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  1. 医学科
  2. 精神医学講座
  3. 学術雑誌掲載論文等(精神医学講座)

Factors causing a relapse of major depressive disorders following successful electroconvulsive therapy : A retrospective cohort study

http://hdl.handle.net/10422/00013295
http://hdl.handle.net/10422/00013295
6d31387d-0b57-4288-a1bb-e324beb34fba
名前 / ファイル ライセンス アクション
wjp.v11.i10.841.pdf wjp.v11.i10.841 (944.4 kB)
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Item type 学術雑誌論文 / Journal Article(1)
公開日 2022-05-17
タイトル
タイトル Factors causing a relapse of major depressive disorders following successful electroconvulsive therapy : A retrospective cohort study
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Electroconvulsive therapy
キーワード
言語 en
主題Scheme Other
主題 Major depressive disorder
キーワード
言語 en
主題Scheme Other
主題 Bipolar disorder
キーワード
言語 en
主題Scheme Other
主題 Antidepressant
キーワード
言語 en
主題Scheme Other
主題 Prognosis
キーワード
言語 en
主題Scheme Other
主題 Relapse
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 KURIMOTO, Naoki

× KURIMOTO, Naoki

WEKO 8982
e-Rad 20567078
ORCID 0000-0003-2400-0366

KURIMOTO, Naoki

Search repository
INAGAKI, Takahiko

× INAGAKI, Takahiko

WEKO 383
e-Rad 20535348
ORCID 0000-0002-1605-7170

INAGAKI, Takahiko

Search repository
AOKI, Takashi

× AOKI, Takashi

WEKO 8983
ORCID 0000-0002-9075-5751

AOKI, Takashi

Search repository
角谷, 寛

× 角谷, 寛

WEKO 6474
e-Rad 90362516
ORCID 0000-0001-7474-3315

en KADOTANI, Hiroshi

ja 角谷, 寛
kakenhi 14202

ja-Kana カドタニ, ヒロシ

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KURIMOTO, Fujiki

× KURIMOTO, Fujiki

WEKO 8984
ORCID 0000-0003-3005-6198

KURIMOTO, Fujiki

Search repository
KURIYAMA, Kenichi

× KURIYAMA, Kenichi

WEKO 7316
e-Rad 00415580
ORCID 0000-0002-0254-4357

KURIYAMA, Kenichi

Search repository
YAMADA, Naoto

× YAMADA, Naoto

WEKO 7606
e-Rad 50166724
ORCID 0000-0002-5189-3131

YAMADA, Naoto

Search repository
OZEKI, Yuji

× OZEKI, Yuji

WEKO 1947
e-Rad 90303768
ORCID 0000-0002-9516-0941

OZEKI, Yuji

Search repository
著者別名 栗本, 直樹

× 栗本, 直樹

WEKO 8982
e-Rad 20567078
ORCID 0000-0003-2400-0366

栗本, 直樹

Search repository
稲垣, 貴彦

× 稲垣, 貴彦

WEKO 383
e-Rad 20535348
ORCID 0000-0002-1605-7170

稲垣, 貴彦

Search repository
青木, 崇

× 青木, 崇

WEKO 8983
ORCID 0000-0002-9075-5751

青木, 崇

Search repository
角谷, 寛

× 角谷, 寛

WEKO 6474
e-Rad 90362516
ORCID 0000-0001-7474-3315

en KADOTANI, Hiroshi

ja 角谷, 寛
kakenhi 14202

ja-Kana カドタニ, ヒロシ

Search repository
栗山, 健一

× 栗山, 健一

WEKO 7316
e-Rad 00415580
ORCID 0000-0002-0254-4357

栗山, 健一

Search repository
山田, 尚登

× 山田, 尚登

WEKO 7606
e-Rad 50166724
ORCID 0000-0002-5189-3131

山田, 尚登

Search repository
尾関, 裕二

× 尾関, 裕二

WEKO 1947
e-Rad 90303768
ORCID 0000-0002-9516-0941

尾関, 裕二

Search repository
抄録
内容記述タイプ Abstract
内容記述 BACKGROUND:
Electroconvulsive therapy (ECT) is used to treat major depressive disorder (MDD). Relapse is often observed even after successful ECT, followed by adequate pharmaceutical treatment for MDD.
抄録
内容記述タイプ Abstract
内容記述 AIM:
To investigate the diagnostic factors and treatment strategies associated with depression relapse.
抄録
内容記述タイプ Abstract
内容記述 METHODS:
We analyzed the relationships between relapse, the diagnostic change from MDD to bipolar disorder (BP), and treatment after the initial ECT. We performed a 3-year retrospective study of the prognoses of 85 patients of the Shiga University of Medical Science Hospital. The relative risk of relapse of depressive symptoms was calculated based on the diagnostic change from MDD to BP. A receiver operating characteristic (ROC) curve was generated to evaluate the predictive accuracy of diagnostic changes from MDD to BP based on the duration between the first course of ECT and the relapse of depressive symptoms.
抄録
内容記述タイプ Abstract
内容記述 RESULTS:
Eighty-five patients initially diagnosed with MDD and successfully treated with ECT were enrolled in the study. Compared with the MDD participants, more BP patients experienced relapses and required continuation and/or maintenance ECT to maintain remission (65.6% vs 15.1%, P < 0.001; relative risk = 4.35, 95%CI: 2.19-8.63, P < 0.001). Twenty-nine patients experienced relapses during the three-year follow-up. In 21 (72.4%, 21/29) patients with relapse, the diagnosis was changed from MDD to BP. The duration from the first course of ECT to relapse was shorter for the BP patients than for the MDD patients (9.63 ± 10.4 mo vs 3.38 ± 3.77 mo, P = 0.022); for most patients, the interval was less than one month. The relative risk of depressive symptoms based on diagnostic changes was 4.35 (95% confidence interval: 2.19–8.63, P < 0.001), and the area under the ROC curve for detecting diagnostic changes based on relapse duration was 0.756 (95%CI: 0.562-0.895, P = 0.007).
抄録
内容記述タイプ Abstract
内容記述 CONCLUSION:
It may be beneficial to suspect BP and change the treatment strategy from MDD to BP for patients experiencing an early relapse.
書誌情報 en : World journal of psychiatry

巻 11, 号 10, p. 841-853, 発行日 2021-10-19
出版者
出版者 Baishideng Publishing Group Inc.
ISSN
収録物識別子タイプ ISSN
収録物識別子 2220-3206
PMID
関連タイプ isIdenticalTo
識別子タイプ PMID
関連識別子 34733646
PMCID
識別子タイプ URI
関連識別子 http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8546764/
関連名称 PMC8546764
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.5498/wjp.v11.i10.841
関連名称 10.5498/wjp.v11.i10.841
権利
権利情報 ©The Author(s) 2021.
フォーマット
内容記述タイプ Other
内容記述 pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
資源タイプ
内容記述タイプ Other
内容記述 Journal Article
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