Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
'Side effects' of ECT are mainly depressive phenomena and are independent of age
Autore:
Brodaty, H; Berle, D; Hickie, I; Mason, C;
Indirizzi:
Prince Wales Hosp, Acad Dept Old Age Psychiat, Randwick, NSW 2031, Australia Prince Wales Hosp Randwick NSW Australia 2031 ndwick, NSW 2031, Australia Univ New S Wales, Sch Psychiat, Sydney, NSW, Australia Univ New S Wales Sydney NSW Australia h Psychiat, Sydney, NSW, Australia St George Hosp, Acad Dept Psychiat, Kogarah, NSW, Australia St George Hosp Kogarah NSW Australia t Psychiat, Kogarah, NSW, Australia Community Hlth Serv, Kogarah, NSW, Australia Community Hlth Serv Kogarah NSW Australia Serv, Kogarah, NSW, Australia
Titolo Testata:
JOURNAL OF AFFECTIVE DISORDERS
fascicolo: 2-3, volume: 66, anno: 2001,
pagine: 237 - 245
SICI:
0165-0327(200110)66:2-3<237:'EOEAM>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
ELECTROCONVULSIVE-THERAPY; BILATERAL ECT; MEMORY; OLD; DISORDERS; EFFICACY; SCALE; PULSE;
Keywords:
electroconvulsive therapy; side effects; cognition; age; aging; depression;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Brodaty, H Prince Wales Hosp, Acad Dept Old Age Psychiat, Randwick, NSW 2031, Australia Prince Wales Hosp Randwick NSW Australia 2031 2031, Australia
Citazione:
H. Brodaty et al., "'Side effects' of ECT are mainly depressive phenomena and are independent of age", J AFFECT D, 66(2-3), 2001, pp. 237-245

Abstract

Background: The aetiology of reported side effects of electroconvulsive therapy (ECT) is unclear. We examined the interaction of depression and age on adverse neuropsychological and putative side effects of ECT. Method: Inpatients (N = 81 ; median age 70 years) with major depression were assessed prospectively pre-ECT, immediately post-ECT and 1-3 years later. Patients were administered the Hamilton Rating Scale for Depression (HRSD), the GlobalAssessment of Functioning scale (GAF) and neuropsychological tests from the Wechsler Memory Scale. Side effects and total burden scores were rated pre- and post-treatment. Results: HRSD and GAF scores improved with treatmentafter ECT. but the prevalence and total burden of side effects were unchanged. Side effect burden was related to depression level before and after ECT. Improvement in depression correlated with reduction in side effect burden. There was a significant decline in side effect burden after controlling for change in depression. Patients' scores on neuropsychological measures did not appear to change after ECT or between pre-ECT and follow-up. Re-analysis, allowing for age. chronicity of depression, medication use and development of dementia. did not alter the findings. Limitations: lack of a control group, lack of information on ECT technique, incomplete data sets and limited neuropsychological testing. Conclusions: ECT, an effective treatment for depression, does not cause significant side effects or neuropsychological impairment. which are more likely to be depressive phenomena. ECT appears to be safe for old (65 years) and very old (greater than or equal to 75 years) patients, who do not appear to be more susceptible to adverse effects. (C) 2001 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/06/20 alle ore 00:40:19