Nonconvulsive electrotherapy in psychiatry: The treatment of the mental disorders of the Norwegian painter Edvard Munch

Perciaccante, Antonio; Coralli, Alessia; Cambioli, Luca; Riva, Michele Augusto

doi:10.1111/bdi.12483

Cited by 6 publications

(2 citation statements)

References 2 publications

(5 reference statements)

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“…Other related terms include electrotherapy and electronarcosis, which referred to different modalities of therapy. The term electrotherapy denoted nonconvulsive electric stimulation, which was used to treat the Norwegian painter Edvard Munch 10 . Electronarcosis, which involved the application of electric current for 7 or more minutes, had longer tonic phase, more adverse effects, and no extra therapeutic value 11…”

Section: Historymentioning

confidence: 99%

The Nomenclature of Electroconvulsive Therapy

Sidhom

Omar

2020

J ECT

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Electroconvulsive therapy (ECT) is an established but stigmatized psychiatric treatment. The term ECT reflects the treatment's modality and action. Several authors proposed different names for ECT to deal with stigma; however, available literature that promoted different names did not address the risk/benefit ratio or offer evidence-based approach to the efficacy of this approach. We aim to examine proposed names for their specificity, accuracy, understandability, and popularity. In addition, we aim to find evidence-based methods to combat the ECT-related stigma. We reviewed the literature relating to the proposed names using snowballing technique for literature search. Known ECT alternative names were used for search, and whenever another name appears, it was added to our search list. We conducted Medline, PsycINFO, Google Scholar, and PubMed search to check for popularity and cross examine whether proposed terms refer back to ECT. We searched for ECT and stigma, to find evidence for methods to tackle ECT-related stigma. Once, the search stopped yielding newer ideas, we stopped the search at a point of saturation, where no more ideas where generated. Our name search yielded 14 terms. Nine names avoided "electricity" and "convulsion," because of perceived associated stigma. Presence of different terminology can affect the clarity of patient-doctor communication, with no evidence of added benefit. Alternative names may affect doctor-doctor communication about this treatment. We concluded that it is safer to retain the term ECT for the sake of consistency and clarity of communication. Education and experience are evidence-based effective methods of tackling ECT-related stigma.

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Section: Historymentioning

confidence: 99%

The Nomenclature of Electroconvulsive Therapy

Sidhom

Omar

2020

J ECT

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“…Unlike the standard ECT technique, NET is characterized by its reduced likelihood of causing adverse neurocognitive effects because the electric stimulation used does not reach the intensity required to induce convulsions. 21 , 22 Animal studies have provided preliminary evidence that the use of subconvulsive electrical stimulation can elicit similar antidepressant effects to ECT without causing seizures. 23 Moreover, a recent systematic review has demonstrated the safety and tolerability of adjunctive NET as an effective treatment option for patients with depression, without any occurrences of serious neurocognitive impairments.…”

Section: Introductionmentioning

confidence: 99%

Sex Differences in the Antidepressant and Neurocognitive Effects of Nonconvulsive Electrotherapy in Patients with Treatment-Refractory Depression

Zhang,

Wei,

et al. 2024

ALPHA PSYCHIATRY

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Objective: The objective of this study was to examine sex differences in the antidepressant and neurocognitive effects of adjunctive nonconvulsive electrotherapy (NET) in patients with treatment-refractory depression (TRD), which has not yet been thoroughly investigated. Methods: The study enrolled 20 patients with TRD, comprising 11 males and 9 females, who underwent a series of 6 NET sessions. The 17-item Hamilton Depression Rating Scale (HAMD-17) was used to assess depressive symptoms, response, and remission at baseline and after the first, third, and sixth NET sessions. The Wisconsin Card Sorting Test (WCST) was used to assess neurocognitive function at baseline and after the sixth NET session. Results: After completing 6 NET sessions, female patients experiencing TRD exhibited a higher inclination toward achieving an antidepressant response (77.8% vs. 45.5%, P = .197) and antidepressant remission (22.2% vs. 0%, P = .189) when compared to their male counterparts. No significant differences were observed in changes in the HAMD-17 and WCST subscale scores (all P > .05), including completing classification number, total error number, persistent error number, and random error number between males and females. Additionally, no significant correlations were observed between baseline WCST subscale scores and changes in HAMD-17 scores or endpoint scores, irrespective of sex (all P > .05). Conclusion: These pilot findings suggest that female patients with TRD exhibited increased rates of achieving antidepressant response and remission after undergoing NET. However, further studies should be conducted to confirm these findings.

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A Preliminary Study of Adjunctive Nonconvulsive Electrotherapy for Treatment-Refractory Depression

Zheng

Jiang

et al. 2020

Psychiatr Q

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Nonconvulsive electrotherapy in psychiatry: The treatment of the mental disorders of the Norwegian painter Edvard Munch

Cited by 6 publications

References 2 publications

The Nomenclature of Electroconvulsive Therapy

The Nomenclature of Electroconvulsive Therapy

Sex Differences in the Antidepressant and Neurocognitive Effects of Nonconvulsive Electrotherapy in Patients with Treatment-Refractory Depression

A Preliminary Study of Adjunctive Nonconvulsive Electrotherapy for Treatment-Refractory Depression

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