Public Perceptions of Electroconvulsive Therapy: A Historic Review

Jenkusky, Steven M.

doi:10.29046/jjp.010.2.001

Cited by 7 publications

(4 citation statements)

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“…[ 55 ] Concerns regarding long-term cognitive impairment surfaced soon after the introduction of ECT and since then has grown to become one of the most controversial aspects of ECT. [ 56 ] Anti-ECT groups have frequently pointed out to cognitive impairment following ECT as evidence of ECT causing brain damage. [ 56 ] A meta-analysis by Semkovska and McLoughlin in 2010 is one of the most detailed studies which had attempted to settle this long-standing debate.…”

Section: Cognitive Impairment Studiesmentioning

confidence: 99%

“…[ 56 ] Anti-ECT groups have frequently pointed out to cognitive impairment following ECT as evidence of ECT causing brain damage. [ 56 ] A meta-analysis by Semkovska and McLoughlin in 2010 is one of the most detailed studies which had attempted to settle this long-standing debate. [ 57 ] The authors reviewed 84 studies (2981 participants), which had used a combined total of 22 standardized neuropsychological tests assessing various cognitive functions before and after ECT in patients diagnosed with major depressive disorder.…”

Section: Cognitive Impairment Studiesmentioning

confidence: 99%

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Does electroconvulsive therapy cause brain damage: An update

Jolly

Singh

2020

Indian J Psychiatry

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Electroconvulsive therapy (ECT) is an effective modality of treatment for a variety of psychiatric disorders. However, it has always been accused of being a coercive, unethical, and dangerous modality of treatment. The dangerousness of ECT has been mainly attributed to its claimed ability to cause brain damage. This narrative review aims to provide an update of the evidence with regard to whether the practice of ECT is associated with damage to the brain. An accepted definition of brain damage remains elusive. There are also ethical and technical problems in designing studies that look at this question specifically. Thus, even though there are newer technological tools and innovations, any review attempting to answer this question would have to take recourse to indirect methods. These include structural, functional, and metabolic neuroimaging; body fluid biochemical marker studies; and follow-up studies of cognitive impairment and incidence of dementia in people who have received ECT among others. The review of literature and present evidence suggests that ECT has a demonstrable impact on the structure and function of the brain. However, there is a lack of evidence at present to suggest that ECT causes brain damage.

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Section: Cognitive Impairment Studiesmentioning

confidence: 99%

Section: Cognitive Impairment Studiesmentioning

confidence: 99%

Does electroconvulsive therapy cause brain damage: An update

Jolly

Singh

2020

Indian J Psychiatry

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“…In addition to discoveries of medication, it was believed that the media was a leading cause for the disrepute of the treatment. Films, such as One Flew Over the Cuckoo's Nest, which was produced in 1975, showcased ECT as an act of ruthless behavioral punishment (Jenkusky, 1992).…”

Section: History Of Ectmentioning

confidence: 99%

Treating Depression with ECT: An Objective Review

Gohar¹,

Winter²,

Benander³

et al. 2012

OJD

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The current study examined the efficacy of Electroconvulsive Therapy (ECT) as a treatment method for unipolar and bipolar depression using an objective measure through a retrospective chart review. First, this article discusses the history of ECT as well as issues in psychiatric diagnoses. Patients' progress in this study was measured by the hospital's psychiatrists as well as through the self-report measure, Clinically Useful Depression Scale (CUDOS). The sample consisted of 22 female and 8 male depressed inpatients and outpatients. A 2 × 2 mixed ANOVA revealed a significant interaction, showing improvement from pre-treatment to post-treatment in both genders. In post-treatment, female patients showed significantly more improvement than male patients. This study suggests that ECT results in depression reduction, especially in female patients. In addition, the CUDOS has shown to be a simple and effective self-report measure in assessing progress of depression including complex treatments, such as ECT. Recommendations for future ECT studies include: controlling for comorbidity and medication by obtaining a larger sample size to categorize patients according to medication type and dosage.

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“…Em meados dos anos 50, a utilização da ECT começou a declinar (BABIGIAN;GUTTMACHER, 1984). Por um lado, as descobertas de agentes farmacológicos com efeitos antipsicóticos, antidepressivos e estabilizadores do humor surgiram como métodos menos invasivos que a ECT para a terapia psiquiátrica e, por outro lado, foi-se desenvolvendo uma imagem negativa da ECT, vista como um método cruel e desumano, utilizado para controlar o comportamento e para a tortura (JENKUSKY, 1992). Havia, inclusive, grandes esperanças de que a ECT fosse inteiramente substituída pela farmacoterapia, embora não tenha aparecido nenhuma droga até o momento que se iguale à ECT, quando utilizadas indicações precisas (SARGANT E COL, 1978).…”

Section: 1) Histórico Da Ectunclassified

"Estimulação magnética transcraniana de repetição: comparação da eficácia com a eletroconvulsoterapia"

Rosa¹

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por ter gentilmente me recebido em seu laboratório e me auxiliado dedicadamente. Ao Prof. Dr. Sérgio Paulo Rigonatti, pelo apoio, incentivo e amizade. Ao Prof. Dr. Saxby Pridmore, por sua amizade e por suas valiosas sugestões. Aos Professores Cássio Machado de Campos Bottino, Orestes Vicente Forlenza e Sérgio Tamai, pelas importantes sugestões no exame de qualificação. Aos colegas do Serviço de Tratamento Biológico do Hospital das Clínicas. Às colegas do Serviço de Neuropsicologia do IPq-HC-FMUSP que realizaram as avaliações cognitivas. Ao psicólogo Martin Myczkowski que aplicou as escalas de avaliação da depressão. À Srta. Bárbara Cristiane Bonetti, por sua ajuda inestimável na realização da pesquisa e na confecção da tese. Este estudo contou com uma bolsa de Doutorado Sandwich fornecida pelo Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), graças à qual foi realizado um estágio no Laboratório do Prof. Pascual-Leone no Beth Israel Deaconess Medical Center-Harvard Medical School-Boston, EUA. * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr) * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr) * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr) * nível de significância estatística do teste de Tukey-HSD ** G1 = grupo 1 (ECT); G2 = grupo 2 (EMTr)

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Public Perceptions of Electroconvulsive Therapy: A Historic Review

Cited by 7 publications

References 1 publication

Does electroconvulsive therapy cause brain damage: An update

Does electroconvulsive therapy cause brain damage: An update

Treating Depression with ECT: An Objective Review

"Estimulação magnética transcraniana de repetição: comparação da eficácia com a eletroconvulsoterapia"

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