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The effect of continuation and maintenance electroconvulsive therapy on cognition: a systematic review of the literature and meta-analysis

dc.creatorYoldi-Negrete, Maríaes_ES
dc.creatorLouis-Nascan, Gilles_ES
dc.creatorOlivares, Scarlettes_ES
dc.creatorLauzière, Anabeles_ES
dc.creatorDésilets, Mariees_ES
dc.creatorTourjman, Smadar Valériees_ES
dc.date2022
dc.date.accessioned2024-12-06T18:15:33Z
dc.date.available2024-12-06T18:15:33Z
dc.date.issued2022
dc.identifierOE06IC22es_ES
dc.identifier.issn0165-0327
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8139
dc.identifier.urihttps://doi.org/10.1016/j.jad.2022.08.005
dc.descriptionElectroconvulsive therapy (ECT) is an effective treatment for depression, mania, and refractory schizophrenia. Its tolerability profile is established for acute treatment, but less is known regarding the effects of longer treatment courses, particularly on cognitive performance. Objectives: To assess the effect of the long-term ECT on cognition. Methods: We searched CINAHL, EMBASE, PsychInfo and Pubmed, for the period between January 1, 2010, and June 30, 2022, in English or French, for randomized controlled trials, prospective or retrospective studies of ECT continued for at least 2 months for the treatment of mood or schizophrenic disorders and which measured cognition before and at the end of treatment. Non-peer reviewed records were excluded. The Cochrane Risk of Bias tool was used to assess study quality. Classical meta-analyses, with heterogeneity statistics (tau2, I2) were complemented with three level-meta-analysis and Bayesian Meta-analyses. Results: Nine studies were included in the narrative and quantitative review. Controlled comparison at 6 months (k = 6, n = 334) and at 12 months (k = 3, n = 56), within-subject comparisons at 6 (k = 6, n = 218) and 12 months (k = 4, n = 147) showed no detrimental effect of maintenance or continuation ECT on cognition, with little to no heterogeneity. Bayesian analysis further confirmed that data better supported the no effects hypothesis. Limitations: Insufficient data resulted in imprecision in estimates. Conclusions: Continuation and maintenance ECT do not appear detrimental for cognitive performance. However, the low number of studies limit the interpretation of the results.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation316:148-160
dc.rightsAcceso Cerradoes_ES
dc.titleThe effect of continuation and maintenance electroconvulsive therapy on cognition: a systematic review of the literature and meta-analysises_ES
dc.typeArtículoes_ES
dc.contributor.affiliationLaboratorio de Epidemiología Clínica, Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico
dc.contributor.emailvtourjman.iusmm@ssss.gouv.qc.ca (S.V. Tourjman)
dc.relation.jnabreviadoJ AFFECT DISORD
dc.relation.journalJournal of Affective Disorders
dc.identifier.placePaíses Bajos
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1573-2517
dc.identifier.doi10.1016/j.jad.2022.08.005
dc.subject.kwCognition
dc.subject.kwContinuation ECT
dc.subject.kwElectroconvulsive therapy
dc.subject.kwMaintenance ECT


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