2011
DOI: 10.3109/15622975.2011.615863
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Systematic review and meta-analysis of bifrontal electroconvulsive therapy versus bilateral and unilateral electroconvulsive therapy in depression

Abstract: Bifrontal ECT is not more effective than BT or RUL ECT but may have modest short-term benefits for specific memory domains. BF ECT has potential advantages, but given longer experience with BT and RUL, bifrontal ECT requires better characterization.

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Cited by 88 publications
(67 citation statements)
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“…ECT should be given weekly for 1 month, then every 2 weeks, with flexibility according to response and side effects. increased cognitive adverse effects in the treatment of depression, careful consideration of the benefits and risks is warranted before prescribing prolonged index courses of bitemporal ECT (Dunne and McLoughlin, 2012;Phutane et al, 2013;Sackeim et al, 2006). The adverse cognitive effects of ECT in people with schizophrenia appear to be consistent with those observed in the treatment of depression.…”
Section: Cbr N/amentioning
confidence: 97%
“…ECT should be given weekly for 1 month, then every 2 weeks, with flexibility according to response and side effects. increased cognitive adverse effects in the treatment of depression, careful consideration of the benefits and risks is warranted before prescribing prolonged index courses of bitemporal ECT (Dunne and McLoughlin, 2012;Phutane et al, 2013;Sackeim et al, 2006). The adverse cognitive effects of ECT in people with schizophrenia appear to be consistent with those observed in the treatment of depression.…”
Section: Cbr N/amentioning
confidence: 97%
“…Global cognitive function at baseline, as measured by the Mini Mental State Examination (MMSE: Engedal et al, 1988;Folstein et al, 1975), has not been shown to discriminate between remitters and non-remitters (Hausner et al, 2011;Oudega et al, 2011). Although being widely used as a test of cognition in ECT research, it provides only an overall score which cannot be localized to particular cognitive domains (Dunne and McLoughlin, 2012). Hence, it remains to be established whether specific cognitive functions are predictive of remission after ECT.…”
Section: Introductionmentioning
confidence: 98%
“…For example, in bifrontal ECT, moving the stimulating electrodes more anteriorly, away from the temporal lobe, has resulted in less cognitive side effects, but comparable efficacy, to bitemporal ECT. 14,15 Lesser temporal lobe activation with bifrontal ECT compared with bitemporal ECT has been demonstrated both in neuroimaging studies and computer modeling studies. [16][17][18][19] Of the brain structures comprising the medial temporal lobe, the HC is considered essential for memory encoding, and consolidation and minimization of HC stimulation in ECT may be a useful strategy.…”
mentioning
confidence: 95%