Cognitive functioning in patients treated with electroconvulsive therapy

Lucie Kalisova, Marketa Kubinova, Jiri Michalec, Jakub Albrecht, Katerina Madlova, Jiri Raboch Department of Psychiatry, First Faculty of Medicine, Charles University, General University Hospital in Prague, Prague, Czech Republic Background: Electroconvulsive therapy (ECT) is an effective treatmen...

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Autores principales:	Kalisova L, Kubinova M, Michalec J, Albrecht J, Madlova K, Raboch J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	electroconvulsive therapy cognition side effects MCCB Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/2355d2cd65c0479596ee18935b4e8e57
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spelling	oai:doaj.org-article:2355d2cd65c0479596ee18935b4e8e572021-12-02T07:05:54ZCognitive functioning in patients treated with electroconvulsive therapy1178-2021https://doaj.org/article/2355d2cd65c0479596ee18935b4e8e572018-11-01T00:00:00Zhttps://www.dovepress.com/cognitive-functioning-in-patients-treated-with-electroconvulsive-thera-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Lucie Kalisova, Marketa Kubinova, Jiri Michalec, Jakub Albrecht, Katerina Madlova, Jiri Raboch Department of Psychiatry, First Faculty of Medicine, Charles University, General University Hospital in Prague, Prague, Czech Republic Background: Electroconvulsive therapy (ECT) is an effective treatment method for severe mental illnesses. ECT has gone through significant modernization. Side effects of ECT have largely decreased. Temporary disturbance of cognitive performance can be still present as a side effect of electroconvulsive treatment. Methods: Cognitive functioning in the sample of patients with severe and acute mental illness treated with electroconvulsive therapy (ECT) was assessed. Basic assessment of cognitive functions was applied in the beginning, in the middle, and at the end of ECT course treatment with the Montreal Cognitive Assessment (MoCA). Complex and detailed testing of cognitive functions using the MATRICS Consensus Cognitive Battery (MCCB) was done at two points in time – within the first week of and then 6 weeks after the end of ECT. Results: Participants had cognitive deficits at baseline, which were most likely influenced markedly by the psychopathology of the illness itself. The improvement in cognition came together with the reduction in psychopathology; psychopathology scores were significantly reduced during ECT treatment. Compared to the baseline, all scores for cognitive testing were significantly improved but remained low in comparison with the controls. After 6 weeks, there was further significant improvement. Conclusion: Our results confirm the safety and efficacy of ECT in the treatment of severe mental disorders. Keywords: electroconvulsive therapy, cognition, side effects, MCCBKalisova LKubinova MMichalec JAlbrecht JMadlova KRaboch JDove Medical Pressarticleelectroconvulsive therapycognitionside effectsMCCBNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 3025-3031 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	electroconvulsive therapy cognition side effects MCCB Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	electroconvulsive therapy cognition side effects MCCB Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kalisova L Kubinova M Michalec J Albrecht J Madlova K Raboch J Cognitive functioning in patients treated with electroconvulsive therapy
description	Lucie Kalisova, Marketa Kubinova, Jiri Michalec, Jakub Albrecht, Katerina Madlova, Jiri Raboch Department of Psychiatry, First Faculty of Medicine, Charles University, General University Hospital in Prague, Prague, Czech Republic Background: Electroconvulsive therapy (ECT) is an effective treatment method for severe mental illnesses. ECT has gone through significant modernization. Side effects of ECT have largely decreased. Temporary disturbance of cognitive performance can be still present as a side effect of electroconvulsive treatment. Methods: Cognitive functioning in the sample of patients with severe and acute mental illness treated with electroconvulsive therapy (ECT) was assessed. Basic assessment of cognitive functions was applied in the beginning, in the middle, and at the end of ECT course treatment with the Montreal Cognitive Assessment (MoCA). Complex and detailed testing of cognitive functions using the MATRICS Consensus Cognitive Battery (MCCB) was done at two points in time – within the first week of and then 6 weeks after the end of ECT. Results: Participants had cognitive deficits at baseline, which were most likely influenced markedly by the psychopathology of the illness itself. The improvement in cognition came together with the reduction in psychopathology; psychopathology scores were significantly reduced during ECT treatment. Compared to the baseline, all scores for cognitive testing were significantly improved but remained low in comparison with the controls. After 6 weeks, there was further significant improvement. Conclusion: Our results confirm the safety and efficacy of ECT in the treatment of severe mental disorders. Keywords: electroconvulsive therapy, cognition, side effects, MCCB
format	article
author	Kalisova L Kubinova M Michalec J Albrecht J Madlova K Raboch J
author_facet	Kalisova L Kubinova M Michalec J Albrecht J Madlova K Raboch J
author_sort	Kalisova L
title	Cognitive functioning in patients treated with electroconvulsive therapy
title_short	Cognitive functioning in patients treated with electroconvulsive therapy
title_full	Cognitive functioning in patients treated with electroconvulsive therapy
title_fullStr	Cognitive functioning in patients treated with electroconvulsive therapy
title_full_unstemmed	Cognitive functioning in patients treated with electroconvulsive therapy
title_sort	cognitive functioning in patients treated with electroconvulsive therapy
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/2355d2cd65c0479596ee18935b4e8e57
work_keys_str_mv	AT kalisoval cognitivefunctioninginpatientstreatedwithelectroconvulsivetherapy AT kubinovam cognitivefunctioninginpatientstreatedwithelectroconvulsivetherapy AT michalecj cognitivefunctioninginpatientstreatedwithelectroconvulsivetherapy AT albrechtj cognitivefunctioninginpatientstreatedwithelectroconvulsivetherapy AT madlovak cognitivefunctioninginpatientstreatedwithelectroconvulsivetherapy AT rabochj cognitivefunctioninginpatientstreatedwithelectroconvulsivetherapy
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Cognitive functioning in patients treated with electroconvulsive therapy

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