Electroconvulsive therapy in individuals with dementia/major NCD presenting with behavioral symptoms: a systematic review
| العنوان: | Electroconvulsive therapy in individuals with dementia/major NCD presenting with behavioral symptoms: a systematic review |
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| المؤلفون: | Anil K. Bachu, Vijaya Padma Kotapati, Tejasvi Kainth, Rikinkumar Patel, Nagy A. Youssef, Rajesh R. Tampi |
| المصدر: | International Psychogeriatrics. :1-16 |
| بيانات النشر: | Cambridge University Press (CUP), 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Psychiatry and Mental health, Clinical Psychology, Geriatrics and Gerontology, Gerontology |
| الوصف: | Objective: This study aims to systematically review the literature on using electroconvulsive therapy (ECT) in patients with dementia/major NCD (Neuro cognitive disorder) presenting with behavioral symptoms. Design: We conducted a PRISMA-guided systematic review of the literature. We searched five major databases, including PubMed, Medline, Embase, Cochrane, and registry (ClinicalTrials.gov), collaborating with “ECT” and “dementia/major NCD” as our search terms. Measurements: Out of 445 published papers and four clinical trials, only 43 papers and three clinical trials met the criteria. There were 22 case reports, 14 case series, 4 retrospective chart reviews, 1 retrospective case–control study, 1 randomized controlled trial, and 2 ongoing trials. We evaluated existing evidence for using ECT in dementia/major NCD patients with depressive symptoms, agitation and aggression, psychotic symptoms, catatonia, Lewy body dementia/major NCD, manic symptoms, and a combination of these symptoms. Settings: The studies were conducted in the in-patient setting. Participants: Seven hundred and ninety total patients over the age of 60 years were added. Results: All reviewed studies reported symptomatic benefits in treating behavioral symptoms in individuals with dementia/major NCD. While transient confusion, short-term memory loss, and cognitive impairment were common side effects, most studies found no serious side effects from ECT use. Conclusion: Current evidence from a systematic review of 46 studies indicates that ECT benefits specific individuals with dementia/major NCD and behavioral symptoms, but sometimes adverse events may limit its use in these vulnerable individuals. |
| تدمد: | 1741-203X 1041-6102 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::9188771a2dd26df8dfc5e16fce9acd65 https://doi.org/10.1017/s104161022300039x |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........9188771a2dd26df8dfc5e16fce9acd65 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1741203X 10416102 |
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