Subjective evaluation of the therapeutic and cognitive effects of electroconvulsive therapy.

Brain Stimulation
Robert M BermanH A Sackeim

Abstract

Methods used to evaluate subjective effects of electroconvulsive therapy (ECT) have relied on self-report about discrete aspects of memory. Although objective deficits are demonstrable, patients generally report improved memory after ECT. Patients have not been asked to evaluate the global impact of ECT on mood or memory. This study was undertaken to compare patients' evaluations of ECT outcomes using direct questioning about global impact compared with standard methods. A prospective, naturalistic study was conducted in seven hospitals. Patients completed clinical and neurocognitive assessments before ECT, including the Cognitive Failures Questionnaire (CFQ), the Autobiographical Memory Interview-Short Form, and a novel interview assessing expectations about the impact of ECT on mood and memory (Global Self-Evaluation-Mood [GSE-Md], GSE-memory [GSE-My]). Follow-ups were conducted one and 24 weeks after ECT, and the GSE-Md and GSE-My evaluated perceived global impact at these time points. Patients reported marked improvement after ECT on the CFQ, a traditional instrument assessing specific cognitive complaints. CFQ and depression severity scores were strongly correlated. On the GSE-My, patients reported a deleterious memory eff...Continue Reading

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Citations

Apr 30, 2014·Neuropsychiatry·Nancy Kerner, Joan Prudic
Oct 1, 2013·Journal of Psychiatric Research·Donel M MartinColleen K Loo
Dec 9, 2016·The Journal of ECT·Ole BrusAxel Nordenskjöld
Oct 12, 2010·The Journal of ECT·Eva-Lotta BrakemeierHarold A Sackeim
Mar 10, 2020·BJPsych Open·Robert SigströmMikael Landén
Mar 19, 2020·Journal of Mental Health·K WellsA Honey
May 22, 2020·The Australian and New Zealand Journal of Psychiatry·Donel M MartinColleen K Loo
Mar 13, 2019·BJPsych Bulletin·Simon Vann Jones, Rick McCollum
Jan 21, 2021·Cognitive Neuropsychiatry·Matthew LomasAdam Zeman

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