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Related Concept Videos

Electroconvulsive Therapy01:30

Electroconvulsive Therapy

586
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
586

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Pupillary Response as Assessment of Effective Seizure Induction by Electroconvulsive Therapy
04:51

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Brief cognitive screening instruments for electroconvulsive therapy: Which one should I use?

Donel M Martin1,2, Shawn M McClintock3,4, Colleen K Loo1,2,5

  • 1School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.

The Australian and New Zealand Journal of Psychiatry
|May 22, 2020
PubMed
Summary
This summary is machine-generated.

Brief cognitive screening tests are effective for monitoring electroconvulsive therapy (ECT)-related side effects. Choosing the right general cognitive screening instrument is crucial for optimizing patient care in busy clinical settings.

Keywords:
Electroconvulsive therapycognitionmemoryscreening

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Electroconvulsive therapy (ECT) is a vital treatment for severe neuropsychiatric conditions.
  • Cognitive side effects associated with ECT can impede treatment adherence.
  • Routine monitoring of cognitive function is essential for managing ECT patients.

Purpose of the Study:

  • To review brief cognitive screening instruments for routine clinical monitoring during electroconvulsive therapy (ECT).
  • To highlight the advantages and disadvantages of ECT-specific and generalized cognitive screening tools.

Main Methods:

  • A review of brief cognitive screening instruments was conducted.
  • Instruments specifically developed for ECT and commonly used general instruments were analyzed.
  • Relative advantages and disadvantages were highlighted.

Main Results:

  • Several brief cognitive screening tests are sensitive to ECT-related cognitive side effects.
  • The selection of a generalized cognitive screening instrument for ECT requires careful consideration of clinical context.
  • These instruments aid in monitoring cognitive changes during ECT treatment.

Conclusions:

  • Brief cognitive screening instruments are valuable for routine monitoring in ECT settings.
  • Effective monitoring can optimize patient outcomes and address treatment barriers.
  • Further neuropsychological assessment is recommended when screening results indicate concerns.