Commentary on Braga et al: The Potential of Large Simple Trials to Determine the Real-World Effectiveness of Combined Electroconvulsive Therapy and Antipsychotics in Treating Patients With Treatment-Resistant Schizophrenia

Worrawat Chanpattana, William V McCall

Research output: Contribution to journalArticle

Abstract

This commentary reflects upon the study of Braga et al of open-label continuation electroconvulsive therapy (ECT) plus clozapine in treatment-resistant schizophrenia (TRS), as reported in this issue of The Journal of ECT. The evidence base for ECT in TRS is scant, and the study of Braga et al is a step forward. However, their report raises other important questions including (1) what is the proper frequency of continuation ECT in TRS, and (2) should TRS patients, even TRS patients who have failed clozapine, receive acute ECT + clozapine, or is ECT + conventional antipsychotics sufficient? In this commentary, we examine these questions and outline a future research strategy for TRS that includes large simple trials.

Original languageEnglish (US)
Pages (from-to)153-155
Number of pages3
JournalJournal of ECT
Volume35
Issue number3
DOIs
StatePublished - Sep 2019
Externally publishedYes

Keywords

  • Antipsychotic Agents
  • Clozapine
  • Combined Modality Therapy
  • Electroconvulsive Therapy
  • Humans
  • Pilot Projects
  • Schizophrenia

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