Table 2.
Univariate and multivariate regression analyses to detect independent patient and treatment characteristics to predict initial seizure threshold (IST), and mixed analyses to detect independent predictors of the variation in seizure threshold (ST) during the course of electroconvulsive therapy (ECT)
| Univariate correlates of IST at baseline | Multivariate correlates of ISTa at baseline | Multivariate correlates of STa during follow-up | ||||
|---|---|---|---|---|---|---|
| β-coefficient | P value | β-coefficient | P value | β-coefficient | P value | |
| Patient characteristics | ||||||
| Male gender | −0.043 | 0.682 | ||||
| Age, in years | 0.466 | <0.001 | 0.238 | 0.033 | 0.279 | 0.009 |
| Body mass index, in kg/m2 | −0.156 | 0.143 | ||||
| CIRS scored | 0.385 | <0.001 | 0.154 | 0.131 | 0.127 | 0.227 |
| Diagnostic category, according to axis 1 of DSM-IV-Rf | ||||||
| Depressive disorder without psychotic features | −0.064 | 0.544 | ||||
| Depressive disorder with psychotic features | 0.030 | 0.781 | ||||
| Bipolar disorder, depressive episode | 0.076 | 0.476 | ||||
| Other disorderse | −0.046 | 0.664 | ||||
| Documented or clinically suspected personality disorder present, according to axis 2 of DSM-IV-R | −0.134 | 0.207 | ||||
| MADRSb score at baseline | 0.082 | 0.450 | ||||
| MMSEc score at baseline | −0.331 | 0.002 | −0.045 | 0.641 | 0.058 | 0.549 |
| Treatment characteristics | ||||||
| Had previous course(s) of ECT | 0.346 | 0.001 | 0.059 | 0.579 | −0.052 | 0.564 |
| Days between last ECT and index ECT | −0.064 | 0.746 | ||||
| Use of seizure threshold influencing concomitant pharmacotherapy | ||||||
| Benzodiazepines | 0.033 | 0.758 | ||||
| Antiepileptics | 0.027 | 0.803 | ||||
| Antidepressants | 0.084 | 0.431 | ||||
| Antipsychotics | −0.112 | 0.289 | ||||
| Electrode placement is bifrontotemporal | 0.546 | <0.001 | 0.424 | <0.001 | 0.348 | <0.001 |
| Dynamic impedance | −0.248 | 0.018 | −0.082 | 0.344 | −0.107 | 0.062 |
| Etomidate dose | −0.084 | 0.427 | ||||
| Succinylcholine dose | −0.295 | 0.005 | −0.071 | 0.452 | −0.056 | 0.376 |
aMultivariate regression analysis and mixed analysis only for variables showing P < 0.10 at univariate analysis
bMontgomery–Åsberg Depression Rating Scale
cMini-Mental State Examination
dCumulative Illness Rating Scale
eSchizophrenia (n = 2) and malignant neuroleptic syndrome (n = 1)
fDiagnostic and Statistical Manual of Mental Disorders