Electroconvulsive Therapy and Successful Treatment of Rapidly Fluctuating Psychotic Dissociations in a Patient With Chronic Schizophrenia and Posttraumatic Stress Disorder
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Delusional Infestation Treated With Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

A Comparative Study of Profile of Patients Receiving Electroconvulsive Therapy During the COVID-19 Pandemic and a Year Before
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Remission of Somatic Symptom Disorder With Comorbid Severe Major Depressive Disorder After Treatment With Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Electroconvulsive Therapy in a Patient With Psychotic Depression and Recent Subarachnoid Hemorrhage
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

A Case of Delirious Mania Induced by COVID-19 Treated With Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Post–Electroconvulsive Therapy Hyperthermia: A Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Successful Uncomplicated Theta Burst Stimulation With Titanium Hardware and Stainless Steel Screws: A Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

The Pattern of Change in Depressive Symptoms and Inflammatory Markers After Electroconvulsive Therapy: A Systematic Review
Depression is a major mental health disorder, and its pathophysiology is still largely unknown, as is the action mechanism of electroconvulsive therapy (ECT). Some evidence suggests that inflammation might play a role in depression, and several studies have attempted to demonstrate a link between ECT and cytokines. This systematic review used a qualitative analysis to assess the effect of ECT on inflammatory markers as it relates to the clinical response of depressive symptoms in major depressive disorders. The bibliographic search engines CINAHL, Embase, PsychInfo, and PubMed were used to identify articles published up to...
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Review Source Type: research

A Randomized, Double-Blind, Sham-Controlled Study of Transcranial Direct Current Stimulation as an Augmentation Intervention for the Attenuation of Motor Deficits in Patients With Stroke
Conclusions An intensive course of tDCS, as delivered in this study, does not improve motor, mood, and cognitive outcomes in ischemic/hemorrhagic stroke in patients undergoing individualized rehabilitation. The study provides important leads for directions for future research. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Cross-cultural Comparison of Perceptions and Knowledge About Electroconvulsive Therapy Among Adults Who Screened Positive for Depression in the United States, India, and China
Conclusions Greater public education is needed about ECT, particularly in the United States. Misperceptions and lack of knowledge may hinder utilization of ECT in India, China, and the United States. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Electroconvulsive Therapy Use in Psychiatric Hospitalizations in Portugal: A Nationwide Descriptive Study
Conclusions In Portugal, most of the patients who received ECT were women above middle age, and depressive disorders were the most common indication. Portugal's iP% represents a low rate when compared with other European countries, which might indicate an underutilization of ECT in Portuguese psychiatric hospitals. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Association Between Anterior Cingulate Cortex Neurochemical Profile and Clinical Remission After Electroconvulsive Treatment in Major Depressive Disorder: A Longitudinal: 1: H Magnetic Resonance Spectroscopy Study
Conclusions Results suggested that Glx levels could be a predictor of remission. Studies with larger samples should explore neurochemical correlates of ECT in unipolar MDD. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

The Effects of Focal Electrically Administered Seizure Therapy Compared With Ultrabrief Pulse Right Unilateral Electroconvulsive Therapy on Suicidal Ideation: A 2-Site Clinical Trial
Conclusions Although limited by the open-label, nonrandomized design, FEAST showed comparable effects on suicidal ideation when compared with routine use of UB-RUL ECT. These results are encouraging and support the need for further research and a noninferiority trial. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Long-Term Risk of Developing Dementia After Electroconvulsive Therapy for Affective Disorders
Conclusions The ECT treatment of affective disorders was not associated with an increased long-term risk of developing dementia compared with in-patients with affective disorders not treated with ECT. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Duration of Electroconvulsive Therapy Postictal Burst Suppression Is Associated With Time to Reorientation
Conclusions The association between the duration of postictal burst suppression and reorientation time after ECT in this sample suggests that (not only the efficacy but also the) cognitive adverse effects of ECT might be related to the extent of postictal central inhibition after the termination of the seizure. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

A Retrospective Study of Patients Undergoing Acute Electroconvulsive Therapy for Predominately Manic or Mixed Episodes With and Without Lithium in Singapore
Conclusions Concurrent lithium administration during the initial acute ECT course was not associated with differential cognitive or symptomatic outcomes. Lithium administration should not be a contraindication for appropriate acute ECT treatment in patients. Larger controlled studies to confirm these findings are warranted. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Duration of Treatment in Electroconvulsive Therapy Among Patients Beginning With Acute Course Right Unilateral Brief Pulse Stimuli
Conclusions Among patients who begin treatment with RUL-BP ECT, more than 60% use exclusively those parameters throughout their acute course. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Discontinuation of Continuation or Maintenance Electroconvulsive Therapy Caused by the COVID-19 Pandemic: A Naturalistic Study Investigating Relapse in Patients With Major Depressive Disorder
Conclusions Our results confirm earlier prospective and retrospective data regarding the efficacy and importance of C/M-ECT as relapse prevention. After treatment discontinuation, close monitoring of early warning signs for relapse is crucial, especially in the first few months. With the COVID-19 pandemic continuing, our data provide an indication of the necessity to ensure adequate care and access to ECT not only for the acutely ill but also for the vulnerable patients who are depending on C/M-ECT. (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Electroconvulsive Therapy in the Epicenter of COVID-19: Experiences and Reflections
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Commentaries Source Type: research

Social Justice and Healthcare Equity: Real-Time Pursuit of Equity in Electroconvulsive Therapy Care
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Commentaries Source Type: research

Negative Pressure Pulmonary Edema After Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Images in Clinical ECT Source Type: research

Editor's Roundup for Issue #4 of 2021: RCTs for ECT, Effectiveness of RUL Placement, Need for Continuation Sessions, No Excess Risk for Dementia, and Ongoing “Lithium Wars”
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - December 1, 2021 Category: Psychiatry Tags: Editorial Source Type: research

Burning Mouth Syndrome Treated With Electroconvulsive Therapy: A Case of Serendipity
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Effective Electroconvulsive Therapy for Catatonia in a Patient With Pitt-Hopkins Syndrome and Autism Spectrum Disorder
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

High-Fidelity Simulation: A Promising Tool to Tackle Negative Representations of Electroconvulsive Therapy in Psychiatry Residents
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Administration of Electroconvulsive Therapy With an Anesthesia Machine: A Case Report of Electroconvulsive Therapy–Provoked Status Epilepticus Ablated With an Inhalant Anesthetic Agent
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Favorable Outcome After Modified Electroconvulsive Therapy in the Perioperative Management of a Patient With Treatment-Resistant Schizophrenia and a Femoral Neck Fracture
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Electroconvulsive Therapy in a Patient With a Platinum Subtarsal Implant
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Laryngeal Mask Use Was Effective for Protecting Against Further Cervical Spine Cord Injury in Patients With Cervical Spondylosis During Electroconvulsive Therapy: Two Case Reports
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Reversed Stimulus Parameters in a Left-Handed Patient With Major Depression Treated With Repetitive Transcranial Magnetic Stimulation: A Case Report
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Transient Febrile Episodes After Electroconvulsive Therapy (ECT)
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Sustained Remission of Bipolar Depression With Catatonic Features After Intermittent Theta Burst Transcranial Magnetic Stimulation
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Electroconvulsive Therapy in a Patient With Known Parietal Cerebral Cavernous Malformation
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

International Society for ECT and Neurostimulation: Annual Meeting Abstracts 2021
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Abstracts Source Type: research

Sudden Death After Electroconvulsive Therapy in the Context of Coronavirus Disease 2019
Conclusions Although ECT is a safe procedure, caution should be exercised in the context of COVID-19, as it is now clear that patients who recovered from COVID-19 might have an undetected venous thromboembolism that can cause untoward outcomes. Ethical Consideration A written consent was obtained from the sister to the deceased patient. Electroconvulsive therapy (ECT) has been demonstrated to be a safe and effective treatment modality for a range of psychiatric illnesses. It is shown to be useful in the management of psychotic disorders for decades, more so in the treatment of refractory schizophrenia when gi...
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Case Reports Source Type: research

Safe Administration of ECT in a Suicidal Patient With a Space-Occupying Astrocytoma
Electroconvulsive therapy (ECT) can be lifesaving for patients suffering from treatment-resistant psychiatric conditions, especially acute suicidality or depression. However, space-occupying lesions pose risks associated with ECT use due in part to seizure-induced escalations in blood pressure with corresponding increases in cerebral blood flow and possibly intracranial pressure, subsequently increasing the risk of brain herniation. Here, we present the case of a patient with a left medial temporal lobe astrocytoma, worsening epileptic seizures, and nonepileptic seizures who underwent ECT for major depressive disorder and ...
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Case Reports Source Type: research

A Pilot Study of Switching Electroconvulsive Therapy for Patients With Treatment Resistant Schizophrenia or Mood Disorder
Conclusions ECT switching was commonly done and may result in better or worse outcomes than not switching depending on diagnosis. Controlled trials are required to address this urgent clinical issue. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Adjuvant High-Definition Transcranial Direct Current Stimulation for Negative Symptoms in Schizophrenia: A Pilot Study
Conclusion These results suggest that HD-tDCS may lead to improvement in negative symptoms of schizophrenia. Its use as an adjunct to pharmacological treatment of negative symptoms may be worth considering. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

REM Sleep and Total Sleep Time Improvement After Routine Repetitive Transcranial Magnetic Stimulation in Active Duty Service Members With Depression
Conclusion Our small study confirms the feasibility of obtaining pre and post PSG for research purposes. We found similar results to previous studies with regard to depression improvement and self-reported sleep. Interestingly, almost all (including electroconvulsive therapy) somatic depression treatments have been shown to decrease REM, whereas our study found an increase in REM. Overall, this study helps further our understanding of TMS effects on sleep and presents new questions for potential larger follow-on studies. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Electroconvulsive Therapy for Bipolar Depression in Older Adults
Conclusions Electroconvulsive therapy was well tolerated and effective in treating bipolar depression in older adults. Importantly, these findings challenge commonly held worries about cognitive decline in older adults receiving ECT. It should be a regular consideration for management of this challenging illness in a population that may otherwise not respond to pharmacotherapy. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Early Electroconvulsive Therapy in Patients With Major Depressive Disorder: A Propensity Score-Matched Analysis Using a Nationwide Inpatient Database in Japan
Conclusions Early ECT may reduce length of hospital stay without increasing total hospitalization costs or fatal adverse events in patients with MDD. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Electroconvulsive Therapy for Patients With Depression Who Lack Capacity for Consent: Doing Good and Doing No Harm
Conclusions There were no significant differences in short-/long-term ECT effectiveness between patients with/without capacity for consent. Electroconvulsive therapy is the only established and effective treatment in clinical settings for the most severe cases, wherein patients are incapable of giving consent but need rapid recovery. A general rejection of this practice due to concerns surrounding consent may be unethical under the ethical principles of medical care. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Original Studies Source Type: research

Electroconvulsive Therapy in Children and Adolescents: A Systematic Review of Current Literature and Guidelines
This study consists of 192 articles, mostly case studies (n = 50), reviews and overview articles (n = 52), and retrospective studies (n = 30). We present an overview of evidence for ECT in children and adolescents with mood disorders, catatonia, schizophrenia, intellectual disability, self-injurious behavior, and other indications. This article is also a summary of international guidelines regarding the use of ECT in children and adolescents. We evaluated the overall quality of evidence by using Grading of Recommendations, Assessment, Development and Evaluations and found the overall level of evidence to be of low quality....
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Reviews Source Type: research

Electroconvulsive Therapy Applications on Children in the 1940s: The Italian Case
The existence of pediatric applications of electroconvulsive therapy (ECT) in the 1940s in Italy has been neglected by international literature. However, 2 case reports by Ferdinando Accornero and Mario Anderson, both assistants of Ugo Cerletti at the Sapienza Clinic for Nervous and Mental Diseases, should be brought to the attention of historians of ECT. The work presented therein began in Rome in September 1940, approximately at the same time of the first reported ECT administration on a child in Bristol, United Kingdom. The 2 reports described applications on 19 children and adolescents during 3 different sessions (1940...
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Reviews Source Type: research

Random Controlled Trial of Sham Electroconvulsive Therapy and Other Novel Therapies: Historical Notes
Critics of electroconvulsive therapy argue that the treatment's efficacy is unproven by random controlled trial comparisons with sham treatments. Their reviews fail to consider sham and random controlled trial studies completed in 1950s, the data republished here. (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Commentary Source Type: research

Prevention of Hypoxia During Electroconvulsive Therapy: Use of Modified Bite Block Combined With Laryngeal Mask Airway
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Images in Clinical ECT Source Type: research

Editor’s Roundup for Issue #3 of 2021: New Data Show Electroconvulsive Therapy Helps and Does Not Harm Specialized Groups: Those That Lack Capacity and Those Suffering From Bipolar Depression
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - August 28, 2021 Category: Psychiatry Tags: Editorial Source Type: research

Electroconvulsive Therapy for Depression in Patient With Implanted Spinal Cord Stimulator
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research

Is Electroconvulsive Therapy Safe After a Fontan Repair?
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Letters to the Editor Source Type: research