Review Leerboek Elektroconvulsietherapie: Editors: Verwey, B, van Waarde J. Uitgeverij Boom|de Tijdstroom
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Book Review Source Type: research

Rocuronium-Sugammadex and Intubation Used for an Electroconvulsive Therapy Patient
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Bitemporal Electroconvulsive Therapy During the Second Trimester of Pregnancy in Bipolar Disorders: A Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Safe and Successful Bitemporal Electroconvulsive Therapy for a Prepubertal Low-Functioning Child With Autism and Severe Behavioral Decompensation
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Efficacy of Electroconvulsive Therapy for Treatment-Resistant Depression Caused by Hyperparathyroidism: A Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Treatment of Catatonic Symptoms in a Patient With Autism Spectrum Disorder and Addison Disease: A Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Stimulating the Stimulated: An Electroconvulsive Therapy Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Ultrabrief Electroconvulsive Therapy in Schizophrenia—Lessons From History
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Craving and Other Transdiagnostic Dimensions in Addiction: Toward Personalized Neuromodulation Treatments
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Should Involuntary ECT Be Pursued Against the Wishes of the Patient’s Family?
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Letters to the Editor Source Type: research

A Case of Ischemic Stroke Incidental to the Postelectroconvulsive Therapy Period
Electroconvulsive therapy (ECT) is a routine treatment for multiple psychiatric disorders including treatment-refractory mood and psychotic disorders. Although ECT is generally a safe and well-tolerated intervention, rare cerebrovascular and cardiovascular complications have been reported. The hemodynamic changes during the ECT seizure are well-recognized, with an initial parasympathetically mediated decrease in heart rate and blood pressure followed by a sympathetically mediated increase in these parameters. Despite intraoperative or postoperative blood pressure fluctuations, the risk of a hypertensive intracerebral bleed...
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Case Report Source Type: research

Low Circulating Levels of GR, FKBP5, and SGK1 in Medicated Patients With Depression Are Not Altered by Electroconvulsive Therapy
Objectives Hypothalamic-pituitary-adrenal axis dysregulation is frequently observed in patients with depression, with increased levels of the glucocorticoid (GC) cortisol commonly reported. Hypothalamic-pituitary-adrenal axis dysregulation may be a consequence of impaired feedback inhibition due to GC receptor (GR) impairments or dysfunction, termed “glucocorticoid resistance.” Here, our objective was to assess mRNA levels of GC-related markers (GR, FKBP5, serum glucocorticoid kinase 1 [SGK1]) in patients with depression versus controls and in patient samples after electroconvulsive therapy (ECT). We also exa...
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Electroconvulsive Therapy in Veterans Health Administration Hospitals: Prevalence, Patterns of Use, and Patient Characteristics
Conclusions Use of ECT in the VHA is rare. Patients who receive ECT have a complex and high-risk profile, not necessarily consistent with the most common indications for ECT. (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Depressive Symptom Dimensions in Treatment-Resistant Major Depression and Their Modulation With Electroconvulsive Therapy
Conclusions Electroconvulsive therapy targets the underlying source of depressive symptomatology and may confer differential degrees of improvement in certain core depressive symptoms. Our findings of differential trajectories of symptom clusters over the ECT index might help related predictive biomarker studies to refine their approaches by identifying predictors of change along each latent symptom dimension. (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Psychotropic Medication Effects on Seizure Threshold and Seizure Duration During Electroconvulsive Therapy Stimulus Titration
Conclusions Psychotropic medications may have little effect on seizure threshold and duration during titration of electrical dose at ECT initiation. Integrating this work with other literature supports making recommendations for medication discontinuation before ECT on an individual basis. (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Mirror Readmission Study of the Association of Electroconvulsive Therapy With 1-Year Mood Disorder Readmissions in a Tertiary Mood Disorder Unit
Objectives Electroconvulsive therapy (ECT) is one of the most effective treatments for severe mood disorders and may reduce psychiatric readmissions. However, the effect on ECT on mood disorder readmissions in Asia is unclear. We embarked to assess the relationship between inpatient ECT and 1-year psychiatric readmissions for patients with mood disorders. Methods A retrospective database analysis of patients admitted to a tertiary Mood Disorders Unit in a developed Asian city was analyzed to investigate the association of inpatient ECT with psychiatric readmission using a 1-year mirror-image method with major depressi...
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Risk Factors of Relapse After Successful Electroconvulsive Therapy for Taiwanese Patients With Major Depression
Conclusions The goal of acute treatment should focus on functional remission to prevent relapse. Further studies related to more effective treatments to prevent relapse after acute ECT are required in the future. (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Effects of Ketamine Anesthesia on Efficacy, Tolerability, Seizure Response, and Neurocognitive Outcomes in Electroconvulsive Therapy: A Comprehensive Meta-analysis of Double-Blind Randomized Controlled Trials
Electroconvulsive therapy (ECT) remains the most effective treatment for major depressive disorder. Ketamine is an anesthetic gaining attention for its rapid antidepressant effect. Numerous randomized controlled trials have investigated the effect of ketamine anesthesia in ECT on various clinical outcomes. Previous systematic reviews have not found benefit for overall depression response, although some have found evidence of benefit early in the ECT course. Clear quantitative conclusions have not been established regarding other outcomes, particularly while only using data from high-quality studies. We aimed to examine all...
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Review Source Type: research

The Brady Bunch: A Montage of Typical Sinus Pauses in Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Images in Clinical ECT Source Type: research

Immediate Impact of Coronavirus Disease 2019 on Electroconvulsive Therapy Practice
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Images in Clinical ECT Source Type: research

Electroconvulsive Therapy in a Time of Coronavirus Disease
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Commentary Source Type: research

Electroconvulsive Therapy During COVID-19: An Essential Medical Procedure—Maintaining Service Viability and Accessibility
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Editorials Source Type: research

Editor’s Roundup for Issue #2 of 2020: Electroconvulsive Therapy in Preventing Relapse/Readmission, Selecting Patients for Continuation/Maintenance Electroconvulsive Therapy, and Management of Concurrent Psychotropics During Acute Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - May 22, 2020 Category: Psychiatry Tags: Editorials Source Type: research

A Measure to Assess Perceptions and Knowledge About Electroconvulsive Therapy: Development and Psychometric Properties
Conclusions Together, these results showed that the ECT-PK is an efficient and effective contemporary tool to measure the perception and knowledge of ECT, and highlights areas in need of psychoeducation. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Study Source Type: research

Brain Stimulation for Clinicians. Second Edition: Edmund S. Higgins and Mark S. George Washington, DC: American Psychiatric Association Publishing, 2020. $72.00 ISBN: 978-1-61537-167-9
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Book Review Source Type: research

Theta Burst for Cognitive Remediation in Schizophrenia: A Case Series and Feasibility Study
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Letter to the Editor Source Type: research

Unusual Set of Adverse Effects During Right-Unilateral Ultrabrief Electroconvulsive Therapy Led to the Discovery of a Brain Tumor: A Case Report
We describe a case of a right-handed, 42-year-old, Caucasian female patient who manifested a set of unusual adverse effects during maintenance ultrabrief right-unilateral electroconvulsive therapy (ECT)—generalized myoclonic secondary seizure with lateralization nonresponsive to repeated intravenous diazepam application, deviation of the tongue and the head to the left, ping-pong gaze with nystagmoid jerks, postictal hypoactive confusion state lasting 15 minutes (with a total time to recovery 30 minutes), and likely Todd's paralysis after the procedure (subsided within 24 hours). These adverse effects led to a thorou...
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Case Reports Source Type: research

Motor Function Improvement After Electroconvulsive Therapy in a Parkinson’s Disease Patient With Deep Brain Stimulator
We present the case of a woman with DBS as a treatment for PD, safely treated with ECT for a psychotic depression. Depression severity and motor changes were evaluated on a weekly basis using the Montgomery-Åsberg Depression Rating Scale and the Unified Parkinson's Disease Rating Scale. During the course of ECT, the Montgomery-Åsberg Depression Rating Scale score declined from 34 to 13, and the Unified Parkinson's Disease Rating Scale motor score from 44 to 12 with positive impact on rigidity. Considering the positive impact of ECT on the motor function in our patient, new research should look into ECT as an au...
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Case Reports Source Type: research

Repetitive Transcranial Magnetic Stimulation in the Treatment of Skin Picking Disorder: An Exploratory Trial
Conclusions In this exploratory study, active rTMS could not be demonstrated to be superior over sham in treatment of SPD. The results of this study indicate the need for further rTMS studies to be conducted with larger sample sizes and subtypes of SPD. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Efficacy and Safety of Electroconvulsive Therapy in Adolescents: A Retrospective Chart Review Study From Turkey
Objective The aim of this study was to report the efficacy and safety of electroconvulsive therapy (ECT) in manic, depressed, psychotic, and catatonic adolescent patients. Methods Medical records of 78 adolescents who had received ECT in Department of Psychiatry, Gaziantep University Medical Faculty, during 2011 to 2017 were reviewed. Sixty-two subjects in this sample were identified to have complete records and met the study inclusion criteria. Results The mean ± SD age of subjects was 17.11 ± 1.04 years and female sex was 53.2% (n = 33). Primary the Diagnostic and Statistical Manual of Mental Disord...
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Assessing Public Attitudes to Electroconvulsive Therapy: Validation of the Modified ECT Attitudes Questionnaire Using a Systematic Analysis
Conclusions The EAQ is a validated and reliable scale for the measurement of attitudes toward ECT. Application of this scale to 196 members of the public indicates that negative attitudes are rooted in individuals' moral and ethical objections to ECT, particularly the emotion components of such attitudes. This scale can be applied to other groups, including service users, to further characterize attitudes that underlie the stigma toward ECT. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Clinical Effectiveness of Maintenance Electroconvulsive Therapy in Patients with Schizophrenia: A Retrospective Cohort Study
Conclusion This study shows meaningful clinical effectiveness and good tolerability of mECT in patients with resistant schizophrenia over extended periods. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

A Descriptive Study of Data Collection Systems Used in Electroconvulsive Therapy Units in the Province of Quebec, Canada
Conclusions An integrated ECT provincial data collection system could overcome the variability documented in existing strategies and respond to the current provincial needs and expectations. Also, an integrated ECT provincial data collection system could support both clinical research and quality assurance necessary to inform standards of ECT practice in Quebec. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Effect of Electroconvulsive Therapy on Health-Related Quality of Life in Older Depressed Patients
Conclusions An acute course of ECT for severe depressive disorder was associated with clinically and statistically significant improvement in HRQOL. There was also clinical and statistical improvement in depression and no significant decrease in global cognitive function, memory, or executive function domains after ECT compared with baseline. In fact, the cohort showed improvement on measures of cognition post-ECT. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Effects of Low-Dose Ketamine on the Antidepressant Efficacy and Suicidal Ideations in Patients Undergoing Electroconvulsive Therapy
Objectives It remains controversial whether a subanesthetic dose of ketamine could modulate the antidepressant effect of electroconvulsive therapy (ECT) in patients with major depressive disorder. We investigated the effect of ketamine on accelerating the antidepressant efficacy of ECT. Methods One hundred twenty-seven patients with major depressive disorder were included in this randomized, placebo-controlled, double-blind study. The study group received 0.3 mg/kg ketamine, and the control group received an isovolumetric dose of normal saline before undergoing ECT under propofol anesthesia. The main outcome was the H...
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Competency by Design for Electroconvulsive Therapy in Psychiatry Postgraduate Training: Face and Content Validation Study
This study involves the proposal of a set of competencies by an ECT curriculum committee from the University Department of Psychiatry, based on the competency-by-design principles, followed by a modified Delphi process, to reach expert consensus on the proposed, modified, and added competencies. Results Six ECT experts meeting the preset criteria were recruited to the study from 6 academic centers across Canada and participated in the 2 Delphi rounds. Thirty-one competencies were proposed in the first round. Twenty-three proceeded to the second round by meeting 80% agreement on a score of ≥4 using a 5-point Likert sc...
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Systematic Monitoring of Cognitive Function During Electroconvulsive Therapy: A Retrospective Analysis of Data From a Service Using a Short Cognitive Testing Battery
Conclusions There was no evidence that the screening undertaken in this clinic had been helpful in determining treatment decisions or that changes in cognitive tests predicted in a reliable way who would later experience changes in autobiographical memory. However, follow-up testing was not completed reliably, and longer-term data regarding autobiographical memory were not collected. (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Feasibility of the Audio Recorded Cognitive Screen in the Assessment of Individuals Undergoing Electroconvulsive Therapy
This study aimed to assess the feasibility/utility of using the ARCS in the assessment of depressed patients undergoing ECT. Methods Depressed patients undergoing ECT were tested with the ARCS and a comparison instrument, the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), in counterbalance order immediately before any ECT and after the sixth ECT treatment episode. Apathy (Apathy Scale) and depression (Profile of Mood states Short Form) were measured on both occasions. Analyses compared performances on the 2 cognitive instruments and examined for associations with the measures of apathy or de...
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Original Studies Source Type: research

Successful and Rapid Response to Electroconvulsive Therapy of a Patient With Obsessive Compulsive Disorder and an Incidental Cyst
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Images in Clinical ECT Source Type: research

Editor’s Roundup for Issue #1 of 2020: Measuring Cognition and Enhancing Outcomes for Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - February 21, 2020 Category: Psychiatry Tags: Editorial Source Type: research

The Scar: Mary Cregan W. W. Norton & Company, 2019 ISBN 978-1-324-00172-0
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Book Reviews Source Type: research

Pragmatic Guidance for EEG Interpretation: David Semple: 2nd Edition, paperback, 117 pp, Amazon Kindle, $8.50
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Book Reviews Source Type: research

Electroconvulsive Therapy With Chiari Malformation
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Volume Increase of the Dentate Gyrus Induced by Electroconvulsive Therapy: Shedding Light on the Clinical Relevance of Plasticity in the Hippocampus
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Letters to the Editor Source Type: research

A Role for Ketamine in Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Lifesaving Electroconvulsive Therapy for a Child With Autism Spectrum Disorder, Severe Self-Injurious Behavior, and Neuroleptic Malignant Syndrome
We present a case of a preteen with autism spectrum disorder and severe self-injurious behavior who developed neuroleptic malignant syndrome on antipsychotics and required urgent electroconvulsive therapy and continued maintenance electroconvulsive therapy for ongoing clinical stability. (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Case Report Source Type: research

Deep Transcranial Magnetic Stimulation for the Treatment of Negative Symptoms in Schizophrenia: Beyond an Antidepressant Effect
Conclusions Our data suggest that the beneficial effects of high frequency dTMS of the PFC cannot be attributed solely to its antidepressant effects. (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Original Studies Source Type: research

Central-Positive Complexes: A Novel Characterization of Ictal Markers Induced During Electroconvulsive Therapy
Conclusions Generalized, high-amplitude, CPCs during ECT are a previously uncharacterized ictal waveform during ECT, which may have important scientific and clinical value. These complexes offer a specific marker for correlating clinical outcomes in ECT and greater understanding of generalized tonic-clonic seizures. (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Original Studies Source Type: research

Safety of Electroconvulsive Therapy in Treatment-Refractory Depression in the Setting of Multiple Sclerosis: Erratum
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Erratum Source Type: research

Factors Associated With Delirium Following Electroconvulsive Therapy: A Systematic Review
Conclusions Limited evidence suggests that catatonic feature, cerebrovascular disease, Parkinson disease, dementia, bitemporal electrode placement, high stimulus intensity, or longer seizure length are associated with an increased risk of post-ECT delirium. Moreover, dexmedetomidine and ultrabrief pulse ECT seem to have preventive effects of post-ECT delirium. (Source: The Journal of ECT)
Source: The Journal of ECT - November 22, 2019 Category: Psychiatry Tags: Reviews Source Type: research