The Therapeutic Effect of Electroconvulsive Therapy in Patients With Obsessive-compulsive Disorder: A Quasi-experimental Study

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Noorazar Seyed Gholamreza; Emamizad Somayyeh; Fakhari Dehkharghani Ali; Pouya Parnia

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Journal Paper

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Journal: BASIC AND CLINICAL NEUROSCIENCE Year:2023 | Volume:14 | Issue:1 Page(s): 19-30

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Title

The Therapeutic Effect of Electroconvulsive Therapy in Patients With Obsessive-compulsive Disorder: A Quasi-experimental Study

Author(s)

Noorazar Seyed Gholamreza | Emamizad Somayyeh | Fakhari Dehkharghani Ali | Pouya Parnia | Issue Writer Certificate

Keywords

Obsessive-compulsive disorder

Electroconvulsive therapy

Yale-Brown criteria

Treatment-resistant OCD

Abstract

Introduction: Electroconvulsive therapy (ECT) is an effective treatment for some psychiatric disorders. It is postulated that ECT should primarily be considered for patients with treatment-resistant obsessive-compulsive disorder (OCD) in the context of major depression. Therefore, we aimed to evaluate the efficacy of ECT in OCD patients without comorbid psychiatric disorders. Methods: This quasi-experimental study was conducted on 12 adult patients with severe OCD (Yale-Brown test score above 25) and no comorbid psychiatric disorders referred to a tertiary care hospital for psychiatric disorders. Treatment was administered three times a week for up to three to four weeks (a minimum of 8 sessions and a maximum of 12 sessions). We completed the Yale-Brown test for all patients before ECT, on the day after applying ECT, and two months after the final ECT session to evaluate the effect of therapy. Results: Yale-Brown patients’,Mean±, SD significantly decreased after the ECT sessions from 28. 08±, 2. 50 to 17. 17±, 3. 78 (P=0. 043). After treatment, the severity of OCD decreased in all patients and turned to mild and moderate levels in 4 patients (33. 3%) and 8 (66. 7%), respectively. After two months, the Mean±, SD Yale-Brown score slightly increased to 18. 08±, 1. 62 (P=0. 125), and the severity of OCD in all 12 patients (100%) became moderate. Nevertheless, in none of them, the Yale-Brown score increased and returned to the baseline value in this period. None of the patients developed significant side effects during or after ECT sessions. Conclusion: ECT was a safe and effective therapeutic strategy for patients with treatmentresistant OCD with no comorbid psychiatric disorders. However, further randomized controlled trials are required to validate the efficacy of ECT for OCD treatment before implementing it in the routine clinical practice.

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APA: Copy

Noorazar, Seyed Gholamreza, Emamizad, Somayyeh, Fakhari Dehkharghani, Ali, & Pouya, Parnia. (2023). The Therapeutic Effect of Electroconvulsive Therapy in Patients With Obsessive-compulsive Disorder: A Quasi-experimental Study. BASIC AND CLINICAL NEUROSCIENCE, 14(1), 19-30. SID. https://sid.ir/paper/1070511/en

Vancouver: Copy

Noorazar Seyed Gholamreza, Emamizad Somayyeh, Fakhari Dehkharghani Ali, Pouya Parnia. The Therapeutic Effect of Electroconvulsive Therapy in Patients With Obsessive-compulsive Disorder: A Quasi-experimental Study. BASIC AND CLINICAL NEUROSCIENCE[Internet]. 2023;14(1):19-30. Available from: https://sid.ir/paper/1070511/en

IEEE: Copy

Seyed Gholamreza Noorazar, Somayyeh Emamizad, Ali Fakhari Dehkharghani, and Parnia Pouya, “The Therapeutic Effect of Electroconvulsive Therapy in Patients With Obsessive-compulsive Disorder: A Quasi-experimental Study,” BASIC AND CLINICAL NEUROSCIENCE, vol. 14, no. 1, pp. 19–30, 2023, [Online]. Available: https://sid.ir/paper/1070511/en

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