Long-term subjective memory after electroconvulsive therapy

• DOI: 10.1192/bjo.2020.9
• Publication Date: 2020-03-09T10:43:55Z
• Authors: Robert Sigström; Axel Nordenskjöld; Anders Juréus; Caitlin Clements; Erik Joas; Erik Pålsson; Mikael Landén
• Keywords: Memory Impairment

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