prikaz prve stranice dokumenta Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients
  Download
PDF 304.77 KB
master's thesis
Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients
Zagreb: University of Zagreb, School of Medicine, 2018. urn:nbn:hr:105:292394
Stručić, Ana
University of Zagreb
School of Medicine
Department of Psychiatry and Psychological Medicine

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Stručić, A. (2018). Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:292394

Stručić, Ana. "Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients." Master's thesis, University of Zagreb, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:105:292394

Stručić, Ana. "Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients." Master's thesis, University of Zagreb, School of Medicine, 2018. https://urn.nsk.hr/urn:nbn:hr:105:292394

Stručić, A. (2018). 'Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients', Master's thesis, University of Zagreb, School of Medicine, accessed 09 November 2024, https://urn.nsk.hr/urn:nbn:hr:105:292394

Stručić A. Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2018 [cited 2024 November 09] Available at: https://urn.nsk.hr/urn:nbn:hr:105:292394

A. Stručić, "Analysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2018. Available at: https://urn.nsk.hr/urn:nbn:hr:105:292394

Metadata
TitleAnalysis of indications for electroconvulsive therapy in the hospitalized psychiatric patients
Title (croatian)Analiza indikacija za elektrokonvulzivnu terapiju u hospitaliziranih psihijatrijskih bolesnika
AuthorAna Stručić
MentorAlma Mihaljević-Peleš (mentor)
Committee memberMarina Šagud (predsjednik povjerenstva)
Committee memberDražen Begić (član povjerenstva)
Committee memberAlma Mihaljević-Peleš (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Psychiatry and Psychological Medicine)
Zagreb
Defense date and country2018-07-13, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Psychiatry
Abstract
All around the world guidelines and indications for electroconvulsive therapy (ECT) differ. However, ECT is considered the most effective in treating depression, schizophrenia, mania, suicidality and treatment resistance. The goal of this research was to analyze ECT indications from medical history of the hospitalized patients in the time period 2010-2017. There were 213 patients treated with ECT, previously diagnosed with schizophrenia, depression or bipolar disorder. The leading ECT indication was treatment resistance associated with already mentioned diagnoses, followed by suicidality, catatonia and neuroleptic malignant syndrome. Men were significantly younger than women receiving the first ECT treatment and more often they had resistant positive schizophrenia symptoms. Women more often had negative resistant schizophrenic symptoms and mood disorders as an indication. Within one year after receiving ECT, 1/3 of the patients were rehospitalized without differences in indications. Therapy resistance is gaining more importance as an ECT indication. Further studies will provide a better insight into ECT as a treating method, better understanding of the treatment, targeted and timely set indications as well as neutralization of controversies around ECT.
Abstract (croatian)
Diljem svijeta smjernice i indikacije za elektrokonvulzivnu terapiju (EKT) variraju, a EKT se smatra učinkovitim u liječenju depresije, shizofrenije, manije, suicidalnosti i terapijske rezistencije. Cilj ovog istraživanja bio je analizirati indikacije za EKT u hospitaliziranih bolesnika u periodu od 2010. do 2017. godine iz medicinske dokumentacije. Liječenje EKT-om primilo je 213 bolesnika s dijagnozom shizofrenije, depresije ili bipolarnog poremećaja. Vodeća indikacija za aplikaciju EKT-a bila je terapijska rezistencija povezana s navedenim dijagnozama, a rjeđe suicidalnost, katatonija i maligni neuroleptički sindrom. Muškarci su bili značajno mlađi od žena prilikom prve aplikacije EKT-a i češće su imali indikaciju rezistentnih pozitivnih simptoma shizofrenije. Bolesnice su češće imale indikaciju rezistentne negativne shizofrenije i poremećaja raspoloženja. Unutar godine dana nakon EKT-a, ponovo je hospitalizirana trećina bolesnika, bez razlika između indikacija. Terapijska rezistencija dobiva sve veći značaj kao indikacija za liječenje EKT-om, uz tradicionalne primarne indikacije. Istraživanja primjene EKT-a u liječenju psihičkih bolesti omogućit će bolje razumijevanje ove metode liječenja, ciljano i pravovremeno postavljanje indikacija te smanjivanje kontroverzi povezanih s ovom metodom liječenja.
Keywords
Keywords (croatian)
Languageenglish
URN:NBNurn:nbn:hr:105:292394
Study programmeTitle: Medicine (in English language)
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2019-03-29 11:14:11