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Journal of ECT

Charles H Kellner
No abstract text is available yet for this article.
November 7, 2018: Journal of ECT
Alan R Needle, John W Mackall
No abstract text is available yet for this article.
November 7, 2018: Journal of ECT
Michael S Peroski, Michael M Chu, Seshagiri Rao Doddi, William T Regenold
Currently there is no consensus statement about the safety of electroconvulsive therapy in patients who have implanted electrodes for deep brain stimulation. We present a summary of the existing literature on this topic, consisting of 21 cases, and then report a case performed at the University of Maryland Medical Center. Notably, with appropriate safety precautions and careful patient selection, there were no adverse events reported in the literature that were related to the presence of the deep brain stimulation device in any of the cases...
November 7, 2018: Journal of ECT
Moshe Isserles, Zafiris J Daskalakis, Mark S George, Daniel M Blumberger, Harold A Sackeim, Goded Shahaf
OBJECTIVES: Prefrontal repetitive transcranial magnetic stimulation (rTMS) repeated daily for 4 to 6 weeks is used to treat major depressive disorder, but more than 50% of patients do not achieve significant response. Here we test the validity of a simple electroencephalographic (EEG) marker that predicts nonresponse to rTMS. Such a marker could potentially increase rTMS effectiveness by directing nonresponders to alternative treatments or by guiding early modification of stimulation parameters...
November 7, 2018: Journal of ECT
Armand Hausmann, Thomas Post, Fabienne Post, Julia Dehning, Georg Kemmler, Heinz Grunze
OBJECTIVE: The aim of the study was to contribute evidence for the efficacy of continuation and maintenance electroconvulsive therapy (c/mECT) going beyond the existing literature by examining longer-term outcomes from a single center. METHODS: We conducted a retrospective observational cohort study for a 14-year period, in which a group of 27 individuals with mood disorders, as defined by International Classification of Diseases-10, were examined and received acute ECT, followed by c/mECT...
October 20, 2018: Journal of ECT
Justin P Meyer, Samantha Swetter, Amy Aloysi, Ethan Bryson
No abstract text is available yet for this article.
October 20, 2018: Journal of ECT
Jurjen J Luykx, Remco Veltkamp, Nico Feenstra, Michiel Bolt, Jeroen van Waarde
No abstract text is available yet for this article.
October 20, 2018: Journal of ECT
M Justin Coffey, C Edward Coffey
No abstract text is available yet for this article.
October 20, 2018: Journal of ECT
Peter B Rosenquist, William Vaughn McCall
No abstract text is available yet for this article.
October 20, 2018: Journal of ECT
Romain Chantebel, Adélise Chesneau, Elsa Tavernier, Wissam El-Hage, Agnès Caille
OBJECTIVES: Repetitive transcranial magnetic stimulation (rTMS) is an innovative therapeutic option in major depressive disorder (MDD). A complete description of the procedure in reports of randomized controlled trials (RCTs) is a prerequisite for implementation of rTMS in clinical practice. The aim of this study was to evaluate the completeness of descriptions of the intervention in RCTs assessing rTMS in MDD. METHODS: We performed a systematic review of RCTs evaluating rTMS in MDD and published until August 2016...
October 11, 2018: Journal of ECT
Andrada D Neacsiu, Bruce M Luber, Simon W Davis, Elisabeth Bernhardt, Timothy J Strauman, Sarah H Lisanby
OBJECTIVES: Despite the growing use of repetitive transcranial magnetic stimulation (rTMS) as a treatment for unipolar depression, its typical effect sizes have been modest, and methodological and conceptual challenges remain regarding how to optimize its efficacy. Linking rTMS to a model of the neurocircuitry underlying depression and applying such a model to personalize the site of stimulation may improve the efficacy of rTMS. Recent developments in the psychology and neurobiology of self-regulation offer a conceptual framework for identifying mechanisms of action in rTMS for depression, as well as for developing guidelines for individualized rTMS treatment...
October 11, 2018: Journal of ECT
Stephen R Estime, Sheri M Berg, Michael E Henry
Clozapine-induced gastric hypomotility (CIGH) is an underreported, underrecognized effect from high-dose clozapine. In this report, we present a patient with treatment refractory schizophrenia receiving high-dose clozapine who aspirated during general anesthesia for electroconvulsive therapy. To our knowledge, this is the first report of aspiration under general anesthesia as a result of CIGH and highlights the potential dangers high-dose clozapine can pose on patients undergoing electroconvulsive therapy with unrecognized CIGH...
October 11, 2018: Journal of ECT
Anne Deborah Scholz-Hehn, Jana Christina Müller, Ruben Deml, Isabel Methfessel, David Zilles, Florian Hädrich, Gregory Hecht, Daniel Luedecke, Janina Gornisch, Heiko Albrecht, Laura Stumm, Nils Freundlieb
OBJECTIVES: Despite being a highly effective treatment, electroconvulsive therapy (ECT) is still stigmatized even among professionals. The aim of this study was to identify factors associated with a positive attitude toward ECT among health care workers. METHODS: We investigated staff's attitude and their self-assessment of knowledge while introducing ECT in 3 German psychiatric clinics. Furthermore, we compared this data to that of a clinic where ECT has been applied with a long tradition...
October 11, 2018: Journal of ECT
Marian E Berryhill, Donel Martin
Transcranial direct current stimulation (tDCS) is a neuromodulatory approach that is affordable, safe, and well tolerated. This review article summarizes the research and clinically relevant findings from meta-analyses and studies investigating the cognitive effects of tDCS in healthy and clinical populations. We recapitulate findings from recent studies where cognitive performance paired with tDCS was compared with performance under placebo (sham stimulation) in single sessions and longitudinal designs where cognitive effects were evaluated following repeated sessions...
September 2018: Journal of ECT
Giordano DʼUrso, Antonio Mantovani, Sara Patti, Elena Toscano, Andrea de Bartolomeis
Obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), and anxiety disorders share the basic clinical feature of anxiety, which probably explains their common response to similar pharmacological and psychological interventions. Transcranial direct current stimulation (tDCS) is a neuromodulation technique that has proved effective in reducing the symptoms of a number of neuropsychiatric disorders. It was also used in healthy subjects to modulate neuropsychological processes that are involved in the pathophysiology of anxiety...
September 2018: Journal of ECT
Maria Concetta Pellicciari, Carlo Miniussi
Cortical excitability modulation and neuroplasticity are considered essential mechanisms for improving clinical and cognitive abilities in neurodegenerative disorders (NDDs). In such context, transcranial direct current stimulation (tDCS) shows great promise for facilitating remodeling of neurosynaptic organization. The aim of this review was to provide an overview of how tDCS is currently used as a neurorehabilitation strategy in some NDDs. We describe results from studies in which tDCS was applied in mild cognitive impairment, Alzheimer's disease, and primary progressive aphasia...
September 2018: Journal of ECT
Colleen K Loo, Donel M Martin
No abstract text is available yet for this article.
September 2018: Journal of ECT
Olivia M Lapenta, Lucas M Marques, Gabriel G Rego, William E Comfort, Paulo S Boggio
The study of addiction and impulsion control disorders has shown that behaviors of seeking and consumption of addictive substances are subserved by neurobiological alterations specifically related to brain networks for reward, stress, and executive control, representing the brain's adaptation to the continued use of an addictive substance. In parallel, studies using neuromodulation techniques such as transcranial direct current stimulation (tDCS) have demonstrated promising effects in modulating cognitive and motor functions...
September 2018: Journal of ECT
Dennis Q Truong, Marom Bikson
Transcranial direct current stimulation (tDCS) devices apply direct current through electrodes on the scalp with the intention to modulate brain function for experimental or clinical purposes. All tDCS devices include a current controlled stimulator, electrodes that include a disposable electrolyte, and headgear to position the electrodes on the scalp. Transcranial direct current stimulation dose can be defined by the size and position of electrodes and the duration and intensity of current applied across electrodes...
September 2018: Journal of ECT
Marine Mondino, Florence Sauvanaud, Jérôme Brunelin
Some 25% to 30% of patients with schizophrenia report auditory verbal hallucinations (AVHs) that fail to respond adequately to antipsychotic treatments. In such cases, transcranial direct current stimulation (tDCS) has been proposed as a therapeutic option. Here, we aim to provide an exhaustive review of the literature examining the clinical effects of tDCS on AVH in patients with schizophrenia. A systematic search in the PubMed and Web of Science databases yielded 14 results, 7 randomized controlled trials (RCTs) and 7 open-label studies...
September 2018: Journal of ECT
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