Comparison of Therapeutic Effects and Memory Changes with Bilateral and Unilateral ECT

Strain, James J.; Brunschwig, Lily; Duffy, James; Agle, David P.; Rosenbaum, Arnold; Bidder, T. George

doi:10.1176/ajp.125.3.294

Cited by 78 publications

(20 citation statements)

References 15 publications

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“…The fairly equal time of stimulation in BIand UNI-ECT is in agreement with the findings of Cannicott (1 963), lmpastato tk Karliner (1965), McAndreiv et al (1967, Strain et al (1968). Divergent results implying a higher threshold in IJNI-ECT (Zamora tk Kaelbling 196.5, Cottlieb & Wilson 1965, Wilson tk Gottfieh 1967, Levy 2968) may be due to different types of stimulation and electrodes.…”

Section: Comments On the Resultssupporting

confidence: 84%

Comparison of Electroconvulsive Therapy With Unilateral and Bilateral Stimulation

d'EHA

1970

Acta Psychiatr Scand

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Section: Comments On the Resultssupporting

confidence: 84%

Comparison of Electroconvulsive Therapy With Unilateral and Bilateral Stimulation

d'EHA

1970

Acta Psychiatr Scand

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“…these interactions did not generally provide specific retrieval strategies or cues to help subjects generate 'episodes. We therefore suggest that the effect of the probes was to counteract the loss of initiative so often noted in these patients [38].…”

Section: Comparison Of Remote Semantic and Episodic Memory In Amnesiamentioning

confidence: 80%

Recall of remote episodic memory in amnesia

1983

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Abstract-Recall of remote episodic memory was assessed in three types of amnesic patient whose remote semantic memory had been evaluated previously. Patients with Korsakoffs syndrome, case N.A. and patients receiving electroconvulsive therapy all succeeded in recalling specific autobiographical episodes in response to single-word cues, and in many conditions performed as well as control subjects. Their pattern of performance generally paralleled that obtained in previous tests of remote semantic memory. These results argue against a view that amnesia reflects a selective deficit of episodic memory and suggest that the semanticepisodic distinction cannot illuminate the fundamental deficit in amnesia. Nor can the facts of amnesia confirm or deny the validity of this distinction in normal memory.

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“…Over the years, attempts have been made to minimize the severity of post-ECT confusion by focussing on a variety of methodological factors within the clinician's control, such as electrode placement, stimulus waveform, stimulus dose, intervals between treatments and treatment number (Strain et al, 1968;Bidder et al, 1970;Weiner, 1984;Sackeim et al, 1986;Weiner et al, 1986;Sackeim et al, 1993). Though such strategies have produced some modest bene®t, further progress in this area most likely depends on a greater understanding of the underlying pathophysiological mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Using thiamine to reduce post‐ECT confusion

Linton

Reynolds

Warner

2002

Int J Geriat Psychiatry

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Cognitive side-effects are commonly seen following electroconvulsive therapy which convey no therapeutic benefit but are troublesome to both patient and clinician. Various efforts have been made in the past to minimize these symptoms. Although modification of technical parameters related to ECT administration has led to some limited improvement in this regard, attention is now being increasingly focussed on pharmacological approaches. A number of agents have been explored in this context, however, as far as we are aware, the use of thiamine has not yet been investigated. We present three cases of elderly patients undergoing ECT for major depression in whom thiamine administration was associated with beneficial effects on post-ECT confusion. We review the evidence suggesting that thiamine deficiency may be implicated in the confusional state following ECT and recommend that consideration be given to its use in preventing and treating this problematic side-effect, especially in elderly patients.

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Comparison of Therapeutic Effects and Memory Changes with Bilateral and Unilateral ECT

Cited by 78 publications

References 15 publications

Comparison of Electroconvulsive Therapy With Unilateral and Bilateral Stimulation

Comparison of Electroconvulsive Therapy With Unilateral and Bilateral Stimulation

Recall of remote episodic memory in amnesia

Using thiamine to reduce post‐ECT confusion

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