The aim of this study was to compare in the context of gender both clinical diagnosis and disease-related differences and electroconvulsive therapy (ECT)-related differences in data and efficacy in hospitalized patients with catatonic signs and symptoms. Data from 106 patients who received ECT with catatonia indication were retrospectively analyzed. Clinical data of male (n = 58) and female (n = 48) patients were compared. Hospitalization documents and outpatient files, sociodemographic and clinical data form, Clinical Global Improvement scores used by the ECT unit in the follow-up of patients who received ECT were used in the study. It was seen that the mean age of women at the onset of ECT was higher than in men and the presence of prolonged seizures was more common than men. In men, it was found out that the average number of sessions with the onset of clinical response to treatment was higher than the average of women. The distribution of diagnoses by gender showed that the presence of schizophrenia diagnosis in men and of bipolar disorder in women were significantly more frequent compared to the opposite sex. It was found out that there were no significant differences between genders in terms of response rate to ECT. Our study is important for being the first study in the literature investigating the gender differences in ECT used for catatonia. However, gender is not a distinctive factor in the effectiveness of treatment, there are some important differences between male and female patients showing signs and symptoms of catatonia and undergoing ECT.

本研究的目的是在性别背景下比较临床诊断和疾病相关差异以及电惊厥治疗 (ECT) 相关的数据和疗效差异，用于住院患者的紧张症状和体征。回顾性分析了 106 名接受 ECT 并伴有紧张症适应症的患者的数据。比较男性（n = 58）和女性（n = 48）患者的临床数据。住院文件和门诊档案、社会人口学和临床数据表、ECT 部门在接受 ECT 患者的随访中使用的临床整体改善评分用于研究。可以看出，女性在 ECT 发病时的平均年龄高于男性，并且长期癫痫发作比男性更常见。在男性中，结果发现，对治疗产生临床反应的平均治疗次数高于女性的平均水平。按性别划分的诊断分布表明，与异性相比，男性精神分裂症诊断和女性双相情感障碍的诊断频率明显更高。结果发现，就ECT的反应率而言，性别之间没有显着差异。我们的研究对于成为研究用于紧张症的 ECT 中的性别差异的文献中的第一项研究非常重要。然而，性别并不是治疗有效性的显着因素，表现出紧张症体征和症状并接受 ECT 的男性和女性患者之间存在一些重要差异。