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Electroconvulsive therapy for poststroke depression.

G B Murray, V Shea, D K Conn

The Journal of Clinical Psychiatry

|May 1, 1986

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Electroconvulsive therapy (ECT) is safe and effective for treating depression after a stroke. This study found significant improvement in most patients receiving ECT for poststroke depression with minimal side effects.

Area of Science:

Neurology
Psychiatry

Background:

Poststroke depression is a common complication affecting patient recovery.
Limited treatment options exist for severe poststroke depression.

Purpose of the Study:

To evaluate the safety and efficacy of electroconvulsive therapy (ECT) for patients suffering from poststroke depression.

Main Methods:

Retrospective review of 14 patients treated with ECT for poststroke depression at Massachusetts General Hospital (1969-1981).
Analysis of depression onset timing relative to stroke and patient outcomes post-ECT.

Main Results:

14 patients received ECT for poststroke depression.
9 patients developed depression within 1 year of stroke; 5 developed it after 1 year.

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Marked depression improvement was observed in 12 of 14 patients.

One patient experienced a transient cardiac arrhythmia; no stroke exacerbations or neurological worsening occurred.

Conclusions:

Electroconvulsive therapy (ECT) is a safe and effective treatment for poststroke depression.
ECT offers a viable therapeutic option for patients with significant depression following a stroke.