2018
DOI: 10.1192/bjb.2018.59
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Depression, memory and electroconvulsive therapy

Abstract: SummaryCurrent neuroscience suggests that although short-term memory difficulties frequently occur immediately after electroconvulsive therapy (ECT), longer-term problems are less common. However, gaps in our knowledge remain regarding longer-term cognitive problems after ECT, including memory function. Some of these relate to the complexities surrounding cognitive testing and interpretation of test results. An important question in clinical decision-making is why, despite current evidence suggesting long-term… Show more

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Cited by 8 publications
(7 citation statements)
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“…Some research indicates that the more courses of ECT someone undergoes, the more it is likely to affect their memory; however, this has been disputed (32, 33). There have been recent recommendations that assessment of cognitive function following ECT is conducted in all routine clinical practice (31, 34).…”
Section: Resultsmentioning
confidence: 99%
“…Some research indicates that the more courses of ECT someone undergoes, the more it is likely to affect their memory; however, this has been disputed (32, 33). There have been recent recommendations that assessment of cognitive function following ECT is conducted in all routine clinical practice (31, 34).…”
Section: Resultsmentioning
confidence: 99%
“…These were comparable to the previous studies. [20][21][22][23] While ECT under anesthesia is ideal, it is hard to do in any patient even in countries such as Pakistan, where there is a lack of resources. There seems to be no distinction between the two ECT modalities in delayed complications.…”
Section: Resultsmentioning
confidence: 99%
“…However, we do have shortcomings with regard to long-term cognitive issues following ECT like memory. 10 The key drawback of the wider use of ECT is cognitive effects, especially occasional acute confusion shortly post-treatment, retrograde amnesia and some long-term autobiographic (personal) memory losses. 11 Some memory elements are either unchanged or enhanced.…”
Section: Introductionmentioning
confidence: 99%
“…This unpreparedness and lack of support in coping with memory complaints might in fact reflect the knowledge gaps and limited efforts to investigate remediation therapies and methods to reduce adverse effects other than the different ECT technical methods [ 24 , 41 ]. The current batteries of tests still do not measure all aspects of subjective memory complaints, and there is no consensus about cognitive domains, appropriate tests that can predict daily function, or the tests’ timing [ 16 , 41 ].…”
Section: Discussionmentioning
confidence: 99%
“…Information is especially relevant for a treatment that is polarized and where evidence is so heterogeneous that drawing meaningful conclusions is challenging [ 24 ]. The ethical principle of respect for autonomy requires that a person makes decisions voluntarily, holds decisional capacity and has been provided with sufficient information [ 25 ].…”
Section: Introductionmentioning
confidence: 99%