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J Neuropsychiatry Clin Neurosci 16:465-471, November 2004
© 2004 American Psychiatric Press, Inc.

Cognitive Status of Psychiatric Patients Under Maintenance Electroconvulsive Therapy: A One-Year Longitudinal Study

Lorena Rami, M.D., Miquel Bernardo, M.D., Ph.D., Teresa Boget, M.D., Ph.D., José Ferrer, M.D., Maria J. Portella, M.D., Jose A. Gil-Verona, M.D., Ph.D. and Manel Salamero, M.D., Ph.D.

Received June 18, 2003; revised March 11, 2003; accepted April 1, 2003. From the Clinic Institute of Psychiatry and Psychology, Hospital Clinic, Barcelona, Spain; the Psychiatry and Clinical Psychobiology Department, University of Barcelona, Barcelona, Spain; the Department of Anatomy, University of Valladolid, Valladolid, Spain. Address correspondence to Dr. Bernardo, Servicio de Psiquiatría, Hospital Clínic, Villarroel, 170, 08015 Barcelona, Spain; bernardo{at}medicina.ub.es (E-mail).

In recent years, maintenance electroconvulsive therapy (M-ECT) has been a common treatment within psychiatric practice. Little information is available regarding the cognitive risks of this treatment, however. In this study, twenty psychiatric outpatients were assessed during M-ECT and 1 year later on treatment. A comprehensive cognitive battery was administered, and a separate comparison group was used to calculate the Reliable Change Index. Global cognitive measures showed no significant difference in scores over time. Our results concur with those described in case reports and suggest that there is no significant association between cognitive decline and M-ECT.




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