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Electroconvulsive therapy: is there a role for treating older patients?

Published online by Cambridge University Press:  23 October 2013

MI Ramos-Garcia  and
CF González-Salazar
MI Ramos-Garcia*
Affiliation:
Institute of Psychiatry and Mental Health, Hospital Clinico San Carlos, Madrid
CF González-Salazar
Affiliation:
Geriatric Department, Hospital Universitario Gregorio Marañon, Madrid, Spain
*
Address for correspondence: Maria Isabel Ramos Garcia, C/Castillo de Arévalo, 5, 2-2ª 28232 Las Rozas, Madrid, Spain. Email: belramosg@hotmail.com
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Summary

Electroconvulsive therapy (ECT) is a powerful acute treatment for severe and resistant depression. We review literature related to the efficacy, safety and tolerability of ECT in older people, with an emphasis on research studies and reviews published in the last 25 years. In general ECT has been considered a very effective and safe treatment for depression and other psychiatric and non-psychiatric disorders in older people. Amnesia is commonly attributed to ECT treatment, but studies suggest that the negative effects of ECT on cognition are probably small in older patients. Currently the balance of risks and benefits of ECT justify its use for severe depression in older patients, both with and without dementia.

Keywords

electroconvulsive therapyECTdepressionolder peoplelate-life depressionelectroshock therapy
Type
Review Article
Information
Reviews in Clinical Gerontology , Volume 23 , Issue 4 , November 2013 , pp. 283 - 294
Copyright
Copyright © Cambridge University Press 2013 

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