Considering the substantially higher speed of remission, ECT deserves a more prominent position in the treatment of elderly patients with severe depression.
In our severely depressed elderly patients, neurocognitive performance improved or did not change after ECT. Patients with poor cognitive function were not able to participate in neuropsychological assessment before ECT started. Consequently these results may not apply to patients with more severe cognitive impairment prior to the start of ECT.
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