Impact of maintenance ECT on concentration and memory.
Impact of maintenance ECT on concentration and memory.
复制标题
维持 ECT 对注意力和记忆力的影响。
DOI：
10.1097/00124509-200109000-00004
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Katz,IR
中科院分区：
文献类型：
--
作者：
Datto,CJ;Levy,S;Miller,DS;Katz,IR
方法从接受MECT的现有门诊患者中招募患者。同意的患者被要求在三个场合，并给予一组电话认知评估，包括定向-记忆-集中，Buschke选择性提醒，言语流畅性，“世界”向后，连续七，和韦氏逻辑记忆。电话采访的场合是ECT前一天，治疗后一天，一周后。基线和时间3之间的相关性范围从1.00拼写“世界”向后到0.509语言流畅性类别，表明重测信度相当大的变化。一个测试，语言流畅性类别，显示了组水平的影响，与递减的表现后一天的治疗。其中16例患者表现出全球认知功能障碍后一天treatment.DiscussionThe试点结果表明，电话评估可能是一个有用的方法，用于监测患者接受门诊ECT。监测可用于指导临床医生建议个人及其护理人员在个体治疗后恢复活动。总体而言，这些结果支持MECT的耐受性。
MethodPatients were recruited from an existing population of outpatients receiving MECT. The consenting patients were called on three occasions and given a battery of telephone cognitive assessments including Orientation-Memory-Concentration, Buschke Selective Reminding, Verbal Fluency,“World” Backwards, Serial Sevens, and Wechsler Logical Memory. The occasions for the telephone interviews were the day before ECT, the day after a treatment, and a week later.ResultsSixteen patients completed the study. The correlation between baseline and time 3 ranged from 1.00 for spelling “world” backward to 0.509 for Verbal Fluency Category, indicating considerable variability in test-retest reliability. One test, Verbal Fluency Category, showed group level effects, with decrements in performance the day after a treatment. One of the 16 patients showed global cognitive deficits the day after a treatment.DiscussionThe pilot results suggest that telephone assessment may be a useful approach for monitoring patients receiving outpatient ECT. Monitoring may serve to guide clinicians in advising individuals and their caregivers about the return to activities after an individual treatment. Overall these findings support the tolerability of MECT.