- •What is the primary question addressed by this study?This study explores the association between baseline cognitive impairment and changes in cognition and depression among geriatric patients undergoing acute course electroconvulsive therapy (ECT).
- •What is the main finding of this study?Baseline impaired global cognitive functioning was associated with improved global cognitive functioning following ECT, while baseline normal cognition was associated with cognitive decline following ECT. Baseline cognitive status was not associated with a differential improvement in depression.
- •What is the meaning of the finding?Baseline impaired global cognitive function should not be viewed as a contraindication to ECT in geriatric patients.
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- Further Evidence Supporting the Utility of ECT for People With Cognitive ImpairmentThe American Journal of Geriatric PsychiatryVol. 30Issue 7
- PreviewThe high efficacy and clinical utility of electroconvulsive therapy (ECT) for people with severe or difficult to treat illness is undisputed. While in western countries, ECT is typically used for the treatment of depression, recent evidence from Asian countries has further indicated high efficacy for the treatment of schizophreniform disorders.1 Neuropsychiatric disorders indicated for ECT, including depression and schizophrenia, are frequently associated with cognitive impairment, which can raise concerns during the treatment decision making process.