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Electroconvulsive therapy use in geriatric depression.

B A Kramer

    The Journal of Nervous and Mental Disease
    |April 1, 1987
    PubMed
    Summary
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    Electroconvulsive therapy (ECT) is safe and effective for elderly psychiatric patients. This study found 92% of older adults significantly improved with brief pulse ECT, with minimal confusion and no medical complications.

    Area of Science:

    • Geriatric Psychiatry
    • Neurology
    • Psychopharmacology

    Background:

    • Electroconvulsive therapy (ECT) is an established treatment for severe psychiatric disorders.
    • Evidence regarding the safety and efficacy of ECT in elderly populations requires ongoing investigation.
    • Optimizing ECT protocols is crucial for improving patient outcomes and minimizing side effects.

    Purpose of the Study:

    • To evaluate the safety and effectiveness of electroconvulsive therapy (ECT) in elderly patients.
    • To assess the impact of brief pulse current and bilateral electrode placement on treatment outcomes.
    • To identify factors contributing to treatment response and non-response in this demographic.

    Main Methods:

    • Retrospective review of 50 elderly patients (aged 61-88) who underwent ECT over 18 months.

    Related Experiment Videos

  • Utilized brief pulse current with bilateral electrode placement and electroencephalogram monitoring for all treatments.
  • Analyzed treatment response, duration, and occurrence of medical complications.

    • Main Results:

    • 92% of patients (46 out of 50) showed significant improvement after ECT.
    • No medical complications related to ECT were reported.
    • Mean delay from symptom onset to ECT was 4.93 months, potentially influencing positive outcomes.

    Conclusions:

    • Electroconvulsive therapy (ECT) is a safe and effective treatment option for elderly psychiatric patients.
    • The use of brief pulse current may contribute to reduced confusion and improved outcomes.
    • Timely initiation of ECT may be a critical factor in achieving better treatment results in older adults.