الفهرس 
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Abstract
This study was performed at Bani Ahmed Psychiatric Hospital, Minia Governorate in the period from the beginning of April 2011 to the end of September 2011. The study was conducted on 80 patients (54 males and 26 females) with psychotic disorders including acute and chronic cases selected from inpatient of Bani Ahmed Psychiatric Hospital.
This study was conducted to study co-factors implicated in early response to ECT. So the aim of this work was to study the response of the patients to ECT administration and explore the co-factors implicated in early response to ECT.
All the selected patients were subjected to history taking, medical assessment and clinical examination and they received ECT with general anesthesia using muscle relaxant thrice weekly which ranged between six to eight ECT sessions which was determined by treating psychiatrist and according to their clinical response.
The tool used was BPRS version 24 which consists of 24 symptom constructs each item rated on 0-7 scale. BPRS was applied three times to every patient: before the beginning of ECT sessions, after completion of three sessions and after the end of sessions.
A pilot study was performed that took about one month before beginning of the study to determine size of the sample. We noticed that most of the patients responded early to ECT after the 3rd session as BPRS scores decline. Also, there was marked clinical improvement and lower BPRS scores observed after termination of ECT course, this means that final response of the patients to ECT could be predicted during the early stages of therapy after completion three ECT sessions.
We studied the co-factors which implicated in the early response to ECT including socio-demographic characteristics and clinical psychiatric factors. These data were checked, coded, entered and analyzed by using SPSS. Then statistical methods were used to study the relations of these factors and clinical psychiatric diagnoses and patients’ response.
The results of the study are summarized into the following:
A) Socio-demographic characteristics and clinical factors of the study:
1. The majority of patients of our sample were 26:35 years (44=55%), male patients were more than female patients, most of patients were from rural area, most of them were in pre-university periods, most of them were single and unemployed.
2. The mean duration of whole illness was 92.2±65.1 months, the mean duration of current episode or exacerbation was 46.4±37 days and the mean order of current episode or exacerbation was 5.4±3.