How Much Do Benzodiazepines Matter for Electroconvulsive Therapy in Patients With Major Depression?
Conclusions
Benzodiazepines increased the clinical efficacy of ECT when delivered using dose-titration method and bitemporal stimulation. Further studied are needed to understand the interaction between BZDs and ECT on clinical outcomes. (Source: The Journal of ECT)
Source: The Journal of ECT - August 27, 2019 Category: Psychiatry Tags: Original Studies Source Type: research
Acute Phase Treatment Outcomes of Electroconvulsive Therapy in Adolescents and Young Adults
Objective
Electroconvulsive therapy (ECT) is a highly efficacious, well-tolerated treatment in adults. Little is known, however, about its effectiveness in adolescents and young adults. Our objectives were to assess clinical outcomes after acute phase ECT in adolescents and young adults and determine whether screening positive or negative for a substance use disorder (SUD) is associated with differences in treatment outcomes.
Methods
Study sample consisted of all patients 16 to 25 years old who received ECT from May 2011 to August 2016 and who completed self-reported SUD screens and the Behavior and Symptom Identifica...
Source: The Journal of ECT - August 27, 2019 Category: Psychiatry Tags: Original Studies Source Type: research
A Retrospective Study of Cognitive Improvement Following Electroconvulsive Therapy in Schizophrenia Inpatients
Conclusions
The study provided support to the existing literature where cognitive improvement has been reported among individuals with schizophrenia after ECT. Future studies should consider the use of randomized controlled trials to examine the possible cognitive benefits of ECT. In a setting where there is a high volume of patients receiving ECT, the monitoring of patients' cognitive status through the course of ECT continues to be warranted and the Brief ECT Cognitive Screen may be useful as a quick measure to detect such ECT-related cognitive change. (Source: The Journal of ECT)
Source: The Journal of ECT - August 27, 2019 Category: Psychiatry Tags: Original Studies Source Type: research
Attitudes Toward Electroconvulsive Therapy Among Involuntary and Voluntary Patients
Conclusions
Approximately 80% of the patients showed overall satisfaction with ECT irrespective of consent status. Relatives were more satisfied with ECT than patients. Electroconvulsive therapy can be a lifesaving treatment for severely depressed patients, and the subjective experience of involuntary patients should be taken into consideration when discussing involuntary ECT treatment. (Source: The Journal of ECT)
Source: The Journal of ECT - August 27, 2019 Category: Psychiatry Tags: Original Studies Source Type: research
Electroconvulsive Therapy in Incapable Patients Refusing Treatment: Prevalence, Effectiveness, and Associated Factors
Conclusions
In line with other recent publications, our data suggest a very good benefit-to-risk ratio for ECT in incapable patients refusing the treatment, while at the same time the provision of ECT in such patients is rare in Germany. In light of the scarcity of treatment alternatives and the possible consequences of a refusal to perform ECT in life-threatening conditions, a general rejection of involuntary ECT does not seem ethically appropriate. (Source: The Journal of ECT)
Source: The Journal of ECT - August 27, 2019 Category: Psychiatry Tags: Original Studies Source Type: research
