Journal of Ect最新文献

{"title":"Accelerated Repetitive Transcranial Magnetic Stimulation (rTMS) for Treatment-Resistant Perinatal Depression and Comorbid Anxiety in the Third Trimester of Pregnancy: A Case of Rapid Clinical Remission.","authors":"Sonia Costantini, Claudia Fava, Rosa P Sant'Angelo","doi":"10.1097/YCT.0000000000001336","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001336","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful Electroconvulsive Therapy for Treatment-Resistant Depression Following Traumatic Brain Injury: A Case Report.","authors":"Yuhi Kitagawa, Shun Igarashi, Kenji Kawaguchi, Shinsuke Kito","doi":"10.1097/YCT.0000000000001337","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001337","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe Autoimmune Hypothyroidism as a Reversible Cause of Failure to Induce Therapeutic Seizures During Electroconvulsive Therapy.","authors":"Neetu Garg, Dhruv Khanna, Shobit Garg","doi":"10.1097/YCT.0000000000001334","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001334","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topical Ketorolac Pretreatment for Successful Prevention of Recurrent Transcranial Direct Current Stimulation-Associated Skin Erythema: A Case Report.","authors":"Swarndeep Singh, Shivram, Pankaj Verma","doi":"10.1097/YCT.0000000000001330","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001330","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Electroconvulsive Therapy in a Patient With SCN2A-Variant Catatonia Is Associated With Postictal Spreading Depolarization.","authors":"Zachary Rosenthal, Khyati Lad, Rena Li, John Chaves, Golkoo Hosseini, Mario Cristancho, Charles Palmer","doi":"10.1097/YCT.0000000000001333","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001333","url":null,"abstract":"<p><p>An 18-year-old female patient with a history of autism spectrum disorder and SCN2A loss-of-function variant received a course of electroconvulsive therapy (ECT) for catatonia, which had been present and disabling for 1 year. After a partial lorazepam taper, bitemporal ECT was initiated. The patient had a rapid and robust response to ECT with improvement in the Bush-Francis Catatonia Rating Scale to 0 after 4 treatments and sustained catatonia remission even after lorazepam cessation. After the patient's family opted to discontinue ECT after the index course, she suffered a recurrence of her catatonia 2 months later, which remitted after a second index ECT course. The patient's brain physiology was highly stereotyped across treatments, with prominent EEG postictal suppression coinciding with cortical spreading depolarization (CSD). This case represents the fourth-ever reported case of SCN2A-associated catatonia and the oldest onset of catatonia in this population. In addition, it provides support for the emerging evidence for CSD as a potential contributor to both ECT postictal suppression and clinical response.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Intravenous Anesthetic Combinations for Electroconvulsive Therapy Under General Anesthesia and Muscle Relaxation in Patients With Mental Illness: A Scoping Review.","authors":"Sebastián López-Ospino, Jorge Luis Cortés Jiménez, Angela Acero-González, Henry Oliveros, Fernando Rios-Barbosa","doi":"10.1097/YCT.0000000000001327","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001327","url":null,"abstract":"<p><strong>Background: </strong>Modified electroconvulsive therapy (mECT) requires general anesthesia, and induction-agent selection influences seizure quality, hemodynamic stability, recovery, and adverse events. Evidence regarding induction-agent combinations remains fragmented.</p><p><strong>Objective: </strong>To map the clinical evidence on combinations of intravenous induction agents used during mECT, summarize reported outcomes, and identify knowledge gaps.</p><p><strong>Methods: </strong>A PRISMA-ScR-compliant scoping review was conducted using PubMed, Embase, ScienceDirect, and LILACS (2004 to 2024). Eligible studies included adults undergoing mECT receiving combinations of at least 2 intravenous induction agents in comparative clinical studies. Systematic reviews were excluded from the primary synthesis but screened through citation tracking. Two reviewers independently performed study selection, data extraction, and risk-of-bias assessment (Cochrane RoB 2). Findings were synthesized narratively.</p><p><strong>Results: </strong>Twenty-nine studies met the eligibility criteria, all randomized controlled trials. The most common combinations were propofol-ketamine (ketofol), propofol-dexmedetomidine, and propofol-remifentanil. Compared with propofol alone, ketamine-containing regimens were generally associated with longer seizure durations. Compared with ketamine-containing regimens, propofol-based regimens provided greater hemodynamic stability and faster recovery but shorter seizure durations. Adding remifentanil to propofol tended to prolong seizure duration while maintaining rapid recovery. Adding dexmedetomidine to propofol-, ketofol-, or thiopental-based regimens reduced agitation and sympathetic responses but was occasionally associated with bradycardia and hypotension. Heterogeneity in interventions, comparators, and outcome measures precluded conclusions regarding the superiority of any anesthetic combination.</p><p><strong>Conclusions: </strong>Intravenous induction-agent combinations in mECT seem to offer complementary pharmacologic advantages depending on the desired clinical outcome. However, current evidence does not support the superiority of any single regimen. Future comparative trials using standardized outcome measures are needed to better inform anesthetic selection.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographic Disparities and Socioeconomic Barriers to Electroconvulsive Therapy in the United States: A Nationwide GIS Analysis and Manual Audit.","authors":"Davis Whaley","doi":"10.1097/YCT.0000000000001332","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001332","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify the geographic distribution of verified electroconvulsive therapy (ECT) facilities in the United States, analyze the relationship between facility proximity and county-level socioeconomic status, and disseminate these findings using a public-access locator tool at mapofect.com.</p><p><strong>Methods: </strong>A multistage manual audit was conducted between January and April 2026. After exhaustive internet searches, facilities were contacted by telephone to verify active ECT services. Straight-line Euclidean distance was calculated from every US zip code centroid to the nearest verified facility. Distances were merged with 2020 American Community Survey 5-year estimates for socioeconomic analysis.</p><p><strong>Results: </strong>The audit identified 627 potential sites and verified 328 active ECT facilities. Notably, 26% of facilities listed in federal directories as ECT providers were found to no longer offer the service. Socioeconomic analysis revealed a significant negative correlation between median income and distance to care (r=-0.281, P<0.001). Residents in the poorest quartile of zip codes live an average of 75.3 miles from a facility, compared to 44.4 miles for the wealthiest quartile.</p><p><strong>Conclusions: </strong>Geographic scarcity and data inaccuracies are primary barriers to ECT access. A 30.9-mile \"access gap\" exists between the wealthiest and poorest Americans. Publicly accessible, verified tools like mapofect.com are necessary to improve mental health equity.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence Base for Positioning Electroconvulsive Therapy and Magnetic Seizure Therapy in Treatment Guidelines for Major Depressive Disorder.","authors":"Beyza Erdogan Akturk, Murat Ilhan Atagun","doi":"10.1097/YCT.0000000000001331","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001331","url":null,"abstract":"<p><p>Major depressive disorder (MDD) is characterized in a substantial proportion of patients by an inadequate response to standard pharmacological and psychotherapeutic interventions, thereby increasing the need for more rapid and potent biological treatments. In this context, convulsive neuromodulation therapies play a central clinical role, particularly in severe, psychotic, treatment-resistant, or life-threatening depressive states. Electroconvulsive therapy (ECT) is regarded as one of the most effective biological interventions for the treatment of MDD, supported by decades of clinical experience and high-level evidence. Magnetic seizure therapy (MST), by contrast, aims to exert antidepressant effects through convulsive mechanisms similar to those of ECT and has attracted increasing interest due to its more focal cortical stimulation and its potential to offer a more favorable cognitive adverse-effect profile. In this review, ECT and MST in MDD are examined comparatively in light of the current evidence, with acute efficacy, cognitive safety, and use in special patient populations evaluated within an integrated framework. While the acute antidepressant efficacy and clinical predictability of ECT are supported at the highest level, MST appears to be a promising yet still experimental option, particularly in selected cases in which cognitive safety is prioritized. This review aims to clarify the position of ECT and MST within treatment algorithms for MDD and to support clinical decision-making.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Dental Surgery During Electroconvulsive Therapy: A Multidisciplinary Case Report.","authors":"Selim Polat, Şengül Kocamer Şahin, Muhammet Sarıgöz, Merve Can Miçooğulları, Mahmut H Yurtçu, Ali E Hepsağ, Hatice Şimşek Ülkü, Beste K Kısacık, Yaren K Doğru, Yarkın Özenli, Cumali Yüksekkaya, Elif G Yüce Antepüzümü, Hüner Bulut","doi":"10.1097/YCT.0000000000001321","DOIUrl":"10.1097/YCT.0000000000001321","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electroconvulsive Therapy in Denmark From 2017 to 2025: A Nationwide Register-Based Study.","authors":"Mads H Esmann, Anders Ørberg, Ana L Carmo, Søren D Østergaard","doi":"10.1097/YCT.0000000000001329","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001329","url":null,"abstract":"<p><strong>Objective: </strong>Electroconvulsive therapy (ECT) is a well-established treatment for severe manifestations of mental illness. This study examined trends in ECT use in Denmark from 2017 to 2025 using nationwide data from the Danish National Patient Register.</p><p><strong>Methods: </strong>The data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>The use of voluntary ECT increased from 2017 to 2019, after which it plateaued. It was the number of patients treated that increased rather than the number of treatments per patient. The increase was not explained by population growth, ie, the number of patients treated voluntarily with ECT per 100,000 inhabitants increased from 32 in 2017 to ∼40 in 2019 to 2025. The development in the use of involuntary ECT parallelled that observed for voluntary ECT. The increases in use of voluntary and involuntary ECT over time were both predominantly due to the treatment being used more often for schizophrenia and other psychotic disorders. At the national level, bilateral electrode placement remained the preferred option across the observation period, while substantial interhospital differences were noted.</p><p><strong>Conclusions: </strong>The use of ECT in Denmark has increased over the past decade, predominantly due to the more common use of ECT for schizophrenia and other psychotic disorders. Given the beneficial efficacy to side-effect ratio of ECT with unilateral electrode placement, a shift towards more use of this approach may be called for in cases where rapid response is not urgently needed.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}