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Use of Electro-Convulsive Therapy as a Bipolar Disorder Treatment: A Systematic Review

Published online by Cambridge University Press:  01 September 2022

E. Miranda Ruiz ,
E. Marimón Muñoz ,
A. Stoppa Montserrat ,
I. Fernandez ,
M.I. Arroyo ,
N. Borras ,
S. Ferreiro  and
J. Ramirez
E. Miranda Ruiz*
Affiliation:
CST, Psychiatry, Terrassa, Spain
E. Marimón Muñoz
Affiliation:
CST, Psychiatry, Barcelona, Spain
A. Stoppa Montserrat
Affiliation:
CST, Psychiatry, Terrassa, Spain
I. Fernandez
Affiliation:
CST, Psychiatry, Terrassa, Spain
M.I. Arroyo
Affiliation:
CST, Psychiatry, Terrassa, Spain
N. Borras
Affiliation:
CST, Psychiatry, Terrassa, Spain
S. Ferreiro
Affiliation:
CST, Psychiatry, Terrassa, Spain
J. Ramirez
Affiliation:
CST, Psychiatry, Terrassa, Spain
*
*Corresponding author.

Abstract

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Introduction

Electro-convulsive Therapy (ECT) has been considered a useful for the treatment of depression and other affective disorders, however it is considered as a last resort given the risks and possible adverse effects.

Objectives

The objective of this review is to assess the use of ECT (in terms of efficacy and tolerability) for patients diagnosed with bipolar disorder and how it can be compared with other treatments more commonly used to treat this disorder.

Methods

A search was carried out in Medline and in the Virtual Health Library as well as in the Trripdatabase with the search terms “Bipolar disorder”, “Bipolar Depression”, “ECT”, “ECT treatment” and “Mania” in English and narrowing the search to the last 5 years. 8 articles were included for the review after applying inclusion and exclusion criteria.

Results

A favorable and well tolerated response was observed when applied ECT on patients with Bipolar disorder, especially the elderly populations. It was observed that the administration of unilateral and bilateral ECT are both equally effective. A better response was detected to ECT compared to newer treatments like ketamine, as well as lower suicide rate when ECT was used compared to other treatments.

Conclusions

ECT is considered an effective and safe treatment for Bipolar Disorder and should be taken into account not only as a last resort. Even so, given the limitations observed, it is necessary to carry out further investigation on the matter.

Disclosure

No significant relationships.

Keywords

bipolar depressionbipolar disorderElectro-convulsive therapymania
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S417
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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