Improvement in verbal memory performance in depressed in-patients after treatment with electroconvulsive therapy

Objective Electroconvulsive therapy (ECT) is a highly effective and well-tolerated therapy for severe and treatment-resistant depression. Cognitive side-effects are still feared by some patients and clinicians. Importantly, cognitive impairments are among the most disabling symptoms of depression it...

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Hauptverfasser: Biedermann, Sarah Violetta (VerfasserIn) , Ende, Gabriele (VerfasserIn) , Sartorius, Alexander (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 23 September 2016
In: Acta psychiatrica Scandinavica
Year: 2016, Jahrgang: 134, Heft: 6, Pages: 461-468
ISSN:1600-0447
DOI:10.1111/acps.12652
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1111/acps.12652
Verlag, Volltext: http://onlinelibrary.wiley.com/doi/abs/10.1111/acps.12652
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Verfasserangaben:S. V. Biedermann, J. M. Bumb, T. Demirakca, G. Ende, A. Sartorius

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520 |a Objective Electroconvulsive therapy (ECT) is a highly effective and well-tolerated therapy for severe and treatment-resistant depression. Cognitive side-effects are still feared by some patients and clinicians. Importantly, cognitive impairments are among the most disabling symptoms of depression itself. Methods Patients suffering from a severe episode of depression were treated with either ECT or treatment as usual (TAU) in an in-patient setting. Matched healthy participants served as controls (HC). Verbal memory was tested with the California Verbal Learning Test (CVLT) before the specific treatment started (ECT = 15, TAU = 16, HC = 31) and 2 months after the last ECT session or 2 months after discharge respectively. Results Before the specific treatment started, depressed patients performed substantially worse compared with HC in total, short- and long-delay recall in the CVLT, while the ECT group showed the worst performance. More severely depressed patients showed worse performances in these measures. Intriguingly, verbal memory showed a significant improvement in ECT-treated patients, but not in the other groups. No differences between the groups were found at follow-up. Conclusion Contrary to the widely feared assumption that ECT has long-term impact on memory functions, we found evidence that ECT is superior to TAU in improving verbal memory in depressed patients. 
650 4 |a California Verbal Learning Test 
650 4 |a cognitive dysfunction 
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650 4 |a electroconvulsive therapy 
650 4 |a major depression 
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