Electroconvulsive therapy in adolescents with intellectual disability and severe self-injurious behavior and aggression: a retrospective study.

Détails

ID Serval
serval:BIB_6E6B43EA5A89
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Electroconvulsive therapy in adolescents with intellectual disability and severe self-injurious behavior and aggression: a retrospective study.
Périodique
European child & adolescent psychiatry
Auteur(s)
Consoli A., Cohen J., Bodeau N., Guinchat V., Wachtel L., Cohen D.
ISSN
1435-165X (Electronic)
ISSN-L
1018-8827
Statut éditorial
Publié
Date de publication
01/2013
Peer-reviewed
Oui
Volume
22
Numéro
1
Pages
55-62
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Efficacious intervention for severe, treatment-refractory self-injurious behavior and aggression (SIB/AGG) in children and adolescents with intellectual disability and concomitant psychiatric disorders remains a complex and urgent issue. The aim of this study is to assess the efficacy of electroconvulsive therapy (ECT) on severe and treatment-resistant SIB/AGG in young people with intellectual disability and current psychiatric disorder. We reviewed the charts of all patients (N = 4) who received ECT in the context of SIB/AGG with resistance to behavioral interventions, milieu therapy and pharmacotherapy from 2007 to 2011. We scored the daily rate of SIB/AGG per patient for each hospital day. Inter rater reliability was good (intraclass correlations = 0.91). We used a mixed generalized linear model to assess whether the following explanatory variables (time, ECT) influenced the course of SIB/AGG over time, the dependant variable. The sample included two girls and two boys. The mean age at admission was 13.8 years old [range 12-14]. The patients had on average 19 ECT sessions [range 16-26] and one patient received maintenance ECT. There was no effect of time before and after ECT start. ECT was associated with a significant decrease in SIB/AGG scores (p < 0.001): mean aggression score post-ECT was half the pre-ECT value. ECT appears beneficial in severe, treatment-resistant SHBA in adolescents with intellectual disability.
Mots-clé
Adolescent, Aggression/psychology, Child, Electroconvulsive Therapy/methods, Female, Humans, Intellectual Disability/complications, Intellectual Disability/psychology, Male, Reproducibility of Results, Retrospective Studies, Self-Injurious Behavior/complications, Self-Injurious Behavior/psychology, Self-Injurious Behavior/therapy, Treatment Outcome
Pubmed
Web of science
Création de la notice
15/08/2019 9:19
Dernière modification de la notice
03/09/2019 5:26
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