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ECT, Blood Pressure Changes and Neuropsychological Deficit

Published online by Cambridge University Press:  29 January 2018

John R. Taylor*
Affiliation:
Washington University School of Medicine, Department of Psychiatry, 4940 Audubon Avenue, St Louis, Missouri 63130, USA
Barbara G. Kuhlengel
Affiliation:
Washington University School of Medicine, Department of Psychiatry, 4940 Audubon Avenue, St Louis, Missouri 63130, USA
Raymond S. Dean
Affiliation:
Department of Psychiatry, 216 South Kingshighway, St Louis, Missouri 63108, USA
*
Correspondence

Summary

Twenty psychiatric in-patients were studied before and after five bilateral electroconvulsive treatments for major depression. There were significant memory and neuropsychological changes after treatment, and significant reductions in depression rating scores, but they did not correlate with various measures of blood pressure elevation during treatment. The importance of ECT-related amnesia is discussed.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Beck, A. T. (1967) Depression: Clinical, Experimental, and Theoretical Aspects. New York: Hoebler.Google Scholar
Benton, A. L. (1963) The Revised Visual Retention Test. Clinical and Experimental Applications. 3rd Edition. New York: Psychological Corporation.Google Scholar
Bidder, T. G., Strain, J. J. & Brunschwig, L. (1970) Bilateral and unilateral ECT: Follow-up study and critique. American Journal of Psychiatry, 127, 737745.Google Scholar
Bolwig, T. G., Hertz, M. M. & Paulson, O. B. (1977) The permeability of the blood-brain barrier during electrically induced seizures in man. European Journal of Clinical Investigation, 7, 8793.CrossRefGoogle ScholarPubMed
d'Elia, G. & Raotma, H. (1975) Is unilateral ECT less effective than bilateral ECT? British Journal of Psychiatry, 126, 8389.Google Scholar
Feighner, J. P., Robins, E. & Guze, S. B. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.Google Scholar
Fink, M. (1979) Vascular effects: Cardiac and cerebral. In Convulsive Therapy: Theory and Practice. New York: Raven Press.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) Mini-mental state. Journal of Psychiatric Research, 12, 189198.CrossRefGoogle ScholarPubMed
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 5662.CrossRefGoogle ScholarPubMed
Folstein, M. F., Stocker, M. J. & Spencer, C. M. (1979) Post-ECT cognitive defect and elevation of blood pressure. British Journal of Psychiatry, 135, 7778.Google Scholar
Ottoson, J. O. (1969) Psychological or physiological theories of ECT. International Journal of Psychiatry, 5, 170174.Google Scholar
Pitts, F. N. Jr. (1982) Medical Physiology of ECT. In Electroconvulsive Therapy. Biological Foundations and Clinical Applications (eds. Abrams, R. & Essman, W. B.). Jamaica, New York: Spectrum Publications.Google Scholar
Squire, L. R. & Chance, P. M. (1975) Memory functions six to nine months after electroconvulsive therapy. Archives of General Psychiatry, 32, 15571564.Google Scholar
Strain, J. J. Brunschwig, L. & Duffy, J. D. (1968) Comparison of therapeutic effects and memory changes with bilateral and unilateral ECT. American Journal of Psychiatry, 125, 294304.CrossRefGoogle ScholarPubMed
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