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Maintenance electroconvulsive therapy

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https://www.readbyqxmd.com/read/28145138/lithium-augmentation-as-an-alternative-to-maintenance-electroconvulsive-therapy-for-recurrent-major-depressive-disorder-in-older-adults
#1
Daniel Wysoczanski, Scott Cherry, Valeria Spivak, David Lie, Dan Siskind Brisbane
No abstract text is available yet for this article.
February 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28098427/emergence-of-mania-in-two-middle-aged-patients-with-a-history-of-unipolar-treatment-refractory-depression-receiving-vagus-nerve-stimulation
#2
Naji C Salloum, Marie C Walker, Sunil Gangwani, Charles R Conway
OBJECTIVES: We report on two patients who experienced emergence of full manic symptoms while receiving vagal nerve stimulation (VNS). METHODS: Two patients, both with a well-documented and verified history of longstanding unipolar depression, were initiated on VNS for treatment of their severe major depressive episodes. RESULTS: The two patients had emergence of full manic symptoms after 8 and 9 months of VNS, respectively. Manic symptoms were adequately managed with standard treatments (mood stabilizer and electroconvulsive therapy) and VNS was continued in the two subjects for up to 5 years without any further occurrences of manic/hypomanic episodes...
January 18, 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28095946/electroconvulsive-therapy-ect-for-treating-agitation-in-dementia-major-neurocognitive-disorder-a-promising-option
#3
Oliver M Glass, Brent P Forester, Adriana P Hermida
BACKGROUND: Agitation in patients with dementia increases caretaker burden, increases healthcare costs, and worsens the patient's quality of life. Antipsychotic medications, commonly used for the treatment of agitation in patients with dementia have a box warning from the FDA for elevated mortality risk. Electroconvulsive therapy (ECT) has made significant advances over the past several years, and is efficacious in treating a wide range of psychiatric conditions. We provide a systematic review of published literature regarding the efficacy of ECT for the treatment of agitation in patients with dementia (major neurocognitive disorder)...
January 18, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28053184/current-status-of-electroconvulsive-therapy-for-mood-disorders-a-clinical-review
#4
Dusan Kolar
Electroconvulsive therapy (ECT) is an effective treatment for mood disorders and a viable treatment option especially when urgency of clinical situation requires a prompt treatment response. After acute series of ECT, the ECT long-term treatment may be considered, although this practice may vary significantly between countries or even within the same country, because there is no universal consensus about its indications, duration and frequency of administration. Continuation or maintenance ECT is common in routine clinical practice and clinicians should be aware of the risks of using ECT long term...
February 2017: Evidence-based Mental Health
https://www.readbyqxmd.com/read/28001286/charting-the-course-of-electroconvulsive-therapy-where-have-we-been-and-where-are-we-headed
#5
Peter B Rosenquist, W Vaughn McCall, Nagy Youssef
Electroconvulsive therapy (ECT) is one of the oldest and best treatments for severe mental illness. A safe and highly effective option for treatment-resistant mood disorders, ECT can be a lifesaving treatment for people suffering from catatonia and acute suicidality. Less recognized are the benefits of ECT in the treatment of primary psychotic disorders, Parkinson's disease, and status epilepticus. Evidence from multisite clinical trials in the past decade shows an evolving standard for the delivery of ECT to achieve and maintain remission and quality of life...
December 1, 2016: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/27930427/a-further-decrease-in-the-rates-of-administration-of-electroconvulsive-therapy-in-england
#6
Nicky Buley, Emma Copland, Sophie Hodge, Robert Chaplin
OBJECTIVES: Electroconvulsive therapy (ECT) is an effective treatment of major depression, and there have been consistent improvements in the administration of ECT in the past decade. However, studies have reported a steady decline in the rates of use of ECT in the United Kingdom and Ireland. Despite this, there has been no consistent record of how much ECT is being given or to whom it is given, for more than 20 years. The purpose of this study is to estimate the change in frequency of ECT use, the length of courses, patient demographics, and clinical outcomes between 2006 and 2 periods of 2012/2013 and 2014/2015...
December 7, 2016: Journal of ECT
https://www.readbyqxmd.com/read/27842519/administration-of-electroconvulsive-therapy-for-depression-associated-with-deep-brain-stimulation-in-a-patient-with-post-traumatic-parkinson-s-disease-a-case-study
#7
Miles G Cunningham, Golnaz Yadollahikhales, Gordana Vitaliano, Craig van Horne
BACKGROUND: Deep brain stimulation (DBS) has been shown to be effective for parkinsonian symptoms poorly responsive to medications. DBS is typically well-tolerated, as are the maintenance battery changes. Here we describe an adverse event during a battery replacement procedure that caused rapid onset of severe depression. CASE PRESENTATION: The patient is a 58-year-old woman who was in a serious motor vehicle accident and sustained a concussion with loss of consciousness...
November 15, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27828928/left-anterior-right-temporal-electrode-placement-in-maintenance-electroconvulsive-therapy
#8
Jorge Sendra, Oscar Alcoverro
No abstract text is available yet for this article.
March 2017: Journal of ECT
https://www.readbyqxmd.com/read/27824783/cpk-measurements-and-ect-in-polymyositis-a-case-report
#9
Benjamin Delucia, Rachit Patel, Adeeb Yacoub, Andrew Francis
Inflammatory myopathies, including polymyositis (PM), may add risk to electroconvulsive therapy (ECT) due to muscle sensitivity to depolarizing neuromuscular agents. In addition, previously published case series have shown elevations in creatine phosphokinase (CPK), an index of PM disease severity, in patients without muscle disease receiving ECT. We report the case of a 74-year-old female who developed initial onset of depression after steroid treatment for biopsy-proven PM. After she failed to respond to trials of antidepressant medications, she was treated with 21 inpatient and outpatient sessions of ECT over 2 years...
November 2016: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/27764738/factors-associated-with-relapse-after-a-response-to-electroconvulsive-therapy-in-unipolar-versus-bipolar-depression
#10
Kei Itagaki, Minoru Takebayashi, Chiyo Shibasaki, Naoto Kajitani, Hiromi Abe, Mami Okada-Tsuchioka, Shigeto Yamawaki
BACKGROUND: While electroconvulsive therapy (ECT) treatment for depression is highly effective, the high rate of relapse is a critical problem. The current study investigated factors associated with the risk of relapse in mood disorders in patients in which ECT was initially effective. METHOD: The records of 100 patients with mood disorders (61 unipolar depression, 39 bipolar depression) who received and responded to an acute ECT course were retrospectively reviewed...
January 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27759808/the-maintenance-of-modified-electroconvulsive-therapy-combined-with-risperidone-is-better-than-risperidone-alone-in-preventing-relapse-of-schizophrenia-and-improving-cognitive-function
#11
Ying Yang, Xiaojing Cheng, Qingzhi Xu, Renjun Li, Zengxun Liu, Liping Wang, Yanqing Zhang, Guoqiang Ren, Jintong Liu
Objective: To evaluate the effect of maintenance modified electroconvulsive therapy (MECT) on schizophrenic patients. Methods: From June 2012 to June 2014, 62 patients with schizophrenia, who had recovered from a successful course of acute MECT, were recruited. Thirty-one patients received maintenance MECT and risperidone, as the experimental group. Another 31 patients were enrolled in the control group, and received risperidone only. The effects on cognitive functions, clinical symptoms and relapse rate were determined...
October 2016: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/27666327/temporal-lobe-epilepsy-following-maintenance-electroconvulsive-therapy-electrical-kindling-in-the-human-brain
#12
Alexander Bryson, Helen Gardner, Ian Wilson, Tim Rolfe, John Archer
Maintenance electroconvulsive therapy (ECT) is sometimes prescribed for refractory psychiatric conditions. We describe five patients who received maintenance ECT and developed florid temporal epileptiform abnormalities on electroencephalography (EEG) despite no history of epilepsy and normal neuroimaging. All patients had received regular ECT for at least 8 months. Three patients had clinical events consistent with epileptic seizures, and video-EEG monitoring captured electrographic seizures in two patients...
November 2016: Epilepsia
https://www.readbyqxmd.com/read/27536079/comparison-between-neurostimulation-techniques-repetitive-transcranial-magnetic-stimulation-vs-electroconvulsive-therapy-for-the-treatment-of-resistant-depression-patient-preference-and-cost-effectiveness
#13
Racheli Magnezi, Emanuel Aminov, Dikla Shmuel, Merav Dreifuss, Pinhas Dannon
OBJECTIVES: Major depressive disorder (MDD) is a common disorder, widely distributed in the population, and is often associated with severe symptoms and functional impairment. It has been estimated that 30% of MDD patients do not benefit adequately from therapeutic interventions, including pharmacotherapy and psychotherapy. Treatment-resistant depression (TRD) is generally defined as a failure to achieve remission, despite therapeutic interventions. AIM: The most effective treatment alternatives for TRD are hospitalization, electroconvulsive therapy (ECT), and transcranial magnetic stimulation (TMS)...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27428481/response-to-electroconvulsive-therapy-in-patients-with-autism-spectrum-disorder-and-intractable-challenging-behaviors-associated-with-symptoms-of-catatonia
#14
Sreedharan Geetha Sajith, Siew Fai Liew, Phern Chern Tor
BACKGROUND: There are several reports of electroconvulsive therapy (ECT) used in autism spectrum disorder (ASD) in the context of catatonic symptoms. We describe response to ECT in two adults with ASD and intellectual disability with intractable aggression and self-injurious behaviors associated with catatonic symptoms who had not responded to standard interventions. METHOD: Unilateral ECT at a frequency of 3 times a week was given followed by weekly maintenance ECT...
March 2017: Journal of ECT
https://www.readbyqxmd.com/read/27428480/electroconvulsive-therapy-and-all-cause-mortality-in-texas-1998-2013
#15
Nora M Dennis, Paul A Dennis, Alan Shafer, Richard D Weiner, Mustafa M Husain
INTRODUCTION: Electroconvulsive therapy (ECT) remains an effective treatment for major depressive disorder. Since 1995, Texas has maintained an ECT database including patient diagnoses and outcomes, and reporting any deaths within 14 days of receiving an ECT treatment, encompassing a total of 166,711 ECT treatments administered in Texas over the previously unreported period of 1998 to 2013. METHODS: Descriptive analysis summarized information on deaths reported during the 16-year period-cause of death, type of treatment (index or maintenance) and patient demographics...
March 2017: Journal of ECT
https://www.readbyqxmd.com/read/27428475/treatment-of-severe-self-injurious-behavior-in-autism-spectrum-disorder-by-neuromodulation
#16
Douglas DʼAgati, Andrew D Chang, Lee E Wachtel, Irving M Reti
An increasing number of case reports and series document the safe and effective use of electroconvulsive therapy (ECT) in children, adolescents, and young adults with autism spectrum disorder who engage in severe, intractable, repetitive self-injurious behavior (SIB) without environmental or operant function. Although the treatment is very effective for such patients, they typically remain highly dependent on frequent maintenance ECT (M-ECT) to maintain suppression of the SIB achieved during the acute course...
March 2017: Journal of ECT
https://www.readbyqxmd.com/read/27390700/economic-evaluation-of-resistant-major-depressive-disorder-treatment-in-iranian-population-a-comparison-between-repetitive-transcranial-magnetic-stimulation-with-electroconvulsive
#17
Hesam Ghiasvand, Mohammad Moradi-Joo, Nazanin Abolhassani, Hamid Ravaghi, Seyed Mansoor Raygani, Sahar Mohabbat-Bahar
BACKGROUND: It is estimated that major depression disorders constitute 8.2% of years lived with disability (YLDs) globally. The repetitive Transcranial Magnetic Stimulation (rTMS) and Electroconvulsive Therapy (ECT) are two relative common interventions to treat major depressive disorders, especially for treatment resistant depression. In this study the cost- effectiveness and cost-utility of rTMS were compared with ECT in Iranian population suffering from major depressive disorder using a decision tree model...
2016: Medical Journal of the Islamic Republic of Iran
https://www.readbyqxmd.com/read/27165643/use-of-novel-psychoactive-substances-by-inpatients-on-general-adult-psychiatric-wards
#18
Jack L Stanley, Daniel V Mogford, Rebecca J Lawrence, Stephen M Lawrie
OBJECTIVES: Non-illicit alternatives to controlled drugs, known as novel psychoactive substances (NPS), have recently risen to prominence. They are readily available, with uncertain pharmacology and no widely available assay. Given that psychiatric patients are at risk of comorbid substance abuse, we hypothesised that NPS use would be present in the psychiatric population, and sought to determine its prevalence and investigate the characteristics of those who use these drugs with a retrospective review of discharge letters...
2016: BMJ Open
https://www.readbyqxmd.com/read/27033556/electroconvulsive-therapy-for-depression-in-parkinson-s-disease-systematic-review-of-evidence-and-recommendations
#19
Anna Borisovskaya, William Culbertson Bryson, Jonathan Buchholz, Ali Samii, Soo Borson
AIM: We performed a systematic review of evidence regarding treatment of depression in Parkinson's disease (PD) utilizing electroconvulsive therapy. METHODS: The search led to the inclusion of 43 articles, mainly case reports or case series, with the largest number of patients totaling 19. RESULTS: The analysis included 116 patients with depression and PD; depression improved in 93.1%. Where motor symptoms' severity was reported, 83% of patients improved...
April 2016: Neurodegenerative Disease Management
https://www.readbyqxmd.com/read/26909702/electroconvulsive-therapy-in-the-elderly-new-findings-in-geriatric-depression
#20
REVIEW
Emma T Geduldig, Charles H Kellner
This paper reviews recent research on the use of electroconvulsive therapy (ECT) in elderly depressed patients. The PubMed database was searched for literature published within the past 4 years, using the search terms: "electroconvulsive elderly," "electroconvulsive geriatric," "ECT and elderly," and "ECT elderly cognition." The studies in this review indicate excellent efficacy for ECT in geriatric patients. Adverse cognitive effects of ECT in this population are usually transient and not typically severe...
April 2016: Current Psychiatry Reports
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