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Electroconvulsive therapy: a selected review.

Robert M Greenberg1, Charles H Kellner

  • 1Department of Psychiatry, St. Mary Hospital, Bon Secours Health System of New Jersey, UMDNJ-New Jersey Medical School, Behavioral Health Sciences Building, Rm. F1436, 183 South Orange Ave., Newark, NJ 07103, USA.

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
|April 23, 2005
PubMed
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Electroconvulsive therapy (ECT) is a safe and effective psychiatric treatment for severe neuropsychiatric disorders. This review summarizes current ECT practices, research, and considerations for geriatric patients.

Area of Science:

  • Psychiatry
  • Neurology

Background:

  • Electroconvulsive therapy (ECT) has been a significant psychiatric treatment since 1938.
  • ECT has evolved into a safe and sophisticated procedure for managing severe neuropsychiatric conditions.

Purpose of the Study:

  • To review key areas of electroconvulsive therapy (ECT) practice.
  • To summarize research findings and expert consensus on ECT.
  • To highlight controversies and knowledge gaps in ECT, with a focus on geriatric patients.

Main Methods:

  • Review of the 2001 APA Task Force Report on ECT.
  • Supplemental literature searches of computerized databases (1999-2003).
  • Selective summarization of scientific literature on ECT.

Main Results:

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  • ECT remains a highly effective treatment for specific serious neuropsychiatric illnesses.
  • The procedure is technically sophisticated and has a strong safety record.
  • Emphasis is placed on literature relevant to the treatment of geriatric patients.

Conclusions:

  • Electroconvulsive therapy (ECT) is a vital and evolving treatment modality in psychiatry.
  • Continued research and consensus-building are essential for optimizing ECT practice.
  • Special consideration for geriatric populations in ECT research and application is warranted.