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
Combination of Electroconvulsive Therapy Alternating With Intravenous Esketamine Can Lead to Rapid Remission of Treatment Resistant Depression
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
