Treatment-refractory Schizophrenia
Conditions
Keywords
electroconvulsive therapy, treatment-refractory schizophrenia
Brief summary
The purpose of the study is to determine whether addition of electroconvulsive therapy to antipsychotic treatment improves the mental health of patients with treatment-resistant schizophrenia.
Detailed description
The purpose of the study is not achieved.
Interventions
Electroconvulsive Therapy inclusive anesthesia and concomitant muscular paralysis
Anesthesia and concomitant muscular paralysis
Temporary induced state of analgesia
Sponsors
Study design
Eligibility
Inclusion criteria
* An ICD-10 schizophrenia diagnosis F20.0-20.3 or F20.9 * PANSS total score \>= 70 * CGI-S \>= 4 (Clinical Global Impression) * PANSS score \>= 4 on minimum 2 og the following items: Delusions, Conceptual disorganization,Hallucinatory behavior, Excitement, Grandiosity, Suspiciousness, Hostility, Disorientation. * Previous/current treated with clozapine or refused clozapine treatment * Lack of response to at least three different antipsychotics * New antipsychotic medication prescribed more than 8 weeks before inclusion * Fixed dosage of antipsychotics 1 month before inclusion * No chance of additional neurotropic 4 weeks before inclusion * Signed informed consent and power of attorney
Exclusion criteria
* Significant substance abuse * Somatic disease that increases the risk of complications of ECT/anesthesia * Epilepsy * For women: Pregnancy or breast-feeding * Homelessness * Use of benzodiazepines (apart from tbl. oxazepam 10 mg., max 30 mg. daily) * Use of antiepileptic * Previous no effect on psychotic symptoms after ECT treatment (minimum 15 ECT- treatments) * Concrete suicidal plans
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in total PANSS score and adverse events | The primary outcome will be assessed at screening, baseline and after every second week up to 72 weeks depending on the process for the individaul participant. | PANSS = Positive and Negative Syndrome Scale and UKU = The UKU (Udvalg for Kliniske Undersøgelser) side effect rating scale |