Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study

Objective: To evaluate and compare the efficacy of Electroconvulsive therapy (ECT) and Ketamine infusions in hospitalized patients suffering from major depressive disorder (MDD). Study Design: Comparative cross-sectional study. Place and duration of study: Armed Forces Institute of Mental Hea...

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Main Authors: Asif Azeem Bajwa, Sohail Ali, Sikandar Ali Khan, Nida Saleem, Tashfeen Bin Nazir
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-02-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/8818
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author Asif Azeem Bajwa
Sohail Ali
Sikandar Ali Khan
Nida Saleem
Tashfeen Bin Nazir
author_facet Asif Azeem Bajwa
Sohail Ali
Sikandar Ali Khan
Nida Saleem
Tashfeen Bin Nazir
author_sort Asif Azeem Bajwa
collection DOAJ
description Objective: To evaluate and compare the efficacy of Electroconvulsive therapy (ECT) and Ketamine infusions in hospitalized patients suffering from major depressive disorder (MDD). Study Design: Comparative cross-sectional study. Place and duration of study: Armed Forces Institute of Mental Health, Rawalpindi Pakistan, from Feb to Apr 2021. Methodology: Forty in-patients diagnosed as having MDD were randomly allocated ECT/Ketamine intervention as per international standards. Either group of patients acted as a control for the other. Their Beck Depressive Inventory (BDI) scores before and after the completion of treatment cycles were assessed to determine their response to treatment. Results: The Ketamine-Group showed fewer depressive symptoms than the ECT Group. The depressive symptoms were reduced in 16(80.78%) patients after Ketamine infusions, while 15(77.78%) patients showed improvement after ECT sessions.In addition, the response to Ketamine was quicker. Conclusion: This study has reported that low dose Ketamine has a more rapid impact than Electroconvulsive therapy in improving symptoms of depression in major depressive disorder patients.
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spelling doaj.art-b8c6ec7a0810416a818357494c4012f42023-03-30T06:25:31ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-02-0173110.51253/pafmj.v73i1.8818Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative StudyAsif Azeem Bajwa0Sohail Ali1Sikandar Ali Khan2Nida Saleem3Tashfeen Bin Nazir4Armed Forces Institute of Mental Health/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Mental Health/National University of Medical Sciences (NUMS) Rawalpindi PakistanCombined Military Hospital, Mangla/ National University of Medical Sciences (NUMS) PakistanArmed Forces Institute of Mental Health/National University of Medical Sciences (NUMS) Rawalpindi PakistanNational University of Medical Sciences (NUMS) Rawalpindi Pakistan Objective: To evaluate and compare the efficacy of Electroconvulsive therapy (ECT) and Ketamine infusions in hospitalized patients suffering from major depressive disorder (MDD). Study Design: Comparative cross-sectional study. Place and duration of study: Armed Forces Institute of Mental Health, Rawalpindi Pakistan, from Feb to Apr 2021. Methodology: Forty in-patients diagnosed as having MDD were randomly allocated ECT/Ketamine intervention as per international standards. Either group of patients acted as a control for the other. Their Beck Depressive Inventory (BDI) scores before and after the completion of treatment cycles were assessed to determine their response to treatment. Results: The Ketamine-Group showed fewer depressive symptoms than the ECT Group. The depressive symptoms were reduced in 16(80.78%) patients after Ketamine infusions, while 15(77.78%) patients showed improvement after ECT sessions.In addition, the response to Ketamine was quicker. Conclusion: This study has reported that low dose Ketamine has a more rapid impact than Electroconvulsive therapy in improving symptoms of depression in major depressive disorder patients. https://www.pafmj.org/index.php/PAFMJ/article/view/8818Electroconvulsive therapyECT versus ketamineKetamineMajor depressive disorder
spellingShingle Asif Azeem Bajwa
Sohail Ali
Sikandar Ali Khan
Nida Saleem
Tashfeen Bin Nazir
Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study
Pakistan Armed Forces Medical Journal
Electroconvulsive therapy
ECT versus ketamine
Ketamine
Major depressive disorder
title Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study
title_full Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study
title_fullStr Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study
title_full_unstemmed Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study
title_short Efficacy of Electroconvulsive Therapy and Ketamine Therapy in Major Depressive Disorder; A Comparative Study
title_sort efficacy of electroconvulsive therapy and ketamine therapy in major depressive disorder a comparative study
topic Electroconvulsive therapy
ECT versus ketamine
Ketamine
Major depressive disorder
url https://www.pafmj.org/index.php/PAFMJ/article/view/8818
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