Strategies to minimize cognitive side effects with ECT: aspects of ECT technique.

作者: Joan Prudic

DOI: 10.1097/YCT.0B013E31815EF238

关键词:

摘要: The adverse cognitive effects of electroconvulsive therapy are important limitations in the use this treatment that continues to be a significant therapeutic strategy after 7 decades use. Among approaches mitigation these side considerations involving prescription and manipulation electrical stimulus itself. impact following factors on outcomes surveyed: efficiency as expressed waveform; targeting stimulus, major concept underlying electrode placement; dosing; frequency number treatments. current state development knowledge areas is summarized, methods achieve best without sacrificing clinical efficacy discussed. Future trends further optimization briefly mentioned.

参考文章(63)
Predictors of retrograde amnesia following ECT American Journal of Psychiatry. ,vol. 152, pp. 995- 1001 ,(1995) , 10.1176/AJP.152.7.995
Antidepressant and cognitive effects of twice- versus three-times-weekly ECT. American Journal of Psychiatry. ,vol. 152, pp. 564- 570 ,(1995) , 10.1176/AJP.152.4.564
Reich T, Summers Wk, Robins E, The natural history of acute organic mental syndrome after bilateral electroconvulsive therapy. Biological Psychiatry. ,vol. 14, pp. 905- ,(1979)
The ictal EEG as a marker of adequate stimulus intensity with unilateral ECT. Journal of Neuropsychiatry and Clinical Neurosciences. ,vol. 7, pp. 295- 303 ,(1995) , 10.1176/JNP.7.3.295
W. F. Daniel, H. F. Crovitz, Acute memory impairment following electroconvulsive therapy. 2. Effects of electrode placement. Acta Psychiatrica Scandinavica. ,vol. 67, pp. 57- 68 ,(1983) , 10.1111/J.1600-0447.1983.TB06724.X
Absence of cognitive impairment after more than 100 lifetime ECT treatments. American Journal of Psychiatry. ,vol. 148, pp. 929- 932 ,(1991) , 10.1176/AJP.148.7.929
Weiner Rd, ECT and seizure threshold: effects of stimulus wave form and electrode placement. Biological Psychiatry. ,vol. 15, pp. 225- ,(1980)
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
Harold A. Sackeim, Memory and ECT: from polarization to reconciliation. Journal of Ect. ,vol. 16, pp. 87- 96 ,(2000) , 10.1097/00124509-200006000-00001