scholarly journals The Effect of Pulse Width on Subjective Memory Impairment and Remission Rate 6 Months After Electroconvulsive Therapy

2020 ◽  
Vol 36 (4) ◽  
pp. 272-278
Author(s):  
Elsa Tornhamre ◽  
Carl Johan Ekman ◽  
Åsa Hammar ◽  
Mikael Landen ◽  
Johan Lundberg ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Pulse Width ◽  
Memory Impairment ◽  
Remission Rate ◽  
Subjective Memory ◽  
Subjective Memory Impairment

scholarly journals Long-term subjective memory after electroconvulsive therapy

BJPsych Open ◽  
2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Robert Sigström ◽  
Axel Nordenskjöld ◽  
Anders Juréus ◽  
Caitlin Clements ◽  
Erik Joas ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Memory Impairment ◽  
Rating Scale ◽  
Final Analysis ◽  
Negative Effects ◽  
Subjective Memory ◽  
Subjective Memory Impairment ◽  
Negative Effect ◽  
Negative Expectations

Background There have been reports of long-term subjective memory worsening after electroconvulsive therapy (ECT). Aims To study the prevalence and risk factors of long-term subjective memory worsening among patients receiving ECT in routine clinical practice. Method Patients (n = 535, of whom 277 were included in the final analysis) were recruited from eight Swedish hospitals. Participants' subjective memory impairment was assessed before ECT and a median of 73 days after ECT using the memory item from the Comprehensive Psychopathological Rating Scale. Participants also rated their pre-ECT expectations and post-ECT evaluations of the effect of ECT on memory on a 7-point scale. We used ordinal regression to identify variables associated with subjective memory worsening and negative evaluations of the effect of ECT on memory. Results Comparisons of pre- and post-ECT assessments showed that subjective memory worsened in 16.2% of participants, remained unchanged in 52.3% and improved in 31.4%. By contrast, when asked to evaluate the effect of ECT on memory after treatment 54.6% reported a negative effect. Subjective memory worsening was associated with negative expectations before ECT, younger age and shorter duration of follow-up. Conclusions Although subjective memory improved more often than it worsened when assessed before and after ECT, a majority of patients reported that ECT had negative effects on their memory when retrospectively asked how ECT had affected it. This might suggest that some patients attribute pre-existing subjective memory impairment to ECT. Clinicians should be aware that negative expectations are associated with subjective worsening of memory after ECT.

Subjective Side-Effects of ECT

1975 ◽  
Vol 127 (6) ◽  
pp. 609-611 ◽  
Author(s):  
Joan Gomez
Keyword(s):  
Side Effects ◽  
Electroconvulsive Therapy ◽  
Memory Impairment ◽  
Consecutive Series ◽  
Subjective Memory ◽  
Subjective Memory Impairment ◽  
Physical Threat ◽  
Permanent Memory ◽  
Subjective Side

SummaryThe incidence of side-effects present 24 hours after electroconvulsive therapy was studied in 96 patients who between them received 500 treatments in a consecutive series. None of the side-effects occurred frequently: headache was experienced after 2·6 per cent and subjective memory impairment after 3 per cent of treatments. None of the unwanted effects held any serious physical threat. The aspect of ECT most disliked by the patients in this study, and mentioned by 16 per cent of them, was the fear of permanent memory upset.

scholarly journals Subjective memory impairment after electroconvulsive therapy – potentially modifiable?

BJPsych Open ◽  
2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Kate Eggleston ◽  
Richard Porter
Keyword(s):  
Informed Consent ◽  
Electroconvulsive Therapy ◽  
Memory Impairment ◽  
Informed Consent Process ◽  
Subjective Memory ◽  
Subjective Memory Impairment ◽  
Increased Risk ◽  
Before And After ◽  
Patients Experience ◽  
Negative Expectations

Memory impairment is an important side-effect of electroconvulsive therapy (ECT). However, predicting which patients are at increased risk of developing this is difficult. The study by Sigström et al compares patients’ experience of memory difficulties before and after ECT and suggests that patients with negative expectations of ECT's memory effects are more likely to have subjective memory worsening post-ECT. This intriguing finding suggests that clinicians may be able to modify the risk of patients developing subjective memory difficulties post-ECT by providing appropriate information and addressing concerns prior to treatment, during the informed consent process.

The Anterior-posterior Functional Connectivity Disconnection in the Elderly with Subjective Memory Impairment and Amnestic Mild Cognitive Impairment

2020 ◽  
Vol 17 (4) ◽  
pp. 373-381
Author(s):  
Wuhai Tao ◽  
Jinping Sun ◽  
Xin Li ◽  
Wen Shao ◽  
Jing Pei ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Functional Connectivity ◽  
Memory Impairment ◽  
Amnestic Mild Cognitive Impairment ◽  
Magnetic Resonance Imaging Scan ◽  
Subjective Memory ◽  
Long Distance ◽  
Whole Brain ◽  
Subjective Memory Impairment

Background: Subjective Memory Impairment (SMI) may tremendously increase the risk of Alzheimer’s Disease (AD). The full understanding of the neuromechanism of SMI will shed light on the early intervention of AD. Methods: In the current study, 23 Healthy Controls (HC), 22 SMI subjects and 24 amnestic Mild Cognitive Impairment (aMCI) subjects underwent the comprehensive neuropsychological assessment and the resting-state functional magnetic resonance imaging scan. The difference in the connectivity of the Default Mode Network (DMN) and Functional Connectivity (FC) from the Region of Interest (ROI) to the whole brain were compared, respectively. Results: The results showed that HC and SMI subjects had significantly higher connectivity in the region of the precuneus area compared to aMCI subjects. However, from this region to the whole brain, SMI and aMCI subjects had significant FC decrease in the right anterior cingulum, left superior frontal and left medial superior frontal gyrus compared to HC. In addition, this FC change was significantly correlated with the cognitive function decline in participants. Conclusion: Our study indicated that SMI subjects had relatively intact DMN connectivity but impaired FC between the anterior and posterior brain. The findings suggest that long-distance FC is more vulnerable than the short ones in the people with SMI.

Parental dementia and subjective memory impairment in the health and retirement study

2021 ◽  
pp. 1-9
Author(s):  
Tyler R. Bell ◽  
Nikki L. Hill ◽  
Sakshi Bhargava ◽  
Jacqueline Mogle
Keyword(s):  
Memory Impairment ◽  
Health And Retirement Study ◽  
Subjective Memory ◽  
Subjective Memory Impairment ◽  
Retirement Study

SCREENING FOR DEMENTIA: IS 1 SIMPLE QUESTION THE ANSWER?

2015 ◽  
Vol 86 (11) ◽  
pp. e4.152-e4
Author(s):  
Baba Aji ◽  
Andrew Larner
Keyword(s):  
Memory Impairment ◽  
Seizure Type ◽  
Subjective Memory ◽  
Subjective Memory Impairment ◽  
The Past ◽  
Dementia Screening ◽  
Memory Problems ◽  
Simple Question ◽  
Screening Question

ObjectiveTo examine the diagnostic utility of the dementia screening question from the DoH Dementia CQUIN document (2012) in consecutive patients in a dedicated epilepsy clinic, individuals in whom memory complaints are common.Results100 consecutive outpatients (M:F=61:39, median age 44.5 years) were asked ‘Have you been more forgetful in the past 12 months to the extent that it has significantly affected your life?’, as advocated in the Dementia CQUIN document. There was a 48% yes response. No patient was adjudged to have dementia. Comparing the yes/no groups, there was no difference in sex ratio, age, seizure type, or use of antiepileptic drugs (monotherapy versus polytherapy). Those answering yes were more likely to be follow-up than new patients. Intergroup difference in epilepsy duration showed a trend to longer duration in the yes group. The most common examples of memory problems volunteered were forgetting to attend appointments, take medications, or switch off appliances, suggestive of attentional rather than mnestic problems.ConclusionsThese data suggest that the Dementia CQUIN screening question has very low specificity, and hence will identify many false positives, with risk of overdiagnosis of dementia in individuals with purely subjective memory impairment.

P3-228: A COMPREHENSIVE VISUAL RATING SCALE ON BRAIN MRI: APPLICATION TO ALZHEIMER'S DISEASE, MILD COGNITIVE IMPAIRMENT, AND SUBJECTIVE MEMORY IMPAIRMENT

2014 ◽  
Vol 10 ◽  
pp. P714-P714
Author(s):  
Jae-Won Jang ◽  
So Young Park ◽  
Young Ho Park ◽  
Min Jae Baek ◽  
Jae-Sung Lim ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Memory Impairment ◽  
Rating Scale ◽  
Brain Mri ◽  
Subjective Memory ◽  
Visual Rating ◽  
Subjective Memory Impairment ◽  
Visual Rating Scale

P2-169: Cortical thinning in subjective memory impairment

2013 ◽  
Vol 9 ◽  
pp. P410-P411
Author(s):  
Dix Meiberth ◽  
Lukas Scheef ◽  
Henning Boecker ◽  
Frank Jessen
Keyword(s):  
Memory Impairment ◽  
Subjective Memory ◽  
Cortical Thinning ◽  
Subjective Memory Impairment
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