Efficacy and Safety of ECT for Behavioral and Psychological Symptoms of Dementia (BPSD): A Retrospective Chart Review

Hermida, Adriana P.; Tang, Yi-Lang; Glass, Oliver; Janjua, A. Umair; McDonald, William M.

doi:10.1016/j.jagp.2019.09.008

Cited by 28 publications

(29 citation statements)

References 36 publications

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“…Data have shown that ECT is safe in older adults despite medical comorbidities and is highly effective in treating severe psychiatric illnesses such as major depressive disorder, psychosis, mania, and behavioral symptoms of dementia. 3 , 4 Disruption in the acute course of ECT in the absence of adverse events would be harmful for older patients, potentially precipitating clinical decline.…”

Section: Introductionmentioning

confidence: 99%

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Lapid

Seiner

Heintz

et al. 2020

The American Journal of Geriatric Psychiatry

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Highlights What is the primary question addressed by this study? How have ECT practices changed to adapt to public health guidelines for treating older adults amidst the coronavirus 2019 (COVID-19) pandemic? What is the main finding of this study? Electroconvulsive therapy (ECT) continues to be an essential treatment for older adults with severe mental illness, and extensive infection control and public health measures are being taken to mitigate risk of transmission while sustaining operations. What is the meaning of the finding? Substantial changes to ECT practices are anticipated to be long-standing and will likely evolve further in response to availability of testing and treatment for COVID-19.

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Section: Introductionmentioning

confidence: 99%

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Lapid

Seiner

Heintz

et al. 2020

The American Journal of Geriatric Psychiatry

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“…Dementia can bring a heavy mental as well as economic burden to patients and their families and is a serious social problem. Psycho-behavioral problems are a common symptom of dementia patients ( 3 ), and patients often suffer from physical and verbal aggression, wandering, hallucinations, and sleep disturbances ( 38 ), which seriously threaten their health. A large number of scholars abroad have already paid attention to patients' mental behavior problems, and research on this problem has only begun in China; therefore, scholars in China can refer to more mature studies abroad and design systematic and specific activities for dementia patients based on the Montessori method, so as to improve the quality of survival of dementia patients.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with Alzheimer's disease experience deterioration in cognitive and memory functions, progressive declines in activities of daily living, and a variety of neuropsychiatric symptoms and behavioral disturbances. Behavioral and psychological symptoms of dementia (BPSD) are common symptoms of dementia and manifest as agitation, aggressive behavior, anxiety, and confusion ( 3 ). The occurrence of BPSD can cause distress and discomfort for people with dementia, leading to a reduced quality of life ( 4 ), as well as increasing the stress and burden on caregivers, making care more costly ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Research Trends and Hotspots on Montessori Intervention in Patients With Dementia From 2000 to 2021: A Bibliometric Analysis

Zhou

Sun

et al. 2021

Front. Psychiatry

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Background: Patients with dementia experience a variety of neuropsychiatric symptoms and behavioral disturbances. The Montessori method is a type of non-pharmacological intervention to care for people with dementia. However, there are few bibliometric studies on the application of Montessori methods. We aimed to analyze the hotspots and trends of research on the application of Montessori methods to the care of dementia patients.Methods: Microsoft Office Excel, Co-Occurrence 9.9, and CiteSpace were used to analyze the articles on Montessori intervention in patients with dementia from 2000 to 2021 in China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database, Web of Science core collection database, PubMed, and Scopus.Results: A total of 23 Chinese language publications and 113 English language publications were included. The number of English language publications was on the rise, while the number of Chinese language publications was low. There are many issuing institutions which published articles in this field, mostly concentrated in universities. English language publication sources were more than Chinese language publication sources. The hot research topic in Chinese language publications and English language publications was the care of agitated behavior of dementia patients based on the Montessori method. The psychological problems of dementia patients are likely to become a hot issue of concern for scholars in Chinese. There will be a lot of research focusing on dementia patients and their family caregivers in this field.Conclusion: The bibliometric and visualization analysis helps us understand the current research status and hotspots of Montessori intervention in dementia patients in Chinese language publications and English language publications.

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“…However, there is higher incidence of post-ECT confusion and agitation for which spacing the ECT treatments, administering unilateral ECT, and lowering the stimulus dose may help. 44 Parkinson's disease: ECT increases dopaminergic function, and helps to improve depression and motor symptoms. 45 Traumatic brain injury: It is advisable to wait for the resolution of acute phase.…”

Section: Specific Cns Pathologiesmentioning

confidence: 99%

Challenges during Electroconvulsive Therapy—A Review

Bansal

Surve

Dayananda

2021

J Neuroanaesth Crit Care

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Electroconvulsive therapy (ECT) is one of the most successful treatment techniques employed in psychiatric practice. ECT is usually administered as a last resort to a patient who fails to respond to medical management or on an urgent basis as a life-saving procedure when immediate response is desired. It is performed under general anesthesia and is often associated with autonomic changes. All attempts should be made to minimize the resulting hemodynamic disturbances in all the patients using various pharmacological methods. Anesthesiologists providing anesthesia for ECT frequently encounter patients with diverse risk factors. Concurrent cardiovascular, neurological, respiratory, and endocrine disorders may require modification of anesthetic technique. It is ideal to optimize patients before ECT. In this review, the authors discuss the optimization, management, and modification of anesthesia care for patients with various cardiac, neurological, respiratory, and endocrine disorders presenting for ECT to improve the safety of the procedure. It is not infrequent that an anesthesiologist also plays an important role in inducing a seizure. Proconvulsants such as caffeine, adjuvants like opioids, hyperventilation, and appropriate choice of anesthetic agent for induction such as etomidate or ketamine can help. The use of BIS monitoring to guide the timing of electric stimulation is also elaborated in this review.

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Efficacy and Safety of ECT for Behavioral and Psychological Symptoms of Dementia (BPSD): A Retrospective Chart Review

Cited by 28 publications

References 36 publications

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Electroconvulsive Therapy Practice Changes in Older Individuals Due to COVID-19: Expert Consensus Statement

Research Trends and Hotspots on Montessori Intervention in Patients With Dementia From 2000 to 2021: A Bibliometric Analysis

Challenges during Electroconvulsive Therapy—A Review

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