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 examined th...
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
