option for the treatment of both unipolar and bipolar depressive patients resistant to pharmacological treatment, and while the UP group showed the best response and clinical outcomes, the BP I patients tended to exhibit residual manic and psychotic symptomatology. Expand
Ultra-brief pulse ECT in bipolar and unipolar depressive disorder: differences in speed of response.
TLDR
Patients with bipolar depression tend to show more rapid clinical improvement with ECT than patients with unipolar depression. Expand
ECT in bipolar and unipolar depression: differences in speed of response.
TLDR
There was a large effect for BP patients to show more rapid clinical improvement and require fewer treatments than unipolar patients, and this could reflect a more rapid build up of anticonvulsant effects in BP patients. Expand
Remission of symptoms in patients with unipolar and bipolar depression submitted to electroconvulsive therapy.
TLDR
ECT can benefit severely depressed patients resistant to pharmacological treatment and suggests that ECT could be used earlier in the treatment course of the depressed patient, as well as being efficacious in improving quality of life. Expand
Efficacy and safety of electroconvulsive therapy in depressive disorders: a systematic review and meta-analysis
TLDR
A systematic overview and meta-analysis of randomised controlled trials and observational studies for the efficacy and safety of electroconvulsive therapy with simulated ECT, ECT versus pharmacotherapy, and different forms of ECT for patients with depressive illness found ECT is an effective short-term treatment for depression. Expand
ECT in primary and secondary depression.
TLDR
The response of depressive symptoms to ECT was studied in 58 subjects who met DSM-III criteria for major depression, revealing a differential response, with alcoholism and schizophrenia having the most favorable outcomes. Expand
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