The Clinical Practice of Assessing Cognitive Function in Adults Receiving Electroconvulsive Therapy
| Autor: | Pascal Sienaert, Jasmien Obbels, Esmée Verwijk, Koen Vanbrabant, Filip Bouckaert |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Adolescent medicine.medical_treatment Neuroscience (miscellaneous) Neuropsychological Tests behavioral disciplines and activities Young Adult 03 medical and health sciences Cognition 0302 clinical medicine Electroconvulsive therapy mental disorders medicine Humans Neuropsychological assessment Electroconvulsive Therapy Electrodes Depression (differential diagnoses) Aged Psychiatric Status Rating Scales Depressive Disorder Major Memory Disorders medicine.diagnostic_test Catatonia Neuropsychological test Middle Aged 030227 psychiatry Cognitive test Psychiatry and Mental health Treatment Outcome Clinical research Psychotic Disorders Socioeconomic Factors Good clinical practice Feasibility Studies Female Cognition Disorders Psychology 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | The Journal of ECT. 32:99-103 |
| ISSN: | 1095-0680 |
| DOI: | 10.1097/yct.0000000000000279 |
| Popis: | Background Cognition can be affected by electroconvulsive therapy (ECT). Good clinical practice includes neuropsychological assessment, although this is seldom a part of routine clinical practice. It looks like a substantial part of patients fail to complete cognitive assessments. This constitutes a problem in the generalizability of published clinical research on cognitive side effects. Most studies of ECT-related cognitive adverse effects do not discuss this important issue of so-called cognitive test nonparticipants. Recent findings suggest that cognitive test nonparticipants are more severely ill, and probably more vulnerable to cognitive side effects. Objectives To examine the feasibility of a neuropsychological test battery in daily clinical practice, in an adult population referred for ECT. Methods We reviewed the clinical records of 84 patients referred for ECT. Demographic and clinical characteristics of those patients who were able to complete our routine cognitive testing at baseline are compared with those who could not complete the assessment. Results From 84 ECT patients, 60 (71%) completed a pre-ECT cognitive assessment, whereas 24 (29%) did not. Patients with a unipolar depression, with psychotic symptoms, who started their treatment with a bitemporal electrode placement were more likely to be test noncompleters than test completers. Conclusions Patients with a unipolar depression, with psychotic features, who are treated with a bitemporal electrode placement, have a higher likelihood of not completing a pre-ECT cognitive assessment. These patients probably represent a subgroup more vulnerable to cognitive side effects. |
| Databáze: | OpenAIRE |
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