Article
Psychiatry
Shih Ee Goh, Phern-Chern Tor
Summary: Limited literature exists on risk factors for prolonged seizures during electroconvulsive therapy, but adjusting to right unilateral ECT with a higher suprathreshold dose can allow for safe and effective continuation of treatment with reduced cognitive side effects.
ASIAN JOURNAL OF PSYCHIATRY
(2021)
Article
Neurosciences
J. Douglas Steele, Tom Farnan, David M. M. Semple, Siwei Bai
Summary: Recent observational studies have found that the cognitive side-effects and therapeutic efficacy of electroconvulsive therapy (ECT) are associated with electric field-induced changes in brain structures. A specific fronto-medial electrode placement has been found to reduce electric fields in the hippocampi while increasing electric fields in the dorsal sagittal cortex. This finding is clinically relevant as it may help minimize side-effects and improve treatment outcomes.
FRONTIERS IN NEUROSCIENCE
(2022)
Article
Clinical Neurology
Nujaree Sombatcharoen-non, Thidarat Yamnim, Sudawan Jullagate, Pichai Ittasakul
Summary: This retrospective mirror-image study found that continuation-maintenance electroconvulsive therapy (ECT) can effectively reduce psychiatric hospitalizations and admission days in Thai patients with various psychiatric diagnoses.
NEUROPSYCHIATRIC DISEASE AND TREATMENT
(2023)
Article
Clinical Neurology
Santiago Madero, Gerard Anmella, Maria Sague-Vilavella, Maria Teresa Pons, Anna Gimenez, Andrea Murru, Marta Gomez-Ramiro, Joaquin Gil-Badenes, Jose Rios, Miquel Bioque, Eduard Vieta, Antonio Benabarre
Summary: This study aimed to investigate the real-life effectiveness of maintenance electroconvulsive therapy(mECT) in bipolar disorder(BD). The results showed that mECT can effectively reduce the number and duration of psychiatric hospitalizations in BD patients, supporting its effectiveness in the treatment of BD.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Clinical Neurology
Santiago Madero, Gerard Anmella, Maria Sague-Vilavella, Maria Teresa Pons, Anna Gimenez, Andrea Murru, Marta Gomez-Ramiro, Joaquin Gil-Badenes, Jose Rios, Miquel Bioque, Eduard Vieta, Antonio Benabarre
Summary: This study aimed to investigate the effectiveness of maintenance electroconvulsive therapy (mECT) in treating bipolar disorder (BD). The results showed that mECT had a 62.2% effectiveness in preventing psychiatric hospitalizations and significantly reduced the number of hospitalization days and admissions for BD patients.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Review
Psychology, Multidisciplinary
Marco M. Zierhut, Renaldo M. Bernard, Eleanor Turner, Sara Mohamad, Eric Hahn, Malek Bajbouj
Summary: ECT holds promise as a treatment option for negative symptoms in schizophrenia, but the existing evidence is limited and methodological shortcomings are present. Future research should focus on negative symptoms, include longer follow up periods, incorporate control groups, and possibly establish multicentered studies to improve the study population.
CURRENT PSYCHOLOGY
(2023)
Article
Psychiatry
Abhiram Narasimhan Purohith, Shalaka Anand Chatorikar, Samir Kumar Praharaj, Rajeshkrishna Panambur Bhandary, Podila Satya Venkata Narasimha Sharma
Summary: Maintenance electroconvulsive therapy may be a safe and effective treatment option for long-term management of treatment-resistant schizophrenia.
ASIAN JOURNAL OF PSYCHIATRY
(2022)
Article
Psychiatry
Neera Ghaziuddin, Tareq Yaqub, Wael Shamseddeen, Priyanka Reddy, Hannah Reynard, Daniel Maixner
Summary: The study aimed to investigate the naturalistic clinical course in adolescent and young adult patients with developmental delays and catatonia, when maintenance electroconvulsive therapy (M-ECT) frequency was reduced due to COVID-19 restrictions. Participants showed significant decline in symptoms, particularly motor symptoms, leading to rehospitalization for some patients.
FRONTIERS IN PSYCHIATRY
(2021)
Article
Psychiatry
Simon Lambrichts, Kristof Vansteelandt, Bo Crauwels, Jasmien Obbels, Eva Pilato, Jonas Denduyver, Katrien Ernes, Pieter-Paul Maebe, Charlotte Migchels, Lore Roosen, Satya Buggenhout, Filip Bouckaert, Didier Schrijvers, Pascal Sienaert
Summary: Objective Maintenance electroconvulsive therapy (M-ECT) is effective in preventing relapse in severe mood and psychotic disorders, but there is insufficient research on how long to continue M-ECT and the outcome after discontinuation. A study in a psychiatric hospital found that nearly half of patients experienced relapse within 6 months of abruptly stopping M-ECT, with factors like previous ECT courses, diagnosis of psychotic disorder, and shorter interval between treatments at discontinuation increasing the risk of relapse.
ACTA PSYCHIATRICA SCANDINAVICA
(2021)
Article
Psychology, Clinical
Margot J. Wagenmakers, Mardien L. Oudega, Filip Bouckaert, Didi Rhebergen, Aartjan T. F. Beekman, Dick J. Veltman, Pascal Sienaert, Eric van Exel, Annemieke Dols
Summary: Patients with psychotic late-life depression (LLD) treated with electroconvulsive therapy (ECT) exhibit higher remission rates compared to patients with nonpsychotic LLD. The superior efficacy in psychotic LLD is not attributed to a shorter index episode duration.
JOURNAL OF CLINICAL PSYCHIATRY
(2022)
Article
Clinical Neurology
L. Brian Hickman, MohammadMehdi Kafashan, Alyssa K. Labonte, Courtney W. Chan, Emma R. Huels, Christian S. Guay, Michael J. Guan, ShiNung Ching, Eric J. Lenze, Nuri B. Farber, Michael S. Avidan, R. Edward Hogan, Ben J. A. Palanca
Summary: The study investigated the impact of anesthetic on the expression and temporal characteristics of PGES, finding that PGES can occur intermittently for several minutes following seizure termination. The total duration of PGES was greater following ketamine anesthesia compared to etomidate anesthesia.
CLINICAL NEUROPHYSIOLOGY
(2021)
Article
Psychiatry
Ana Jelovac, Erik Kolshus, Declan M. McLoughlin
Summary: The study suggests that older age, psychotic features, and treatment with lithium can improve long-term prognosis, while a history of multiple depressive episodes and a diagnosis of bipolar II disorder may lead to a worse long-term outcome. Electrode placement and medication resistance prior to ECT did not have an effect on relapse rates.
ACTA PSYCHIATRICA SCANDINAVICA
(2021)
Article
Psychiatry
Sarah A. Immanuel, Geoff Schrader, Niranjan Bidargaddi
Summary: The study reveals a significant difference in relapse trend scores between patients with affective and non-affective psychotic disorders, with higher scores observed in affective disorder patients. This suggests that patients with affective disorders are more likely to exhibit a predictable trend in time to relapse compared to those with non-affective psychotic disorders.
FRONTIERS IN PSYCHIATRY
(2021)
Article
Behavioral Sciences
David Howells, John Rees, Rebecca Townsend, George Kirov
Summary: This is a case report of a 72-year-old male patient with severe depression and psychotic symptoms who underwent electroconvulsive therapy (ECT). A SPECT scan revealed abnormal brain perfusion, and after 12 sessions of ECT, his symptoms improved along with cognitive performance. A repeat SPECT scan showed substantial improvement in cerebral blood flow, favoring a diagnosis of depression rather than dementia.
Article
Medicine, General & Internal
Ryan Adachi, Chong Yang
Summary: This case report suggests that ECT may be an effective treatment for patients with comorbid TBI and schizoaffective disorder, helping to improve symptoms.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
