Outcome of electroconvulsive therapy by race in the consortium for research on electroconvulsive therapy multisite study

Mark D. Williams, Teresa Rummans, Shirlene Sampson, Rebecca Knapp, Martina Mueller, Mustafa M. Husain, Max Fink, Keith Rasmussen, Kevin O'Connor, Glenn Smith, George Petrides, Charles H. Kellner

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Objective: The authors examine the differences in outcome between black and white patients receiving electroconvulsive therapy (ECT) as a part of the Consortium for Research on Electroconvulsive Therapy multisite study. Methods: A total of 624 patients were enrolled in an National Institute of Mental Health (NIMH)-funded, randomized, controlled ECT trial comparing the efficacy of continuation ECT versus continuation pharmacotherapy between 1997 and 2004. This analysis focuses on the 32 black and 483 white patients who participated in phase I of the study. The authors compared baseline demographic and clinical variables and acute outcomes of these 2 groups. Results: Compared with whites, far fewer blacks participated in the study. Those who did were less likely to have failed adequate medication trials and were more likely to have psychotic features. Their initial 24-item Hamilton Rating Scale for Depression scores were higher than those of the whites, and they showed a greater reduction in these 24-item Hamilton Rating Scale for Depression scores by the end of the treatment period. Although sample size limited the statistical significance of the findings, black patients also showed a higher rate of remission after an acute phase of ECT. Conclusions: This study found that black and white patients with major depressive disorder had comparable outcomes. We also found that fewer black patients received ECT than whites, a difference that has been reported in other samples.

Original languageEnglish (US)
Pages (from-to)117-121
Number of pages5
JournalJournal of ECT
Volume24
Issue number2
DOIs
StatePublished - Jun 1 2008

Keywords

  • Consortium for Research on Electroconvulsive Therapy
  • Depression
  • ECT
  • Electroconvulsive therapy
  • Outcome
  • Race

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Outcome of electroconvulsive therapy by race in the consortium for research on electroconvulsive therapy multisite study'. Together they form a unique fingerprint.

  • Cite this

    Williams, M. D., Rummans, T., Sampson, S., Knapp, R., Mueller, M., Husain, M. M., Fink, M., Rasmussen, K., O'Connor, K., Smith, G., Petrides, G., & Kellner, C. H. (2008). Outcome of electroconvulsive therapy by race in the consortium for research on electroconvulsive therapy multisite study. Journal of ECT, 24(2), 117-121. https://doi.org/10.1097/YCT.0b013e31815c6641