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Electroshock
and
in
Improvement
Charges
of
Electroencephalographic
Relation
Therapy *
Max

Fink, M.D.

Robert L. Kahn, Ph. D.

This study was undertaken as part of an investigation of the relationship
between
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altered brain function

to electroshock therapy.

Twentyb

prior to and at
weekly intervals duringanki following the course of treatment. The total of
four consecutive patients referred for

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awn-wmw

and response

160 records so obtained were

age percent time

time delta

at

EST

were given EEG'S

classified according to five criteria: the aver-

delta for three given lead combinations, the highest percent

any one lead combination, the slowest

delta frequency, the durb

ation of the longest bursts and the highest delta amplitude.

On

the basis

of the percentile scores obtained for each factor, the relative position of
each record was determined.

in the upper third of the distribution were

Those

considered to have high degree abnormality, while those on the lower third were
low degree abnormality.

By

this

method

found between improvement and the

EEG

showed a high degree abnormality

after

weeks and over 90%

after three

weeks.

of analysis a definite correlation was

rating.

Of

one week of

first three

had such a record by the fourth week of treatment.

for each of the

EEG

treatment,

80%

A

factors analyzed separately.
week

two

weeks and only one

similar relationship
The

was

findings were con-

firmed in a subsequent investigation of 30‘patients in which the

tained in the second and third

after

25%

In the unimproved patients, however,

none had a high abnormality record during the

found

the improved patients,

EEG

data ob-

of treatment were used to prognosticate

�nﬁi

m\

improvement.

It is

as determined by

concluded that early and persistent altered.brain function,

this

method,

is

a necessary

prerequisite for improvement after

electroshock therapy.

*

From

the Research Service, Hillside HoSpital, Glen Oaks,

New

York.

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Fink M .D
Robert L: Kahn, Ph.D.

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This' study was undertaken as part of an investigation of the relationship

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were given EEG-'5

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prior to

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and

at weekly intervals

total of

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100 records‘ were

classified according to five criteria: the average percent If time delta for
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tained for each factor, the relative position of each record was determineg
gose in the upper third of the destribution were considered to have 1 high degree

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abnormality, By this method of analysis

improvement and the FE .

after

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was found between

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oniy‘one week of treatment, 80 a er two weeks and
over
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during the
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first

c'atrately.

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three weeks and only one

similar relationship

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had. such a

each of the

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90%

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improved

patients

after three

none had high abnormality

record b% the fourth

factors

as

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30

‘

were

usedﬁ progn

altered

bain

EEG

data obtained in the second and third week of treatment
concluded that early and persistent

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function, as determined by this method, is a necessaryﬂfor
provement after electroshock therapy.

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              <text>&lt;a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank"&gt;Fink, Max, 1923-&lt;/a&gt;; Kahn, Robert L.</text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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