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Dr Spaans and Colleagues Reply

J Clin Psychiatry 2014;75(7):777–778

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To the Editor: We greatly appreciate the comments made by the colleagues from the CORE/PRIDE group with respect to our randomized controlled study in brief and ultrabrief pulse electroconvulsive therapy (ECT), and we welcome the opportunity to clarify a number of issues raised.

Differences in techniques between countries demonstrate that any concept of “the ultimate” ECT technique is still illusory. It is doubtful whether the European twice-weekly schedule reduces efficacy significantly compared to thrice-weekly sessions.