Why the study?
Does convulsive shock therapy improve recovery in patients over 70 years of age with affective disorders?
Does convulsive shock therapy improve recovery in patients over 70 years of age with affective disorders?
Convulsive shock therapy appears well tolerated and effective for achieving functional recovery in elderly patients with affective disorders.
May support functional recovery with convulsive therapy in elderly affective disorders; hypothesis-generating case report leaves open need for randomized trials.
Experience with a group of 30 patients all past 70 shows that convulsive shock therapy is well tolerated by the aged. Convulsive shock therapy in the aged can be made more safe if curare modification of the convulsion is utilized. The organic defects and diseases of old age are not necessarily contraindications for curare electroshock therapy. Follow-up studies show that half of this group of patients obtained sustained recoveries or sufficient recovery to remain functional in society. Evaluation and retreatment of relapses suggest that prompt treatment of recurrences will produce an early remission and prevent prolonged hospitalization. No conclusions can be drawn regarding the death rate in this group.
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Wilbur et al. (1947) studied this question.
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