Table 1.
Study | Participants | ECT | |||||||
---|---|---|---|---|---|---|---|---|---|
ECT Patients | Comparisons | Diagnosis | Age, Years: Mean (s.d.) | Female | Medication | Clinical Assessment (PANSS Total Score) | Electrode Placement | Mean (s.d.) Number of ECT Interventions | |
Wolf et al. [34] | 8 SZ, 2 scans | 10 MDD, 2 scans; 10 HC, 1 scan |
DSM-IV | 31.1 (8.4) | 3 | Yes | Pre-ECT: 76.4 (22.0); Post-ECT: 35.8 (29.3); Reduction: 87.5% |
RUL | 12.4 (1.8) |
Wang et al. [35] | 21 SZ, 2 scans | 21 SZ (no ECT), 2 scans; 23 HC, 1 scan |
SCID-I/P | 29.29 (7.1) | 11 | Yes | Pre-ECT: 71.6 (8.4); Post-ECT: 49.7 (9.6); Reduction: 52.6% |
BL | 11.5 (1.1) |
Gong et al. [36] | 33 TRS, 1 scan; 20 AE, 1 scan; 4 SA, 1 scan. |
None | DSM-IV-TR | TRS, 31.5 (10.6); AE, 27.5 (6.0); SA, 34.5 (9.7) |
TRS, 9; AE, 9; SA, 2 |
Yes | Pre-ECT: TRS, 94.2 (18.0); AE, 101.1 (22.6); SA, 88.3 (21.9); Post-ECT: TRS, 51.6 (16.9); AE, 52.8 (14.6); SA, 54.5 (23.2); Reduction: TRS, 67.4%; AE, 67.5%; SA, 62.8% |
BL | 10.5 (2.4) |
Xi et al. [37] | 57 SZ, 1 scan | None | DSM-IV-TR | RS: 31.0 (10.2); NRS: 29.7 (8.5) |
20 | Yes | Pre-ECT: RS, 94.1 (19.2); NRS, 98.7 (21.0); Post-ECT: RS, 40.0 (7.1); NRS, 63.7 (13.8); Reduction: RS, 84.7%; NRS, 51.0% |
UL | SR, 10.3 (2.0); NSR, 10.0 (2.9) |
Huang et al. [38] | 21 SZ, 2 scans | 21 SZ (no ECT), 2 scans; 23 HC, 1 scan |
SCID-I/P | 29.29 (7.1) | 11 | Yes | Pre-ECT: 71.6 (8.4); Post-ECT: 49.7 (9.6); Reduction: 52.6% |
BL | 11.5 (1.1) |
Li et al. [39] | 34 SZ, 29 SZ had 2 scans | 34 HC, 1 scan | SCID-I/P | 29.35 (8.47) | 24 | Yes | Pre-ECT: 82.43 (7.28); Post-ECT: 55.93 (12.26); Reduction: 42.4% |
BL | 9.1 (1.1) |
Sambataro et al. [40] | 8 SZ, 2 scans | 10 MDD, 2 scans; 10 HC, 1 scan |
DSM-IV | 31.1 (8.4) | 3 | Yes | Pre-ECT: 76.4 (22.0); Post-ECT: 35.8 (29.3); Reduction: 87.5% |
RUL | 12.4 (1.8) |
Wang et al. [41] | 21 SZ, 2 scans | 21 SZ (no ECT), 2 scans; 23 HC, 1 scan |
SCID-I/P | 29.29 (7.1) | 11 | Yes | Pre-ECT: 71.6 (8.4); Post-ECT: 49.7 (9.6); Reduction: 52.6% |
BL | 11.5 (1.1) |
Yang et al. [42] | 47 SZ, 2 scans | none | ICD-10 | 30.23 (9.65) | 16 | Yes | Pre-ECT: 94.62 (18.87); Post-ECT: 51.62 (16.16); Reduction: 67.81%, range from 32% to 100% |
BL | 9.15 (2.21) |
Thomann et al. [43] | 9 SZ, 2 scans | 12 MDD, 2 scans; 9 HC, 1 scan |
DSM-IV | 34.2 (12.3) | 3 | Yes | 4 response; 5 partial response |
RUL | 11.3 (1.7) |
Jiang et al. [44] | 21 SZ, 2 scans | 21 SZ (no ECT), 2 scans; 23 HC, 1 scan |
SCID-I/P | 29.29 (7.1) | 11 | Yes | Pre-ECT: 71.6 (8.4); Post-ECT: 49.7 (9.6); Reduction: 52.6% |
BL | 11.5 (1.1) |
Jiang et al. [45] | 21 SZ, 2 scans | 21 SZ (no ECT), 2 scans; 23 HC, 1 scan |
SCID-I/P | 29.29 (7.1) | 11 | Yes | Pre-ECT: 71.6 (8.4); Post-ECT: 49.7 (9.6); Reduction: 52.6% |
BL | 11.5 (1.1) |
Abbreviations: TRS: treatment-resistant schizophrenia, AE: schizophrenia patients with an acute episode, SA: schizophrenia patients with suicide attempts, MDD: major depressive disorder, HC: healthy control, RS: Responders, NRS: Non-Responders, BL: bilateral, RUL: right unilateral