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Newcastle Diagnostic and ECT Prognosis Scales
Original reference
Carney MWP, Roth M, Garside RF. The diagnosis of depressive syndromes and the prediction of ECT response.
Brit J Psychiatr. 1965; 111: 659-674.
 Explanation of items for depression scale:

(1) adequate personality (no personality deviation): free from a history of neurotic breakdown and without disabling neurotic symptoms or serious social maladjustments

(2) no adequate psychogenesis: no psychological stress or difficulty continuing to operate after the onset of symptoms and adequate to explain perpetuation of the illness.

(3) distinct quality: a quality distinct from the depression/gloom/sadness with which they usually react to adversity.

(4) weight loss

(5) previous episode of depression

(6) depressive psychomotor activity: agitation, slowing or retardation

(7) anxiety

(8) nihilistic delusions: delusions of doom, imminent destruction, somatic dissolution or poverty of the patient and/or his family

(9) blame others for illness (accusations of others)

(10) feelings guilt, delusions of guilt 

Depression Parameters

Finding
Points

adequate personality

present
1

absent
0

no adequate psychogenesis

present
2

absent
0

distinct quality

present
1

absent
0

weight loss

present
2

absent
0

previous episode

present
1

absent
0

depressive psychomotor activity

present
2

absent
0

anxiety

present
-1

absent
0

nihilistic delusions

present
2

absent
0

blaming others

yes
-1

no
0

guilt

present
1

absent
0
Depression score = total score for all 10 parameters (possible score -2 to 12)
Interpretation: If the depression score is > 6, then endogenous depression is present. If <6, then neurotic depression is present.

ECT Parameters

Finding
Points

weight loss

present
3

absent
0

pyknic psychique ((short, thick and stocky)

present
3

absent
0

early wakening

present
2

absent
0

anxiety

present
-2

absent
0

somatic delusions

present
2

absent
0

paranoid delusions

present
1

absent
0

worse in the afternoon and evening

present
-3

absent
0

self pity

present
-1

absent
0

hypochondriacal

present
-3

absent
0

hysterical

present
-3

absent
0
ECT score = total score for all 10 parameters (possible score -12 to 11)
Interpretation: An ECT score >1 indicates a probable good result from ECT, while < 1 indicates a probable poor outcome.
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