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Multiple monitored electroconvulsive therapy in the elderly

J A Yesavage, E S Berens

    Journal of the American Geriatrics Society
    |May 1, 1980
    PubMed
    Summary
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    Multiple monitored electroconvulsive therapy (MMECT) is as safe and effective as single electroconvulsive therapy (SECT) for endogenous depression. MMECT reduces treatment duration and anesthetic use, potentially lowering suicide risk faster.

    Area of Science:

    • Psychiatry
    • Neurology
    • Anesthesiology

    Background:

    • Endogenous depression is a severe mood disorder.
    • Electroconvulsive therapy (ECT) is a treatment option for severe depression.
    • Comparing different ECT protocols is crucial for optimizing patient care.

    Purpose of the Study:

    • To compare the safety and efficacy of multiple monitored electroconvulsive therapy (MMECT) versus single electroconvulsive therapy (SECT).
    • To evaluate treatment duration, anesthetic requirements, and suicide risk reduction.
    • To assess MMECT as a potentially improved ECT protocol for endogenous depression.

    Main Methods:

    • Retrospective comparison of 20 patients (≥45 years) with endogenous depression.
    • Ten patients received MMECT, and 10 patients received SECT.

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  • Safety, efficacy, treatment duration, and anesthetic use were evaluated.

    • Main Results:

    • MMECT and SECT demonstrated similar safety and efficacy profiles.
    • The MMECT group required shorter treatment duration.
    • Fewer general anesthesia sessions and lower anesthetic dosages were used in the MMECT group.

    Conclusions:

    • MMECT offers comparable safety and efficacy to SECT for endogenous depression.
    • MMECT provides benefits through reduced treatment time and anesthetic requirements.
    • MMECT may expedite the reduction of suicide risk in depressed patients.