Clinical Practice Recommendations for Continuation and Maintenance Electroconvulsive Therapy for Depression

Gill, Shane; Kellner, Charles H.

doi:10.1097/yct.0000000000000484

Cited by 38 publications

(29 citation statements)

References 42 publications

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“…In our model, like in humans [42,43], a behavioral relapse was observed several weeks after completing ECS treatment. Interestingly, this relapse was associated with the loss of recentlyintegrated neurons.…”

Section: Discussionmentioning

confidence: 66%

“…The behavioral relapse occurs even if the progenitor pool was enhanced during ECS treatment, indicating a failure to further integrate. In an attempt to maintain a higher integration rate for newborn neurons, we applied a continuation protocol similar to the highly beneficial protocol used in humans [43,44]. Two stimulations per week for 5 weeks following the initial ECS treatment were found to prevent relapse, with sustained survival of newborn neurons and associated behavioral improvements.…”

Section: Discussionmentioning

confidence: 99%

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Short- and long-term efficacy of electroconvulsive stimulation in animal models of depression: The essential role of neuronal survival

et al. 2018

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Short- and long-term efficacy of electroconvulsive stimulation in animal models of depression: The essential role of neuronal survival

et al. 2018

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“…Detailed guidelines for ECT practice have recently been published by the RANZCP (Weiss et al, 2019). In addition, clinical practice recommendations for maintenance ECT have been published by an Australian consensus workshop (Gill and Kellner, 2019). Both of these documents are based on a combination of evidence and consensus opinion and are valuable references for those administering ECT.…”

Section: Treatmentsmentioning

confidence: 99%

“…Consensus based recommendations for relapse/recurrence prevention post-ECT have recently been made by an Australian expert group (Gill and Kellner, 2019). The group recommends post-ECT maintenance to consist of antidepressant medication +/− lithium for at least 12–24 months.…”

Section: Treatmentsmentioning

confidence: 99%

The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Malhi

Bell

Bassett³

et al. 2020

Aust N Z J Psychiatry

312

365

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Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence and supplemented by expert clinical consensus to formulate s that maximise clinical utility. Methods: Articles and information sourced from search engines including PubMed, EMBASE, MEDLINE, PsycINFO and Google Scholar were supplemented by literature known to the mood disorders committee (e.g. books, book chapters and government reports) and from published depression and bipolar disorder guidelines. Relevant information was appraised and discussed in detail by members of the mood disorders committee, with a view to formulating and developing consensus-based recommendations and clinical guidance. The guidelines were subjected to rigorous consultation and external review involving: expert and clinical advisors, key stakeholders, professional bodies and specialist groups with interest in mood disorders. Results: The Royal Australian and New Zealand College of Psychiatrists mood disorders clinical practice guidelines 2020 (MDcpg2020) provide up-to-date guidance regarding the management of mood disorders that is informed by evidence and clinical experience. The guideline is intended for clinical use by psychiatrists, psychologists, primary care physicians and others with an interest in mental health care. Conclusion: The MDcpg2020 builds on the previous 2015 guidelines and maintains its joint focus on both depressive and bipolar disorders. It provides up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus. Mood disorders committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Philip Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Richard Porter, Ajeet B Singh and Greg Murray.

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“…In some cases, patients may require treatment with continuation or maintenance ECT if other treatments have not been effective in preventing illness relapse. Evidence has been insufficient to until recently to produce a clear consensus on what best practice maintenance ECT although comprehensive, practical, clinically based recommendations for ECT clinicians and services are available (Gill and Kellner, 2018).…”

Section: Ranzcp Professional Practice Guidelines For the Administratimentioning

confidence: 99%

Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of electroconvulsive therapy

Weiss¹,

Hussain

et al. 2019

Aust N Z J Psychiatry

112

109

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Objectives: To provide guidance for the optimal administration of electroconvulsive therapy, in particular maintaining the high efficacy of electroconvulsive therapy while minimising cognitive side-effects, based on scientific evidence and supplemented by expert clinical consensus. Methods: Articles and information were sourced from existing guidelines and the published literature. Information was revised and discussed by members of the working group of the Royal Australian and New Zealand College of Psychiatrists’ Section for Electroconvulsive Therapy and Neurostimulation, and findings were then formulated into consensus-based recommendations and guidance. The guidelines were subjected to rigorous successive consultation and external review within the Royal Australian and New Zealand College of Psychiatrists, involving the full Section for Electroconvulsive Therapy and Neurostimulation membership, and expert and clinical advisors and professional bodies with an interest in electroconvulsive therapy administration. Results: The Royal Australian and New Zealand College of Psychiatrists’ professional practice guidelines for the administration of electroconvulsive therapy provide up-to-date advice regarding the use of electroconvulsive therapy in clinical practice and are informed by evidence and clinical experience. The guidelines are intended for use by psychiatrists and also others with an interest in the administration of electroconvulsive therapy. The guidelines are not intended as a directive about clinical practice or instructions as to what must be done for a given patient, but provide guidance to facilitate best practice to help optimise outcomes for patients. The outcome is guidelines that strive to find the appropriate balance between promoting best evidence-based practice and acknowledging that electroconvulsive therapy is a continually evolving practice. Conclusion: The guidelines provide up-to-date advice for psychiatrists to promote optimal standards of electroconvulsive therapy practice.

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Clinical Practice Recommendations for Continuation and Maintenance Electroconvulsive Therapy for Depression

Abstract: These recommendations will assist ECT services and clinicians to provide best practice mECT according to currently available evidence.

Cited by 38 publications

References 42 publications

Short- and long-term efficacy of electroconvulsive stimulation in animal models of depression: The essential role of neuronal survival

Short- and long-term efficacy of electroconvulsive stimulation in animal models of depression: The essential role of neuronal survival

The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Royal Australian and New Zealand College of Psychiatrists professional practice guidelines for the administration of electroconvulsive therapy

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