Citation

Wang S, Yang C, Jia J, Zhou Y, Zheng Y. Child Adolesc. Psychiatry Ment. Health 2018; 12(1).

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/s13034-018-0254-z

PMID

unavailable

Abstract

BACKGROUND: Electroconvulsive therapy (ECT) is an effective treatment for psychiatric disorders such as schizophrenia, major depression and bipolar disorder. However, few studies have addressed the use of ECT in adolescents with schizophrenia. The aims of our study were to investigate the frequency of ECT, and its relationship with clinical and demographic correlates among adolescents with schizophrenia in China.

METHODS: The study was a retrospective study and conducted in the Child and Adolescent Psychiatry Department of Beijing Anding Hospital, and adolescents with schizophrenia over a period of 10 years (2007-2016) were enrolled. The demographic and clinical data were collected from the electronic chart management system.

RESULTS: A total of 835 patients were included, 411/835 (49.2%) of the adolescent inpatients diagnosed with schizophrenia were in ECT group. There were significant differences in the sex, age, high risk for aggression and suicide, family history of psychiatric disorders and concomitant psychotropic medication (antidepressants and benzodiazepines) between the ECT and non-ECT groups. Multiple logistic regression analysis revealed that ECT use was independently and positively associated with sex, high risk for suicide.

CONCLUSIONS: In a major psychiatric center in China, the use of ECT was common, and reasons for the high use of ECT for adolescent patients in this hospital should warrant urgent investigations. © 2018 The Author(s).

Language: en

Keywords

adolescent; human; suicide; female; male; China; aggression; schizophrenia; sex; major clinical study; antidepressant agent; disease association; retrospective study; high risk population; priority journal; groups by age; electroconvulsive therapy; family history; hospital patient; demography; benzodiazepine; Article; electronic medical record