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  • Title: ECT in primary and secondary depression.
    Author: Zorumski CF, Rutherford JL, Burke WJ, Reich T.
    Journal: J Clin Psychiatry; 1986 Jun; 47(6):298-300. PubMed ID: 3711027.
    Abstract:
    The response of depressive symptoms to ECT was studied in 58 subjects who met DSM-III criteria for major depression. For data analysis, the sample was divided by diagnosis into categories of primary unipolar depression, bipolar depression, and secondary depression. Only 56% of the secondary depression group had a partial or complete remission of depressive symptoms, but 91% of the primary unipolar group and 100% of the primary bipolar group improved. Subdividing the secondary depression group by primary diagnosis revealed a differential response, with alcoholism and schizophrenia having the most favorable outcomes.
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