Electroconvulsive Therapy (ECT) & Exercise || with
Complete Solutions.
When was ECT first introduced and what. for? correct answers ECT was initially for
schizophrenia but after antidepressant medication was introduced, ECT was less used
What is ECT like? correct answers use an electrical stimulus and put at the patient's head to
generate a 15-70 second seizure while still under anesthesia (usually 2-3 times a week)
Is ECT effective? correct answers it's proven to be more effective than medication
If ECT is more effective than why is it not as commonly used? correct answers ECT has several
cognitive side effects that using medication instead will help to avoid
What's the support for ECT's greater effectiveness than medication? correct answers ECT has
- 20% better response rate than tricyclic antidepressants
- 45% better response rate than MAOIs
What does the recent meta-analysis of ECT say about it's effectiveness? correct answers patients
are 3 times more likely to respond to ECT than TCAs, and 6 times more likely to respond to ECT
than MAOIs
What's the effect of ECT compared to SSRIs? correct answers ECT is able to reduce the
occurrence of depressive symptoms by half compared to when using SSRI
What's the effect of ECT on treatment-resistant depression patients? correct answers these
patients whose depression is treatment-resistant when treated w/ ECT have a 6-12 times higher
chance of recovering as compared to continuing to take medication only
What's the effect of ECT on those who have recurrent depressive episodes? correct answers those
w/ recurrent episodes have 50% fewer re-admissions in the 30 days after they were initially
discharged as compared to if they only took medication
What's the effect of ECT on patients at risk of suicide? correct answers those at risk of suicide
have lowered risk long-term when treated w/ ECT
What are the cognitive deficits of those w/ depression? correct answers limited alertness,
psychomotor speed, sustain attention, poor memory + executive function, reduced ability to
recall specific events from their part (having poor autobiographical memory)
What are the acute effects (within 3 hours) of ECT? correct answers the patient w/ has just been
treated w/ ECT in the last 3 hours would be disoriented for at least an hour
Complete Solutions.
When was ECT first introduced and what. for? correct answers ECT was initially for
schizophrenia but after antidepressant medication was introduced, ECT was less used
What is ECT like? correct answers use an electrical stimulus and put at the patient's head to
generate a 15-70 second seizure while still under anesthesia (usually 2-3 times a week)
Is ECT effective? correct answers it's proven to be more effective than medication
If ECT is more effective than why is it not as commonly used? correct answers ECT has several
cognitive side effects that using medication instead will help to avoid
What's the support for ECT's greater effectiveness than medication? correct answers ECT has
- 20% better response rate than tricyclic antidepressants
- 45% better response rate than MAOIs
What does the recent meta-analysis of ECT say about it's effectiveness? correct answers patients
are 3 times more likely to respond to ECT than TCAs, and 6 times more likely to respond to ECT
than MAOIs
What's the effect of ECT compared to SSRIs? correct answers ECT is able to reduce the
occurrence of depressive symptoms by half compared to when using SSRI
What's the effect of ECT on treatment-resistant depression patients? correct answers these
patients whose depression is treatment-resistant when treated w/ ECT have a 6-12 times higher
chance of recovering as compared to continuing to take medication only
What's the effect of ECT on those who have recurrent depressive episodes? correct answers those
w/ recurrent episodes have 50% fewer re-admissions in the 30 days after they were initially
discharged as compared to if they only took medication
What's the effect of ECT on patients at risk of suicide? correct answers those at risk of suicide
have lowered risk long-term when treated w/ ECT
What are the cognitive deficits of those w/ depression? correct answers limited alertness,
psychomotor speed, sustain attention, poor memory + executive function, reduced ability to
recall specific events from their part (having poor autobiographical memory)
What are the acute effects (within 3 hours) of ECT? correct answers the patient w/ has just been
treated w/ ECT in the last 3 hours would be disoriented for at least an hour
