Electroconvulsive Therapy in Refractory Obsessive-Compulsive Disorder: A Case Report
Electroconvulsive therapy (ECT) is a treatment of undisputed efficacy for severe and treatment-resistant psychiatric disorders. Notwithstanding extensive data on efficacy and safety, it is significantly underused, corresponding to one of the most stigmatized approaches in psychiatry. The list of problems for which ECT is potentially effective does not include obsessive-compulsive disorder (OCD), resulting in only a few available case reports in the literature in which OCD is the target of this specific therapeutic strategy. The authors describe a patient with refractory OCD for whom ECT was prescribed, with remarkable clin...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Case Reports Source Type: research
Chronic Electroconvulsive Therapy May Induce Calvarial Hyperemia and Marrow Replacement
We report for the first time that frequent, chronic ECT may induce asymptomatic skull bone marrow hyperemia with radiologic findings. This appears to be a direct consequence of electrical current leading to chronic inflammatory and edematous marrow replacement. Electroconvulsive therapy should be added to the neuroradiological differential diagnosis of calvarial enhancement and loss of marrow signal. Psychiatrists should counsel patients on the possibility of this rare radiological finding, which may be confused for other processes. (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Case Reports Source Type: research
Totally Implantable Venous-Access Device in Maintenance Electroconvulsive Therapy: A Retrospective Case Series
Conclusions
This case series suggest that a TIVAD placement can be an effective and safe solution for patients in continuation/maintenance ECT courses with difficult intravenous access. Future studies will need to carefully monitor the benefit and the potential complications of TIVAD placement in patients undergoing continuation/maintenance ECT programs. (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Study Source Type: research
Electroconvulsive Therapy for Autism-related Stereotyped Emesis After Chiari Malformation Type 1 Craniectomy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Letter to the Editor Source Type: research
An Open-label Trial of Adjuvant High-frequency Left Prefrontal Repetitive Transcranial Magnetic Stimulation for Treating Suicidal Ideation in Adolescents and Adults With Depression
Conclusions
Add-on rTMS treatment for SI associated with depression is promising with respect to safety and feasibility. Our preliminary evidence supports an extension of the application of rTMS to adolescent patients with SI during the acute phase of depression, in addition to its use in adult treatment-resistant depression. (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Study Source Type: research
Is There Evidence That Stimulus Parameters and Electrode Placement Affect the Cognitive Side Effects of Electroconvulsive Therapy in Patients With Schizophrenia and Schizoaffective Disorder?: A Systematic Review
Seventy percent of patients with treatment-resistant schizophrenia do not respond to clozapine. Electroconvulsive therapy (ECT) can potentially offer significant benefit in clozapine-resistant patients. However, cognitive side effects can occur with ECT and are a function of stimulus parameters and electrode placements. Thus, the objective of this article is to systematically review published clinical trials related to the effect of ECT stimulus parameters and electrode placements on cognitive side effects. We performed a systematic review of the literature up to July of 2020 for clinical studies published in English or Ge...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Reviews Source Type: research
The Nomenclature of Electroconvulsive Therapy
Electroconvulsive therapy (ECT) is an established but stigmatized psychiatric treatment. The term ECT reflects the treatment's modality and action. Several authors proposed different names for ECT to deal with stigma; however, available literature that promoted different names did not address the risk/benefit ratio or offer evidence-based approach to the efficacy of this approach. We aim to examine proposed names for their specificity, accuracy, understandability, and popularity. In addition, we aim to find evidence-based methods to combat the ECT-related stigma. We reviewed the literature relating to the proposed names us...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Reviews Source Type: research
Current Practices of Electroconvulsive Therapy in Mental Disorders: A Systematic Review and Meta-Analysis of Short and Long-Term Cognitive Effects
Electroconvulsive therapy (ECT) remains one of the most effective treatments for major depressive disorder, but uncertainties persist regarding the cognitive tests to include in ECT follow-up. The current study is a systematic review and meta-analysis of the most frequent cognitive side effects after ECT. We also discuss the most common cognitive tests in ECT follow-up. We searched studies published from 2000 to 2017 in English and French language in Pubmed, EBM Reviews, EMBASE, and PsycINFO. Standardized cognitive tests were separated into 11 cognitive domains. Comparisons between cognitive measures included pre-ECT basel...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Reviews Source Type: research
The Practice of Electroconvulsive Therapy in Children and Adolescents in the Czech Republic
Conclusions
The utilization of ECT among children and adolescents was low. It was usually used in severe conditions after several pharmacological treatment attempts, which may indicate reluctance among providers to use this modality. A number of pharmacological attempts were associated with longer hospitalizations. In the majority of patients, ECT was effective and safe. On the other hand, the monitoring of cognitive adverse effects was insufficient and could be improved. (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research
ECT Utilization in the Treatment of Catatonic Patients in the United States: A Nationwide In-Patient Sample Analysis
Introduction
Primary objective was to evaluate baseline characteristics for catatonic patients treated with and without electroconvulsive therapy (ECT). We also studied the trends of ECT utilization in catatonia patients.
Methods
The Nationwide Inpatient Sample data were used to compare patients and hospital-level characteristics between catatonic patients treated with and without ECT in the United States. Multivariate and trend analysis were performed.
Results
Electroconvulsive therapy was performed in 8.3% in patients with the diagnosis of catatonia (n = 24,311; mean age, 43.1; 38% White; 52.1% male). R...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research
Trends for Electroconvulsive Therapy Utilization in Children and Adolescents in the United States From 2002 to 2017: A Nationwide Inpatient Sample Analysis
Objectives
Electroconvulsive therapy (ECT) is controversial in children and adolescents (C/A). The primary objective of this study was to evaluate baseline characteristics of C/A in the utilization of ECT compared with the non-ECT group with the same primary indication. The secondary objective was to assess the trends in ECT utilization over 16 years and explore the predictors of length of stay.
Methods
Using the Nationwide Inpatient Sample database from the years 2002 to 2017, we identified patients (age ≤18 years) undergoing ECT in the United States using International Classification of Diseases, Ninth Revis...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research
Survival Rate Following Involuntary Electroconvulsive Therapy: A Population-Based Study
Conclusions
Treatment with involuntary ECT is associated with a high survival rate, suggesting that the intervention is effective. However, patients receiving involuntary ECT constitute a high-risk population that should be monitored closely after this treatment. (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research
Effectiveness of Electroconvulsive Therapy in Patients With Advanced Parkinson Disease
Conclusions
Our results demonstrated that ECT was effective for both severe motor symptoms and psychiatric symptoms in advanced PD patients. ECT might be a solution for the conflicting problem of treating both motor and psychiatric symptoms in PD. (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research
Vagus Nerve Stimulation in Patients Receiving Maintenance Therapy With Electroconvulsive Therapy: A Series of 10 Cases
Objectives
Electroconvulsive therapy (ECT) is a mainstay in both acute and long-term management of difficult-to-treat depression. However, frequent acute courses of ECT or prolonged maintenance ECT treatment may increase adverse-effect burden and/or reduce patient acceptability. Therefore, we investigated the effectiveness of adjunctive vagus nerve stimulation (VNS) therapy as an alternative strategy for long-term maintenance treatment in ECT-responsive patients.
Methods
This retrospective chart review identified maintenance ECT patients with unipolar (n = 5) and bipolar depression (n = 5) from 2 large hospital ...
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Original Studies Source Type: research
Staging and Combining Brain Stimulation Interventions: Vagus Nerve Stimulation and Electroconvulsive Therapy
No abstract available (Source: The Journal of ECT)
Source: The Journal of ECT - June 1, 2021 Category: Psychiatry Tags: Commentaries Source Type: research
