The study protocol of the Norwegian randomized controlled trial of electroconvulsive therapy in treatment resistant depression in bipolar disorder

BMC Psychiatry

Study Protocol

Helle Schøyen¹  Per Bergsholm²  Ole A Andreassen³  Ulrik F Malt⁴  Ute Kessler⁵  Ketil J Oedegaard⁵  Arne E Vaaler⁶  Gunnar Morken⁷ 

[1] Department of Clinical Medicine, Section of Psychiatry, University of Bergen, Norway;Moodnet Research Group, Stavanger University Hospital, Stavanger, Norway;Department of Clinical Medicine, Section of Psychiatry, University of Bergen, Norway;Psychiatric Clinic Førde, Førde, Norway;Division of Psychiatry, Oslo University Hospital, Ullevål, Oslo, Norway;Institute of Psychiatry, University of Oslo, Oslo, Norway;Institute of Psychiatry, University of Oslo, Oslo, Norway;Oslo University Hospital, Rikshospitalet, Oslo, Norway;Moodnet Research Group, Haukeland University Hospital, Bergen, Norway;Department of Clinical Medicine, Section of Psychiatry, University of Bergen, Norway;Moodnet Research Group, Haukeland University Hospital, Bergen, Norway;Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway;Østmarka Psychiatric Department, St Olav University Hospital, Trondheim, Norway;Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway;

关键词: Bipolar Disorder;    Post Partum Depression;    Electroconvulsive Therapy;    Bipolar Depression;    Treatment Resistant Depression;   

DOI  :  10.1186/1471-244X-10-16

 received in 2010-02-09, accepted in 2010-02-23,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe treatment of depressive phases of bipolar disorder is challenging. The effects of the commonly used antidepressants in bipolar depression are questionable. Electroconvulsive therapy is generally considered to be the most effective treatment even if there are no randomized controlled trials of electroconvulsive therapy in bipolar depression. The safety of electroconvulsive therapy is well documented, but there are some controversies as to the cognitive side effects. The aim of this study is to compare the effects and side effects of electroconvulsive therapy to pharmacological treatment in treatment resistant bipolar depression. Cognitive changes and quality of life during the treatment will be assessed.Methods/DesignA prospective, randomised controlled, multi-centre six- week acute treatment trial with seven clinical assessments. Follow up visit at 26 weeks or until remission (max 52 weeks). A neuropsychological test battery designed to be sensitive to changes in cognitive function will be used. Setting: Nine study centres across Norway, all acute psychiatric departments. Sample: n = 132 patients, aged 18 and over, who fulfil criteria for treatment resistant depression in bipolar disorder, Montgomery Åsberg Depression Rating Scale Score of at least 25 at baseline. Intervention: Intervention group: 3 sessions per week for up to 6 weeks, total up to 18 sessions. Control group: algorithm-based pharmacological treatment as usual.DiscussionThis study is the first randomized controlled trial that aims to investigate whether electroconvulsive therapy is better than pharmacological treatment as usual in treatment resistant bipolar depression. Possible long lasting cognitive side effects will be evaluated. The study is investigator initiated, without support from industry.Trial registrationNCT00664976

【 授权许可】

CC BY   
© Kessler et al; licensee BioMed Central Ltd. 2010