Journal of Ect最新文献_第5页

Sociodemographic Patterns of Electroconvulsive Therapy Referral and Utilization in a Tertiary Health Care Facility. 三级医疗机构电痉挛治疗转诊和使用的社会人口学模式。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001134

Adeolu Funso Oladunjoye, Syed Murtaza, Isabel Draper, Robin Livingston

{"title":"Sociodemographic Patterns of Electroconvulsive Therapy Referral and Utilization in a Tertiary Health Care Facility.","authors":"Adeolu Funso Oladunjoye, Syed Murtaza, Isabel Draper, Robin Livingston","doi":"10.1097/YCT.0000000000001134","DOIUrl":"10.1097/YCT.0000000000001134","url":null,"abstract":"Objective: Despite electroconvulsive therapy's (ECT) proven effectiveness in various psychiatric conditions, ECT referral and utilization remains suboptimal. This study sought to examine the pattern of ECT referral and utilization at a tertiary care center and to assess factors contributing to the underutilization of ECT.Methods: This retrospective study examined patients referred to ECT at this facility from 2022-2023 (N = 76, ≥18 y/o) with demographic data obtained from the electronic medical record.Results: Seventy-six patients were referred for ECT, with 35 receiving treatments. The treated group had a slightly younger mean age (45.5 vs 46.2 years). Gender distribution varied, with more males receiving ECT (54.3%) and more females declining (70.7%). Whites were the majority in both groups, but Blacks were less likely to receive ECT (14 not treated vs 4 treated), while Hispanics were more likely to be treated (2 not treated vs 7 treated). Declining ECT was more frequent among Whites (61.9%) and Blacks (33.3%), while transportation and logistical issues affected various racial groups with the highest impact on Blacks (42.9%). Major depressive disorder was the primary diagnosis, evenly distributed between treated and nontreated patients. In comparison to state data, Blacks and Asians showed a higher representation among the treatment group with those treated with ECT, 11.4% versus 6.7% and 5.7% versus 3.5%, respectively.Conclusions: ECT remains underutilized among minority racial/ethnic groups. Factors contributing to this pattern include referral, patient preference, and/or other specific situations that need to be addressed to reduce disparities.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"201-206"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765983","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}

引用次数: 0

Remote Ischemic Preconditioning Does Not Alleviate Post-Electroconvulsive Therapy Cognitive Dysfunction. 远端缺血预处理不能缓解电痉挛治疗后的认知功能障碍。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001150

Ravitej Bhat, Venkatapura J Ramesh, Jagadisha Thirthalli, Channaveerachari Naveen Kumar, Kadarapura Nanjundaiah Gopalakrishna

{"title":"Remote Ischemic Preconditioning Does Not Alleviate Post-Electroconvulsive Therapy Cognitive Dysfunction.","authors":"Ravitej Bhat, Venkatapura J Ramesh, Jagadisha Thirthalli, Channaveerachari Naveen Kumar, Kadarapura Nanjundaiah Gopalakrishna","doi":"10.1097/YCT.0000000000001150","DOIUrl":"10.1097/YCT.0000000000001150","url":null,"abstract":"Objective: This study aimed to evaluate the efficacy of remote ischemic preconditioning in decreasing post-electroconvulsive therapy-induced cognitive dysfunction.Methods: This was a randomized controlled clinical trial in patients with schizophrenia. The patients recruited in the study were subjected to RIPC or sham RIPC. RIPC or sham RIPC was given before each ECT, and the patient was followed up with six ECTs. The cognitive and memory assessments before and after ECT within and between the groups were compared via the Hindi Mental State Examination (HMSE), Battery for Electroconvulsive Therapy-Related Cognitive Deficits (B4ECT ReCoDe), Clinical Global Impression-Severity Index (CGI-SI), and PGI Memory Scale (PGI).Results: The sociodemographic and clinical profiles were similar between the groups. The HMSE ( P = 0.824), B4ECT ReCoDe ( P = 0.225), PGI ( P = 0.111), and CGI-S ( P = 0.776) scores were not significantly different between the groups.Conclusions: Remote ischemic preconditioning was not successful in decreasing post-cognitive dysfunction in patients with schizophrenia who were receiving electroconvulsive therapy. However, it was safe and feasible in ECT patients and did not have any significant effect on the primary disease.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e29-e35"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Electroconvulsive Therapy in a University Psychiatric Hospital in Brazil. 电休克疗法在巴西一所大学精神病院的应用。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-09-10 DOI: 10.1097/YCT.0000000000001129

Elaine Loureiro Pereira-Soares, Antonio Leandro Nascimento, Gabriel Caetano Dos Santos, Natia Horato, Antonio Egidio Nardi

{"title":"Use of Electroconvulsive Therapy in a University Psychiatric Hospital in Brazil.","authors":"Elaine Loureiro Pereira-Soares, Antonio Leandro Nascimento, Gabriel Caetano Dos Santos, Natia Horato, Antonio Egidio Nardi","doi":"10.1097/YCT.0000000000001129","DOIUrl":"10.1097/YCT.0000000000001129","url":null,"abstract":"Objectives: The aim of the study were to describe the practice of electroconvulsive therapy (ECT) at the Institute of Psychiatry (IPUB) of the Federal University of Rio de Janeiro (UFRJ) from 2015 to 2019 and to compare it with previous years at the same institute and with international practices.Methods: Sociodemographic and epidemiological data, along with information on ECT and anesthetic techniques, were collected from the medical records of all patients who received ECT at IPUB-UFRJ between 2015 and 2019.Results: A total of 238 patients underwent 4110 ECT sessions during the study period. A slight predominance of female patients (55.9%) was observed. Most patients were aged between 21 and 40 years (46.2%). Over half of the patients were outpatients (63.4%), with bipolar affective disorder being the most common diagnosis, accounting for 35.7% of ECT indications. Consent for ECT was obtained from all patients. Most treatments (85.2%) were conducted during the acute phase of illness. The average number of ECT sessions per patient was 5.4. All patients received anesthesia, and no deaths or severe complications related to ECT occurred. Monitoring cognitive effects and discharge criteria were the responsibility of the attending physician.Conclusions: The practice of ECT at IPUB-UFRJ adhered to both local and international guidelines. There has been a notable shift in the utilization patterns of ECT at the institute compared to previous years. Standardized monitoring of cognitive effects and discharge criteria remains essential.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"170-174"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442802","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}

引用次数: 0

Change in the Use of Electroconvulsive Therapy Between 2012 and 2022 in Northern Finland. 2012年至2022年芬兰北部电痉挛疗法使用的变化

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-09-01 Epub Date: 2026-06-03 DOI: 10.1097/YCT.0000000000001275

Matias Leppäaho, Saana Karttunen, Marianne Haapea, Anna-Sofia Myllynen, Helinä Hakko, Erika Jääskeläinen

{"title":"Change in the Use of Electroconvulsive Therapy Between 2012 and 2022 in Northern Finland.","authors":"Matias Leppäaho, Saana Karttunen, Marianne Haapea, Anna-Sofia Myllynen, Helinä Hakko, Erika Jääskeläinen","doi":"10.1097/YCT.0000000000001275","DOIUrl":"10.1097/YCT.0000000000001275","url":null,"abstract":"Objectives: The demand for Electroconvulsive Therapy (ECT) has been increasing. The aim of this study was to analyze changes in the rate of ECT use at Oulu University Hospital in Northern Finland from 2012 to 2022 and to explore factors associated with these changes.Methods: The data include all patients who received ECT between April 2012 and the end of 2022 at the neuromodulation unit in the department of psychiatry at Oulu University Hospital. The unit's catchment area covers a population of 484,400 people. The study focuses on the annual number of ECT and maintenance ECT (M-ECT) sessions, the ECT use rate per 100,000 people, and the number of individual patients and their characteristics, with a focus on yearly changes.Results: The number of ECT sessions has increased significantly during the follow-up period. There were 1373 ECT sessions in the first full year of 2013 and 3000 sessions in 2022. The growth was particularly notable in M-ECT. ECT was performed on 96 unique patients in 2013 and 189 in 2022. The ECT use rate in 2022 was 45.7 per 100,000 population. 54.6% of the patients were female. The most common diagnosis was major nonpsychotic depression (45.9%).Conclusions: The results show a steady increase in the demand for ECT. The use rate in Northern Finland is higher than in the previous Finnish study and among the highest in Europe. Improved strategies to prevent post-ECT relapses and alternative treatment methods for treatment-resistant depression (TRD) are needed.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"207-215"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13561100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ECT Administration in Type 1 Chiari Malformation and Ehlers-Danlos Syndrome. 1型Chiari畸形和ehers - danlos综合征的电痉挛治疗。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-08-31 DOI: 10.1097/YCT.0000000000001305

Chanel Parmar, Kyaw Sein, Andrew Nivison, Kate Prior

引用次数: 0

Electroconvulsive Therapy in a Longitudinal Transition From Early-Onset Obsessive-Compulsive Disorder to a Schizo-Obsessive Phenotype: Differential Symptom Domain Responsiveness. 电休克疗法在从早发性强迫症到精神分裂-强迫表型的纵向过渡：不同症状域反应性。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-08-27 DOI: 10.1097/YCT.0000000000001314

Faruk Kurhan, Şükriye Ersen

{"title":"Electroconvulsive Therapy in a Longitudinal Transition From Early-Onset Obsessive-Compulsive Disorder to a Schizo-Obsessive Phenotype: Differential Symptom Domain Responsiveness.","authors":"Faruk Kurhan, Şükriye Ersen","doi":"10.1097/YCT.0000000000001314","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001314","url":null,"abstract":"Electroconvulsive therapy (ECT) is a well-established intervention for severe and treatment-resistant psychotic disorders; however, its domain-specific effectiveness across obsessive-compulsive and psychotic symptom dimensions within schizo-obsessive spectrum transitions is not well described. We report an 18-year-old female with severe childhood-onset obsessive-compulsive disorder (OCD) who, across adolescence, developed progressive insight erosion followed by referential delusions and tactile hallucinations. Across 3 consecutive hospitalizations, the clinical burden shifted from predominantly obsessive-compulsive pathology to psychosis-dominant symptomatology, prompting multimodal pharmacotherapy and repeated courses of ECT (total 12 sessions). Longitudinal symptom monitoring demonstrated partial and fluctuating improvement of obsessive-compulsive symptoms, while psychotic symptom severity showed marked and reproducible reduction following ECT courses, accompanied by global clinical improvement. This case highlights a clinically meaningful dissociation in treatment responsiveness, suggesting that ECT may preferentially ameliorate the psychotic dimension in schizo-obsessive spectrum presentations, whereas obsessive pathology may persist as residual burden, underscoring the importance of dimensional and stage-sensitive treatment planning.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842228","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}

引用次数: 0

Correlates of Implantable Port Placement in Patients Receiving Electroconvulsive Therapy. 接受电休克治疗的患者植入式端口放置的相关因素。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-08-20 DOI: 10.1097/YCT.0000000000001311

Daniel P Larson, Mario Davidson, Donald Sengstack, James Luccarelli, Joshua R Smith

{"title":"Correlates of Implantable Port Placement in Patients Receiving Electroconvulsive Therapy.","authors":"Daniel P Larson, Mario Davidson, Donald Sengstack, James Luccarelli, Joshua R Smith","doi":"10.1097/YCT.0000000000001311","DOIUrl":"10.1097/YCT.0000000000001311","url":null,"abstract":"Objectives: Establishing intravenous access before each electroconvulsive therapy (ECT) session can be challenging, contributing to delays, sedation-related interventions, and treatment discontinuation. Implantable ports may reduce these barriers, yet factors associated with port placement are not well understood. This study examined correlates of port placement among patients receiving ECT.Methods: We conducted a retrospective cohort study of patients who received ECT at a single academic center between 2017 and 2025. The primary outcome was receipt of an implantable port for facilitation of ECT. Variables examined included age, sex, race, number of ECT sessions, history of catatonia, and history of autism spectrum disorder, using univariate statistical tests.Results: A total of 1057 patients were included; 27 (2.6%) received a port. Higher ECT session count was associated with port placement (P<0.001). The number of ECT sessions before port placement ranged from 0 to 135, with a median value of 11. The history of autism was more common among port recipients (6.6% in nonport patients vs. 22.2% with port, P=0.002). Female sex was associated with port placement (56.4% vs. 77.8%, P=0.027).Conclusions: Higher treatment burden, history of autism, and female sex were associated with increased likelihood of port placement among patients receiving ECT. Recognition of these factors may support earlier consideration of port placement in patients anticipated to require prolonged or complex ECT courses.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapid Functional Recovery Following Accelerated Transcranial Direct Current Stimulation (tDCS) in Severe Bodily Distress Disorder With Comorbid Epilepsy. 加速经颅直流电刺激（tDCS）治疗伴癫痫的严重躯体困扰障碍后功能快速恢复。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-08-20 DOI: 10.1097/YCT.0000000000001312

Abhishek, Swarndeep Singh, Pankaj Verma, Manushree Gupta, Mohan Dabas, Simran Gill

引用次数: 0

Accidental Sugammadex Administration Before Rocuronium During Electroconvulsive Therapy: The Zero-Complexation Scenario. 在电惊厥治疗期间，在罗库溴铵之前意外给药糖玛德：零复合情况。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-08-18 DOI: 10.1097/YCT.0000000000001309

Tumay Uludag Yanaral, Ayse Ince, Elif Beyza Kucukcingoz

{"title":"Accidental Sugammadex Administration Before Rocuronium During Electroconvulsive Therapy: The Zero-Complexation Scenario.","authors":"Tumay Uludag Yanaral, Ayse Ince, Elif Beyza Kucukcingoz","doi":"10.1097/YCT.0000000000001309","DOIUrl":"https://doi.org/10.1097/YCT.0000000000001309","url":null,"abstract":"Electroconvulsive therapy (ECT) performed with rocuronium-sugammadex requires both agents to be prepared before each session, creating a persistent syringe-swap risk that compounds with repetition. A 48-year-old woman scheduled for her sixth ECT session received sugammadex 200 mg instead of rocuronium due to syringe misidentification driven by task automaticity accumulated over 5 uneventful preceding sessions. Because the entire sugammadex dose remained unbound in plasma (a state we term \"zero-complexation\"), subsequently administered rocuronium 100 mg (1.41 mg/kg) failed to achieve adequate neuromuscular blockade. This scenario is pharmacokinetically distinct from the well-described post-reversal re-dosing situation: 200 mg of free sugammadex sequesters ~56 mg of rocuronium, leaving an insufficient effective dose regardless of the total amount administered. The session was postponed and completed the following day uneventfully with standard-dose rocuronium. We present a management algorithm and a safety checklist designed for the repeated-session context of ECT. This case demonstrates that anesthetic teams using rocuronium-sugammadex for ECT must recognize the cumulative automaticity risk inherent in serial sessions and implement structural safeguards accordingly.","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801750","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}

引用次数: 0

Klazomania Refractory to Electroconvulsive Therapy: A Rare Case Report. 电休克治疗难治性克拉佐马狂躁：罕见病例报告。

IF 2.4 4区医学

Journal of Ect Pub Date : 2026-08-17 DOI: 10.1097/YCT.0000000000001307

Vishwa Thakkar, Sagar Karia, Nilesh Shah

引用次数: 0